U.S. Digital Service (USDS) Medicaid Renewals Playbook
The Medicaid Renewals Playbook offers strategies for technologists assisting states in streamlining Medicaid renewal processes during the COVID-19 Public Health Emergency unwinding.

Developed by the U.S. Digital Service, this playbook serves as a rapid-response guide to reduce the administrative burden of Medicaid renewals on both beneficiaries and state staff.
It provides actionable advice on framing projects, engaging with state partners, and implementing effective operational practices. The playbook addresses common challenges in both ex-parte and manual renewal processes, offering solutions for issues such as income data hierarchy, individualized eligibility, and outreach strategies. While advisory in nature and not an official regulatory document, it emphasizes the importance of adapting recommendations to each state’s context and ensuring compliance with federal Medicaid statutes and regulations. The playbook encourages contributions from users to enhance its content and applicability.
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