ELIGIBILITY AND ENROLLMENT

Integrated eligibility and enrollment solutions for HHS agencies

Streamline operations with efficient, pre-built workflows that improve caseworker efficiency and help HHS agencies provide better outcomes for individuals and families.

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Spotlight

Employment and Social Development Canada (ESDC) is using the Cúram platform to modernize the delivery of Old Age Security (OAS) benefits for millions of Canadians. Read more.

OVERVIEW

Modernize the delivery of your health and human services programs

Innovate your integrated eligibility system (IES) so you can focus on what matters the most. The Cúram platform is a modular solution that can adapt to the demands of changing legislation, policy and population needs to support you in improving the lives of those you serve.

Configurable solutions to meet your specific needs

Configuration tools in our administrative suite provide no-code capabilities to implement new program features and modify existing programs
Supports both on-premise and cloud-based deployments that scale quickly
Supports incremental modernization by allowing agencies to add on new modules, features, and functionality over time

Specifically designed for health and human services

Incorporates a domain-specific eligibility and entitlement engine that can evaluate determinations across the lifespan of client interactions
Provides benefit management and coordinates service deliveries, including financial issuances and provider service authorizations
Features robust financial management, including automated over- and under-payment determinations when reassessments are required

Integrating data across programs

Provides comprehensive data on service delivery for accountability and decision-making purposes
Collects information from multiple data sources and delivers integrated data across programs, agencies and governments
Includes business and infrastructure security mechanisms to keep data protected

Accelerate your streamlined benefit delivery with pre-built workflows and rules

Cúram’s future-proofed platform provides solutions for Medicaid, Supplemental Nutrition Assistance Program (SNAP), Temporary Assistance for Needy Families (TANF), Children’s Health Insurance Program (CHIP), Child Welfare, Low-Income Home Energy Assistance Program (LIHEAP), and more.

Common technical stack
Opportunity to cross-train
Consistent & quality data
Efficiency and scalability

Partnership

A trusted partner for HHS and social protection organizations

Health and social protection is at the heart of everything we do. For over 25 years, Cúram has been and continues to be a trusted partner to government agencies worldwide, bringing expertise and dedication to every step of your transformation journey.

User experience

Built on human-centered design principles, our software simplifies how at-risk populations connect with programs and services.

Caseworker efficiency

Cúram captures information in clear workflows, helping caseworkers be more effective and efficient with case management while prioritizing the needs of those they serve.

Agency modernization

Replace legacy systems with a platform focused on HHS - prioritizing enhancements and upgrades that improve agency efficiency.

core competency

Eligibility and entitlement

Automated payment scheduling
Automatic overpayment case creation for tracking and recoupment
Capture & reuse evidence
Deduction configuration for recouping overpayments
Eligibility and entitlement determination

Handles multiple evidence changes, rule and rate changes
Household composition determination
Household composition display
Multi-program payment consolidation
Nominee payments

Overpayment and underpayment calculation
Prepayment entitlement verification
Program specific verification rules
Rate change
Retroactive change processing

The benefit journey:

Public and client portals

Cúram's citizen engagement solution delivers self-service screening for benefit programs, an intuitive application process, and account management features to securely engage your clients 24/7.

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Eligibility and enrollment

Rules, processes, and an engine that all aid in determining eligibility and enrollment.

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Ongoing financial and case management

Disburse timely, accurate payments and monitor the progress of individuals to promote positive outcomes.

Case Studies

Digitizing access to social programs

Discover how New York City moved 80% of SNAP applications online.

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Blog

Creating a new social benefits agency

See how the Scottish government disbursed GBP 190 million to nearly 100,000 households.

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Case Studies

A race to prevent homelessness

Discover how one Nevada county kept nearly 250,000 people off the streets.

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“The huge take-up of this new benefit in its first three months highlighted just what can be achieved when you design a service with the people who will actually use it.”

Shirley-Anne Somerville, Cabinet Secretary, Social Security Scotland

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Frequently Asked Questions

What is the Cúram Integrated Eligibility and Enrollment Solution?

Cúram provides a unified technology and business platform designed specifically for government health and human services programs – such as Medicaid, SNAP and TANF. Its configurable and modular components help government agencies determine eligibility, validate needs and enroll individuals and families in support offerings at all levels of government.

How does Cúram streamline eligibility and enrollment processes?

Cúram streamlines eligibility by providing clients with direct access to self-service features, which speed screening, application and agency interactions without worker interventions. It also enables workers with efficiencies, such as one‑time data entry, automated rules‑based determinations, and guided workflows that span multiple programs and benefit types.

What are the benefits of using Cúram for eligibility and enrollment?

