SB140 Summary

• Requires Alabama Medicaid Agency to verify applicant eligibility information including income, employment status, immigration status, residency, enrollment in other assistance programs, financial resources, incarceration status, death records, and identity fraud before awarding assistance.

• Authorizes agency to contract with independent vendors for eligibility verification, with contracts required to generate annualized savings exceeding their annual cost (except federally-mandated contracts).

• Mandates semi-annual eligibility verification reviews for enrolled individuals, with established procedures for notifying individuals of discrepancies, allowing response time, and discontinuing assistance only after notice and opportunity to respond.

• Requires agency to refer suspected fraud cases to appropriate district attorneys and submit annual reports to the Governor, Legislature, and Department of Finance detailing cases reviewed, closures, prosecutions, and recoveries.

• Establishes 20-hour-per-week work requirements for Medicaid eligibility, with exemptions for individuals under 19, over 65, medically unfit, pregnant, caring for infants or disabled children, receiving unemployment compensation, or participating in drug/alcohol treatment programs.