Georgia Woman Charged With TennCare Fraud

Wednesday, July 9, 2014

A Georgia woman is charged with claiming she lived in Tennessee in order to obtain TennCare health care insurance benefits.

The Office of Inspector General (OIG) on Wednesday announced the arrest of Xochitl Gomez, 47, of Rossville. She surrendered at the Hamilton County Sheriff’s Office.

Ms. Gomez is charged in an indictment with TennCare fraud and theft of property.  The indictment accuses her of falsely reporting to the state that she and her children resided in Tennessee, in order to be eligible for TennCare benefits, when they actually live in Rossville.

“Anyone who misrepresents their income, address, employment or other information to gain TennCare benefits will be prosecuted,” acting Inspector General Robert White said. “Tennessee taxpayers clearly want to keep people out of the program who are not eligible, and who would commit fraud to illegally gain healthcare insurance benefits.”

The TennCare fraud charge against Ms. Gomez could result in a two-year sentence, if she is convicted.   Theft of property over $10,000 is a Class C felony that carries a maximum sentence of six years in prison.  District Attorney General William H. Cox III, 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, 2,138 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 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."


Red Bank To Take Proposals From 4 Schools On $50,000 In New Education Fund

In Red Bank’s budget for fiscal year 2015-2016, a $50,000 education fund was included to supplement public schools in the city. At the city commission meeting Tuesday night, discussion took place about how to distribute the money. There are four schools that will share the funds - Red Bank Elementary, Alpine Crest Elementary, Red Bank Middle and Red Bank High.   ... (click for more)

Red Bank To Take Proposals From 4 Schools On $50,000 In New Education Fund

In Red Bank’s budget for fiscal year 2015-2016, a $50,000 education fund was included to supplement public schools in the city. At the city commission meeting Tuesday night, discussion took place about how to distribute the money. There are four schools that will share the funds - Red Bank Elementary, Alpine Crest Elementary, Red Bank Middle and Red Bank High.   ... (click for more)

In Agreement With Rep. Womick's Bill

I agree wholeheartedly with the bill by Rep. Womick that county clerks only marry couples of the opposite sex, but I doubt that the present Supreme Stupids would change the position of the court and fear that the time, energy and money spent to defend a legal action brought by the liberal supporters of the present state of the law would be for nothing.  There is a higher ... (click for more)

Roy Exum: A Marine’s Talk To Obama

I get a lot of email and try to have good judgment when it comes to what I keep and what I cull. The big search engines like Google and Yahoo pick up everything I write so I get responses from all over the country. I look at each of them as a personal note. I very rarely share them, instead using the opinions of others as a magnificent teaching source. It’s incredible what so many ... (click for more)

UTC Football: First Practice To A National Title

Monday was the first day of pre-season practice for the UTC football team with 33 days to the season opener with Jacksonville (Ala.) State and 159 days (Jan.9, 2016) to the FCS title game in Frisco, Texas. The last time UTC played in Texas was half a century ago at North Texas State (Denton) in 1966.   “The first day of practice is always exciting as it’s the start ... (click for more)

Jones Press Conference Kicks Off Vols' Preseason

KNOXVILLE, Tenn. – Coach Butch Jones held his preseason football press conference on Monday at Neyland Stadium. Jones heads into his third season with visible enthusiasm after the Vols finished off the 2014 season with an impressive win over Iowa in the TaxSlayer Bowl, following that up with another nationally ranked recruiting class. "In terms of our football team, we ... (click for more)