Resources and Toolkits
Implementing Medicaid Work Requirements
Tools and templates for states to improve Medicaid work requirement communications, including paper & online application templates updated post-IFR and digital interactive guide
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
A New Tool for Implementing Medicaid Work Requirements
User-tested application templates and resources for Medicaid work requirements
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.
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 Work Requirements for Medicaid
Evidence-based recommendations for states to optimize implementation of work requirements include: integrating compliance and exemption information and reporting into a single streamlined process, designing clear and actionable notices, utilizing text communications, and building mobile-friendly platforms.
Five Questions to Ask When Evaluating Technical Products
Key questions for states to consider during procurement of new technical systems to ensure proper evaluation of product solutions and their effectiveness.
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.
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.