The bill amends Sections 246 and 247 of the Oklahoma Medicaid program to enhance the verification process for Medicaid eligibility, particularly concerning deceased individuals. It mandates that the Oklahoma Health Care Authority verify eligibility information, including death records, before approving coverage. If an applicant's death is confirmed prior to approval, the Authority is required to deny the application and ensure that no Medicaid coverage or payments are authorized for the deceased. Additionally, the bill stipulates that the Authority must conduct monthly death record verifications for all enrolled individuals starting January 1, 2027, and promptly disenroll any deceased enrollees while recouping any funds expended for services rendered after their date of death.

The bill also updates the frequency of reviews from quarterly to monthly for changes in circumstances affecting eligibility and requires the State Auditor and Inspector to conduct periodic reviews of the Oklahoma Health Care Authority to ensure compliance with these new requirements. Other provisions include the establishment of contracts with independent vendors for information verification and the exploration of multistate cooperatives to identify individuals enrolled in public assistance programs outside of Oklahoma. The effective date for these changes is set for November 1, 2026.