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    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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    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.

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    User experience

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

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    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.

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    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:

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    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.

    “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

      Ready to talk?

      Ready to talk?

      Let’s transform the delivery of your government social services

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