The new system includes advanced new tools that will enhance customer service, improve efficiency and strengthen the integrity of the Medicaid program. Specifically, this includes:
- Real-time verification – connections to state and federal databases will provide more data for real-time verification of citizenship, income, disability and lawful presence in the United States. Applicants can potentially learn of eligibility determinations within minutes.
- More self-service opportunities for applicants and case management options for enrollees, including being able to report changes in contact information online and request a replacement Medicaid card.
- Consistent enforcement of Medicaid eligibility policy through more automated processes. Starting in January, the new system will automatically terminate coverage for those who fail to respond to requests for information that have been mailed to the enrollee’s primary address. This new automated closure process does not include long-term care recipients.
- Reduced paper work. Streamlined and automated processes, as well as new online services will reduce paperwork and lessen the likelihood of important documentation being lost or misplaced.
- Refocused Priorities for Medicaid Staff. Instead of working through cumbersome manual processes that require entry into several different systems, Medicaid staff will be able to focus on individual client needs and cases.