Advocacy in the Dark: A Pennsylvania Case Study on Advocating to Improve Technology that Drives Eligibility Decisions
Technology that automates different processes can save time for caseworkers and constituents, but it can also significantly reduce the transparency of government operations. This paper describes how Pennsylvania advocates addressed the low rate of automated Medicaid renewals.
The document examines the barriers to automated Medicaid renewals in Pennsylvania, finding that most cases—especially those also enrolled in SNAP—are excluded from automation and must use paper renewals.
It highlights that system design and policy decisions, rather than technical issues, are the primary obstacles, and stresses the value of persistent advocacy, early involvement in technology changes, and leveraging real client experiences to drive improvements.
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