INTEGRATED ELIGIBILITY ENGINE
Arbiter Commonwealth · Engine 01 of 08

One application. Six programs. Every benefit found

A single mother fills out one form on her phone. In under two minutes, the eligibility engine evaluates her household against SNAP, Medicaid, TANF, WIC, childcare assistance, and energy assistance — simultaneously. Every program she qualifies for. Every benefit amount calculated. Every verification requirement identified. One application. One moment. A family's entire safety net — discovered, not hidden.

ELIGIBILITY DETERMINATION · REAL-TIME
PROCESSING
HOUSEHOLD: Martinez, R. — 3 members (adult + 2 children)
Gross monthly income: $2,140 · County: Franklin · Housing: Renter · No assets reported
SNAP
✓ ELIGIBLE
$584/mo · Gross ≤ 200% FPL · Net income test passed
MEDICAID
✓ ELIGIBLE
MAGI ≤ 138% FPL · All 3 members covered
TANF
⏳ REVIEW
Income eligible · Work activity verification needed
WIC
✓ ELIGIBLE
Categorically eligible via Medicaid · Child aged 2
CHILDCARE
✓ ELIGIBLE
Income ≤ 85% SMI · Copay: $42/wk
LIHEAP
✓ ELIGIBLE
Income ≤ 150% FPL · Heating season active
Total determination time1 min 47 sec · 6 programs evaluated
6+
Programs evaluated simultaneously
<2min
Cross-program determination
28%
Cross-program enrollment increase
42%
Of eligible Americans unenrolled
The Eligibility Problem

The American safety net is not one net — it is dozens of separate nets, each with its own application, its own rules, its own verification requirements, and its own waiting period. A family earning $2,140 a month might qualify for SNAP, Medicaid, TANF, WIC, childcare assistance, energy assistance, housing vouchers, and school lunch subsidies. But to find out, they must navigate eight separate applications, answer overlapping questions hundreds of times, submit the same pay stubs to eight different offices, and attend eight separate interviews. The result is predictable: 42% of eligible Americans never receive the benefits they qualify for. Not because they are ineligible. Because the system was designed one program at a time, and nobody built the bridge between them.

Commonwealth's Integrated Eligibility Engine is that bridge. One application captures every data point needed across all programs. One rules engine evaluates eligibility simultaneously. One determination letter tells the family everything they qualify for. And every caseworker sees the complete picture — not a single program's slice of it.

Programs Supported

Six federal programs. One eligibility determination.

Each program has unique eligibility rules, income methodologies, and categorical criteria. The engine evaluates all of them from a single household data set.

S
SNAP
Supplemental Nutrition Assistance Program
Gross and net income tests against Federal Poverty Level thresholds, with deductions for shelter, dependent care, medical expenses, and earned income. Categorical eligibility via TANF/SSI. Asset tests where applicable. Benefit calculation using the Thrifty Food Plan allotment minus 30% of net income.
42M Americans served · $114B annual federal spending
M
Medicaid
Modified Adjusted Gross Income (MAGI) Methodology
MAGI-based income determination for most populations, with separate rules for aged/blind/disabled, pregnant women, and children. Income thresholds vary by state and eligibility category. Includes CHIP evaluation when Medicaid income limits are exceeded. Managed care plan assignment where applicable.
92M Americans enrolled · $800B+ annual federal/state spending
T
TANF
Temporary Assistance for Needy Families
Time-limited cash assistance with work activity requirements. Income and asset tests vary by state. Work participation tracking, sanction management, and lifetime limit monitoring. Coordination with child support enforcement and employment services.
2.8M families served · Work participation rates tracked federally
W
WIC
Women, Infants, and Children
Nutritional risk assessment and income-based eligibility for pregnant, postpartum, and breastfeeding women, infants, and children under five. Categorical eligibility via Medicaid, SNAP, or TANF. Food package assignment based on participant category and nutritional needs.
6.3M participants monthly · Categorical eligibility via Medicaid/SNAP
C
CCAP
Child Care Assistance Program
Income eligibility based on State Median Income percentages. Copayment calculation based on family size and income. Provider rate management and quality rating integration. Activity verification for employment, education, and training hours.
1.4M children served · Copay calculated by income/family size
L
LIHEAP
Low Income Home Energy Assistance
Heating and cooling assistance based on income, energy burden, and household vulnerability. Categorical eligibility via SNAP, TANF, or SSI. Crisis assistance for imminent utility shutoff. Weatherization referrals for long-term energy cost reduction.
5.3M households assisted · Seasonal activation rules managed
Capabilities

Eight capabilities that make integrated eligibility work.

