26B-3-142.4. Multi-state enrollment.

265 words·~1 min read·/ut/title-26b/chapter-3/26b-3-142-4

A research copy — for the controlling text, always check the official state or federal source. Not legal advice.

Effective 1/1/2027

(a)The department shall:

(i)receive and review address change information from returned mail by the United States Postal Service, the National Change of Address database, and accountable care organizations;

(ii)conduct cross-checks regarding all address change information against state Medicaid enrollment to identify enrollees who have moved out of state;

(iii)receive and review information regarding out-of-state electronic benefit transactions; and

(iv)conduct cross-checks of out-of-state electronic benefit transactions against state Medicaid enrollment to identify enrollees who have moved out of state.

(b)Upon receiving information concerning an enrollee that indicates a change in circumstances that may affect Medicaid eligibility, including a change in residency, the department shall promptly conduct an eligibility determination for the recipient.

(2)Beginning no later than October 1, 2029, the department shall submit enrollment information to CMS's national Medicaid enrollment database every month to identify individuals enrolled in Medicaid in multiple states at the same time.

(a)Beginning August 31, 2028, and no later than August 31 of each subsequent year, the department shall submit an annual report to the Health and Human Services Interim Committee detailing the implementation of the requirements established in this section.

(b)The report shall include for the prior fiscal year:

(i)the number of enrollees flagged through address change information and out-of-state electronic benefit transactions;

(ii)the number of enrollees disenrolled from the Medicaid program due to enrollment in multiple states; and

(iii)the estimated fiscal impact to the state due to implementing the requirements of this section.

Enacted by Chapter 342 , 2026 General Session