Quickly assess identities and support Medicaid eligibility decisioning at the point of enrollment. 

Streamline Medicaid Eligibility Decisioning 


Quickly assess identities and support eligibility decisioning at the point of enrollment

Asking for help is not easy for anyone. But with the right data at hand, you can make the process more dignified for applicants — while strengthening program integrity.

Simplify the eligibility process with help from one of the largest compilations of consumer identity intelligence, near real-time digital verification tools and behind-the-scenes risk assessment. Our data covers 95% of the U.S. population — including those with limited or no credit history — and offers more recent data on identity, residency, assets and property, even life changes such as incarceration or death.

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Quality health risk assessment and high patient engagement leads to improved health outcomes

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A third or more of Medicaid recipients don’t have reliable access to transportation.  Many don’t have permanent homes; others work hourly jobs with limited time off. For this reason, mobile devices have become a lifeline to public services for those who can’t apply for benefits in person. Our solutions help minimize the risks associated with omnichannel service delivery. Our physical and digital identity solutions work concurrently to validate identity intelligence and assess risk in near real-time. Link a person and their activity across all touchpoints:

  • Device ownership
  • Device history
  • Location data
  • Linkage to cell phone number
  • Behavioral biometrics
  • And more

Reduce burdens for trusted identities — and apply greater scrutiny to identities or transactions you don’t recognize with our NIST 800-series-compliant tools.

A 2020 report by the U.S. Government Accountability Office (GAO) identified several types of Medicaid eligibility errors occurring in state programs.  These included failure to identify and disenroll deceased individuals. In 2022, the Centers for Medicare & Medicaid Services (CMS) will implement revised procedures to recoup funds issued by states due to eligibility errors. 

Our consumer identity solutions can be easily integrated into your overall IES workflows to deliver the most up-to-date information on individuals to verify eligibility. Reduce the manual workload for your team and minimize the chance of  misinformation. 

And, because we provide a choice of FCRA and non-FCRA data sets, you can confidently expand your decisioning “view” and meet the highest standards of compliance. 

Because it’s dependent on income, residency and some health conditions, eligibility for Medicaid can easily change and differs state-by-state. Most beneficiaries are required to go through an annual recertification process (also called redetermination), and many states review eligibility on an ongoing basis. However, according to 47 federal and state audits conducted between 2014 and 2018, multiple states were found to be months or years behind schedule on Medicaid redeterminations. For one state, this accounted for $88 million in avoidable expenditures.  Clearly, states need better access to the most current, accurate data for redeterminations. 
Because it’s dependent on income, residency and some health conditions, eligibility for Medicaid can easily change and differs state-by-state. Most beneficiaries are required to go through an annual recertification process (also called redetermination), and many states review eligibility on an ongoing basis. However, according to 47 federal and state audits conducted between 2014 and 2018, multiple states were found to be months or years behind schedule on Medicaid redeterminations. For one state, this accounted for $88 million in avoidable expenditures.  Clearly, states need better access to the most current, accurate data for redeterminations. 

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