Wilson woman charged with TennCare fraud

Staff Reports • Dec 17, 2015 at 5:20 PM

A Wilson County woman was charged in an indictment with TennCare fraud for apparently reporting falsely her income in order to appear eligible for the state’s health care insurance program.

The Office of Inspector General, with assistance from Wilson County sheriff’s deputies, charged Wanda June Williams, 53, of Mt. Juliet, with one count of TennCare fraud and two counts of theft of services for falsely reported her resources to the state to access health care benefits through TennCare.

“If you lie, cheat or steal to get TennCare benefits, you risk going to jail, having to pay the state for the services and possibly losing the privilege of applying for TennCare in the future,” Inspector General Deborah Faulkner said.

TennCare fraud is a Class E felony carrying a sentence of up to two years in prison. Theft of services more than $1,000 but less than $10,000 is a Class D felony that carries a maximum sentence of four years in prison.  Theft of services more than $10,000 is a Class C felony that carries a penalty of six years in prison. District Attorney Tommy Thompson is prosecuting the case.

The OIG, which is separate from TennCare, began full operation in February 2005 and has investigated cases leading to more than $3.5 million paid in restitution and recoupment to TennCare, with a total estimated cost avoidance of more than $173 million for the TennCare program, according to latest figures.  To date, more than 1,900 people were charged with TennCare fraud.

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