HB 1090 - Medicaid and Human Services Transparency and Fraud Prevention Act

• Requires Division of Medicaid to submit Advanced Planning Document to Centers for Medicare and Medicaid Services for integrating eligibility systems across Medicaid and Department of Human Services programs by July 1, 2019.

• Establishes enhanced computerized eligibility verification service to verify income, assets, residency, identity, employment, immigration status, incarceration status, and detect fraud across Medicaid, TANF, and SNAP programs using competitively-bid third-party vendors.

• Implements enhanced identity authentication process for applicants and periodic identity verification for recipients; requires written notice and 10 business days for applicants to respond to eligibility discrepancies before denial or discontinuation of benefits.

• Prohibits electronic benefits transfer card transactions at liquor stores, casinos, tattoo parlors, massage parlors, and entertainment venues; restricts purchases of alcohol, cigarettes, gambling items, and entertainment tickets with up to three-month disqualification for first violation.

• Establishes work requirements for TANF, three-month sanctions for first noncompliance and benefit termination for second noncompliance; requires SNAP disqualification periods of three months for first offense, six months for second, and permanent disqualification for third offense.