Resources and Toolkits

Tools and templates for states to improve Medicaid work requirement communications, including paper & online application templates updated post-IFR and digital interactive guide

Video outlining best practices for states to improve their risk assessment and error detection processes, including model design, review sequencing, feature engineering, review process optimization, and quick wins

Interactive tracker to evaluate how prepared states are to implement the Medicaid administrative changes required under H.R. 1, using performance indicators like application processing, call center performance, and disenrollment data. The tool highlights potential risks states may face in maintaining access amid implementation.

Workshop to foster collaboration and share modeling practices among state agencies in response to HR1’s new SNAP PER cost share requirements. Gathering encompassed convened a group of nearly 40 research and data analytics staff from across 15 states involved in SNAP QC data modeling.

Resource outlining data and analytic approaches to support states through the technology implementation and integration process for Medicaid work requirements, with a focus on medical frailty exemptions.

User-tested application templates and resources for Medicaid work requirements

By Sarah Esty (Aspen Institute Financial Security Program) Phase 1: Preauthorization with simple rules, targeted reviews One state has been able to achieve a PER close to 6% through use of a preauthorization review (before cases are finalized) for all new applications, reinstatements, or cases adding a person. They have historically picked cases to review…

By Sarah Esty (Aspen Institute Financial Security Program) and Eric Giannella (Georgetown University Better Government Lab) To assist states working to rapidly reduce SNAP payment error rates to avoid new cost-share requirements, the Safety Net Response Network has been convening monthly meetings of state data practitioners for peer learning around successful error reduction strategies. Through…

Evidence-based recommendations for states to optimize implementation of work requirements include: integrating compliance and exemption information and reporting into a single streamlined process, designing clear and actionable notices, utilizing text communications, and building mobile-friendly platforms.

The passage of the One Big Beautiful Bill (also known as OBBBA or H.R. 1) in July 2025 mandated significant changes to key social safety net programs, including the Supplemental Nutrition Assistance Program (SNAP) and Medicaid. To meet these requirements and minimize coverage loss, states must update the technical infrastructure that powers their program delivery….

States can act to reduce their SNAP PERs but must move quickly for their efforts to impact their share of program costs in 2027.