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.
How States Will Implement H.R. 1’s Medicaid Policies, Including Those Taking Coverage Away for Not Meeting Work Requirements
Analysis examining how states are likely to implement H.R. 1’s Medicaid provisions, including work requirements and other policies that can put eligible people at risk of losing coverage due to administrative barriers.The resource outlines key implementation timelines under both early and standard implementation scenarios, highlighting the first and last enrollee cohorts affected, major state policy…
Coordinating Medicaid and SNAP Work Requirements to Streamline Determinations
States can simplify and streamline determinations for individuals and agenciesand, reduce administrative burden, and minimize unnecessary coverage loss by leveraging the overlap in compliance activities and exemption reasons for individuals applying for or enrolled in both programs. Strategies on aligning exemptions, sharing data, and integrating verification processes highlighted through process flows and crosswalks.
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