KRS 205.178: Cabinet and enrollment or benefit tracking agency to review information

on recipients of Medicaid and Supplemental Nutrition Assistance Program

benefits for effects on eligibility -- Memorandum of understanding with entities

providing information -- Independent vendors -- Multistate cooperative --

Waiver of federal requirements relating to Supplemental Nutrition Assistance

Program -- Rules and regulations -- Report.

(1) On at least a monthly basis, each enrollment or benefit tracking agency associ ated

with the Medicaid program or the Supplemental Nutrition Assistance Program of

the cabinet shall receive and review information from the Kentucky Lottery

Corporation and the Kentucky Horse Racing and Gaming Corporation concerning

individuals enrolled i n the Medicaid program or the Supplemental Nutrition

Assistance Program that may indicate a change in circumstances that would affect

eligibility, including but not limited to changes in income or resources.

(2) On at least a monthly basis, each enrollment or benefit tracking agency associated

with the Medicaid program or the Supplemental Nutrition Assistance Program of

the cabinet shall receive and review information from the Vital Statistics Branch

concerning individuals enrolled in the Medicaid program o r the Supplemental

Nutrition Assistance Program that may indicate a change in circumstances that

would affect eligibility.

(3) On at least a quarterly basis, each enrollment or benefit tracking agency associated

with the Medicaid program or the Supplementa l Nutrition Assistance Program of

the cabinet shall receive and review information from the Office of Unemployment

Insurance concerning individuals enrolled in the Medicaid program or the

Supplemental Nutrition Assistance Program that may indicate a change in

circumstances that would affect eligibility, including but not limited to changes in

employment or wages.

(4) On at least a quarterly basis, each enrollment or benefit tracking agency associated

with the Medicaid program or the Supplemental Nutrition A ssistance Program of

the cabinet shall receive and review information, including information from the

Kentucky Transitional Assistance Program, concerning individuals enrolled in the

Medicaid program or the Supplemental Nutrition Assistance Program that ma y

indicate a change in circumstances that would affect eligibility, including but not

limited to potential changes in residency as identified by out -of-state electronic

benefit transfer transactions.

(5) On at least a quarterly basis, each enrollment and benefit tracking agency associated

with the Medicaid program shall receive and review information from the Kentucky

Transportation Cabinet, including vehicle registration information, concerning

individuals enrolled in the Medicaid program that may indicate a change in

circumstances that would affect eligibility for Medicaid -covered nonemergency

medical transportation services.

(6) On at least an annual basis, each enrollment or benefit tracking agency associated

with the Medicaid program shall receive and r eview information from the

Department of Revenue concerning individuals enrolled in the Medicaid program

that may indicate a change in circumstances that would affect eligibility for

enrollment in the Medicaid program, including but not limited to changes in

adjusted gross income or family composition.

(7) On at least a monthly basis, each enrollment or benefit tracking agency associated

with the Medicaid program shall receive and review information from the

Department of Corrections concerning individuals enrolled in the Medicaid

program that may indicate a change in circumstances that would affect eligibility

for enrollment in the Medicaid program.

(8) At a regularly scheduled interval, each enrollment or benefit tracking agency

associated with the Medicai d program shall receive and review information related

to child support payments received by individuals enrolled in the Medicaid program

that may indicate a change in circumstances that would affect eligibility for

enrollment in the Medicaid program.

(9) On at least a quarterly basis, each enrollment and benefit tracking agency associated

with the Medicaid program shall review information from the National Change of

Address database, or NCOALink, concerning individuals enrolled in the Medicaid

program that may indicate a change in circumstances that would affect eligibility

for enrollment in the Medicaid program.

(10) The Department for Medicaid Services shall, as permitted under federal law:

(a) Enter into a data exchange agreement with the Social Security Administration

to receive the full file of death information on at least a quarterly basis; and

(b) Upon receipt of the full file of death information and any update to the file,

disenroll from the Medicaid program any individual whose death is reported

in the full file of death information.

