26B-3-142.5. Remove deceased enrollees.
(1) As used in this section, "death master file" means the database maintained by the Social Security Administration that contains reported deaths.
(2) The department shall: receive and review information from the death master file; conduct cross-checks between information obtained from the death master file and state Medicaid enrollment at least each quarter to identify deceased enrollees; receive and review information regarding birth and death records from the Office of Vital Records and Statistics; remove any identified deceased enrollee from the Medicaid program promptly upon confirmation of death; ensure that no Medicaid payments are made on behalf of a deceased enrollee for services rendered after the date of death; and recoup any funds expended on deceased enrollees for capitations or services occurring after the date of death.
(3) The Office of Inspector General of Medicaid Services, created in Section, shall conduct periodic reviews to ensure compliance with these requirements. 63A-13-201