Streamline Connections between People and Programs
People’s lives and needs are integrated, but often the programs designed to serve them are not.
Integrated benefits eligibility mapping can help you maximize linkages between programs, and streamline the application process for applicants, the people who assist them, and the agencies who administer programs like Medicaid, SNAP, TANF, WIC, LIHEAP, child care subsidies, and other critical state and local safety net programs.
Courageous changemakers across the country are trying to break down barriers and connect more people to help:
- Health systems and health plans transforming health care delivery with whole-person care and social determinants of health approaches
- Community colleges supporting student success
- State and county agencies building a “no wrong door” approach to accessing benefits
Program eligibility and enrollment integration may also reduce administrative costs, reduce duplication of effort, and improve individual outcomes and program performance.
Use the program eligibility mapping recommendations to:
- Create an integrated application for multiple safety net programs
- Develop an integrated front-end user interface across one or more eligibility systems
- Use data you already have from one government benefit program to enroll eligible individuals for another government benefit
- Create job aids and training materials for assisters
- Make other informed business process and technology changes to remove barriers to program access
What We Provide
Our Integrated Benefits Eligibility Mapping Services include:
Understanding how people actually live and work is central to our approach.
- One-on-one interviews with program administrators and assisters
- Focus groups of user groups, such as applicants, assisters, and caseworkers
- Review of business processes and procedures for conducting eligibility and enrollment for key programs
Documentation of Program Data Elements
In addition to reviewing the eligibility policies, we review the specific data and information used to determine and verify eligibility, including:
- Eligibility Criteria (such as income, household size and composition, assets, residency status, immigration status)
- Application process (including documents required to verify eligibility criteria)
- Change reporting requirements and process
- Renewal/Recertification/maintenance requirements and process
Analysis of Relationships and Interactions between Programs
After research and review of the current environment, our team analyzes and maps relationships and interactions between programs (e.g., to be eligible for SNAP Education and Training, you must be receiving support from SNAP but cannot be receiving TANF support).
Actionable, Practical, and Feasible Recommendations
We identify opportunities for maximizing linkages between programs, and provide suggestions on how to address challenges, such as data sharing.
WHITE PAPER: State Innovations in Horizontal Integration
Examples of technology and services innovations that states are implementing in support of integration among health and human services programs
CASE STUDY: AHCCCS
Many states are challenged by the task of adding programs to their existing healthcare eligibility systems. We understand the difficulty because we’ve tackled this opportunity head-on when adding to existing eligibility and enrollment solutions for clients.