Veridian Public

The Verification Operations Specialists for Public Law 119-21.

Built to operationalize every verification provision the law adds — for state Medicaid agencies, counties, Tribal Nation organizations, and the partners who deliver alongside them.

Talk to a P.L. 119-21 Specialist — Free, live, anonymous →
Built for State Medicaid agencies County eligibility offices Tribal Nation orgs Prime contractors
FEDERAL COMPLIANCE

Public Law 119-21

Title XI · 8 milestones · phased through FFY 2028

  1. Law signed
  2. FFY 2026 begins
  3. CMS implementation guidance
  4. Community-engagement verification
    ——days
    ——hours
    ——min
    ——sec
  5. FFY 2027 · expanded DMF + NCOA cadence
  6. Audit-ready documentation required
  7. FFY 2028 begins
  8. Full P.L. 119-21 compliance
Live · veridianpublic.com/public-law-119-21
The challenge

States need reliable ways to verify eligibility, lawful enrollment, community engagement, documents, and case status — at the cadence and documentation depth P.L. 119-21 now demands.

The new federal verification floor multiplies the work volume by orders of magnitude. Death Master File pings, NCOA crosswalks, community-engagement evidence collection, and audit-ready documentation can’t be done at the old cadence with the old staffing. Veridian Public is the operations layer that absorbs that delta — without replacing the state systems of record.

Who we help

Four audiences, one operations partner

If you recognize yourself below, our engagement model is built for you.

Tier 1 · Direct

State Medicaid agencies

Medicaid Director, Eligibility Operations Director, Compliance & Audit teams. The buyer-of-record for verification operations and audit-ready documentation.

Tier 2 · Direct or via state

County HHS & eligibility offices

County HHS departments that process eligibility on behalf of the state. Often the actual operational front line for verification cases.

Tier 3 · Sovereign engagement

Tribal Nation processing orgs

Tribal Nations administering Medicaid eligibility within their jurisdiction. Sovereign-respecting engagement with culturally informed beneficiary outreach.

Tier 4 · Subcontract / channel

Primes & system integrators

Public-sector SaaS vendors, eligibility-system primes, and consulting firms holding active state contracts. We subcontract for the verification-operations scope of work.

Not sure which tier applies? Talk to operations →

10
New verification provisions
50+
States, DC & territories affected
~90M
Medicaid enrollees nationwide
2×
Workload increase for renewals
What we specialize in

Five Verification Operations. One Specialist Partner.

Each pillar maps to a P.L. 119-21 verification activity that state Medicaid agencies, counties, and Tribal Nation organizations must operationalize.

1Community Engagement

Verifying that each enrollee meets the new federal community-engagement requirement — without unnecessary burden on the citizen.

For enrollees in scope of Public Law 119-21 § 71119, the state must verify community engagement at every redetermination. Veridian Public runs the operational layer that does this through ex parte data matching first, falling back to citizen outreach only when needed, and providing a documented 30-day cure period for non-matches.

What we handle

  • Outbound attestation requests on the citizen's preferred channel
  • Payroll & encounter-data matching (ex parte)
  • Statutory exemption screening
  • 30-day cure-period workflow with reminders
  • Document collection & intake assistance
  • Human-assisted resolution for hardship cases
CITIZEN EX PARTE data check VERIFIED If no match: 30-DAY CURE PERIOD 1 2 3 Resolution & audit Full case history captured Active case flow Ex parte data match
2DMF & NCOA

Recurring matching against the Social Security Death Master File and the USPS National Change of Address database — with false-positive protection built in.

P.L. 119-21 §§ 71103–71105 require states to match enrollment records against the SSA Death Master File and NCOA at least monthly and during each redetermination. Veridian Public runs the match cycles, researches every flagged match, and contacts beneficiaries before any coverage action — with retroactive reinstatement for any false positive.

