Medicaid Express

As the landscape of Medicaid and CHIP eligibility evolves, forward-thinking states are setting a new standard for speed and simplicity. Medicaid Express delivers end-to-end automation, adaptable integrations, and a unified, consumer-focused platform – helping agencies minimize eligibility errors, increase staff productivity, and maintain continuous compliance.

Medicaid Express is a cost-effective SaaS solution that delivers eligibility decisions for up to 80% of applicants in under 30 minutes. Customers get quick answers and can enroll in the right coverage without delay, while agencies work efficiently and are ready to meet H.R. 1 community engagement requirements by January 2027.

Medicaid Express helps state agencies achieve full compliance with H.R. 1 by January 2027 by automating the verification of community engagement (CE) activities. Intelligent application logic identifies when CE requirements apply, prompting users only when necessary and enabling real-time eligibility decisions through instant income and participation verification. Mobile reporting apps encourage continuous consumer engagement, with automated reminders and nudges to boost timely reporting of CE hours. The result is a flexible, user-friendly solution that streamlines operations, eases administrative burden, and strengthens program performance.

Medicaid Express cuts through the complexity of Medicaid plan selection by effortlessly guiding customers from eligibility determination to enrollment. Customers only see plans that fit their needs, while smart, simple questions match them with the right coverage. Once eligibility is confirmed, customers can shop and enroll instantly.

Medicaid Express is a smart, cost-effective solution that empowers agencies to operate more efficiently today while equipping them with the tools and insights to thrive tomorrow. By integrating with state-mandated data sources and automating eligibility checks, Medicaid Express enables no-touch determinations, eliminates duplicate applications, and reduces time-consuming manual tasks, so your team can focus on complex cases and deliver more personalized support.

With Medicaid Express, you’re always equipped with the information you need to deliver exceptional service. Flexible, user-friendly dashboards let every team member access the insights they need while administrators enjoy peace of mind. Easy-to-follow tutorials and dedicated training make it simple for everyone to get the most from your data, right from Day One.

Serve your customers with total confidence, knowing that your data – and your customers’ trust – are always protected. Backed by industry-leading security and continuous monitoring, Medicaid Express keeps your agency’s data safe at every level. Each layer of our system is built with best-in-class safeguards, while real-time alerts and weekly security reviews quickly detect and resolve threats.

Keep your clients informed and engaged with the intuitive Notices module, designed for timely and effective communication. Deliver important updates, like eligibility changes, renewal requirements, and benefit information, with pre-built templates that can easily be customized. Whether you’re reaching out one on one or launching large-scale campaigns, Medicaid Express reaches each customer with clear, accurate, and secure notifications when it matters most.