205.178 Enrollment or benefit tracking agency to receive information on recipients
897 words·~4 min read·
/ky/205-178A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
of Medicaid and Supplemental Nutrition Assistance Program benefits --
Memorandum of understanding with departments providing information --
Independent vendors -- Multistate cooperative -- Review when information
indicates change in circumstances affecting recipient's eligibility -- Waiver of
federal requirements relating to Supplemental Nutrition Assistance Program --
Rules and regulations -- Report.
(1)At a regularly scheduled interval, 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 concerning individuals enrolled as recipients in the Medicaid
program or the Supplemental Nutrition Assistance Program that indicates a change
in circumstances that may 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 indicates a change in circumstances that may
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 Kentucky Office of
Unemployment Insurance concerning individuals enrolled in the Medicaid program
or the Supplemental Nutrition Assistance Program that indicates a change in
circumstances that may 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 concerning individuals enrolled in
the Medicaid program or the Supplemental Nutrition Assistance Program that
indicates a change in circumstances that may affect eligibility, including but not
limited to potential changes in residency as identified by out-of-state electronic
benefit transfer transactions.
(5)Notwithstanding any other provision of law to the contrary:
(a)Each enrollment or benefit tracking agency associated with the Medicaid
program or the Supplemental Nutrition Assistance Program of the cabinet
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 Vital
Statistics Branch, the Office of Unemployment Insurance, and the Department
for Community Based Services, shall enter into any necessary memoranda of
understanding with 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.
(6)Each enrollment or benefit tracking agency associated with the Medicaid program
or the Supplemental Nutrition Assistance Program of the cabinet 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 may affect eligibility.
(7)Each enrollment or benefit tracking agency associated with the Medicaid program
or the Supplemental Nutrition Assistance Program of the cabinet shall explore
joining any multistate cooperative to identify individuals who are also enrolled in
public assistance programs outside of this state.
(8)If an enrollment or benefit tracking agency associated with the Medicaid program or
the Supplemental Nutrition Assistance Program of the cabinet receives information
concerning an individual enrolled in the Medicaid program or the Supplemental
Nutrition Assistance Program that indicates a change in circumstances that may
affect eligibility, the enrollment or benefit tracking agency or other appropriate
agency shall review the individual's case.
(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).
(10)The cabinet shall, in accordance with KRS Chapter 13A, promulgate all rules and
administrative regulations necessary for the purposes of carrying out this section.
(11)Upon request from the Legislative Research Commission, the Cabinet for Health
and Family Services 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 pursuant to this section, and the amount of public funds preserved in total and by public assistance program and aggregated by prior years.