EY refers to the global organization, and may refer to one or more, of the member firms of Ernst & Young Global Limited, each of which is a separate legal entity. Ernst & Young Global Limited, a UK company limited by guarantee, does not provide services to clients.
Recent Searches
EY Integrated Benefits Eligibility Platform
Highly configurable, easy integration, speed to delivery and reduced project risk create value for state agencies.
Introducing a new approach: The EY Integrated Benefits Eligibility Platform seamlessly integrates cost-effective development, dynamic compliance and robust fraud prevention — streamlining processes and enhancing user experience for optimal efficiency.
Product Benefits
Enhanced compliance and flexibility
Dynamic compliance with policy-as-code keeps business rules and eligibility criteria updated and compliant without costly overhauls.
Cost savings and efficiency
Low-code/no-code development and modular architecture cut costs, streamline processes and eliminate the need for separate mobile apps.
Enhanced user experience
Intelligent automation (IA) and IA-guided navigation reduce data entry, tailor interactions and enhance the seamless, personalized experience.
Product features
Modern technologies to support timeliness and accuracy
From 2010–2013, human service programs including Medicaid modernized outdated systems to comply with the Affordable Care Act (ACA). ACA funding eased state fiscal pressure and improved Medicaid funding by linking eligibility to claims.
Challenges: ACA-era technologies lacked flexibility to adapt programs or address staffing shortages. Rising demand led federal programs to simplify processes, increasing data errors and fraud, waste and abuse (FWA). Technology is needed to clean data, stabilize programs and reduce FWA.
Solution: States now seek low-code/no-code tools and interoperable modules to replace aging systems. IA — including AI, rapid process automation and generative AI — helps reduce vendor reliance.
Boosting productivity and outcomes with automated use cases
Intelligent automation use cases show how states can improve workforce productivity and reduce FWA without replacing entire systems. Robotic process automation (RPA), a type of IA, is system- and vendor-agnostic.
Challenges: RPAs can be programmed to handle repetitive, predictable tasks that support customers and case managers in human services—improving quality and reducing manual effort. They can operate outside core systems and be maintained in-house by Java developers and policy experts.
Solution: Implementing RPAs for routine tasks can significantly improve productivity. They integrate with existing systems and can be supported internally, reducing reliance on external vendors.
System module modernization
Human service agencies can conduct business process discovery and redesign to target areas needing improvement. States can then upgrade or replace individual modules aligned with modernization roadmaps.
Solution: States can enhance or replace modules while maintaining compatibility with legacy systems — upgrading portals, notice engines and benefits issuance without full system replacement.
Enhanced customer and worker portals
Customer and worker portals are essential to Human Service programs. Enhancing them can greatly improve service efficiency.
Challenges: Case managers often lack complete information to process applications, recertifications and changes — leading to delays and errors due to time spent gathering verifications and checking databases.