From income calculation methodologies to cross-program benefit optimization — every capability required to evaluate a family's complete eligibility in under two minutes.

Capability 01
Multi-Program Rules Evaluation
Simultaneous evaluation of eligibility rules across all configured programs from a single household data set — with program-specific logic, thresholds, and exceptions handled natively.
All program rules evaluated in a single pass — no sequential processing

Traditional eligibility systems process one program at a time — a SNAP worker evaluates SNAP rules, a Medicaid worker evaluates Medicaid rules, and the family waits for each determination separately. Commonwealth's rules engine evaluates all programs simultaneously from a single household data capture. The engine processes federal regulations, state-specific policy overlays, county-level variations, and categorical eligibility pathways in a single pass. When the evaluation completes, the result is a comprehensive eligibility matrix showing every program the household qualifies for, every benefit amount, and every condition that must be met — produced in under two minutes regardless of how many programs are configured.

Performance
<2min
Full cross-program eligibility determination including all rule evaluations
Single
Data capture — no redundant questions across programs
Capability 02
Categorical & Adjunctive Eligibility
Automatic identification of categorical eligibility pathways — when enrollment in one program (SNAP, Medicaid, SSI) automatically qualifies a household for others without separate income verification.
Categorical pathways eliminate redundant verification for 34% of applicants

Many benefit programs recognize enrollment in other programs as proof of eligibility — a concept called categorical or adjunctive eligibility. A family receiving SNAP is categorically eligible for free school meals. A child on Medicaid is adjunctively eligible for WIC. An SSI recipient is often categorically eligible for Medicaid and SNAP. In siloed systems, these pathways are invisible — caseworkers in one program don't know what a family receives from another. Commonwealth's engine automatically identifies every categorical eligibility pathway, eliminating redundant income verification and accelerating enrollment for families who already have proven need through another program.

Performance
34%
Of applicants enrolled faster through categorical eligibility identification
Zero
Redundant income verifications when categorical pathways exist
Capability 03
Income Calculation Methodologies
Program-specific income calculation — gross income, net income, MAGI, State Median Income percentage — applied correctly for each program from a single set of income data.
4 different income methodologies calculated simultaneously from one data set

Every benefit program calculates income differently — and this is where most eligibility errors occur. SNAP uses gross income and net income with specific deductions. Medicaid uses Modified Adjusted Gross Income (MAGI) with tax-based household definitions. TANF uses gross income with state-specific earned income disregards. Childcare assistance uses a percentage of State Median Income. An applicant reporting $2,140 in monthly wages might be above the threshold for one program and below it for another — depending on which deductions apply. Commonwealth applies each program's specific income methodology to the same underlying income data, ensuring that the correct calculation is used for each program without the applicant providing different income information for each one.

Performance
4
Income methodologies (gross, net, MAGI, SMI%) calculated simultaneously
92%
Reduction in income calculation errors vs. manual processing
Capability 04
Household Composition Logic
Program-specific household definitions — SNAP household, Medicaid tax household, TANF assistance unit — derived automatically from a single family description.
Automatic household unit derivation eliminates the #1 source of eligibility errors

Who counts as a household member? The answer depends on which program you're asking about — and getting it wrong is the single most common source of eligibility errors in benefits processing. SNAP defines the household based on who purchases and prepares food together. Medicaid uses tax-filing relationships. TANF uses the assistance unit, which includes the dependent child and specified relatives. A grandmother caring for two grandchildren might be a household of one for SNAP (if she purchases food separately), a household of three for Medicaid (if she claims the children as dependents), and not part of the TANF assistance unit at all (if she is not a specified relative). Commonwealth derives all program-specific household compositions automatically from a single description of who lives together and their relationships.

Performance
Auto
Program-specific household derivation from single family description
78%
Reduction in household composition errors (leading cause of improper payments)
Capability 05
Cross-Program Benefit Optimization
Intelligent sequencing of program enrollment to maximize total household benefit — because the order in which programs are approved can affect benefit amounts across the entire portfolio.
Average household benefit increased $840/year through enrollment sequencing

Benefit programs interact with each other in ways that most caseworkers — and most eligibility systems — do not account for. SNAP benefits decrease as other income increases, including TANF cash assistance. Childcare copayments may be calculated differently when a family is also receiving TANF. The order in which programs are approved, and how benefits from one program are counted as income for another, can affect the total household benefit by hundreds of dollars per year. Commonwealth's benefit optimization engine evaluates these cross-program interactions and recommends enrollment sequencing that maximizes total household benefit — ensuring that families receive the full value they are entitled to, not just the amount calculated by each program independently.

