A Technical Guide for States to Reduce Procedural Terminations from Medicaid’s Work Reporting Requirements

Executive Summary

Using automation to facilitate OBBBA implementation will be imperative in mitigating the immense burden of the law’s new Medicaid-related policies. But this technology must be used responsibly in order to preserve coverage to the maximum extent possible. In this guide, the Benefits Tech Advocacy Hub (a joint effort of NHeLP, TechTonic Justice, and Upturn) offers recommendations for minimizing procedural terminations connected with OBBBA’s work requirements through minimizing administrative burden, better aligning system design choices to the needs of applicants and recipients, and developing mechanisms to hold the vendors and contractors who design these systems accountable.