ITO Health is a public benefit corporation building the infrastructure to modernize how individuals access public benefit programs in the United States. Our mission is to translate complex, fragmented eligibility systems into simple, actionable workflows that enable frontline staff—and increasingly individuals themselves—to efficiently determine eligibility, enroll, and maintain coverage across programs like Medicaid, SNAP, WIC, TANF, and housing supports.
At the core of our work is a Rules-as-Code (RaC) approach. We systematically convert policy into structured, machine-readable logic that powers real-time eligibility determination and decision support. This allows us to operationalize benefit rules in a way that is portable across jurisdictions, transparent to stakeholders, and adaptable as policies evolve. Our architecture aligns with emerging best practices in digital service delivery, including standardized rule representation, modular eligibility engines, and developer-accessible interfaces.
Our primary platform supports healthcare providers, health plans, and community-based organizations in moving beyond “screen and refer” toward a “screen and intervene” model. Through AI-assisted workflows, structured data capture, and integrated outreach (including SMS and navigator support), we enable organizations to identify unmet needs, guide individuals through application and recertification processes, and track outcomes over time. A key focus of our work is Medicaid coverage retention, including addressing procedural disenrollment and work requirements through automated recertification workflows and proactive engagement.
ITO Health is actively partnering with state agencies, healthcare systems, and community organizations to pilot and scale these approaches. Our work includes Medicaid enrollment and renewal optimization, SNAP error reduction and application support, WIC eligibility and certification workflows, and integrated social care delivery within healthcare settings. We are particularly focused on reducing administrative burden, improving benefit uptake, and creating a more equitable and user-centered public benefits ecosystem.
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