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Mother, daughter duo charged with fraud

A local woman and her daughter are facing felony charges related to TennCare fraud, according to state of Tennessee Office of the Inspector General (OIG).
The state reported that on Monday, Nov. 18, Erwin residents Kimberly Humphreys, 42, and her daughter, Courtney Bailey, 26, were arrested by the OIG as a result of a joint effort with the 1st Judicial Drug Task Force. Humphreys and Bailey allegedly sold drugs that were obtained using TennCare, which is the state’s healthcare insurance program.
According to the state, Humphreys is charged with TennCare fraud and the sale of the painkiller Hydrocodone, which is a Schedule IV controlled substance, she allegedly obtained the drug using TennCare.
Bailey is also charged with TennCare fraud and the sale of a controlled substance. According to the state, Bailey aided and abetted her mother in the sale of Hydrocodone to a confidential informant.
“Illegal sale of prescription drugs is a problem across the nation and Tennessee is no different,” Inspector General Manny Tyndall said in a news release issued by the state. “But people who participate in selling drugs paid for by TennCare and those who buy them should understand these are crimes we intend to prosecute.”
TennCare fraud is a Class E felony, carrying a sentence of up to two years in prison, the state reported. Sale or delivery of a controlled substance is a Class D felony punishable by up to four years in prison.
The case will be prosecuted by the office of District Attorney General Anthony Clark.
Also according to the state, “the OIG, which is separate from TennCare, began full operation in February 2005 and has investigated cases leading to over $5 million being repaid to TennCare, with a total estimated cost avoidance of over $176 million for TennCare, according to latest figures.”
More than 2,220 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, the state also said. 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.”