Increasing frequency of eligibility redeterminations for certain individuals
Title IV — Energy and Commerce › Subtitle D — Health › Part 1 — Medicaid › Subpart A — Reducing fraud and improving enrollment processes
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How the text changed
Section 1902(e)(14) of the Social Security Act (42 U.S.C. 1396a(e)(14)) is amended by adding at the end the following new subparagraph: (L) Frequency of eligibility redeterminations for certain individuals With respect to redeterminations of eligibility for medical assistance under a State plan (or waiver of such plan) scheduled on or after December 31, 2026, a State shall make such a redetermination once every 6 months for the following individuals: (i) Individuals enrolled under subsection (a)(10)(A)(i)(VIII). (ii) Individuals described in such subsection who are otherwise enrolled under a waiver of such plan that provides coverage that is equivalent to minimum essential coverage (as described in section 5000A(f)(1)(A) of the Internal Revenue Code of 1986 and determined in accordance with standards prescribed by the Secretary in regulations) to all individuals described in subsection (a)(10)(A)(i)(VIII)..
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