H.R.1 Medicaid Work Requirements · Member-Notice Window: Jun 30 – Aug 31, 2026

Eligible people are about to lose Medicaid over paperwork. We make sure they don't.

When H.R.1's work requirements take effect, most coverage loss won't come from non-compliance — it'll come from confusion: missed notices, language barriers, and unclaimed exemptions. The eligibility-system vendors are building the engines that decide who qualifies. We build the part they didn't — plain-language, multilingual member communications, exemption education, and an "Am I exempt?" member assistant.

◆ CMS-compliant, deadline-fast ◆ English & Spanish, native-quality ◆ Already proposed for a state Medicaid agency

The clock that matters is this summer. Every in-scope state must send enrollee notices — by mail plus at least one additional channel — covering compliance, exemptions, consequences, and reporting between June 30 and August 31, 2026. Federal enforcement begins January 1, 2027. Vendor selection is happening now.

The avoidable failure

Procedural disenrollment, not non-compliance

The last time work requirements ran, the people who lost coverage weren't the people who refused to work. They were the people who never understood what they had to do. That is a communications failure — and it is preventable.

~18,000Arkansans lost coverage in 2018–19 — most for procedural reasons
1 in 4subject enrollees disenrolled before courts halted the program
~0measurable gain in employment from the requirement
43states must now stand up community-engagement requirements

The ten prime contractors pledged more than $600M of verification engines, frailty logic, and fraud tools — and zero priced member-communications products. The system that decides eligibility is being built. The bridge that gets eligible members across it is not.

What we do

The member-engagement specialists the primes and health plans plug in

We don't compete with the eligibility-system vendors — we complete them. Everything we build is CMS-compliant, member-comprehension-tested, and delivered in English and Spanish at native quality.

Plain-language notices

CMS-compliant enrollee notices rewritten so members actually understand what they must do, by when, and what happens if they don't — across mail, SMS, and IVR.

Exemption education

The eligible-but-confused caregiver, pregnant member, or person in treatment is the one who churns. We get them to claim the exemption they already qualify for.

Multilingual outreach

Native-quality Spanish and additional languages — built and delivered at scale through our nearshore production line, not machine-translated.

"Am I exempt?" assistant

A plain-language member assistant that answers "Do I need to report?" and "Am I exempt?" and routes the member to the right next step.

Managed outreach

Ongoing, measured SMS / IVR / mail campaigns tied to a retention KPI — your engagement layer, run for you.

Reporting & comprehension testing

Response rates, exemption claim rates, and disenrollment-risk segmentation — so you can prove the coverage you protected.

Who we serve

Two buyers, one capability

Health plans feel coverage churn as lost premium, month after month. States and their prime contractors are on the hook for the federal notice mandate. We serve both — and we team with the systems vendors rather than fight them.

Medicaid health plans (MCOs)

Every procedurally-disenrolled member is lost capitation premium. We protect enrolled lives with multilingual retention outreach your team can't staff fast enough. See your exposure →

Eligibility-system primes

You own the contract vehicle and the verification engine. We're the multilingual member-communications subcontractor that de-risks your Aug 31 outreach deliverable. Team with us →

State Medicaid agencies

CMS-compliant, plain-language, multilingual notices and exemption campaigns — delivered on the mandate timeline, via your existing vehicle or your prime.

FQHCs & primary care associations

Turnkey multilingual exemption-screening and member-education packs for the trusted community messengers states want involved.

CMS-compliant Plain-language tested English + Spanish native Plan-agnostic Teams with the primes
Why us

We didn't just write about this problem — we proposed to solve it for a state

Atypical Global submitted a state Medicaid agency proposal for H.R.1 community-engagement and work-requirement member communications (Arizona AHCCCS solicitation YH26-0082). This is the exact work — not an adjacent capability.

Past performanceSubmitted state Medicaid work-requirement communications proposal (AHCCCS YH26-0082)
Federal registrationSAM.gov registered · UEI GAJ5AJGA8K58
DeliveryU.S.-led, with native-Spanish nearshore production capacity
AccessibilityWCAG 2.1 AA · statement

Proposal submitted June 2026; award pending. References and detailed methodology available on request under appropriate confidentiality terms.

How to start

Engagements that fit the deadline you're facing

Most relationships start with a fixed-scope, fast diagnostic and grow into managed outreach. Start where your pressure is.

Coverage-Loss Exposure Calculator

See the premium / coverage dollars you have at risk. Free, instant.

Free →

Aug 31 Notice & Outreach Rapid Pack

CMS-compliant EN/ES notices, SMS/IVR scripts, and exemption one-pagers — built to close inside the mandate window.

$25–50K · 2–3 wks

Procedural Disenrollment Risk Audit

Notice & member-journey review, gap analysis, multilingual sample pack, and a remediation roadmap.

$25–75K

Churn-Prevention Pilot

A 90-day multilingual outreach + exemption campaign tied to a measured retention KPI.

$50–150K · 90 days

Engagement Layer, Managed

Your ongoing multilingual member-retention outreach, run and measured for you.

$25–100K / mo
Start the conversation

Who is delivering your Aug 31 member-notice obligation?

Tell us your state and population and we'll send back a quick read on your exposure and the fastest compliant path — usually within one business day.

  • No obligation, no procurement required to talk
  • We can engage directly or as a subcontractor to your prime
  • Built for the deadline, delivered in plain language

Or email ceo@atypical.global. Form endpoint is a placeholder until the live form pipeline is connected.