Four Sentenced on Charges of TennCare Fraud

Four persons pleaded guilty to TennCare Fraud and other charges Tuesday and were sentenced in DeKalb County Criminal Court. Three of the cases were from a recent undercover drug investigation conducted by the DeKalb County Sheriff’s Department. The other case was made by the Tennessee Office of Inspector General with the assistance of the Sheriff’s Department.
Judge Leon Burns, Jr. presided in criminal court Tuesday.
36 year old Jackie Ervin pleaded guilty to two counts of TennCare fraud and one count of prescription fraud. He received a two year sentence in each case with two of the terms to run consecutively for a total sentence of four years. He must make restitution of $290.91 and he will lose his TennCare benefits.
Ervin was named in a sealed indictment in November, 2013 charging him with three counts of TennCare Fraud and three counts of Prescription Fraud. He was arrested on Wednesday, November 27. The indictment alleged that Ervin, a TennCare enrollee, did unlawfully commit the offense of Fraudulently Obtaining TennCare Medical Assistance Benefits to which he was not entitled by knowingly obtaining a prescription for Adderrall in DeKalb County on October 22, 2011 and December 23, 2011 and for Lortab on November 23, 2011. The prescriptions were subsequently filled and paid for by TennCare. The indictment further alleged that Ervin intentionally obtained possession of these controlled substances by misrepresentation, fraud, forgery, deception, or subterfuge.
31 year old Jackie Sanders pleaded guilty to one count of TennCare fraud and two counts of sale of a schedule II drug. He received a three year suspended sentence in two of the cases and one year in the other all to run concurrently for a total sentence of three years. He was fined $2,000. Sanders will also lose his TennCare benefits.
The indictment against Sanders alleges that “on or about October 21, 2013, he did unlawfully, intentionally and Knowingly sell and deliver a controlled substance obtained through TennCare (Oxycodone), constituting the offense of TennCare Fraud”.
41 year old Lisa Lue Ray (Summers) pleaded guilty to one count of TennCare fraud, one count of sale of a schedule III drug, and one count of sale of a schedule II controlled substance. She received a five year sentence in one case, two years in another, and one year in the third case, all to run concurrently with each other for a total sentence of five years. She will be on probation and must pay a fine of $2,000. Restitution of $40 must be paid to the Sheriff’s Department and she will lose her TennCare benefits.
The indictment against Summers alleges that “On or about December 4, 2013, Summers did unlawfully, intentionally, and knowingly sell and deliver a controlled substance obtained through TennCare (Hydrocodone) constituting the offense of TennCare Fraud.”
35 year old Michael Shone Saylors pleaded guilty to one count of TennCare fraud and two counts of sale of a schedule III drug. He received a three year sentence in two of the cases and one year in the other all to run concurrently with each other for a total sentence of three years, suspended to 89 days of time served with the balance on supervised probation. The term will run consecutive to a three year sentence against him in another case. Saylors was fined $2,000 on two of the charges and he will lose his TennCare benefits effective September 30, 2014.
Saylors’ indictment in one of the cases alleges that “On or about October 7, 2013, he did unlawfully, intentionally, and knowingly sell and deliver a controlled substance obtained through TennCare (Hydrocodone), constituting the offense of TennCare Fraud.”

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