NASHVILLE – A Davidson County woman is charged with TennCare fraud and theft of services for allegedly making false statements to the state to obtain TennCare health care insurance benefits.
The Office of Inspector General (OIG), in a joint effort with the Davidson County Sheriff’s Office, today announced the arrest of 46-year old Quantina D. McAfee of Hermitage. She’s charged with TennCare fraud, which is a class D felony, and theft of services more than $10,000.00 but less than $60,000.00, a class C felony.
Investigators allege that McAfee under reported her income to appear eligible for TennCare benefits. As a result, TennCare paid approximately $29,537.71 in fees and claims.
“The TennCare program is established to help those truly in need based on strict income guidelines,” Inspector General Kim Harmon said. “We appreciate the strong relationships that have been forged with local law enforcement, that have helped thwart people from committing these crimes and protecting the State of Tennessee resources.”
The case is being prosecuted by District Attorney General Glenn R. Funk of Davidson County.
The OIG, which is separate from TennCare, began full operation in February 2005 and has investigated more than 5,760 criminal cases leading to more than $10.8 million being repaid to TennCare, with a total estimated cost avoidance of more than $163.6 million for TennCare, according to latest figures. To date, 3,129 people have been charged with TennCare fraud.
To access the OIG most wanted list please visit https://www.tn.gov/finance/fa-oig/fa-oig-most-wanted.html. Anyone with information about a wanted subject is urged to use the contact information on the page.
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 or by logging on to www.tn.gov/oig/ and following the prompts that read “Report TennCare fraud.”