26B-3-142.2. Verification of eligibility.
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Effective 1/1/2027
26B-3-142.2. Verification of eligibility.
(1)Except as required under federal law, the department may not accept self-attestation of any of the following in the administration of the Medicaid program without verification before enrollment:
(a)income;
(b)residency;
(c)identity; and
(d)citizenship or immigration status.
(2)Upon receiving information concerning an enrollee that indicates a change in circumstances that may affect Medicaid eligibility, the department shall promptly conduct an eligibility determination for the enrollee unless the enrollee has continuous eligibility in accordance with state and federal law.
(3)Except as provided in federal law, the department shall conduct an eligibility redetermination for an enrollee:
(a)eligible under 42 U.S.C. Sec. 1396a(a)(10)(A)(i)(VIII) once every six months; and
(b)not described in Subsection (3)(a) once every 12 months.
Enacted by Chapter 342 , 2026 General Session