What we handle

  • Monthly SSA Death Master File matching
  • Quarterly NCOA address verification
  • False-positive research with human review
  • Beneficiary outreach before action
  • Retroactive reinstatement workflow
  • Quarterly provider DMF checks (§ 71105)
ENROLLMENT RECORDS MATCH FILTER DMF · NCOA No match Continue Match Research False + Reinstate Every match gets human review before any action affecting coverage.
3Outreach & Response

Multichannel, multilingual, response-aware outreach — documented at every step.

The single biggest determinant of coverage continuity is whether the citizen actually receives, understands, and responds to the notice. Veridian Public orchestrates outreach across mail, SMS, voice, email, secure portal, and community partners — adjusting cadence and channel based on what the citizen actually uses.

What we handle

  • Mail, SMS, voice, email, portal, kiosk outreach
  • Multilingual content (40+ languages)
  • Reminder cadences with response tracking
  • Channel preference learning
  • Cure-period escalation workflow
  • Documented attempts for every case
SMS Email Mail Voice Portal Outreach adapts to the channel each citizen actually uses.
4Exception Resolution

Human-in-the-loop review for the cases that don't resolve themselves.

Automation handles the clear cases. For complex, disputed, or unresolved verification cases — the ones where a person's coverage actually hangs in the balance — a trained verification specialist reviews, contacts, and resolves. Documented, traceable, never autonomous.

What we handle

  • AI-assisted case triage and prioritization
  • Trained-specialist review for sensitive cases
  • Disputed-match resolution
  • Hardship and good-cause review
  • Appeals coordination
  • Full audit trail per decision
AI-ASSISTED TRIAGE Prioritize · classify · route SPECIALIST REVIEW Trained verification specialist · documented decision RESOLUTION + AUDIT Outcome recorded · case closed · audit-ready
5Audit-Ready Records

The audit trail is the work product — not an afterthought assembled for review.

P.L. 119-21 § 71106 expanded the definition of erroneous payments to include payments where eligibility cannot be confirmed. That makes documentation a financial-exposure issue. Every Veridian Public verification action — outreach, response, decision — is captured with timestamp, channel, content, and outcome.

What we handle

  • Per-case timestamped activity log
  • SLA tracking against statutory deadlines
  • Exportable reports for state and CMS audits
  • Real-time compliance dashboards
  • Outreach-attempt documentation
  • Decision provenance for every case
DAY 0 Notice sent via SMS · EN DAY 3 Reminder via Mail DAY 7 Citizen called spoke 4m 12s DAY 9 Docs received via Portal DAY 10 Verified ✓ Case closed COMPLETE AUDIT TRAIL Every action timestamped · exportable for CMS review
A New Operations Model

Why States Need a New Verification Operations Model

New federal requirements are increasing workloads for state agencies, counties, and Tribal Nation processing organizations. Existing eligibility teams already manage Medicaid, SNAP, TANF, and other public benefits programs. Veridian Public helps agencies centralize new verification responsibilities while protecting coverage continuity and reducing administrative burden.

  • More complex verification obligations
  • County worker capacity challenges
  • Higher risk of improper terminations
  • Greater demand for beneficiary outreach
  • Need for audit-ready compliance
  • Pressure to maintain coverage continuity
Supports Existing State Infrastructure

Designed to Support Existing State Systems

Veridian Public is not a replacement for state eligibility or enrollment systems. Our platform and operational services complement existing Medicaid infrastructure by providing verification workflow coordination, beneficiary engagement operations, human-assisted resolution support, compliance tracking, and audit-ready documentation.

State-designated systems remain the official systems of record.

Verification workflow coordination

Orchestrate verification activities across teams, channels, and time periods.

Beneficiary engagement operations

Multichannel, multilingual outreach with response tracking and case follow-through.

Human-assisted resolution support

Trained specialists review complex, disputed, or unresolved verification cases.

Compliance tracking and reporting

SLA tracking, dashboards, and exportable reports for state and federal review.

