Hester reportedly saw multiple physicians, without disclosing it, within a 30-day period, receiving prescriptions for the same or similar controlled substances with the physician office visits or the prescriptions being paid for by TennCare.
Certain prescription drugs are classified as controlled substances because they have a dangerous potential for abuse and addiction, Inspector General Deborah Faulkner said. The TennCare program pays for such medications when prescribed under the direction and supervision of a physician, but we are committed to pursuing those cases involving fraud and abuse especially when dangerous drugs are involved.
TennCare fraud is a Class E felony, carrying a sentence of up to two years in prison per charge. Obtaining a controlled substance by fraud is a Class D felony, carrying a sentence of up to four years in prison per charge if convicted. District Attorney General Tom P. Thompson is prosecuting.
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 from anywhere in Tennessee, or log on to www.tn.gov/tnoig and follow the prompts that read "Report TennCare Fraud."