Part I: Building a Medicaid Community Engagement Verification Engine in Claude Code & Selling It to State Agencies Before the January 2027 Deadline: A Field Guide to the Land Grab Behind CMS-2454

CMS just mandated that 43 states verify Medicaid work requirements by Jan 1, 2027. Almost none of them have built the software to do it.Georgia spent $92M on its work requirement pilot. More than $2 in administration for every $1 in actual medical care. 4,300 enrollees against 246,000 eligible.This is not a workforce policy. Most Medicaid adults already work or qualify for an exemption. The mandate is a documentation and data-matching problem at scale.The 90/10 federal match means states pay only 10 cents per dollar of development. That rewrites the unit economics for every vendor in this space.Subscribe to www.onhealthcare.tech for free and paid articles, podcasts, and more. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit www.onhealthcare.tech/subscribe