Resources and Toolkits
Model Medicaid Community Engagement Outreach Notice (English/Spanish)
Plain-language notice template in English and Spanish so Medicaid agencies can help clients understand new work reporting requirements
Helping States Respond to the New Medicaid Rules
Piece on the need for states to work quickly to build Medicaid systems that serve clients efficiently and impactfully, with information related to CMS’s Interim Final Rule
SNAP Work Requirements Implementation Resources
Materials related to SNAP work rules and ABAWD requirements, including summary of changes, resources on process and implementation, model notices, and population-specific flyers
State Strategies to Improve SNAP Payment Accuracy: Early Lessons from the First Year of H.R. 1 Implementation
Multi-state survey summary of state agency work to implement new payment error requirements, prepare for upcoming cost sharing provisions, and strengthen payment accuracy efforts
Fraud Prevention & Response Efforts in SNAP
Article to understand SNAP fraud and program integrity risks, protect SNAP program integrity, and address potential fraud
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.
Screening for SNAP Work Requirements Using Human-Centered Design
Webinar featuring an in-depth walk through of the screening questionnaire, highlighting design and content decisions made based on feedback from SNAP clients and advocates. Passcode: &Hd64icK
Eligibility Made Easy (Emmy)
A CMS-developed suite of open-source tools that streamlines income and community engagement reporting for Medicaid applicants and enrollees
A Human-Centered SNAP Work Requirements Screener
Human-centered design best practices to screen for Medicaid work requirement exemptions
Metrics That Matter For States Under H.R. 1
Guide on how state agencies can develop legible and flexible metrics to assess implementation of new work requirements, outlining how to build, capture, and effectively utilize metrics to monitor impact for operational awareness and decisionmaking.
Implementing Medicaid Work Requirements
Implementation-oriented framework to support states with adapting to community engagement/work requirements. Features overview of “look back” period and four-step compliance flow including: checking for automatic hardship, screening for exemptions, checking for participation, and allowing for requestable hardship.
Identifying Use Cases for AI in Medicaid Delivery
Outlines cases in which generative AI can be appropriately deployed by grounding use in human-centered problem statements. Highlights practical application such as data extraction, summarization, and entity resolution to reduce caseworker burden while maintaining responsible oversight.
Work Requirements Implementation Resources Toolkit
Repository of resources for state administrators to support the implementation of work requirement policies through overview of implications and recommendations of smart system designs and processes.
Reducing Payment Error Rates for SNAP
Key strategies to improve accuracy and efficiency of SNAP program delivery, including evaluating intervention impacts independently, developing strong proxy metrics, watching for unintended consequences, strategically reviewing most error-prone case elements and actions, leveraging new technology for caseworkers, and improving client communication and outreach.
Elements of Successful Systems Design for H.R. 1 Implementation
Outlines four proactive strategies to design resilient and adaptable technical systems including feature flags, modularity, configurability, and phased approaches.
Adaptable Resources for States and Locals
Various templates for state and local governments to meet OBBBA requirements, including primers for program staff and state leadership, targeted flyers for populations (e.g. veterans, unhoused, older adults), and work requirements checklists.
