Work Requirements and Community Engagement Suite
Simplify Medicaid work requirements and community engagement compliance
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Delivering for our clients at scale
Empower your agency to meet the 2027 compliance mandate
Beginning January 1, 2027, new federal Medicaid rules will require states to verify enrollees’ work or community engagement. Conduent helps agencies meet this challenge with secure, scalable solutions that manage determinations, reporting and compliance while protecting coverage, reducing administrative burden and simplifying resident experiences.
Our technology and expertise support agencies as demand grows, helping ensure continuity of care and smoother interactions for members and staff alike.
*Source: KFF
Technology solutions
Solutions that streamline eligibility, enrollment and reporting, connecting front-line operations with back-office systems. Backed by Conduent’s diverse solutions and our powerful partner ecosystem, we leverage AI and automation, so that agencies can verify work activities and ensure residents get the right coverage.
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Tech integration
A modular, cloud-based design connects easily with legacy systems such as eligibility, MMIS and CRM through APIs and data exchange.
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Fraud prevention
Built-in tools flag anomalies with pattern analysis, pre-payment checks, verification rules and automated alerts to protect program integrity.
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Administrative functions
Clients rely on Conduent for a range of skilled professionals, from individual roles to fully staffed teams.
Deep integration and scalability
Deploy a scalable AI-powered fraud detection platform that combines risk scoring, machine learning and reasoning to drive actionable outcomes.
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Integrate seamlessly
with your state’s eligibility platform and rules.
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Support full compliance
with federal and state mandates.
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Scale across programs
while connecting with legacy systems.