Now in Development — Launching 2026

Medicaid eligibility
prepared for the
worker. Not just the system.

MediQual is an AI-powered case preparation and population intelligence platform for county Medicaid eligibility departments navigating H.R. 1 implementation. Built for DPSS, TAD, and SSA directors who need a workforce solution — not another backend system.

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1.8M
CA members at risk of coverage loss
2×
Renewal volume starting Jan 2027
45 min
Avg case processing time today
Vantaggio AI / BridgeBase Management LLC
The Challenge

H.R. 1 created a workforce crisis counties cannot absorb alone.

Six-month renewals, work requirement verification, asset limit documentation, and address verification mandates all hit simultaneously — with reduced federal funding to pay for the administrative burden. Counties need a solution that works now.

2×
Renewal Volume
The New Adult Group — approximately 40% of Medi-Cal enrollment — moves to six-month renewals starting January 1, 2027. Doubling the renewal workload with no additional workforce.
80 hrs
Work Verification
New work and community engagement requirements demand documentation, verification, and exemption processing for every applicable member at every renewal — a manual burden prior art systems do not solve.
45 min
Per-Case Processing Time
Today, eligibility workers receive cases cold — no pre-verification, no document extraction, no data cross-referencing. Every minute of worker time spent gathering is a minute not spent deciding.
The Platform

Six layers. One outcome: a worker who can approve in minutes.

Layer 01
Proactive Outreach Engine
Deadline risk scoring and adaptive multilingual SMS outreach before members miss renewal deadlines — in all 19 California Medi-Cal threshold languages.
Layer 02
AI Navigator
Structured conversational intake that guides members through their specific renewal situation — not a generic chatbot. Adapted to their case, their language, their gaps.
Layer 03
Document Intelligence
OCR-based extraction and multi-source verification for pay stubs, leases, VA letters, medical records, school enrollment, and more. Verification confidence scored per document.
Layer 04
PREP Engine
The Pre-determination Readiness and Eligibility Preparation Engine computes a Readiness Score (0–100) and routes each case to the appropriate worker queue before it's ever opened.
Layer 05
Worker Intelligence Dashboard
Pre-read case summaries — verified data, outstanding gaps, exemption flags, discrepancy alerts — so workers review and approve in minutes. No eligibility recommendation is ever generated.
Layer 06
Population Signal Engine
County-level anomaly detection — procedural discontinuance spikes, document rejection patterns, exemption approval variance — surfaced to directors in real time, not in a monthly report.
Our Commitment
"The human always decides. MediQual ensures they decide on better information, in less time, with every eligible member already guided to the right place."

MediQual does not integrate with CalSAWS, does not make eligibility recommendations, and does not replace the eligibility worker. Every case requires human review and approval. The platform prepares cases — workers determine them. This is not a constraint. It is the design.

County Directors & State Agencies

Interested in MediQual for your county?

MediQual is currently in development and accepting inquiries from county DPSS, TAD, and SSA directors. We are targeting initial deployments in California counties ahead of the January 2027 H.R. 1 implementation deadline.

christinas@vantaggio.ai
Response within one business day