SolutionsMedicaid Redetermination
Connect with hard to reach populations and expedite renewals though HIPAA-secure digital experiences
Medicaid Redetermination
Connect with hard to reach populations and expedite renewals though HIPAA-secure digital experiences
- Proven and effective AI agent support that guide Medicaid members through the redetermination process
- HIPAA-compliant, TCPA, and HITRUST R2 certified for secure information exchange
- Proactive, two-way member education and engagement across voice and digital channels
- Customizable to your brand and business requirements
- Customizable to your brand and business requirements
Digital Automation to Enhance the Redetermination Process
AI agent experiences for Medicaid Redetermination that help Medicaid plans gather critical member information,educate members on how to retain their coverage, and provide step by step guidance through the renewal process.
Digital Redetermination Education
Member Contact Information Collection
Redetermination Completion Support
Dropped Coverage Support
Educate members on how to keep Medicaid coverage
Collect updated household information
Support members in filling out MC210 form and other required documentation
Notify members of lost coverage (via procedural disenrollment or ineligibility)
Secure digital consent to contact (if needed -TCPA)
Survey for updates and special outreach needs (e.g., age transitions)
Acquire member signatures and prepare documentation for download or submission
Guide them through next steps for redetermination within the grace period, or enrollment in another plan (Exchange, Medicare)
Motivate action with loss-of-coverage messaging
Keep contact information up to date addresses; emails and phone numbers
Simplify complex government processes and support redetermination process completion
Help members navigate HR. 1 twice annual enrollment and work requirements
Connect to State plan and community resources when needed
Elevated Customer Experiences in Weeks
Engage users across SMS, email, voice, and web in one persistent, compliant interaction thread.
"Horizon turned to Ushur to expand our outreach to members during the Medicaid Unwinding. Together, we developed a successful plan that engaged more than a million members through texts that respected their language preferences in order to help them navigate the redetermination process. The proven success of this partnership has opened the door to deeper engagement with our members by providing them important information in the way that is most useful and relevant to them."
Customer Story
circle-dot
Health Payer Medicaid Engagement: Increasing Medicaid engagement through digital self service
Read now
.avif)
Schedule a demo and see it in action
Read more
FAQs
Learn how Ushur helps health plans simplify Medicaid renewals, improve outreach, and support continuous coverage.
See it in action