Unofficial calculator allowing users to see if they may be eligible for Medicaid, CHIP, or savings on health insurance. The calculator can be embedded on other websites.
This paper describes results from fieldwork conducted at a social services site where the workers evaluate citizens' applications for food and medical assistance submitted via an e-government system. These results suggest value tensions that result - not from different stakeholders with different values - but from differences among how stakeholders enact the same shared value in practice.
CHI '14: Proceedings of the SIGCHI Conference on Human Factors in Computing Systems
MITRE developed the Comprehensive Careers and Supports for Households (CCASH™) tool to help individuals understand and manage federal benefits and employment services, transitioning from a consumer-focused tool to a policy analytics system. By integrating data from sources like the U.S. Census and the Policy Rules Database, MITRE created a model that allows users to analyze and compare benefits eligibility across states, supporting evidence-based policymaking.
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 developed an AI-powered explanation feature that effectively translates complex, multi-program policy calculations into clear and accessible explanations, enabling users to explore "what-if" scenarios and understand key factors influencing benefit amounts and eligibility thresholds.
The team examined how AI, specifically LLMs, could streamline the case review process for SNAP applications to alleviate the burden on case workers while potentially improving accuracy.
The team explored using LLMs to interpret the Program Operations Manual System (POMS) into plain language logic models and flowcharts as educational resources for SSI and SSDI eligibility, benchmarking LLMs in RAG methods for reliability in answering queries and providing useful instructions to users.
This report highlights key findings from the Rules as Code Community of Practice, including practitioners' challenges with complex policies, their desire to share knowledge and resources, the need for increased training and support, and a collective interest in developing open standards and a shared code library.
mRelief is a nonprofit that helps individuals in all 53 U.S. states and territories determine SNAP eligibility and apply using easy-to-use web and text tools. Their simplified, inclusive approach has supported over 2.7 million people and unlocked over $1 billion in benefits, focusing on minimizing barriers and adapting eligibility rules across states.
This is the summary version of a report that documents four experiments exploring if AI can be used to expedite the translation of SNAP and Medicaid policies into software code for implementation in public benefits eligibility and enrollment systems under a Rules as Code approach.
We continued Rules as Code Demo Day with Daniel Singer and Preston Cabe from Benefits Data Trust. Benefits Data Trust provides benefit outreach and application assistance services in seven states. Using Benefits Launch, their in-house interview and rules engine, they support two hundred contact center employees as they screen and apply thousands of clients each year. They also offer a self-service screener, Benefits Launch Express. Additionally, they offer an eligibility API to integrate with other services.
