Human-centered Application Templates for Medicaid Work Requirements: A Practical Toolkit for States Implementing H.R. 1
This report provides human-centered design templates and implementation guidance to help states integrate Medicaid work requirement questions into benefits applications while minimizing administrative burden and coverage loss.
Developed by Civilla, the report introduces user-tested paper and online application templates that states can add to Medicaid applications to collect work requirement information as part of the application process rather than through separate verification steps.
The resource outlines key policy decisions—such as using a one-month lookback period, allowing self-attestation when possible, and adopting hardship exemptions—to reduce procedural churn and simplify eligibility determination. It also documents design decisions informed by user research and testing with residents, demonstrating how plain language questions, accessible layouts, and conditional logic in digital applications can improve accuracy, usability, and processing efficiency for both applicants and eligibility workers.
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