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Office Of Inspector General
Lawrence S. Saylor, Jr., Acting Inspector General


What is the Office of Inspector General?

The mission of the Tennessee Office of Inspector General is to identify, investigate, and prosecute persons who commit fraud against TennCare.

Under the TennCare Fraud and Abuse Reform Act, Tenn.CodeAnn. 71-5-2505, and subsequent legislation, the OIG is authorized to:


suspect being arrested
    • investigate civil and criminal fraud and abuse of the TennCare programs, or any other violations of state criminal law related to the operation of TennCare, including allegations of fraud or abuse involving TennCare managed care organizations (MCOs);
    • cooperate with the Medicaid Fraud Control Unit at the Tennessee Bureau of Investigation and refer instances of provider fraud and abuse to that unit;
    • furnish the public with information about the fraud and abuse laws pertaining to TennCare;
    • provide legal assistance to the Attorney General and the District Attorneys general in initiating and handling proceedings in appropriate TennCare fraud and abuse cases, including criminal prosecutions, civil recoveries, and forfeitures;
    • employ qualified law enforcement officers with authority to enforce the fraud provisions;
    • pay cash rewards to citizens who provide information regarding TennCare fraud which leads to a criminal conviction;
    • subpoena witnesses and records in connection with any investigation into TennCare fraud or abuse.

 

Cash for Tips Program

The Office of Inspector General (OIG) ordinarily posts TennCare fraud convictions to this website within sixty (60) days of the date of entry of the judgment of conviction .

Any person who reported the information leading to a conviction for TennCare fraud shall have sixty (60) days from the date of the initial posting on the website to contact OIG and claim his/her reward. After the expiration of sixty (60) days, the right to claim will expire. A person(s) claiming the reward must be able to provide and verify his/her identity in order to obtain any reward monies.

To review the complete rules for the Cash for Tips Incentive Program, click on the "Incentive Program (Cash for Tips)" link in the Documents & Publications table on this web page.

To review the current Cash for Tips convictions report, click on the "Cash for Tips" link in the Documents and Publications table on this web page.