{"data":{"id":"us-ky/krs-205.178","jurisdiction":"us-ky","citation":"KRS 205.178","heading":"Cabinet and enrollment or benefit tracking agency to review information","body":"on recipients of Medicaid and Supplemental Nutrition Assistance Program\nbenefits for effects on eligibility -- Memorandum of understanding with entities\nproviding information  -- Independent vendors -- Multistate cooperative --\nWaiver of federal requirements relating to Supplemental Nutrition Assistance\nProgram -- Rules and regulations -- Report.\n(1) On at least a monthly basis, each enrollment or benefit tracking agency associ ated\nwith the Medicaid program or the Supplemental Nutrition Assistance Program of\nthe cabinet shall receive and review information from the Kentucky Lottery\nCorporation and the Kentucky Horse Racing and Gaming Corporation concerning\nindividuals enrolled i n the Medicaid program or the Supplemental Nutrition\nAssistance Program that may indicate a change in circumstances that would affect\neligibility, including but not limited to changes in income or resources.\n(2) On at least a monthly basis, each enrollment  or benefit tracking agency associated\nwith the Medicaid program or the Supplemental Nutrition Assistance Program of\nthe cabinet shall receive and review information from the Vital Statistics Branch\nconcerning individuals enrolled in the Medicaid program o r the Supplemental\nNutrition Assistance Program that may indicate a change in circumstances that\nwould affect eligibility.\n(3) On at least a quarterly basis, each enrollment or benefit tracking agency associated\nwith the Medicaid program or the Supplementa l Nutrition Assistance Program of\nthe cabinet shall receive and review information from the Office of Unemployment\nInsurance concerning individuals enrolled in the Medicaid program or the\nSupplemental Nutrition Assistance Program that may indicate a change  in\ncircumstances that would affect eligibility, including but not limited to changes in\nemployment or wages.\n(4) On at least a quarterly basis, each enrollment or benefit tracking agency associated\nwith the Medicaid program or the Supplemental Nutrition A ssistance Program of\nthe cabinet shall receive and review information, including information from the\nKentucky Transitional Assistance Program, concerning individuals enrolled in the\nMedicaid program or the Supplemental Nutrition Assistance Program that ma y\nindicate a change in circumstances that would affect eligibility, including but not\nlimited to potential changes in residency as identified by out -of-state electronic\nbenefit transfer transactions.\n(5) On at least a quarterly basis, each enrollment and benefit tracking agency associated\nwith the Medicaid program shall receive and review information from the Kentucky\nTransportation Cabinet, including vehicle registration information, concerning\nindividuals enrolled in the Medicaid program that may indicate  a change in\ncircumstances that would affect eligibility for Medicaid -covered nonemergency\nmedical transportation services.\n(6) On at least an annual basis, each enrollment or benefit tracking agency associated\nwith the Medicaid program shall receive and r eview information from the\nDepartment of Revenue concerning individuals enrolled in the Medicaid program\nthat may indicate a change in circumstances that would affect eligibility for\nenrollment in the Medicaid program, including but not limited to changes in\nadjusted gross income or family composition.\n(7) On at least a monthly basis, each enrollment or benefit tracking agency associated\nwith the Medicaid program shall receive and review information from the\nDepartment of Corrections concerning individuals enrolled in the Medicaid\nprogram that may indicate a change in circumstances that would affect eligibility\nfor enrollment in the Medicaid program.\n(8) At a regularly scheduled interval, each enrollment or benefit tracking agency\nassociated with the Medicai d program shall receive and review information related\nto child support payments received by individuals enrolled in the Medicaid program\nthat may indicate a change in circumstances that would affect eligibility for\nenrollment in the Medicaid program.\n(9) On at least a quarterly basis, each enrollment and benefit tracking agency associated\nwith the Medicaid program shall review information from the National Change of\nAddress database, or NCOALink, concerning individuals enrolled in the Medicaid\nprogram that may indicate a change in circumstances that would affect eligibility\nfor enrollment in the Medicaid program.\n(10) The Department for Medicaid Services shall, as permitted under federal law:\n(a) Enter into a data exchange agreement with the Social Security Administration\nto receive the full file of death information on at least a quarterly basis; and\n(b) Upon receipt of the full file of death information and any update to the file,\ndisenroll from the Medicaid program any individual whose death is reported\nin the full file of death information.