Health & Human Services: Eligibility and Service Integration

Services

State Integrated Eligibility Services

Bringing innovation to service delivery

Deloitte’s Health and Human Services Transformation team is deeply committed to the mission of:

Deloitte is proud to support state Health and Human Services agencies and the people they serve.

Throughout the U.S., health and human services agencies trust the Deloitte professionals who live this mission because they know first-hand the quality of our work, our record of innovative digital service delivery, and our deep understanding of their programs. 

Over the past four decades, Deloitte has worked at the direction of dozens of states to help them implement, maintain and enhance their eligibility and enrollment systems to comply with their specific policies, rules and processes. We have also worked with our clients to make it easier for their constituents to access the benefits for which they are eligible. 

The depth and breadth of our capabilities and experience – and the extraordinary impact we deliver for our clients – differentiates us from other vendors and makes us the go-to organization for states’ mission-critical, technology-enabled transformation projects. 

The end of the Covid-19 Public Health Emergency brought a return to pre-pandemic enrollment policies and eligibility requirements for Medicaid. Over the past year, we have worked closely with states to minimize the challenges for those going through the redetermination process, many for the first time. The innovations and human-centered design processes we have implemented at states’ request have made it easier for caseworkers, staff and community partners to support the families in their care and enhanced constituents’ digital experience. 

There is no question, large system implementations are difficult, and the complexity of government programs and the technology that sustains them magnify the challenges. All IT systems require ongoing maintenance, periodic upgrades to software and hardware, and database management. When an improvement need is identified in one of the systems we support, we work expeditiously and in close collaboration with our clients to address it.

That is why so many of our clients continue to select us to help maintain their mission-critical systems. Deloitte is willing to take on the tough challenges, and we do so with integrity, commitment and compassion. We understand that the mission matters.

While industry analysts like Forrester and Gartner consistently rank Deloitte as a leader in both system integration and business transformation, we are most proud of the longstanding relationships we have with our health and human services clients and the positive difference we continue to make in the lives of the people they serve.

Integrated services delivery

In this time of crisis, new legislation is changing the landscape. We know it’s critical to help your clients understand and determine their eligibility for appropriate programs, as well as your need for a rapid response to address new program demands in the current environment. Our integrated service delivery solutions can help you streamline enrollment, provide seamless access to benefits, and proactively reach out to your clients to help improve outcomes.

We are improving the way businesses and governments interact with their citizens, patients, customers, and employees. Our mission is to modernize the user and worker experience by making every interaction digital, personalized, and secure.

Our dedicated team can help you give your consumers a single point of access across multiple health and human services programs and manage provider enrollment. Here are the types of integrated eligibility programs we currently support:

  • Children's Health Insurance Program (CHIP)
  • State-based exchanges
  • Medicaid
  • Temporary Assistance to Needy Families (TANF)
  • Supplemental Nutrition Assistance Program (SNAP)
  • Child support and protective services
  • Long-term social services
  • Disability benefits and services

Integrated eligibility services

Business Process Renewal and Roadmap Development
We can develop efficient business processes based on integrated eligibility and self-service leading practices which drive value and productivity by reengineering core processes and developing more efficient service delivery models.

Application Development and Maintenance
We provide business-focused software resources to develop, enhance, and/or maintain applications to support your state’s HHS programs that include the capability to transfer public-domain applications from other states.

Case Management and Model Office Assessments
We can help you identify process and technology improvements to local and central office operations to increase efficiency, reduce costs, and improve customer service.

Technology and Software Integration Services
We can assist you in integrating business applications, including customizable-off-the-shelf (COTS) packages, to facilitate data-sharing and provide enhanced automation support to central and local office staffs.

Training and Change Management Services
We can help you identify, plan, and execute strategies for implementing business and technology changes in your organization that improve adoption, drive productivity, and reduce the risks of change.

Legacy System Modernization Services
We can develop roadmaps for incrementally renewing your legacy business systems, with a focus on releveraging existing information technology (IT) assets, but also adopting technology that improves productivity and reduces costs.

Get in touch

Kenneth J Smith

Kenneth J Smith

Human Services Transformation Leader

Kenny Smith is a Deloitte Consulting LLP principal and the leader of our national Human Services Transformation practice. In this role, Kenny brings innovative solutions to state government clients an... More

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