Issued2026-05-11

Best Practice Guide for Responsible AI in Medicaid Enrollment

Best Practice GuideVoluntary

Summary

Provides role-based recommendations for responsible use of AI in Medicaid enrollment workflows, including beneficiary engagement, document processing, data collection, accessibility, transparency, privacy, accuracy, human oversight, and protections against procedural disenrollment.

Healthcare Implications

State Medicaid agencies and vendors should design accessible enrollment processes, verify AI-extracted information, provide clear notices and routes to human assistance, protect applicant data, monitor errors and disparate effects, and ensure automation does not inappropriately prevent eligible people from obtaining coverage.

Impact Level

Medium

Keywords

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

Stakeholders

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