Citizant logo white transparent

< Return to Meet ALUCIA

LUCIE AI portrait

ALUCIA for Medicaid Employment Verification

TSA Real ID logo

Business Challenge

With the enactment of Congress’s Big Beautiful Bill, Medicaid recipients are required to provide proof of their employment or participation in approved activities, such as volunteering or education, to maintain their coverage. These substantiating documents arrive in a wide variety of formats – scanned pay stubs, ID cards, tax forms, handwritten affidavits, Word and PDF file – often riddled with inconsistencies, illegible text, and unstructured layouts. Manual processing is labor-intensive, slow, error-prone, and unable to scale to meet demand.

woman uploading ID Medicaid work verification

ALUCIA Solution Summary:  Intelligent Document Processing Platform

Our cloud-based, AI-powered platform automates the ingestion and processing of these employment verification documents, enabling fast and accurate extraction of the specific data required by Medicaid agencies.

Key Features

  • Image Recognition Technology: Detects and classifies document types (e.g., W-2, pay stubs, letters from employers), regardless of formatting or quality.
  • Optical Character Recognition (OCR): Converts scanned or handwritten text into machine-readable format with high precision.
  • Natural Language Processing (NLP): Interprets content, identifies relevant data (employment dates, employer name, hours worked), and filters out noise.
  • Cloud Storage Integration: Securely stores uploaded documents for auditability and future access, with scalable capacity.
  • Data Validation & Rules Engine: Cross-checks extracted data against predefined rules for Medicaid eligibility and flags discrepancies automatically.
  • Real-Time API Integration: Seamlessly integrates with government portals to transmit results, update recipient status, or trigger alerts.

How it Works

  1. Upload: Medicaid recipients submit employment documentation via the agency’s website or with the help of an agency customer service specialist.
  2. Analyze: Platform auto-classifies the document and extracts targeted data using AI.
  3. Validate: System checks extracted values for accuracy and completeness.
  4. Submit: Processed data is forwarded to Medicaid systems for verification.

Benefits

  • Efficiency at Scale: Processes hundreds of thousands of documents per day with minimal human involvement.
  • Accuracy & Compliance: Reduces errors, ensures consistent adherence to verification requirements.
  • User-Friendly Experience: Fast upload and feedback loop for Medicaid users navigating new requirements, or for agency office workers who want to ensure the documents are suitable and usable.
  • Secure & Auditable: Ensures privacy with end-to-end encryption and detailed access logs.