Warren County Man Charged with TennCare Drug Fraud
NASHVILLE, Tenn. – A Warren County man is charged with TennCare fraud in connection with selling prescription drugs paid for by the state’s Medicaid program.
The Office of Inspector General (OIG) today announced the arrest of David Rios Flores, 57, of McMinnville, after a joint investigation with the Warren County Sheriff’s Office.
Flores is accused of selling a portion of a prescription for the painkiller Hydrocodone, which was purchased using TennCare healthcare insurance benefits. He’s charged with two counts of TennCare fraud and two counts of delivery of a Schedule III controlled substance.
“Selling prescription drugs paid for with tax dollars is illegal and intolerable,” Acting Inspector Lawrence S. Saylor, Jr., said. “The illegal sale of prescription drugs to other people is dangerous and can be harmful and even deadly.”
TennCare fraud is a Class E felony carrying a sentence of up to two years in prison per charge, and delivery of a Schedule III controlled substance is a Class D felony, punishable by two to four years in prison. District Attorney General Lisa S. Zavogiannis 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, 2,154 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."