(11) Notwithstanding any other provision of law to the contrary:

(a) The cabinet and each enrollment or benefit tracking agency associated with

the Medicaid program or the Supplemental Nutrition Assistance Program

shall enter into a memorandum of understanding with any department,

agency, or division for information detailed in this section; and

(b) Any department, agency, or division for information detailed in this section,

including but not limited to the Kentucky Lottery Corporation, the Kentucky

Horse Racing and Gaming Corporation, the Vital Statistics Branch, the Office

of Unemployment Insurance, the Department for Community Based Services,

the Kentucky T ransportation Cabinet, the Department of Revenue, and the

Department of Corrections, shall enter into any necessary memoranda of

understanding with the cabinet or the enrollment or benefit tracking agency

associated with the Medicaid program or the Supplem ental Nutrition

Assistance Program requesting an agreement pursuant to paragraph (a) of this

subsection.

(12) The cabinet and each enrollment or benefit tracking agency associated with the

Medicaid program or the Supplemental Nutrition Assistance Program m ay contract

in accordance with KRS Chapter 45A with one (1) or more independent vendors to

provide additional data or information that may indicate a change in circumstances

that would affect eligibility.

(13) The cabinet and each enrollment or benefit tra cking agency associated with the

Medicaid program or the Supplemental Nutrition Assistance Program shall explore

joining any multistate cooperative to identify individuals who are also enrolled in

public assistance programs outside of this state.

(14) If t he cabinet or an enrollment or benefit tracking agency associated with the

Medicaid program or the Supplemental Nutrition Assistance Program receives

information concerning an individual enrolled in the Medicaid program or the

Supplemental Nutrition Assist ance Program that indicates a change in

circumstances that would affect eligibility, the cabinet or the enrollment or benefit

tracking agency or other appropriate agency shall:

(a) For individuals enrolled in the Supplemental Nutrition Assistance Program,

review the individual's case; and

(b) For individuals enrolled in the Medicaid program, promptly initiate a full and

complete eligibility redetermination for the individual. Any eligibility

redetermination conducted under this paragraph shall be in additio n to

semiannual eligibility redeterminations required under KRS 205.513 and 42

U.S.C. sec. 1396a(e)(14)(L)(i).

(15) (a) Unless expressly required by federal law or as permitted by this subsection,

the cabinet shall not seek, apply for, accept, or renew any waiver of work

requirements established by the Supplemental Nutrition Assistance Program

under 7 U.S.C. sec. 2015(o) without first obtaining specific authorization from

the General Assembly to do so. The cabinet may, without first obtaining

specific authorization from the General Assembly, request:

1. A waiver of Supplemental Nutrition Assistance Program work

requirements for a county in which the unemployment rate is equal to or

greater than ten percent (10%);

2. A waiver of Supplemental Nutrition Assista nce Program work

requirements in a county in which the cabinet determines that other

economic conditions are severe enough to necessitate a waiver; or

3. A statewide waiver of Supplemental Nutrition Assistance Program work

requirements if the state's unemp loyment rate is equal to or greater than

ten percent (10%).

(b) The cabinet shall not exercise the state's option under 7 U.S.C. sec.

2015(o)(6).

(c) The cabinet may assign individuals who are subject to work requirements

under 7 U.S.C. sec. 2015(d)(1) to an employment and training program as

defined in 7 U.S.C. sec. 2015(d)(4).

(16) The cabinet shall, in accordance with KRS Chapter 13A, promulgate administrative

regulations necessary for the purposes of carrying out this section.

(17) Upon request from the Legislative Research Commission, the cabinet shall submit a

report relating to the number of individuals discovered utilizing services

inappropriately, the number of individuals who were removed from one (1) or more

public assistance programs as a result of a review under to this section, and the

amount of public funds preserved in total and by public assistance program and

aggregated by prior years.