Resources and Toolkits
Unlocking the Potential of Payment Error Buffers Through Uncapped Benefit Analysis
Paper exploring how uncapped benefit calculations in payment error predictive models can help create space for more “buffer” and create inclusion or exclusion criteria for better targeted reviews and greater predictive power.
SNAP PER Analytics Workgroup
Workshop examining how predictive analytics and risk scoring can improve SNAP implementation and evaluation, using Conneticut as a case study.
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.
Tracking State Readiness to Implement H.R. 1
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.
SNAP PER Cost Share Projection: Impact of Removing the QC Tolerance Threshold
An interactive cross-state analysis tool demonstrating how removing the $58 SNAP QC tolerance threshold could increase payment error rates and related state costs.
States Need More Time to Prepare for Medicaid Work Requirement
States face an unrealistic timeline to implement Medicaid work requirements by January 2027 due to the compliance demands of data integration, system upgrades, and application portal modifications. These challenges are compounded by limited federal guidance, technical system constraints, and insufficient state capacity, making it difficult for states to adapt and administer the changes effectively. Consequently,…
SNAP Quality Control Error Viewer
An interactive dashboard that enables users to explore and monitor key metrics of the Supplemental Nutrition Assistance Program (SNAP) Quality Control (QC) system.
SNAP Tracker: People Are Losing Food Assistance as the Republican Megabill Is Implemented
Tracker displaying most recent federal and state agency data on SNAP participation, along with unemployment trends.
Common Missteps on the Road to Lower SNAP Payment Error Rates
Guidance on state policy chocies that tend to increase SNAP payment error rates include requiring change reporting or monthly reporting, imposing asset tests, and limiting discretionary exemptions. In contrast, states can reduce errors by simplifying reporting requirements, using BBCE, applying exemptions, and using one-month lookbacks to minimize reassessments and ensure coverage for eligible populations.
Understanding CMS’s “Emmy” Medicaid Work Requirement Tools
CMS is offering states an open source, consent-based verification tool to streamline implementation of the Medicaid work requirement. This supports income verification for non-traditional workers, allows applicant review, and enables flexible system integration. Emmy API will also provide a single point of access for relevant data sources.
SNAP’s “Broad-Based Categorical Eligibility” Supports Working Families, Older Adults, and Those Saving for the Future
Resource explaining how SNAP’s BBCE helps working families qualify for food assistance by easing income and asset limits. It also outlines the potential negative impacts, such as increased food insecurity, if BBCE were eliminated.
SNAP QC Error Viewer
An interactive dashboard that enables users to explore and monitor key metrics of the Supplemental Nutrition Assistance Program (SNAP) Quality Control (QC) system.
SNAP Quality Control Resources for States
Resource Hub including data visualization tools, modeling tips, and lessons gathered from States to support the work of QC data modeling nationwide.
Predictive Analytics for SNAP PER Reduction QC Data Workshop Summary
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.
Data and Analytic Approaches for Medical Frailty Exemptions
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.
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
Eligibility Made Easy (Emmy)
A CMS-developed suite of open-source tools that streamlines income and community engagement reporting for Medicaid applicants and enrollees
Assessing the Medicaid Work Requirement Vendor Landscape
Describes approaches states will take toward implementation, highlights considerations for evaluating vendors, and provides detailed descriptions of vendor products across categories (based on product demos and conversations with vendors)
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.
OBBBA Resources for States
Centralized hub for OBBBA Medicaid-related information for state implementation support. Features topics outlining communications and outreach, marketplace provisions, work requirements reporting, non-citizen eligibility changes, reporting and evaluation, rural health transformation, and state-specific impact estimates.
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.
Human-Centered Principles for States Evaluating Vendor Solutions to Implement H.R.1 Work Reporting Requirements
Key questions for states to consider in human-centered vendor acquisition, focused on collaborative co-design and continuous feedback from enrollees and caseworkers during systems testing and development, proactive bias mitigation, accessibility, and strong data protection and interoperability standards.
Advocates’ Guide to Automated Notices
Guide explaining automatic benefit notice generation process while walking through common underlying system errors (e.g. missing or incorrect information) providing insight on how back-end design decisions cause these issues. Provides strategies to improve notice process and output such as targeted questions on system logic, workarounds for caseworkers, and structural reform through data flow, boilerplate language,…
A Technical Guide for States to Reduce Procedural Terminations from Medicaid’s Work Requirements
Guide to provide states with policy and technical strategies to reduce procedural terminations under Medicaid work requirements, including simplifying verification processes, mitigating automation risks, managing vendor
A Guide to Reducing Coverage Losses Through Effective Implementation of Medicaid’s New Work Requirement
Outlines strategies to reduce coverage losses including minimizing administrative and applicant burden, streamlining verification processes, creating accessible and user-friendly forms and portals, and strengthening communication and outreach efforts.
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.
Implementing Benefits Eligibility + Enrollment Systems: State Responses to H.R. 1
Features interviews from seven states on adaptation journeys in response to SNAP and Medicaid on integrated eligibility and enrollment. Insights include states awaiting federal guidance, standing up work groups, putting technology road map placeholders, prioritizing SNAP PER, making changes to end-of-life systems, rethinking data sharing, and considering population impacts.
Implementing Benefits Eligibility + Enrollment Systems: Key Context
Explainer on state IEE system fundamentals, outlining key technologies, opportunities, risks, and stakeholders involved for implementation guidance to improve benefit accessibility and efficiency.
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.
Digital Government Hub for H.R. 1 Implementation
A central resource library for state, local, tribal, and territorial governments working to implement public benefits policy and system changes created through OBBBA, featuring Medicaid work requirements and SNAP PER topic sections.
