Navigating a New Era of Eligibility: Automation and Data Access for Efficient and Effective Medicaid Programs
Information
State Medicaid agencies face a dynamic landscape marked by evolving workforce trends, new administration priorities, and the increasing focus on continuity of care. This session explores how agencies can leverage innovation and data solutions to streamline eligibility processes, promote program integrity, and encourage a more transparent approach to the benefit process.
We will demonstrate how automation and data-driven verification solutions are helping accelerate the Medicaid and CHIP eligibility determination process, from initial application to annual renewals, including increasing ex-parte renewal rates. By adopting innovative workflow practices and the latest data solutions, agencies could:
- Enhance efficiency: Reduce manual processes, accelerate decision-making, and free up staff for client-centric tasks.
- Improve accuracy: Access income and employment data as it was furnished directly by employers and payroll providers, minimizing reliance on manual processes
- Advance program integrity: Focus on delivering right-sized payments to eligible beneficiaries with compliance concerns in mind.
This session will also explore:
Market trends: The rise of the gig economy and its impact on income and employment verification.
Labor changes: Adapting to evolving employment dynamics within the workforce.
New administration priorities: Aligning with the latest federal guidance and policy objectives.
Join us to learn how state agencies can navigate the complexities of eligibility determination in this new era of benefits eligibility while balancing competing priorities.
Key Takeaways:
Gain insights into market trends, labor changes, and new administration priorities impacting eligibility programs.
Discover how automation and data solutions can streamline eligibility processes and improve agency efficiency.
Learn about best practices for leveraging technology to help increase ex-parte renewal rates and deliver right-sized benefits to eligible beneficiaries.