Audit-ready documentation

Traceable operational records with case histories, timestamps, and outcomes.

Integration-ready outputs

Structured outputs designed for state systems, MES contractors, and audit teams.

How We Partner

A Clear Path from First Briefing to Audit-Ready Operations

A predictable engagement model designed for the realities of state procurement and operational ramp-up. We start small, prove the model, and scale up alongside your team.

1

Briefing & Scoping

A focused private briefing for your team. We walk through your current verification workload, the P.L. 119-21 provisions most relevant to your program, and where Veridian Public can plug in without disrupting your existing systems.

Outcome: a written scope and engagement plan.
2

Operational Stand-Up

Trained verification specialists, workflow configuration, multilingual outreach, and integration-ready outputs — coordinated with your eligibility system as the system of record. We bring the operational layer; you keep policy control.

Outcome: live operations within an agreed pilot scope.
3

Scale, Report & Audit

Workload expands across provisions and populations as the program matures. Audit-ready records, SLA tracking, and exportable reporting are produced as a side-effect of doing the work — never assembled retroactively for review.

Outcome: steady-state operations with federal audit cycles in mind.
Verification Coverage Matrix

Every Verification Provision. One Specialist Partner.

P.L. 119-21 adds ten new or substantially expanded Medicaid verification activities. Veridian Public is designed to operationalize every one — no gaps, no “not-our-scope” conversations mid-implementation.

All 10 provisions covered
Provision 1

Community Engagement Verification

Outreach, attestation, exemption review, exception resolution.

Provision 2

More Frequent Redetermination

Multichannel reminders and response handling for shortened cadence.

Provision 3

SSA Death Master File

Match research, false-positive resolution, documented closure.

Provision 4

NCOA Verification

Address validation, outreach, confirmation, update workflow.

Provision 5

Verification Plans & CMS Filings

Audit-ready records and exportable reporting for CMS review.

Provision 6

Provider Screening Cadence

Recurring screening workflow and exception routing.

Provision 7

Cost-Sharing Tier Determination

Document collection and human-assisted income verification.

Provision 8

Retroactive Coverage Intake

Faster application support to compress time-to-decision.

Provision 9

Non-Citizen Verification

Multilingual assistance with human-in-the-loop review.

Provision 10

Audit & Program Integrity

Built-in audit trail, SLA tracking, exportable compliance reporting.

Citizens See each provision in detail →
Mandate · Modern Technology · Better Outcomes

Both Sides Win.

Public Law 119-21 doesn't have to mean more burden and worse service. The right operational layer turns the mandate into measurable efficiency for state agencies — and a clearer, faster, more accessible verification experience for the people they serve.

For Government

Streamlined operations. Lower cost. Audit-ready by design.

State agencies, counties, and Tribal Nation processing organizations gain operational capacity and budget predictability — without replacing the systems they already trust.

  • Streamlined verification workflowsCentralized operations remove duplicated work across teams, counties, and Tribal Nation organizations.
  • Lower administrative cost per caseRight-sized staffing, automated routing, and configurable workflows reduce the cost of meeting each new verification cadence.
  • Stronger program integrityAccurate verification, exception research, and resolved data matches reduce improper payments and improper terminations alike.
  • Audit-ready by designTraceable case histories, outreach attempts, and decisions are produced as a side-effect of doing the work — not assembled retroactively for review.
  • Predictable workload at scaleReal-time dashboards, SLA tracking, and forecasting give state leadership budget and capacity visibility instead of surprises.
−30–40%
Estimated reduction in administrative cost per verification case under a coordinated operational model.
Illustrative range based on operational benchmarks.
For Citizens

A clearer picture. Any question, any time, any language.

Eligible individuals understand what's being asked, when, why, and how to respond — on the channel they actually use, in the language they speak.