Performance
$840
Average annual benefit increase through cross-program optimization
100%
Of cross-program interactions modeled and optimized automatically
Capability 06
Express Lane & Presumptive Eligibility
Accelerated enrollment pathways for populations with urgent need — including presumptive Medicaid eligibility for pregnant women, express lane eligibility for children, and expedited SNAP for households with near-zero income.
Presumptive eligibility provides same-day coverage for qualifying populations

Some populations cannot wait 30 days for an eligibility determination. A pregnant woman needs prenatal care now. A family with zero income and no food needs SNAP within 7 days (federal expedited processing requirement). A child identified through school-based screening needs Medicaid coverage before the parent completes a full application. Commonwealth supports every accelerated enrollment pathway: presumptive Medicaid eligibility based on preliminary information, express lane eligibility that uses data from other programs (like SNAP income) to enroll children in Medicaid/CHIP without a separate application, and expedited SNAP processing that identifies qualifying households at application intake and triggers a 7-day determination. The system automatically identifies which accelerated pathways apply and routes accordingly.

Performance
Same-day
Presumptive Medicaid coverage for pregnant women and children
7 day
Expedited SNAP processing for households with near-zero income
Capability 07
Automated Redetermination & Renewal
Proactive renewal processing that pre-populates redetermination forms with verified data from federal hubs, sends multi-channel reminders, and enables one-click confirmation when circumstances haven't changed.
Renewal completion rate: 94% (vs. 68% for legacy mail-only systems)

More people lose benefits through missed renewals than through ineligibility. Legacy systems mail a paper form 30 days before a certification period ends. If the form isn't returned, benefits terminate — regardless of whether the family is still eligible. During the Medicaid unwinding, states using mail-only renewal processes lost 18-25% of their Medicaid population, with the majority of losses due to procedural reasons, not ineligibility. Commonwealth's automated renewal engine transforms this process: 90 days before renewal, the system checks income against IRS data, checks household composition against vital records, and pre-populates the renewal form. If nothing has changed, the beneficiary receives a text message asking them to confirm with one tap. If changes are detected, the system requests only the specific information needed. Multi-channel delivery (text, email, app push, mail) ensures the renewal reaches the family through their preferred channel.

Performance
94%
Renewal completion rate (vs. 68% for legacy mail-only systems)
4%
Procedural coverage loss rate during Medicaid unwinding (vs. 18% national avg)
Capability 08
Audit & Quality Control Integration
Built-in support for SNAP Quality Control sampling, Medicaid MEQC reviews, and TANF data reporting — with instant case documentation retrieval and automated error identification.
Federal QC error rate reduced to 2.1% (vs. 6.8% state average)

Federal quality control reviews can result in fiscal sanctions worth tens of millions of dollars if error rates exceed tolerance thresholds. States with high SNAP QC error rates face liability bonuses or penalties based on their payment accuracy. Medicaid PERM (Payment Error Rate Measurement) reviews evaluate eligibility determination accuracy across a sample of cases. Commonwealth integrates quality control directly into the eligibility process: the system flags cases with elevated error risk at the point of determination, generates complete case documentation for QC reviewers on demand, tracks error patterns to identify systemic issues (training gaps, confusing policy, software logic errors), and produces all required federal reporting data automatically. The result is not just compliance — it is continuous improvement in determination accuracy.

Performance
2.1%
Federal QC error rate at deployed agencies (vs. 6.8% state average)
$0
Federal fiscal sanctions at deployed agencies (3+ consecutive years)
Deployment Results

Every program found. Every family enrolled. Every barrier removed.

State HHS — 2.4M Beneficiaries, 6 Programs Integrated

Replaced five separate applications with one. Cross-program enrollment rose 28%.

The Outcome

A state health and human services agency replaced five standalone eligibility applications (SNAP, Medicaid, TANF, WIC, CCAP) with Commonwealth's integrated eligibility engine. The single application reduced average application time from 45 minutes (across all programs) to 12 minutes. Cross-program enrollment increased 28% because the system automatically identified programs families hadn't applied for — and often didn't know existed. Categorical eligibility pathways alone enrolled 34,000 additional children in WIC who were already receiving Medicaid. Processing time dropped from 30 days to 7. Federal SNAP QC error rate decreased from 7.2% to 2.1%.

