Section 0620-04-01-.03 - PAYMENT OF THE REWARD(1) The OIG shall post TennCare fraud convictions on the OIG website. This information will ordinarily be posted on the OIG website within sixty (60) days of the date of entry of the judgment of conviction.(a) 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 the reward will expire. A person(s) claiming the reward must be able to provide and verify his/her identity in order to obtain the reward monies.(b) If a person who reported the information leading to a conviction for TennCare fraud has become incapacitated or is deceased, any duly appointed executor, administrator, conservator, receiver, trustee, or legal guardian may claim the reward on behalf of the informant or the informant's estate. The representative must provide documentation sufficient in the judgment of the Office of Inspector General to establish the legal basis of the representative's authority. In order to claim the reward the representative must comply with all the requirements as provided under these rules(2) Amount and payment of a reward (a) The payment schedule for the incentive program for persons otherwise qualified to receive a reward is as follows: 1. A person who provides information that leads to a class B felony conviction of TennCare fraud, and an offer of restitution of at least five thousand ($5000) dollars, will receive a two hundred fifty ($250) cash reward.2. A person who provides information that leads to a class C felony conviction of TennCare fraud, and an order of restitution of at least one thousand ($1000) dollars will receive a two hundred dollar ($200) cash reward.3. A person who provides information that leads to a class D felony conviction of TennCare fraud, and an order of restitution of at least one thousand ($1000) dollars will receive a one hundred and fifty dollar ($150) cash reward.4. A person who provides information that leads to a class E felony conviction of TennCare fraud, and an order of restitution of at least one thousand dollars ($1,000) will receive a one hundred dollar ($ 100) cash reward.5. A person who provides information that leads to an arrest and a class E felony conviction of TennCare fraud or any other offense related to the operation of the TennCare program will receive a fifty dollar ($50) cash reward.6. A person who provides information that leads to an arrest and judicial or pre-trial diversion for TennCare fraud or any other offense related to the operation of the TennCare program will receive a fifty dollar ($50) cash reward.(a) Where a person provides the OIG with information that results in multiple TennCare fraud convictions, the OIG shall give a single reward for that information regardless of the number of persons who are convicted or the number of convictions obtained against one person as a result of that information. The single reward shall be in the amount corresponding to the higher conviction.(b) No OIG employee has the authority to make any offer, or promise, or otherwise bind the OIG with respect to the payment or the amount of any reward under this section. Any such purported promise will be null and void.(3) All records concerning information received by the OIG from citizens regarding suspected crime, and concerning the reward program, are confidential investigative records of the OIG. The OIG shall not reveal to any person, entity, or organization, identifying information relating to citizens who provided the OIG with information under this section except as required by law.(4) If, after a reward is accepted, the OIG finds that the person who claimed the reward was ineligible to receive the reward, the OIG shall not be liable for such reward, and may seek to recover all monies received by means of remedies available at law and equity.Tenn. Comp. R. & Regs. 0620-04-01-.03
Original rule filed July 28, 2006; effective November 28, 2006.Authority: T.C.A. §§ 4-5-202, 10-7-504(a)(2), 71-5-2504 and 71-5-2512.