Medicaid Eligibility Verification: Preventing Payments to Deceased Individuals
New rules require states to regularly check if individuals receiving Medicaid are still alive, aiming to prevent improper payments. If someone is mistakenly removed, they will be immediately reinstated to the program.
Key points
States must quarterly check the Death Master File to identify deceased Medicaid enrollees.
Individuals identified as deceased will be disenrolled from Medicaid, and payments on their behalf will stop.
If an individual is mistakenly disenrolled, they will be immediately re-enrolled retroactively.
Introduced
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