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Giles County Woman Charged with TennCare Drug Fraud

Thursday, July 26, 2012 | 10:51am

NASHVILLE – A Giles County woman is charged with TennCare fraud for selling prescription drugs paid for by TennCare.

The Office of Inspector General (OIG) today announced the arrest of Lori A. Clemmons, 27, of Pulaski, after a joint investigation with the 22nd Judicial Drug Task Force.

Clemmons is charged with one count of TennCare fraud and one count of sale of a controlled substance.  She’s accused of using her TennCare benefits to obtain a prescription for the painkiller Hydrocodone while planning to unlawfully sell a portion of the prescription.

“The Legislature has given us full authority and the necessary tools to pursue TennCare fraud to the fullest extent,” Inspector General Deborah Y. Faulkner said.  “We are using those tools and working with providers and others across the state in the war against this activity.”

TennCare fraud is a Class E felony carrying a sentence of up to two years in prison, and sale a Schedule III controlled substance by fraud is a Class D felony, punishable by two to four years in prison. District Attorney General Mike Bottoms is prosecuting.

The OIG, which is separate from TennCare, began full operation in February 2005 and has investigated cases leading to over $3.5 million paid in restitution and recoupment to TennCare, with a total estimated cost avoidance of over $173 million for the TennCare program, according to latest figures.  To date, over 1,700 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 from anywhere in Tennessee, or log on to www.tn.gov/tnoig and follow the prompts that read "Report TennCare Fraud."

TennCare Fraud | Press Releases