Georgians accused of illegally getting Medicaid coverage from Tennessee

Tennessee officials are looking into allegations that 16 Georgia residents fraudulently received coverage under Tennessee's Medicaid program, The Atlanta Journal-Constitution reported.

The people under investigation allegedly lied about where they lived, possibly trying to get coverage through TennCare that was unavailable in Georgia, according to the Tennessee Office of Inspector General.

"The impact's huge," Tennessee Inspector General Kim Harmon told the Journal-Constitution. "I was just looking at some of our numbers: Per person, the average annual cost per enrollee is $4,062 per month."

Ms. Harmon’s office said it could not reveal to the Journal-Constitution whether the people under investigation were allegedly trying to receive Tennessee Medicaid coverage for its eligibility standards, or whether they applied for Tennessee Medicaid coverage while living in the state and kept it when they moved to Georgia.

She told the newspaper that people are required to notify Tennessee if they move, and they must periodically renew their status and residence.

Read the full report here.   

 

More articles on healthcare finance:

Hahnemann Hospital's closure driven by greed, local officials say
5 must-reads on RCM
Covenant Health positioned for turnaround after $60M loss, new CEO says

Copyright © 2024 Becker's Healthcare. All Rights Reserved. Privacy Policy. Cookie Policy. Linking and Reprinting Policy.

 

Articles We Think You'll Like

 

Featured Whitepapers

Featured Webinars