Benefits Program: Medicaid/CHIP
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Digitizing Policy + Rules as Code Helping People with Low Incomes Navigate Benefit Cliffs: Lessons Learned Deploying a Marginal Tax Rate Calculator
This report details findings and lessons from a project to develop a calculator to help people anticipate how a change in earnings from employment would affect their net income and information on their estimated effective marginal tax rate.
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Medicaid and CHIP Eligibility Renewals: A Communications Toolkit
This toolkit has important information to help inform people with Medicaid or CHIP about steps to take to renew their coverage or find other health care options.
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Medicaid Strategies Making a Difference: A Spotlight on Rhode Island
Sharing lessons learned via the Medicaid Churn Learning Collaborative, which is working to reduce Medicaid churn, improve renewal processes for administrators, and protect health insurance coverage for children and families.
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Automation + AI Challenging the Use of Algorithm-driven Decision-making in Benefits Determinations Affecting People with Disabilities
This report analyzes lawsuits that have been filed within the past 10 years arising from the use of algorithm-driven systems to assess people’s eligibility for, or the distribution of, public benefits. It identifies key insights from the various cases into what went wrong and analyzes the legal arguments that plaintiffs have used to challenge those systems in court.
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Automation + AI Screened & Scored in the District of Columbia
This report explores how automated decision-making systems are being used in one jurisdiction: Washington, D.C.
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Communications DA 23-62: FCC Declaratory Ruling on Telephone Consumer Protection Act of 1991 for Medicaid
Ruling from the FCC granting the U.S. Department of Health and Human Services (HHS) to confirm that federal and state governmental agencies working in conjunction with local governments, governmental contractors, and managed care entities acting under contract with state governments may, under certain circumstances, make autodialed and prerecorded or artificial voice calls or send autodialed text messages to raise awareness of the eligibility and enrollment requirements for these governmental health care programs without violating the Telephone Consumer Protection Act (TCPA).
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Building Human-Centered Benefits Renewal Processes with Client Equity in Mind
Lessons from piloting expanded ex parte renewals in Minnesota
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Diversity, Equity + Inclusion Re-Envisioning Medicaid & CHIP as Anti-Racist Programs
This report puts forth an anti-racist reimagining of Medicaid and CHIP that actively reckons with the racist history of the Medicaid program and offers principles and recommendations that capitalize on the transformative potential of the programs. The principles center the voices and agency of program participants and prioritize direct community involvement at all stages of the policy process.
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Policy Modernizing Public Benefits Delivery: How Innovation Can Deliver Results for Eligible Households and Taxpayers
A modernized public benefits system would better serve program participants, administrators, policy makers, and taxpayers. This paper proposes a set of principles both define the desired future state and outline the values that shape decision making along the way. Practices describe the processes needed to achieve modernization.
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Digital Identity Dataset: Digital Authentication and Identity Proofing in Public Benefits Applications
On May 19, 2023, the Digital Benefits Network published a new, open dataset documenting authentication and identity proofing requirements across online SNAP, WIC, TANF, Medicaid, child care (CCAP) applications, and unemployment insurance applications.
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Human-Centered Design Administrative Burden Scale
The Better Government Lab at the McCourt School of Public Policy at Georgetown University has developed a new scale for measuring the experience of burden when accessing public benefits. They offer both a three-item scale and a single-item scale, which can be utilized for any public benefit program. The shorter scales provide a less burdensome way to measure by requiring less information from users.
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Digital Identity Digital Authentication and Identity Proofing in MAGI Medicaid Applications
On May 19, 2023, the Digital Benefits Network published a new, open dataset documenting authentication and identity proofing requirements across online SNAP, WIC, TANF, Medicaid, child care (CCAP) applications, and unemployment insurance applications. This page includes data and observations about authentication and identity proofing steps specifically for online applications that include MAGI Medicaid.