Medicaid & Eligibility Systems
Eligibility and Medicaid systems decide who gets help and how quickly. We build accurate, auditable, CMS-aligned systems that determine benefits correctly the first time and make renewals something families can actually complete.
Challenges we solve
The problems agencies bring us
- Complex, frequently changing eligibility policy and rules
- Fragmented determination across SNAP, TANF, and Medicaid
- Manual renewals that drop otherwise-eligible families
- CMS certification and federal reporting overhead
What we deliver
- Medicaid Enterprise Systems (MES) module development
- Integrated eligibility and enrollment across SNAP, TANF, and Medicaid
- Rules-driven benefits determination and renewals
- CMS certification readiness and outcomes-based reporting
Outcomes
What success looks like
Related solutions
HHS System Modernization
Replatform legacy eligibility, case management, and benefits systems onto modern, cloud-native architectures — without disrupting the people who depend on them.
ExploreChild & Family Services
CCWIS-aligned case management and data systems that give caseworkers time back and improve outcomes for children and families.
ExploreData, Analytics & AI
Turn fragmented program data into trustworthy insight with secure data platforms, interoperability, and responsible, explainable AI.
ExploreLet's modernize health and human services together.
Whether you're planning a major modernization or augmenting an in-flight program, we'd welcome a conversation about how Lukshi can help your mission.