What is state eligibility and enrollment support?

State eligibility and enrollment support includes services and technology that help state agencies determine program eligibility, process applications, and enroll individuals accurately across health programs they’re deemed eligible for.

How do states use omnichannel engagement for eligibility and enrollment?

State agencies use omnichannel engagement to connect with consumers through web portals, customer contact centers, mobile apps, text, and email, ensuring consistent access to information and support.

What programs are typically included in state eligibility and enrollment services?

Services often support Medicaid, CHIP, SNAP, and state-based marketplaces, with integrated processes that allow state agencies to coordinate eligibility and enrollment across multiple programs.

How does technology improve eligibility accuracy for state agencies?

Technology-enabled case management, automated workflows, and AI-powered error prevention tools help identify data inconsistencies early, reduce manual errors, and improve compliance with federal and state requirements.

What is end-to-end eligibility and enrollment technology?

End-to-end technology supports the full lifecycle of eligibility and enrollment — from application intake and document management to eligibility determination, enrollment, and ongoing case updates.

How do eligibility and enrollment services support program integrity?

By preventing errors before enrollment decisions are finalized, improving data accuracy, and standardizing processes, these services help reduce improper payments and strengthen program oversight.

How do states benefit from integrated eligibility workflows?

Integrated workflows reduce duplicate data entry, minimize paper-based processes, shorten processing times, and allow staff to focus on complex cases rather than routine tasks.

How do eligibility and enrollment services scale during high-demand periods?

Scalable staffing, automation, and digital self-service tools allow state agencies to manage enrollment surges during open enrollment, emergencies, or policy transitions without creating backlogs.

How do eligibility services improve customer experience in state government programs?

Clear communication, simplified processes, and multiple access channels reduce confusion and frustration, making it easier for individuals to access benefits and stay enrolled.

Eligibility and Enrollment

Our streamlined approach to service delivery reaches people on their preferred engagement channels and connects them to the right benefits and services.

Solutions for state and local agencies

Through omnichannel engagement, clear customer service and self-service options, and easy enrollment, people access programs and benefits faster. Government agencies benefit from integrated workflows, fewer paper documents and manual processes, and more accurate enrollments.

Eligibility support

Whether eligibility is determined by our team or government employees, we streamline the process with technology-enabled case management and workflows.

Customer-friendly enrollment

From self-service tools to live agent support, we provide clear, accurate information and a person-centered approach to program enrollment.

End-to-end technology

Our modular eligibility and enrollment solution provides an integrated, flexible approach. As needed, we can supplement state technology for seamless experiences.

Omnichannel engagement

Through our contact centers, we engage with people on their preferred channels — web, phone, email, text, or mobile app — to enhance their government customer experience (GX).

Tech solutions to achieve your program goals

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SNAP Solutions

States are seeking solutions that correct data inconsistencies early, prevent errors, scale to demand, and help avoid backlogs. Our AI-powered Accuracy Assistant™ error-prevention tool supports a more accurate eligibility process.

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Medicaid Solutions

Our eligibility support and enrollment broker services include processes that work seamlessly across multiple health insurance programs to get people covered. Our unbiased support helps people make informed choices about their health plans.

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SBM Solutions

We support states during open enrollment, create tailored consumer experiences, and integrate with other state health programs. We bring outreach and education strategies and help states make key decisions about in-person assistance and marketplace features.

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See our work in action

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Rapid SNAP replacement support in Texas

Digital document uploads in New York

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Mobile apps for efficient and effective enrollments

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S&L Eligibility and Enrollment FAQs

Maximus supports eligibility and enrollment for Medicaid, CHIP, SNAP, and state-based marketplaces, with solutions designed to work across programs and reduce fragmentation for both state agencies and consumers.

Maximus combines technology-enabled workflows, AI-assisted error prevention, and trained eligibility support to reduce manual processing and prevent errors — helping state agencies improve accuracy, meet requirements, and manage workloads more efficiently.

Through omnichannel engagement — web, phone, mobile, text, and live support — individuals receive clear, timely, and person-centered guidance, making it easier to understand coverage options and complete enrollment efficiently and correctly.

Scalable staffing models, integrated technology, and automated workflows allow state agencies to respond quickly to enrollment spikes, new federal requirements, and policy transitions without sacrificing service quality.

State and local government

Explore how we help agencies across all 50 states and D.C. address challenges and move people forward.

Making an impact

Meet the leaders whose life experiences and perspectives deepen the impact of our innovative work.