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Davidson Co. Woman Charged with TennCare Drug Fraud

Thursday, September 12, 2013 | 06:54am

NASHVILLE, TN - A Davidson County woman is charged with TennCare fraud for filling a fraudulent prescription and using TennCare healthcare insurance benefits to pay for it.

The Office of Inspector General (OIG) today announced the arrest of Valerie Lynn Layne, 25, of Old Hickory.  Metro Nashville Police assisted with this arrest.

Layne is charged with TennCare fraud, identity theft and obtaining a controlled substance by fraud. She is accused of obtained the painkiller Lortab by using the name and identifying information of a medical provider by means of forgery, and that she used TennCare benefits in order to obtain the forged prescription.

“This is a great example of a pharmacy and a medical provider that were alert to the illegal tactics some people will use to obtain prescription painkillers,” Inspector General Deborah Faulkner said.

TennCare fraud is a Class E felony, carrying a sentence of up to two years in prison. Obtaining a controlled substance by fraud and identity theft both are Class D felonies that carry a sentence of up to four years in prison per charge. District Attorney General Victor S. Johnson, III 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 1,900 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."