205.178 Enrollment or benefit tracking agency to receive information on recipients 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

205.178 Enrollment or benefit tracking agency to receive information on recipients

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

-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.

(9) (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.