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Decatur Co. Woman Charged with TennCare Fraud

Thursday, November 06, 2014 | 04:56am

NASHVILLE, Tenn. – A Decatur County woman is charged in Henderson County with fraudulently obtaining TennCare benefits by falsely claiming dependent children in order to qualify for TennCare benefits.

The Office of Inspector General (OIG) today announced the arrest of Susan Bingham, 28, of Scotts Hill.   The Henderson County Sheriff’s Office assisted in the arrest.

Bingham is charged with TennCare fraud and theft of property over $10,000. An indictment accuses her of falsely claiming her under-aged children were living in her home, which fraudulently rendered her eligible for TennCare benefits.

“If a person lies, cheats or steals to get TennCare benefits, we’re going to find out and the outcome could be jail or prison time,” Inspector General Manny Tyndall said. “We’re in contact with law enforcement, providers and citizens across the state who are helping us win the war against TennCare fraud.”

TennCare fraud is a Class E felony, carrying a sentence of up to two years in prison.  Theft of property over $10,000 is a Class C felony that carries a sentence of up to six years in prison.   District Attorney General James Woodall is prosecuting.

The OIG, which is separate from TennCare, began full operation in February 2005 and has investigated cases leading to over $5 million being repaid to TennCare, with a total estimated cost avoidance of over $176 million for TennCare, according to latest figures.  To date, 2,208 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