Blount County Woman Charged with TennCare Fraud
NASHVILLE, TN – A Blount County woman is charged with TennCare fraud in nearby Knox County, after obtaining healthcare insurance benefits through TennCare, even though she was not eligible for the program.
The Office of Inspector General (OIG) today announced the arrest of 27-year old Amanda Carolyn Duncan, who also used the name Amanda Carolyn Goodson, of Louisville, Tennessee. The Blount County Sheriff’s Office assisted with the arrest.
Duncan is charged with 15 counts of TennCare fraud and one count of theft of property over $10,000. Charges accuse her of knowingly withholding income information that would have rendered her ineligible for TennCare benefits.
“People who misrepresent something about their current situation in order to qualify for TennCare are going to be caught and prosecuted,” Inspector General Deborah Faulkner said. “TennCare fraud is a felony, and a conviction could mean jail time and paying the state back for any medical services received.”
The TennCare fraud charges carries up to two-year sentence per charge, and the theft of services charge could result in a sentence of up to 6 years. District Attorney General Randall Nichols 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, 2,096 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."