Medicaid Redetermination
Medicaid Redetermination
Connect with hardest to reach populations, and expedite renewals though HIPAA-secure digital experience
- Pre-built automation workflows for high-volume interactions
- Comprehensive compliances for highly regulated industries
- Proactive, two-way member healthcare education and engagement
- Fast deployment with out-of-the-box solutions
- Customizable to your brand and business requirements
Health Risk Assessment
Gather information about an individual’s health status, lifestyle habits and potential risk factors
Member Information Update
Collect relevant personal and medical information to ensure accurate and up-to-date records
Medicaid Recertification
Collect and verify beneficiary information to confirm eligibility for Medicaid renewal
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Redetermination Process Welcome
Initial campaign to notify members about the redetermination process and what they need to do
Address Verification
Verify and update member address and contact details to ensure accurate and compliant records
Social Determinants of Health
Gather information about an individual’s social factors to determine health and well-being
Medication Adherence
Help individuals maintain medication adherence for timely intake and improved health outcomes
Member Warm Welcome
Educate members about benefits and services, deliver digital ID cards
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Invisible App
Invisible App is Ushur’s secure, browser-based micro‑engagement platform that enables real-time, two‑way customer conversations without requiring downloads or logins.
Ushur Intelligence
Ushur Intelligence is a purpose‑built, domain-specific agentic AI layer that autonomously handles complex customer workflows in regulated industries—fully compliant, adaptive, and outcome-driven.
Digital Automation to Enhance the Redetermination Process
Pre-built Medicaid Redetermination workflows use intelligent automation to help Medicaid plans gather critical member information, introduce members to their plans, and educate them on important processes.
Digital Welcome & Education
Member Information Update
In-Process Redetermination Support
Dropped Coverage Communications
Introduce digital communications to members
Gather information needed for multichannel redetermination outreach
Educate members on the redetermination application process
Notify members who have lost Medicaid coverage by not redetermining (triggered by State alerts)
Onboard members with services and support
Survey for household and member information updates
Locate documentation for proof of income and assets
Let them know what has happened, and the proces they need to cover with great urgency before their “grace period” runs out
Educate members on the importance of their part in the redetermination process
Validate addresses using geolocation
Simplify complex government processes
Capture email and cell numbers
Device-native document capture and upload via a secure channel
Elevated Customer Experiences in Weeks
Differentiate your quality engagements with Ushur Invisible App
Customized branding so members know who contacts them
A HIPAA-secure, rich user experience designed to be intuitive and engaging
Minimal IT and no professional services needed
With integrated analytics to evaluate campaign effectiveness
Customized for each customer and reachable 24/7
"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
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Health Payer Medicaid Engagement: Increasing Medicaid engagement through digital self service
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FAQs
Learn how Ushur helps health plans simplify Medicaid renewals, improve outreach, and support continuous coverage.
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