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Kentucky Woman Charged a 2nd Time with TennCare Fraud

Tuesday, September 09, 2014 | 07:25am

NASHVILLE, Tenn. – A Kentucky woman is charged for the second time with claiming to live in Tennessee in order to obtain TennCare benefits for herself, her husband and her children.

The Office of Inspector General (OIG) today announced the arrest of Natali J. Monrroy, 28, of Adairville, Kentucky.  Monrroy turned herself in to Sheriff’s Officers in Rutherford County, where an indictment accuses her of TennCare fraud and theft of services.  Charges accuse Monrroy of fraudulently reporting to the state that she and her family resided in Tennessee in order to be eligible for TennCare healthcare insurance benefits.  

Monrroy was arrested just two months ago, in July, on an indictment in Robertson County charging her with TennCare fraud and two counts of theft of services in connection with falsely claiming to reside in Tennessee while she and her family were actually living in Kentucky.

"Having residence in Tennessee is a clear requirement for asking the state to provide you with healthcare insurance benefits,” Acting Inspector General Lawrence S. Saylor, Jr., said. "If anyone hears about someone crossing state lines to enroll in TennCare, we need to know about it."

The TennCare fraud charge against Monrroy could result in a two year sentence, if convicted.   The theft of services charge is a Class D felony punishable by up to four years in prison.  District Attorney General Jennings H. Jones is prosecuting the Rutherford County Case.

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, 2,180 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