KRS 205.5373: Department's duties when limited in ability to disenroll individuals from
Where this section sits in the code
- KRS Chapter 205
state medical assistance program.
(1) When the Department for Medicaid Services receives federal funding for the state's
medical assistance program which is contingent on temporary maintenance of effort
restrictions, such as those restrictions imposed under Pub. L. No. 116 -127 sec.
6008, or is for any reason limited in its ability to disenroll individuals from the
state's medical assistance program, the department shall:
(a) Continue to conduct eligibility redeterminations as in the normal course of
business; and
(b) Act on those redeterminations to the fullest extent permitted under federal
law.
(2) Following the expiration of any federally imposed restrictions describe d in
subsection (1) of this section, the department shall conduct a full audit in which the
department shall:
(a) Within sixty (60) days, request approval from the federal Centers for Medicare
and Medicaid Services to conduct and act on eligibility redeter minations for
each individual who was enrolled during the period of federally imposed
restrictions and has been enrolled for more than three (3) months; and
(b) Within twelve (12) months:
1. Complete and act on eligibility redeterminations for all cases th at have
not had a redetermination within the previous twelve (12) months; and
2. Complete and act on eligibility redeterminations for individuals
described in paragraph (a) of this subsection, if the department receives
the federal approval requested pursu ant to this paragraph (a) of this
subsection.
Collected 2026-09-05T20:52:03Z. Source file · JSON