Fraud and Abuse

TennCare's Office of Program Integrity (OPI) is responsible for the prevention, detection and investigation of alleged provider fraud, waste and/or abuse. OPI collaborates with the Managed Care Contractors (MCCs), law enforcement, and various state and federal agencies to ensure regulatory compliance and accountability and protects the financial and health care service integrity of the TennCare program.

Please see the Office of Program Integrity (OPI) page for more info, including how to report TennCare Fraud.