Agency clients benefit from faster determinations, increased communications, and access to their benefit and service data. Agencies also see improved processing accuracy, reduced administrative workloads, and better compliance with federal and state requirements.

What programs does Cúram Integrated Eligibility and Enrollment support?

Cúram provides pre-built solutions for Medicaid (MAGI and Non-MAGI methodologies), Supplemental Nutrition Assistance Program (SNAP), Temporary Assistance for Needy Families (TANF), Children’s Health Insurance Program (CHIP), Low-Income Home Energy Assistance Program (LIHEAP). Additionally, its Human Services data model and configurable tools allow it to be used to support state and local programs and respond quickly to create new programs that may be required by sudden legislative or societal changes.

How does Cúram support caseworkers in eligibility determination?

Cúram captures information in clear workflows, helping caseworkers be more effective and efficient with case management while prioritizing the needs of those they serve. It provides role-based processes and configurable, secure user experiences to support the breadth of roles needed for program case management, including intake workers, eligibility workers, supervisors, financial specialists, and quality control/oversight specialists.

What tools does Cúram provide for managing eligibility and enrollment?

Cúram provides user experiences that support eligibility and enrollment, including HHS-specifics features such as person and case specific views that enable efficient actioning of client needs by workers. These include easy-to-understand views of the results of eligibility determinations made by our unique temporal eligibility and entitlement rules engine, configurable verifications, integrated calendaring, and insights into benefit and service deliveries. Additionally, it is designed for integration with the external sources necessary to automatically action benefit and service deliveries, such as automated verifications and renewals.

How does Cúram ensure data accuracy in eligibility processes?

Cúram is pre-built with understanding of HHS data and programs, which allows it to automatically validate received data, raise issues for worker or supervisor intervention, and identify information requiring manual verification beyond system sources. This is underpinned by source control and audit trails and quality control processes to support accuracy, accountability, consistency, and compliance.

Can Cúram be customized for specific eligibility and enrollment needs?

Yes. Cúram is highly configurable and extendable, allowing agencies to tailor rules, workflows, program logic, and interfaces to meet jurisdiction‑specific policies and program requirements. Additionally, our customers benefit from new features and our continuous improvements in future releases which are designed to complement existing configurations and extensions.

What success stories exist for Cúram in eligibility and enrollment?

Cúram is trusted by government agencies worldwide to modernize eligibility determinations, improve processing times, and support large-scale benefit programs for millions of individuals and families. You can read some of our client success stories here.

How does Cúram integrate with other systems needed in an eligibility ecosystem?

Cúram is prebuilt with integration adaptors and is designed to utilize modern APIs and standards‑based data exchanges needed to support HHS programs and the breadth of integrations required, such as interfaces with verification sources; federal, state, and local systems; financial and accounting systems; and trusted sources of client data.

What training resources are available for Cúram users in eligibility and enrollment?

Cúram offers product training and services for partners and agencies who wish to implement and manage Cúram solutions. Additionally, Cúram provides services, tools, and features to support implementation-specific, role‑based training, user documentation, and support to help eligibility workers and administrators effectively use and manage the system.

Can Cúram help reduce fraud in government programs?

Yes. Cúram is designed with features to reduce the occurrence of fraud and support the audit and investigation of program issues. Cúram’s evidence management and automated rules engine provide features to identify entry issues and ensure consistent calculation of benefits. Features also identify payment discrepancies or dubious invoices, which can be escalated for oversight and investigation. Configurable settings can also identify suspicious entries or benefit requests for supervisor review and approval before authorization or payment.

Can Cúram support disaster assistance and emergency programs?

Yes. Cúram has been proven to support disaster and emergency programs. It has demonstrated the ability to quickly add new programs and support disaster response by enabling rapid eligibility determination and simplified workflows during emergency events. Read more about how Cúram can support disaster assistance here.

RESOURCES

Solution Brief

Eligibility & Entitlement Solution Brief

Governments need a social program infrastructure that can respond, scale and engage at the speed of change.

Whitepaper

Cúram and AI: unlocking the future of artificial intelligence in government agencies

The paper provides a 6-step framework to ensure that AI technology is effectively and ethically integrated into human services, prioritizing the needs and experiences of users.

Whitepaper

Cúram and the cloud

How we're supporting your HHS journey from on-premises to a hosted, customizable cloud deployment.

Solution brief

Cúram for disaster assistance

Cúram supports a connected disaster assistance approach that helps agencies prepare ahead of an event, respond during active disruption, and manage recovery afterward.

Solution Brief

Transforming multilingual communications

Public sector organizations responsible for delivering benefits and social programs face growing pressure to serve increasingly diverse populations while maintaining efficiency, ...

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Let’s transform the delivery of your government social services

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