26B-3-142.5. Remove deceased enrollees.
171 words·~1 min read·
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Effective 5/6/2026
26B-3-142.5. Remove deceased enrollees.
(1)As used in this section, "death master file" means the database maintained by the Social Security Administration that contains reported deaths.
(2)The department shall:
(a)receive and review information from the death master file;
(b)conduct cross-checks between information obtained from the death master file and state Medicaid enrollment at least each quarter to identify deceased enrollees;
(c)receive and review information regarding birth and death records from the Office of Vital Records and Statistics;
(d)remove any identified deceased enrollee from the Medicaid program promptly upon confirmation of death;
(e)ensure that no Medicaid payments are made on behalf of a deceased enrollee for services rendered after the date of death; and
(f)recoup any funds expended on deceased enrollees for capitations or services occurring after the date of death.
(3)The Office of Inspector General of Medicaid Services, created in Section 63A-13-201 , shall conduct periodic reviews to ensure compliance with these requirements.
Enacted by Chapter 342 , 2026 General Session