  • Clear at every stepPlain-language notices explain what's needed, by when, and what happens if the response is late — no government jargon.
  • Any languageMultilingual outreach and accessible content meet beneficiaries where they are — respecting language access requirements as a baseline, not an afterthought.
  • Any channelReach by mail, secure portal, email, SMS, or voice — whichever channel reaches the individual, not just the one easiest for the agency.
  • Real answers, any timeAI-assisted help paired with human-in-the-loop support means questions get answered — not bounced to a closed phone line during business hours.
  • Coverage continuity protectedEligible individuals don't lose coverage because a notice didn't reach them — multichannel outreach and cure-period workflows close the gap.
85–92%
Response rates achievable when multichannel outreach is paired with human-assisted resolution — well above the coverage-continuity threshold.
Illustrative range based on outreach benchmarks.
State Medicaid agencies don't need a new system of record. They need a focused operational partner that handles the new verification work, documents every step, and protects coverage for the people who depend on the program.
Our operating principle · Veridian Public
Operations Model

Technology-Enabled Operations, Not Technology for Its Own Sake

Veridian Public combines managed operations, trained verification specialists, AI-assisted outreach tools, workflow orchestration, and compliance reporting to help states manage new verification responsibilities with confidence.

Veridian Public supports the work around state systems. It does not replace the systems of record.
1 State Medicaid Systems
2 Veridian Workflow Coordination Layer
3 AI-Assisted Outreach & Engagement
4 Human Verification Specialists
5 Compliance Reporting & Audit Records
6 Agency / County / Tribal Support Interface
Trusted Partner

Trusted Partner to Government

Veridian Public is built to work with state agencies and implementation partners in complex public-sector environments where accuracy, accountability, privacy, accessibility, and continuity matter.

Government Trusted
Built for public-sector engagement
Security & Privacy by Design
Controls aligned to public-sector requirements
Experienced Public-Sector Team
Deep Medicaid operations expertise
Flexible Engagement Models
Direct, partner, or hybrid delivery
Partner-Friendly Delivery
Designed for prime + integrator teams
Focused on Public Impact
Mission aligned to beneficiary outcomes
For Prime Contractors & Integrators

Built for Collaboration With Prime Contractors and Implementation Partners

Veridian Public can support prime contractors, system integrators, consulting firms, and managed service providers by delivering focused Medicaid verification operations and citizen engagement capabilities that complement broader public-sector transformation programs.

Partner With Veridian Public
  • Specialized Medicaid verification operations
  • Citizen engagement layer
  • Operational workforce support
  • Compliance documentation
  • Implementation acceleration
  • Human-in-the-loop service model
  • Configurable workflows
  • Low disruption to existing systems
Frequently Asked

Common Questions From State Agencies and Partners

Does Veridian Public replace state Medicaid eligibility systems?

No. Veridian Public is designed to support existing eligibility and enrollment systems. State-designated systems remain the official systems of record.

Is Veridian Public a software-only platform?

No. Veridian Public combines technology-enabled workflows with managed verification operations, beneficiary engagement, and human-in-the-loop support.

What Public Law 119-21 requirements does Veridian Public support?

Veridian Public supports operational areas such as work/community engagement verification, SSA Death Master File processing, National Change of Address verification, beneficiary outreach, document collection assistance, exception handling, and audit-ready compliance reporting.

Can Veridian Public work with prime contractors or system integrators?

Yes. Veridian Public is designed to complement larger state implementation programs by providing specialized verification operations and citizen engagement capabilities.

Does Veridian Public use AI?

Yes, but as an assistive technology. Veridian Public uses AI-assisted outreach, workflow support, and operational coordination while keeping humans in the loop for sensitive case resolution.

Specialize in P.L. 119-21 Verification — with a Partner Who Does Only That.

Talk with our team about how Veridian Public can stand up the verification operations your agency needs — one provision at a time, or as a coordinated capability across all ten.

Request a Briefing Citizens Read the P.L. 119-21 reference

Private briefings · No marketing follow-up unless requested · Response within two business days.