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."


Walker County Arrest Report For June 13-26

Here is the Walker County arrest report for June 13-26: MCDOUGALE          AMBER          LEEANN        W/F     29        57201  Officer BLAYLOCK  POSESSION OF METH, SCHEDULE II AND SCHEDULE ... (click for more)

Corker Expects U.S. To Draw Closer To UK After Brexit Vote

In an appearance on CNN’s State of the Union on Sunday, Senator Bob Corker anticipated the U.S. would draw closer to the United Kingdom in the aftermath of the referendum to leave the European Union. He also pushed back on previous threats from President Obama that the UK’s departure from the EU would force to them to the “back of the queue” on negotiating future trade agreements ... (click for more)

Improvements Needed At Entrance To Wilcox Tunnel

I am writing this letter to bring to your attention to a city traffic issue that needs to be addressed immediately, the sooner the better. I can see no large cost factor.   Recently, while as a concerned citizen, removing trash and litter from the entry/exit area of the Wilcox Tunnel on the side that runs into Chamberlain Avenue, I fully realized that this area could ... (click for more)

Roy Exum: Where Will George Go?

George Will, easily one of the most respected conservative columnists in America and a Republican commentator, was a guest on Fox News Sunday yesterday when he made a very revealing statement. He announced he has left the Republican Party “for the same reason I joined it” and that he is not only disappointed by the party’s actions but its increasingly-inept leadership as well. ... (click for more)

Chris Douglas Repeats As Waterfront Triathlon Champ

Sunday was a hot, hot day, but that didn’t keep nearly a thousand local and regional triathletes from around the Southeast from putting their best foot forward in the annual Waterfront Triathlon in downtown Chattanooga. Chris Douglas and Sara Gibson were the overall winners in the International distance race, which started with a 1.5K (.93 mile) swim, followed by a 42K (26 ... (click for more)

Lookouts Capture Series From Generals With 6-2 Win Sunday

For just the fourth time this season, the Jackson Generals have lost a series with Sunday's 6-2 loss to the Chattanooga Lookouts at AT&T Field in Chattanooga, Tennessee. The Lookouts have won three of the first four in the five-game series in their quest to make it to the Southern League playoffs again. Aaron Slegers started for Chattanooga and picked up the win after eight ... (click for more)