Bill > SB1380

This bill amends Oklahoma's Medicaid eligibility verification processes to enhance oversight and prevent improper payments, primarily by requiring more rigorous death record checks and establishing strict protocols for handling deceased individuals' Medicaid enrollment. Specifically, the bill mandates that the Oklahoma Health Care Authority verify applicants' and enrollees' death records monthly using the Social Security Administration's Death Master File and the State Department of Health's vital statistics system, with a full implementation deadline of January 1, 2027. When a death is confirmed, the Authority must promptly disenroll the deceased individual, ensure no further Medicaid payments are made for services after the date of death, and attempt to recoup any funds spent on post-death capitated payments or services. The bill also expands eligibility verification requirements to include checks on income, employment, residency, financial resources, and other factors, while establishing a detailed process for addressing discrepancies in an individual's circumstances. Additionally, the bill requires the State Auditor and Inspector to conduct periodic reviews of the Oklahoma Health Care Authority to ensure compliance with these new requirements, with the overall goal of reducing fraud and improving the efficiency of the state's Medicaid program.

Health and Social Services

http://www.oklegislature.gov/BillInfo.aspx?Bill=sb1380&Session=2600