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Mississippi Woman Charged with TennCare Fraud

Wednesday, February 19, 2020 | 11:43am
Hall Bobo

NASHVILLE, TN. – A Southaven, Mississippi woman is charged with TennCare fraud and theft of property in an indictment accusing her of claiming to have a Tennessee residence in order to access TennCare healthcare insurance benefits.  

The Office of Inspector General (OIG), in a joint effort with the Shelby County Sheriff’s Office, today announced the arrest of 38-year old Summer Hall-Bobo.  She’s accused of falsely reporting a Tennessee residence in order to obtain TennCare benefits. As a result, TennCare paid $43,170.32 in fees and claims on behalf of her and her son. Had they reported a Mississippi residence, she would not have qualified for TennCare.  

“The Office of Inspector General is determined to catch people who try to take advantage of Tennessee’s Medicaid program,” Inspector General, Kim Harmon said. “Our agency strives to protect our taxpayers hard earned money and ensure that those who choose to commit fraud will be sought out and prosecuted.”

Theft of property is a class C felony and TennCare fraud is a class D felony. If convicted, she could face up to a maximum of 27 years in prison. The case is being prosecuted by District Attorney Amy T. Weirich of Shelby County.

The OIG, which is separate from TennCare, began full operation in February 2005 and has investigated over 5,760 criminal cases leading to more than $10.8 million ordered in restitution to TennCare.  This has helped lead to a total estimated cost avoidance of more than $163.6 million for TennCare, according to the latest figures. To date, 3,148 people have been charged with TennCare fraud.

Through the OIG Cash for Tips Program established by the Legislature, Tennesseans can get cash rewards for TennCare fraud tips that lead to convictions.  Anyone can report suspected TennCare fraud by calling 1-800-433-3982, toll-free or by logging on to www.tn.gov/oig/ and following the prompts that read “Report TennCare Fraud.”