KRS 205.513: Eligibility determinations and redeterminations.

(1) Beginning January 1, 2027, the cabinet shall, in accordance with 42 U.S.C. sec.

1396a(e)(14)(L), conduct Medicaid eligibility redeterminations once every six (6)

months for individuals who are:

(a) Described in 42 U.S.C. sec. 1396a(e)(14)(L)(i)(I) and (II); and

(b) Not exempted under 42 U.S.C. sec. 1396a(e)(14)(L)(ii).

(2) When conducting eligibility determinations and redeterminations, including but not

limited to redeterminations required under subsection (1) of this section, the cabinet

shall:

(a) Access and review information from all available federal and state data

systems that may contain information related to eligibility for enrollment or

continued enrollment in the Medicaid program, including but not limited to:

1. The Public Assistance Reporting Information System, or PARIS;

2. The Transformed Medicaid Statistical Information System, or T-MSIS;

3. The T-MSIS Analytic Files, or TAF; and

4. All data described in KRS 205.178;

(b) Except as provided in KRS 205.200(11) and to the extent permitted under

federal law, issue an initial finding of ineligibility that may be appealed by the

individual through the cabinet's established appeals process if the cabinet

finds or reviews inconsis tent or contradictory data from the various data

sources the cabinet is required to review under paragraph (a) of this

subsection and any data source reflects that the individual whose eligibility is

being determined or redetermined is ineligible to enroll in or continue to be

enrolled in the Medicaid program; and

(c) Assess and make a determination regarding the individual's eligibility for

Medicaid-covered nonemergency medical transportation services.