Resources and Toolkits
SNAP Data by State
Resource to explore and compare state-by-state data on eligibility processing, payment accuracy, and policy options
Reducing SNAP payment errors: what states can do now
Conversation sharing drivers and targeted interventions to reduce SNAP Payment Error Rates, drawing on six months of hands-on research with Arizona, North Carolina, and Maryland
Medicaid Vendors by State
Living spreadsheet that tracks major E&E and MMIS vendors by state.
Projected Reductions in Medicaid Expansion Enrollment Under OBBBA’s Work Requirements and Six-Month Redeterminations
An analysis projecting Medicaid expansion disenrollments on the national, state, and subgroup level beginning in 2027, estimating between 4.9 million and 10.1 million adults could lose coverage by 2028 due to administrative barriers and reporting requirements.
Implementing Medical Frailty Exemptions Under HR 1: Clinical Considerations From Medicaid Medical Directors
JAMA Health Forum Viewpoint article examining how states can implement the Medicaid “medical frailty” exemptions under HR 1’s new work reporting requirements with recommendations for states to use flexible, clinically driven standards, multiple data sources, and priortize transparency to identify such individuals and prevent harmful coverage disruptions.
SNAP Payment Accuracy Playbook
A free resource that focuses on strategies that states can test immediately to reduce PER and lessen the burden on frontline eligibility workers
Open Source Software Tool (OSCER) for Medicaid Work Requirements
Open-source community engagement reporting (OSCER) tool enables states to achieve work requirements compliance automatically using client and ex parte data, or otherwise provide link for manual certification or exemption application. Provides staff with case management and reporting tools, and sends results to state Medicaid agencies for issuance or disenrollment.
Is This Working? Data-Driven Strategies to Reduce SNAP Payment Error Rates
States can act to reduce their SNAP PERs but must move quickly for their efforts to impact their share of program costs in 2027.
