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Medicaid: Quarterly Death Verification to Protect Public Funds.

This law mandates that states must quarterly verify if Medicaid recipients are still alive using the federal Death Master File. The goal is to prevent improper payments to deceased individuals, thereby safeguarding public funds. A crucial safeguard ensures immediate, retroactive reinstatement of coverage if a beneficiary is mistakenly disenrolled due to an error, protecting citizens' rights.
Key points
States must screen Medicaid enrollment lists every three months to identify deceased beneficiaries (effective January 1, 2026).
If a state confirms a beneficiary is deceased, they must be disenrolled and payments must cease.
If a person is mistakenly identified as deceased and disenrolled, the state must immediately restore their coverage retroactively.
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Additional Information
Print number: 118_S_5547
Sponsor: Sen. Scott, Rick [R-FL]
Process start date: 2024-12-17