Engage → Prepare → Decide

Medicaid eligibility, prepared for the worker — not just the system.

MediQual combines intelligent customer engagement with decision-ready case preparation, so eligibility workers can focus on making determinations instead of assembling cases.

In development  ·  Deployments ahead of the January 2027 deadline

Phase 1  ·  Engage
Intelligent Engagement

Reach the customers who need to act, in their own language, before the deadline passes.

Phase 2  ·  Prepare
Decision-Ready Preparation

Verify, organize, flag exemptions, and assemble one complete case package.

Phase 3  ·  Decide
Worker Enablement

One package, one narrative, one determination. The worker stays in control.

The challenge

H.R. 1 changes the volume of renewal work. It does not change the number of people doing it.

01

Renewal cycles shorten

Renewal frequency rises sharply beginning January 2027, concentrating far more determinations into the same calendar.

02

Work and community-engagement verification

Every applicable customer needs documentation, verification, and exemption processing at every renewal — a burden prior systems were never built to carry.

03

Customers who qualify won't know it

Most people who lose coverage are still eligible. They lose it because the process reached them too late, or never explained what counted.

5.3M
Adults projected to lose coverage under H.R. 1 (CBO)
95%
Lower administrative cost per renewal vs. today's manual process
19
Federally required threshold languages — all supported
0
Writes to the system of record; its authority is unchanged
One continuous workflow

Agencies treat outreach and case preparation as separate problems.

They are one workflow. MediQual begins with intelligent customer engagement and ends with a decision-ready case in front of the eligibility worker.

1
Engage

Intelligent Engagement

  • Identify customers requiring action after ex parte
  • Deliver targeted, personalized outreach
  • Guide customers through exactly what is needed
  • Collect only what is actually missing
Engagement in all 19 federally required threshold languages.
2
Prepare

Decision-Ready Preparation

  • Verify documentation for completeness
  • Cross-reference income against wage records
  • Identify and flag applicable exemptions
  • Organize the file and prepare the case narrative
  • Assemble one decision-ready package
Every element traces to a source document the customer supplied.
3
Decide

Worker Enablement

  • One organized package
  • One narrative
  • One place to review
  • One eligibility determination to make
The system of record is unchanged. The worker remains in complete control.
The platform

Six layers, working toward one outcome.

Layer 01 · Engage

Proactive Outreach Engine

Deadline risk scoring and adaptive multilingual outreach, with director-level authorization required before any communication goes out.

Layer 02 · Engage

AI Navigator

Structured conversational intake that adapts to the customer's actual situation, language, and gaps — not a generic chatbot.

Layer 03 · Prepare

Document Intelligence

Extraction and multi-source verification for pay stubs, leases, VA letters, medical records, school enrollment and more, scored per document.

Layer 04 · Prepare

PREP Engine

The Pre-determination Readiness and Eligibility Preparation Engine computes a Readiness Score and routes each case to the appropriate queue.

Layer 05 · Decide

Worker Dashboard

Pre-read case summaries — verified data, outstanding gaps, exemption flags, discrepancy alerts — so worker time goes to judgment.

Layer 06 · Decide

Population Signal Engine

Procedural discontinuance spikes, document rejection patterns and exemption variance, surfaced to directors as they happen.

Our commitment

The human always decides. MediQual makes sure they decide on better information — with every eligible customer already guided to the right place.

  • MediQual does not write to the system of record.
  • MediQual does not make eligibility recommendations.
  • MediQual does not replace the eligibility worker.
  • Every case requires human review and determination.

The platform prepares cases. Workers determine them. That is the design, not a constraint.

Integration is the agency's choice

Start at the level you're comfortable with. Deepen only if you want to.

Tier 1

Secure file exchange

The cohort comes in, prepared packages go out. No system integration and no write access — the fastest path to a pilot.

Recommended first step
Tier 2

Worker portal

Workers open packages in a browser, authenticated against agency identity. Still no write access to the system of record.

Tier 3

API

Available if and when the agency and its system authority approve it. Not required for the platform to deliver value.

Availability

On contract and ready to quote.

Agency IT effort at Tier 1 is limited to establishing secure file exchange and validating the output format. HIPAA-aligned handling, BAA executed, ephemeral document retention, and a full audit trail for fair hearings and quality control.

GSA MAS 47QTCA26D0063 SIN 518210C HIPAA-aligned BAA executed Ephemeral retention
Federal offer price
$4
per customer, per year
Most-favored-customer
No implementation fee · No IT lift
Get in touch

Interested in MediQual for your agency?

MediQual is accepting inquiries from county and state Medicaid eligibility leadership. Tell us the population you're worried about and the renewal window you're planning for, and we'll show you what a Tier 1 pilot looks like.

Response within one business day.

Phone
949-324-5440
Contact

Christina Supe
Founder & CEO, Vantaggio

Request information