Medicaid Renewals Playbook

Policy implementation challenges

Description

When presented with a policy, states are saddled with the burden of turning that policy into code. This translation is not always clean, and isn’t always updated when the policy itself is updated. As a result, logic can often reflect old, outdated, or misunderstood policies, resulting in people being improperly failed during ex parte.

What this looks like

The following are signs that the implementation logic may not match policy:

Potential solutions

Bring policy staff together with vendors and clarify: