Issued2026-05-11

Best Practice Guide for Responsible AI in Medicaid Eligibility Adjudication

Best Practice GuideVoluntary

Summary

Provides role-based recommendations for responsible AI use in Medicaid eligibility adjudication, including exemption identification, case prioritization, documentation review, eligibility decisions, notices, human review, auditing, appeals, and safeguards against inappropriate coverage loss.

Healthcare Implications

State agencies and technology vendors should validate adjudication tools, maintain qualified human review for consequential decisions, explain outcomes and appeal rights, audit errors and subgroup impacts, protect sensitive information, and prevent automation from causing erroneous denials or procedural terminations.

Impact Level

Medium

Keywords

Equity & Bias; Transparency & Governance; Safety & Risk; Privacy & Data

Stakeholders

Patients & Public; Payers & Purchasers; Regulators & Government; Developers & Vendors; Providers & Health Systems