28%
Cross-program enrollment ↑
12min
Application time (was 45)
34K
Children auto-enrolled WIC
2.1%
SNAP QC error rate
County Social Services — Medicaid Unwinding, 340K Recertifications

4% coverage loss during Medicaid unwinding — lowest in state history.

The Outcome

During the post-COVID Medicaid continuous enrollment unwinding, a large county faced 340,000 recertifications in 90 days. Other counties using legacy systems experienced 18-25% coverage loss rates — millions losing Medicaid not because they were ineligible but because they didn't complete the renewal process. Commonwealth's automated renewal engine pre-populated recertification forms with data from IRS and SSA hubs, sent proactive reminders via text, email, and mail in six languages, and enabled one-click confirmation for families whose circumstances hadn't changed. Coverage loss rate: 4%. Every family that lost coverage was verified ineligible — not lost to administrative burden.

4%
Coverage loss rate
340K
Recertifications in 90 days
vs. 18%
National avg coverage loss
6
Languages supported
Tribal Nation — Sovereign Eligibility, Cultural Adaptation

Integrated federal, tribal, and IHS benefits into one determination for 28,000 members.

The Outcome

A tribal nation deployed Commonwealth to integrate federal benefits (SNAP, Medicaid) with tribal-specific programs (tribal TANF, Indian Health Service coordination, Bureau of Indian Affairs housing, tribal childcare) into a single eligibility determination. The system was configured with tribal sovereignty requirements — separate income disregards, per capita distribution exclusions, and IHS coordination rules. The citizen portal was translated into the nation's language and designed with community input. Enrollment in federal programs increased 40% among tribal members who had previously found the process inaccessible. The tribal council gained real-time visibility into program utilization across all 28,000 enrolled members for the first time.

40%
Federal enrollment ↑
28K
Tribal members served
8
Programs integrated
Native
Language portal
Voices from the Field

In twenty-three years of eligibility work, I have never seen a family's complete picture on one screen. I used to process SNAP in one system, check Medicaid in another, and have no idea whether the family was receiving TANF or childcare assistance. Now I see everything. And the system tells me things I never would have found — a family receiving SNAP who was categorically eligible for WIC but had never applied, because no one told them. The engine found 34,000 children like that in our first year. Children who were hungry and qualified for food assistance that existed specifically for them. The old system couldn't see them. Commonwealth found every one.

Lead Eligibility Supervisor
23 Years Public Service
State HHS Agency · 2.4M Beneficiaries

The income calculation alone justifies the entire platform. SNAP uses gross and net income with deductions. Medicaid uses MAGI. TANF uses gross income with earned income disregards. Childcare uses State Median Income. My caseworkers were calculating income four different ways for the same family — and getting it wrong 7% of the time. That 7% error rate cost us federal sanctions and, more importantly, meant families were receiving wrong benefit amounts. Commonwealth calculates all four income methodologies from one set of wage data. Our error rate dropped to 2.1%. The families get the right amount. We don't pay sanctions. And my caseworkers don't spend their days doing arithmetic that a computer should do.

Director of Economic Assistance
County Department of Social Services
340K Recertifications · 90-Day Unwinding

Our people have a relationship with the federal government that is unlike any other population's. Tribal sovereignty, IHS coordination, per capita distribution exclusions, Bureau of Indian Affairs housing — these are not edge cases for us. They are the baseline. Every commercial system we evaluated treated our requirements as customization requests. Commonwealth treated them as configuration. The rules engine handled tribal TANF, per capita exclusions, and IHS coordination natively. The portal was translated into our language by our community. For the first time, our members can apply for every program — federal and tribal — through one process that respects their identity and their sovereignty. Enrollment in federal programs increased 40%. Our people were always eligible. They just couldn't get through the door.

Director of Social Services
Tribal Nation Government
28,000 Members · 8 Programs Integrated
<2min
Cross-program determination
28%
Cross-program enrollment ↑
2.1%
Federal QC error rate
94%
Renewal completion rate
One Application. Every Program. Every Family.

Eligibility, integrated at last

Request a demonstration of the Integrated Eligibility Engine — configured for your state's programs, your policy rules, and your population.

Or contact our government services team at commonwealth@brindwell.com