In 2016, nearly half of beneficiaries in Arkansas’s Medicaid home and community based services (HCBS) program experienced unexpected and dramatic cuts to their care.
Case Study Library
The Case Study Library is a resource for advocates to learn about real examples of benefits cuts caused by benefits technology and what people have done about it. Each case study includes information about the policy context, the problems with the benefits technology, how advocates strategized around it, and the resolution or status of the issue. Each also includes contact information for the advocates involved, and any further readings or resources around the issue. We collected these case studies to show a range of public benefits technology problems and solutions, and to facilitate connections between advocates. We will continue to expand this Case Study Library as we learn about and develop more challenges to harmful benefits technology on the ground.
In the late 90s, Colorado began a process to replace its multiple legacy benefits systems with one single system, called the Colorado Benefits Management System (CBMS).
For many years, the Social Security Administration (SSA) has incorrectly assessed people getting Supplemental Security Income (SSI), who qualify for the program depending on their finances.
The Idaho Medicaid agency adopted a new formula for assessing individual budgets available to people with intellectual and developmental disabilities through their home and community based services (HCBS) waiver program.
The Michigan Unemployment Insurance Agency rolled out the Michigan Integrated Data Automated System (MiDAS) in 2013, which was built by contractor Fast Enterprises starting in 2011 for $47 million.
In 2013, Michigan implemented a data-matching system to enforce federal Supplemental Nutrition Assistance Program (SNAP) regulations (CFR 273.11(n)) which ban people fleeing from a felony prosecution from accessing SNAP benefits.
In 2018, the Missouri Department of Health and Senior Services (DHSS) proposed a new algorithm for determining qualification for home and community based services (HCBS).
In 2011, a North Carolina regional managed care organization called Piedmont Behavioral Health sent out alarming notices to people with intellectual and developmental disabilities in the home and community based services waiver program of Medicaid.
In March 2019, Tennessee launched the TennCare Eligibility Determination System (TEDS), which was designed to streamline enrollment and redeterminations for Tennessee’s Medicaid program.
In January 2017, Wisconsin began using an automated system to determine if someone fit the regulatory definition of having an intellectual or developmental disability (IDD).
In 2013, Florida released a new unemployment benefits website called CONNECT, built by Deloitte. Applicants immediately experienced issues causing unemployment benefits to be delayed or incorrectly denied.