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Medicaid Community Engagement Verification

Keep Eligible People Covered. Automatically.

 

Under H.R. 1, all states and the District of Columbia must verify Medicaid community engagement (work requirement) compliance at initial application and at every renewal. When a system can’t verify automatically, families may lose medical coverage on a technicality. Speridian automates verification as the law intends, layered onto the eligibility system your state already runs.

20+

Years of Public-Sector Delivery

43 States + DC

Must Comply Under H.R. 1

Z

Jan 1, 2027

Fixed Compliance Deadline

Speridian has built and maintained the integrated eligibility system for a state Medicaid agency for more than a decade, and is actively delivering CE verification for another state Medicaid program today.

Five Reasons States Choose Speridian for CEVS

Keep Eligible People Covered, Automatically

Every family losing coverage on a technicality is a preventable failure.

Ex parte-first verification resolves compliance against data the agency already has, with no member action required—before anything ever reaches a caseworker.

A Modernization Layer, Not a Rip-and-Replace

You don’t have twelve months to stand up a new system.

CE verification deploys inside the eligibility system your state already runs, with CE steps folded into the existing application and renewal flow. No duplicate process, no migration.

Rules That Adapt as Fast as Guidance Changes

CMS isn’t finished writing this rule.

A configurable rules engine handles exemptions, qualifying activities, lookback and frailty definitions, so agencies reconfigure in days—not through a six-month change order.

Only the Exceptions Reach a Caseworker

Manual review shouldn’t be the default outcome.

Automated document processing and exception routing mean staff handle judgment calls, not every submission—absorbing the new work-requirement volume without proportional new headcount.

A Partner Who Has Already Built This

We’re not starting from a blank page.

Speridian has built and maintained a state’s integrated Medicaid eligibility system for over a decade, and is actively delivering CE verification against the same January 2027 deadline for another state agency today.

What the Solution Handles

Ex parte verification against the Federal Hub, AVS, EMMY, BENDEX, SDX, DLIR, BES, DOH and PARIS

W2 and gig income verification, bank account balance check

Automated exemption and hardship-exception identification

Configurable rules for qualifying activities, lookback and frailty definitions

Self-service intake and intelligent document processing

CMS compliance reporting built into the workflow

Notice, fair-hearing and worker-review paths inside the existing system

The Outcomes That Matter

Eligible residents stay covered, not lost to paperwork

No rip-and-replace — deploys inside infrastructure already in place

Reconfigure rules in days as CMS guidance shifts

Eligible residents stay covered, not lost to paperwork

Only real exceptions reach a caseworker’s desk

Compliance reporting to CMS built in from day one

Automation can qualify for a 90% federal match through the Advanced Planning Document process, easing general-fund pressure

A Trusted Public Sector Partner

With more than 20 years of public-sector delivery and a decade of building and maintaining a state Medicaid agency’s integrated eligibility system, Speridian Technologies is uniquely positioned to help your state meet the January 2027 deadline. Our approach is collaborative: we co-design with your team, deploy inside your existing infrastructure, and stay engaged as CMS guidance evolves.

Our clients are our best references. States that partner with Speridian benefit from proven experience, ongoing support, and a shared mission to keep eligible residents covered.

Ready to see how Speridian can help your state meet the CE verification deadline—without disruption?

Connect with our team to start the conversation or request a demo.