Tenn. Code Ann. § 71-5-2603 - TennCare Fraud Reporting Requirements and Immunity From Liability

All managed care organizations, contractors, providers or other person or entity must advise the Tenn Care office if there is actual knowledge that a recipient or enrollee has committed fraud.  The TennCare office must review the information and determine whether an investigation should take place.  The Inspector General is also authorized to establish an electronic reporting system for physicians to report fraud.  All managed care organizations, contractors, providers or other person or entity must advise the Medicaid fraud

control unit (MFCU) when there is actual knowledge of provider fraud.  The MFCU must review the information to determine if a full investigation is warranted.  The MFCU is also authorized to establish an electronic reporting system for physicians to report fraud.  Individuals who furnish information about fraudulent activity in good faith are immune from liability.  If a person or entity willfully fails to report fraudulent activity, he/she will be subject to a civil penalty of not more than $10,000 for each violation.