\n(11) Notwithstanding any other provision of law to the contrary:\n(a) The cabinet and each enrollment or benefit tracking agency associated with\nthe Medicaid program or the Supplemental Nutrition Assistance Program\nshall enter into a memorandum of understanding with any department,\nagency, or division for information detailed in this section; and\n(b) Any department, agency, or division for information detailed in this section,\nincluding but not limited to the Kentucky Lottery Corporation, the Kentucky\nHorse Racing and Gaming Corporation, the Vital Statistics Branch, the Office\nof Unemployment Insurance, the Department for Community Based Services,\nthe Kentucky T ransportation Cabinet, the Department of Revenue, and the\nDepartment of Corrections, shall enter into any necessary memoranda of\nunderstanding with the cabinet or the enrollment or benefit tracking agency\nassociated with the Medicaid program or the Supplem ental Nutrition\nAssistance Program requesting an agreement pursuant to paragraph (a) of this\nsubsection.\n(12) The cabinet and each enrollment or benefit tracking agency associated with the\nMedicaid program or the Supplemental Nutrition Assistance Program m ay contract\nin accordance with KRS Chapter 45A with one (1) or more independent vendors to\nprovide additional data or information that may indicate a change in circumstances\nthat would affect eligibility.\n(13) The cabinet and each enrollment or benefit tra cking agency associated with the\nMedicaid program or the Supplemental Nutrition Assistance Program shall explore\njoining any multistate cooperative to identify individuals who are also enrolled in\npublic assistance programs outside of this state.\n(14) If t he cabinet or an enrollment or benefit tracking agency associated with the\nMedicaid program or the Supplemental Nutrition Assistance Program receives\ninformation concerning an individual enrolled in the Medicaid program or the\nSupplemental Nutrition Assist ance Program that indicates a change in\ncircumstances that would affect eligibility, the cabinet or the enrollment or benefit\ntracking agency or other appropriate agency shall:\n(a) For individuals enrolled in the Supplemental Nutrition Assistance Program,\nreview the individual's case; and\n(b) For individuals enrolled in the Medicaid program, promptly initiate a full and\ncomplete eligibility redetermination for the individual. Any eligibility\nredetermination conducted under this paragraph shall be in additio n to\nsemiannual eligibility redeterminations required under KRS 205.513 and 42\nU.S.C. sec. 1396a(e)(14)(L)(i).\n(15) (a) Unless expressly required by federal law or as permitted by this subsection,\nthe cabinet shall not seek, apply for, accept, or renew any  waiver of work\nrequirements established by the Supplemental Nutrition Assistance Program\nunder 7 U.S.C. sec. 2015(o) without first obtaining specific authorization from\nthe General Assembly to do so. The cabinet may, without first obtaining\nspecific authorization from the General Assembly, request:\n1. A waiver of Supplemental Nutrition Assistance Program work\nrequirements for a county in which the unemployment rate is equal to or\ngreater than ten percent (10%);\n2. A waiver of Supplemental Nutrition Assista nce Program work\nrequirements in a county in which the cabinet determines that other\neconomic conditions are severe enough to necessitate a waiver; or\n3. A statewide waiver of Supplemental Nutrition Assistance Program work\nrequirements if the state's unemp loyment rate is equal to or greater than\nten percent (10%).\n(b) The cabinet shall not exercise the state's option under 7 U.S.C. sec.\n2015(o)(6).\n(c) The cabinet may assign individuals who are subject to work requirements\nunder 7 U.S.C. sec. 2015(d)(1) to an employment and training program as\ndefined in 7 U.S.C. sec. 2015(d)(4).\n(16) The cabinet shall, in accordance with KRS Chapter 13A, promulgate administrative\nregulations necessary for the purposes of carrying out this section.\n(17) Upon request from the Legislative Research Commission, the cabinet shall submit a\nreport relating to the number of individuals discovered utilizing services\ninappropriately, the number of individuals who were removed from one (1) or more\npublic assistance programs as a result of a review under to this section, and the\namount of public funds preserved in total and by public assistance program and\naggregated by prior years.","path":["KRS Chapter 205"],"source_url":"https://apps.legislature.ky.gov/law/statutes/statute.aspx?id=57027","current_through":"Includes enactments through the 2026 Regular Session","vintage":"09/05/2026","retrieved_at":"2026-09-05T20:52:02Z","sha256":"797f4597c732ee0b105fe326608e485f7e67ac24b58c0b9a4363d00b9c2a4002","source_id":"us-ky","stale":false,"prev":"us-ky/krs-205.177","next":"us-ky/krs-205.1781"},"notice":"GroundRules: Original legal text. Not legal advice."}