Mississippi Woman Charged with TennCare Fraud

NASHVILLE – A woman living in Olive Branch, Mississippi is charged with TennCare fraud in connection with allegedly claiming to live in Tennessee to obtain healthcare insurance benefits through TennCare for herself and her dependents.   

The Office of Inspector General (OIG), in a joint effort with the Shelby County Sheriff’s Office, today announced the arrest of 40-year old Melanie Kilpatrick. She is charged with TennCare fraud, which is a class D felony, and theft of property more than $10,000.00 but less than $60,000.00, a class C felony.  Investigators allege that Kilpatrick resided in Mississippi when she reported a Tennessee residence in state documents which resulted in TennCare paying more than $40,450.00 in fees and claims.

“The OIG would like to recognize the joint effort of the Shelby County Sheriff’s Office,” Inspector General Kim Harmon said. “We hope to continue these strong established relationships to ensure that those who choose to abuse our state Medicaid system will be brought to justice.”

The case is being prosecuted by District Attorney General Amy T. Weirich of Shelby County.

The OIG, which is separate from TennCare, began full operation in February 2005 and has investigated more than 5,760 criminal cases leading to more than $10.8 million being repaid to TennCare, with a total estimated cost avoidance of more than $163.6 million for TennCare, according to latest figures. TennCare’s budget is comprised of both federal and state dollars, 65% and 35% respectfully. To date, 3,127 people have been charged with TennCare fraud.

To access the OIG most wanted list please visit https://www.tn.gov/finance/fa-oig/fa-oig-most-wanted.html, where there is information about reporting tips on one of the subjects.   

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.”