Resources and Toolkits
Risk Assessment Tools
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
SNAP PER Analytics Workgroup
Workshop examining how predictive analytics and risk scoring can improve SNAP implementation and evaluation, using Conneticut as a case study.
Operationalizing New H.R.1 Medicaid Copay Requirements: A Toolkit for States
This toolkit is intended to support states in understanding and implementing H.R.1’s new copay requirements for certain Medicaid expansion enrollees that meet specific income requirements. Included is a proposed operational approach to ensure compliance with federal requirements and reduce states’ administrative burden and potential barriers for members.
Reshaping Medicaid: Considerations for Monitoring the Impact of H.R.1
Issue brief outlining the strategic case for investment in monitoring, provides a phased action timeline for states to implement monitoring activities, and details potential priority monitoring domains.
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.
Communications Workplan: Preparing for the Implementation of Medicaid Work Reporting Requirements
Designed for state Medicaid and health and human services communications staff—particularly those responsible for planning and executing outreach related to new work reporting requirements. States can use it to inform the creation of communications efforts or to cross-reference existing plans, ensuring key tactics are considered, gaps are identified, and strategies are aligned around maintaining coverage…
Medical Frailty Project Workplan
A sequenced, implementation-ready approach for operationalizing the medical-frailty exemption.
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.
Medicaid Work Reporting Requirements: Verifying Compliance and Exemptions
Toolkit outlining federal statutory definitions for qualifying activities and mandatory exemptions, describing criteria for ex parte verifications, and assessing need for additional application questions.
Medicaid Work Reporting Requirements: Implementation Planning Milestones
Toolkit outlining key implementation milestones for states to launch work reporting requirements including creation of governance structure, shaping policy and operational design (e.g. defining state choice for “look back period”, qualifying compliance activities, etc.), preparing staff and systems readiness, partner engagement, enrollee education, and monitoring and oversight.
Medicaid Work Reporting Requirements: Implementation Basics and State Decision Points
Implementation details on Medicaid work requirements outlining affected populations, exemptions, compliance pathways, information on state policy choices, and implementation timeline.
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.
