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Officials Show Little Proof that New Tech Will Help Medicaid Enrollees Meet Work Rules

Pilot programs in Louisiana and Arizona test digital tools to verify Medicaid work requirements, but enrollment completion was under 7%, raising concerns about effectiveness.

  • Federal and state officials have offered little insight about the two pilots tested, and Andrew Nixon said tools are largely under development while KFF Health News found scant evidence supporting their effectiveness.
  • Officials in 42 states and Washington, D.C., must verify an estimated 18.5 million Medicaid enrollees under President Donald Trump's tax and spending law, with federal officials allocating $200 million to develop systems by the end of next year.
  • In Louisiana, officials reported texting just over 13,000 enrollees but only 894 completed the quarterly wage check, about 7%, and the tools tested verify income only, not community service or exemptions.
  • The nonpartisan Congressional Budget Office estimates changes will result in 10 million fewer Americans covered by 2034, and state officials warn people eligible for Medicaid could lose access to benefits.
  • Michael Burstein, software engineer and founder of Digital Public Works, builds income-verification tools, but state agencies managing Medicaid and SNAP face understaffing and rural Americans lack reliable internet.
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Officials show little proof that new tech will help Medicaid enrollees meet work rules

This summer, the state of Louisiana texted just over 13,000 people enrolled in its Medicaid program with a link to a website where they could confirm their incomes. Read more...

·Vancouver, United States
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kffhealthnews.org broke the news in on Thursday, October 23, 2025.
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