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Eligibility Solution for US State & Local

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Improve Program Performance, Increase Employee Productivity and Control Costs Better

Reduced administrative budgets. Aging technical infrastructures. Regular policy changes. Health and human-services agencies are being pressured to do more with less. Your constituents, meanwhile, expect timely delivery of services and convenient access to program resources. To serve them well, your agency must find ways to provide quality services more efficiently and cost-effectively.

The HP Eligibility Solution Is an Integrated, Fully Automated Eligibility and Benefit Administration System

Deliver benefits and services to the right people at the right time. The HP Eligibility Solution applies user-defined program rules to ensure accurate eligibility determination and precise benefit calculation. It supports local and state programs as well as U.S. federally funded benefit programs: Food Stamps, Temporary Assistance for Needy Families and Medicaid (eligibility only).

HP Eligibility Solution characteristics:

  • Flexible – integrates public-assistance client and case data across multiple programs, facilitates data exchanges with external systems and makes client referrals to other agencies for additional assistance
  • Consistent – ensures consistent application of policy and supports real-time eligibility determinations and benefit calculations
  • Efficient – provides work force optimization via workflow management for end users with decision-support and reporting capabilities
  • Accurate – reduces errors and dependency on manual decision making while helping prevent fraud and program abuse

Improve Information Sharing and Efficiency

With 40 years of experience developing health and human-services solutions for governments, HP understands how the free flow of information supports key policy initiatives. The HP Eligibility Solution improves information exchange within your agency and with other agencies, and makes it easier for program participants to access information.

How the HP Eligibility Solution enhances efficiency:

  • Reduces redundant data entry across benefit programs
  • Decreases processing time for changes and redeterminations
  • Minimizes the need for technical assistance
  • Raises employee productivity
  • Lowers participants' reliance on face-to-face agency contact
  • Gives convenient access to policy and procedural guides

Adapt Easily To Future Needs

The HP Eligibility Solution leverages proven functional components in a framework designed around your objectives. Implementation involves application design, development, operations and maintenance, as well as integration services. We tailor the Eligibility Solution to your needs and integrate reusable portions of your legacy applications.

Characteristics of the EDS Eligibility Solution that make it easily adaptable to changing needs and conditions:

  • Modular architecture – based on a collection of open systems components that offer both flexibility and expandability
  • Flexible design – integrates services across agency and program boundaries, inviting implementation of new access channels
  • Rules-based applications – provide an adaptable framework of functional components that permit rapid deployment of new service delivery models and implementation of new policy requirements
  • Intuitive Web-based user interface – enhances user experience and requires minimum training
  • Tailored components – ensure system is aligned with your goals and processes

Related Services

More Information

Eligibility Transformation Solution Solution Overview PDF

Health Plan Applications Solution Overview PDF

Integrated Eligibility Solution At-A-Glance


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