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Six Charged in Dyer Co. TennCare Drug Fraud Round-Up

Monday, December 15, 2014 | 04:15am

NASHVILLE, Tenn. – TennCare fraud charges are lodged against six people after a Dyer County Grand Jury issued indictments based on evidence from the Office of Inspector (OIG) and the Dyersburg Police Department.   The charges involve the resale of prescription drugs paid for with TennCare benefits and doctor shopping.

“Local investigators, like those in the Dyersburg P.D., are the key to building cases and helping us make these arrests,” Inspector General Manny Tyndall said.  “This operation is a direct result of the time and hard work that Dyersburg officers invested in identifying prescription drug seekers and getting them off the street. They’re a valued partner in our fight against TennCare drug fraud.”

The six charged are:

  • Tamika L. Anderson, 38, of Dyersburg, charged with TennCare fraud and sale of a schedule III controlled substance.  She’s accused of obtaining a prescription for the painkiller Hydrocodone using TennCare healthcare insurance benefits and selling a portion to an undercover agent.
  • Michael W. Gwaltney, 56, of Halls, charged with two counts of fraudulently using TennCare to obtain a controlled substance by doctor shopping.  He’s accused of going to multiple physicians in a short period of time to obtain the painkiller Hydrocodone, with the physician office visits and prescriptions being paid for by TennCare.
  • Angela S. Rose, 36, of Dyersburg, charged with TennCare fraud and two counts of sale of a controlled substance.  She is accused of obtaining a prescription for the anti-anxiety drug Alprazolam, also known as Xanax, using TennCare benefits, then later selling a portion to an undercover agent.  In addition, Rose was charged with selling methamphetamine.
  • Robert L. Bolden, 66, of Dyersburg, charged with TennCare fraud and sale of a Schedule IV controlled substance.  Bolden is accused of using TennCare benefits to obtain Lorazepam, an anti-anxiety medication, and selling a portion to an undercover agent.
  • Crystal J. Lawson, 35, of Dyersburg, charged with fraudulently using TennCare to obtain a controlled substance by doctor shopping.  She’s accused of going to multiple providers in a short period of time to obtain prescriptions for the painkiller Oxycodone, with the physician office visits and prescriptions being paid for by TennCare.
  • James Moser, 54, of Dyersburg, charged with fraudulently using TennCare to obtain a controlled substance by doctor shopping.  He’s accused of going to multiple providers in a short period of time to obtain the painkiller Hydrocodone, with the physician office visits and prescriptions being paid for by TennCare.

TennCare fraud is a Class E felony carrying a sentence of up to two years per charge in prison.  District Attorney General Phillip Bivens 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, 2,250 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."

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