This 8.5x11 service blueprint visually maps how Medicaid work requirements will function once implemented in 2027, detailing each policy step, system interaction, and client experience to help states identify administrative challenges and opportunities for human-centered redesign.
This case study series highlights innovative state strategies to improve data coordination between SNAP and Medicaid agencies and increase access for eligible people.
There were over 25 million Medicaid disenrollments in 2023, but national enrollment remained significantly above pre-pandemic levels at over 56 million, with notable state-level variations and near-recovery of child enrollment.
This file contains two, state-agnostic service blueprints that visualize how the new work requirements policy passed as part of H.R. 1 impacts the process of applying for, determining, and maintaining eligibility for SNAP and Medicaid benefits.
This report poses the question of whether states are prepared to meet the new Medicaid work reporting and renewal mandates introduced by HR 1, given ongoing strain from the post-pandemic “unwinding.”
This 11x17 service blueprint visualizes every step, system, and policy decision involved in implementing Medicaid work requirements under H.R. 1—from application to renewal—identifying pain points, questions, and opportunities for states to streamline and humanize the process
This milestone table outlines a detailed roadmap for states to implement mandatory Medicaid work reporting requirements under H.R. 1 by January 1, 2027.
Alluma is a nonprofit that provides digital solutions to simplify eligibility screening and enrollment for social benefit programs, supporting cross-benefit access in 45 counties and two states. Their One-x-Connection product suite streamlines Medicaid and SNAP applications using a business rules engine, with a focus on human-centered design and anonymous, simplified eligibility checks, having helped screen over 10 million individuals and submitted over 67 million applications.
The team introduced an AI assistant for benefits navigators to streamline the process and improve outcomes by quickly assessing client eligibility for benefits programs.
The team explored the performance of various AI chatbots and LLMs in supporting the adoption of Rules as Code for SNAP and Medicaid policies using policy data from Georgia and Oklahoma.