Resources and Toolkits
These 5 Million People Are About to Lose Their Medicaid — But They Don’t Have To
Tools for data-driven understanding Medicaid work requirements, including information about who’s at risk, automatic verification pathways, ex parte capability by state, coverage loss, and maps
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 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.
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 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.
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.
