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.

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 associated 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 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 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 or 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 Supplemental 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 Assistance 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 may 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 review 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 Medicaid 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 Transportation 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 Supplemental 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 may 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 tracking 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 the 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 Assistance 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 addition 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 Assistance 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 unemployment 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. Effective: April 14, 2026 History: Amended 2026 Ky. Acts ch. 179, sec. 7, effective April 14, 2026. -- Amended 2022 Ky. Acts ch. 211, sec. 15, effective July 14, 2022. -- Amended 2020 Ky. Acts ch. 36, sec. 13, effective July 15, 2020. -- Amended 2019 Ky. Acts ch. 146, sec. 54, effective June 27, 2019. -- Created 2018 Ky. Acts ch. 141, sec. 1, effective January 1, 2019. Legislative Research Commission Note (1/19/2019). In subsections (2) and (5)(b) of this statute, a reference to "the Department for Vital Statistics" has been corrected in codification to read "the Vital Statistics Branch." The Reviser of Statutes has made this correction under the authority of KRS 7.136.