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Dickson Co. Woman Charged with TennCare Fraud

Monday, December 15, 2014 | 04:32am

NASHVILLE, Tenn. – A Dickson County woman is charged with fraudulently obtaining TennCare benefits by falsely claiming she had dependent children in the home in order to qualify for the state’s healthcare insurance program.

The Office of Inspector General (OIG) today announced the arrest of Nancy A. Daniel, 40, of Dickson.   The Dickson County Sheriff’s Office assisted in her arrest.  She is charged with TennCare fraud and theft of services over $10,000. Charges accuse her of making false statements claiming her minor children as members of her household in order to be eligible for TennCare benefits.

“TennCare eligibility is based on specific financial and household factors, and anyone who misrepresents their situation in order to be eligible for TennCare is committing fraud against the state,” Inspector General Manny Tyndall said. “What can happen if a person is convicted of fraud is worse than simply finding a way to pay for healthcare privately if not eligible for TennCare.”

TennCare fraud is a Class E felony, carrying a sentence of up to two years in prison. Theft of services over $10,000 is a Class C felony punishable by up to six years in prison.  District Attorney General W. Ray Crouch, Jr., 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, 2,251 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