This publication summarizes a body of research about how state benefits administering agencies build and maintain integrated eligibility and enrollment (IEE) systems. It is an easy to reference guide for state administrators, legislators, advocates, and delivery partners.
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.
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 DBN’s Rules as Code Community of Practice (RaC CoP) creates a shared learning and exchange space for people working on public benefits eligibility and enrollment systems — and specifically people tackling the issue of how policy becomes software code.
It is frequently assumed that when rules are implemented as code, a rules engine is necessary. However, it is possible for policy people and engineers to effectively work together to code logic that drives technological system without needing a mediating rules engine at all.
This brief analyzes the current state of federal and state government communication around benefits eligibility rules and policy and how these documents are being tracked and adapted into code by external organizations. This work includes comparisons between coded examples of policy and potential options for standardizing code based on established and emerging data standards, tools, and frameworks.
“Interoperability” refers to systems’ ability to interact with each other to share data so that a customer is connected with as many benefits as possible in an efficient way. The Affordable Care Act (ACA) was originally intended to be interoperable, but this has not occurred yet. Promoting interoperability in the ACA is imperative, as it would help alleviate food insecurity through automatic benefits enrollment.
Better Rules utilizes multidisciplinary teams that include people skilled in policy, legal, business rules, programming, and service design working together in an iterative fashion to develop rules. Several outputs are produced using this approach, each offering an opportunity that can be fed back into that iterative process and re-used to solve other issues.
MITRE’s Joe Ditre and Frank Ruscil demoed the code for the Comprehensive Careers and Supports for Households (C-CASH) at Rules as Code Demo Day. The MITRE team expanded the accessibility of the Policy Rules Database and the Cost-of-Living Database (the prior demo) by creating a web service API and a front-end Window’s application called C-CASH Analytic Tool (CAT). CAT provides a more scalable, flexible, and portable functionality which allows end-users to generate various households to run eligibility scenarios across different U.S. counties and states. They are currently working to create a national data hub and analytics tool, starting with utilizing U.S. Census data and populating the data warehouse by pushing large amounts of data through the PRD.
