Medicaid work requirements are set to receive major implementation support after ten health technology companies pledged more than $600 million in no-cost and discounted services to assist U.S. states, according to an announcement from the Centers for Medicare & Medicaid Services.
CMS said the companies intend to help states prepare for and roll out Medicaid community engagement and work requirements by providing technology products and services tied to eligibility, enrollment, verification, and system modernization. Each company already holds Medicaid eligibility and enrollment contracts with states, allowing for faster deployment. CMS stated the voluntary commitments are expected to reduce costs for states and taxpayers while improving the beneficiary experience.
The participating companies include Accenture, Acentra Health, Conduent, General Dynamics Information Technology, Deloitte, Gainwell, Maximus, Curam by Merative, Optum, and RedMane.
“Gainwell is proud to join the Centers for Medicare and Medicaid Services and our industry peers in supporting states as they implement Medicaid community engagement requirements. This pledge reflects our commitment to advancing federal and state policy goals, modernizing Medicaid systems through purposeful public–private collaboration, and addressing fraud, waste, and abuse,” Gainwell said by statement. “The Gainwell Community Engagement Verification solution combines decades of Medicaid and verification expertise with modern AI technology to help states meet federal requirements quickly and efficiently, strengthen member engagement and reduce administrative burden. The solution is designed to flexibly meet states where they are. It is offered at a low price point, and built for rapid deployment and seamless integration.”
CMS also said it is working with the General Services Administration to enable vendors to obtain GSA Schedule access, allowing states to procure technology solutions more quickly. Additional efforts include expanding testing environments, aligning eligibility system changes, and supporting automated, consent-based data verification.
States are required to implement Medicaid work requirements by January 1, 2027, under President Donald Trump’s Working Families Tax Cut legislation. CMS said the requirements are intended to support adult beneficiaries through employment, education, volunteering, or job training.
Since enactment of the law, CMS has issued guidance, conducted state outreach, tested beneficiary engagement tools, and developed an open-source platform called EMMY to streamline eligibility determinations and verification workflows. These initiatives are designed to minimize administrative burden while improving system readiness and compliance with Medicaid work requirements.
“Community engagement provides dignity and purpose,” said Health and Human Services Secretary Robert F. Kennedy, Jr. “Thanks to [CMS Administrator] Dr. [Mehmet] Oz’s leadership, we’re one step closer to delivering President Trump’s vision of bringing every able-bodied adult on Medicaid into the workforce and other cornerstones of society.”
“From the outset, our focus has been on helping states implement these requirements efficiently while supporting new innovations in Medicaid that improve the beneficiary experience,” said Dan Brillman, director of the Center for Medicaid and CHIP Services. “We applaud vendors for their voluntary commitments and discounting their solutions, providing states with additional options as they plan their implementation and modernize their Medicaid systems.”