What the Legislation Requires
According to analysis from the Kaiser Family Foundation and congressional sources, the draft legislation includes:- Per-Capita Federal Funding Caps, requiring states to tightly monitor enrollment and manage utilization to avoid absorbing excess costs.
- Mandatory Monthly Work Requirements for adults aged 19–64, including verification of 80 hours of work or community engagement activities.
- Rollback of Streamlining Rules previously issued by CMS, restoring extensive administrative requirements around eligibility determination and redetermination processes.
AmeriTrust Solutions: Purpose-Built for This Moment
AmeriTrust Solutions is not adapting to meet these requirements—it was engineered from the beginning to handle precisely this type of regulatory and operational complexity. Here’s how the platform aligns with the proposed reforms:Automated Application Data
AmeriTrust Solutions connects to federal, state, and third-party data sources to pre-fill and verify information provided on Medicaid applications. Discrepancies are flagged in real time, allowing state eligibility workers to make faster, more accurate decisions. This data-driven approach reduces administrative burden while improving compliance.Work Requirement Tracking & Enforcement
The AmeriTrust Solutions platform includes the infrastructure needed to track, validate, and report individual-level work hours on a monthly basis. States can customize enforcement parameters, receive alerts for noncompliance, and generate documentation ready for submission to federal oversight entities.Fraud Prevention and Program Integrity
AmeriTrust Solutions is designed to prevent fraud and reduce improper payments by sourcing validated data from authoritative systems. The platform supports requirements specifically called out in the proposed legislation changes:- Immigration status checks via the DHS SAVE system
- Quarterly death record verification using the Master Death File
- Out-of-state enrollment checks through the PARIS database