Dems press Medicaid contractors over eligibility determination systems

Fierce Healthcare – Wednesday, October 15, 2025
By Paige Minemyer

Several key Democrats are pressing the contractors who will be responsible for processing Medicaid eligibility under work requirements over reported faults in their systems.

Sens. Ron Wyden (Ore.), Elizabeth Warren (Mass.), Bernie Sanders (Vt.) and Raphael Warnock (Ga.) sent letters late last week to four of the largest contractors in this space—Conduent, Deloitte, General Dynamics Information Technology and Gainwell Technologies—seeking further details on payment structures in their contracts, the documentation Medicaid enrollees need to provide and how they update their platforms to account for identified errors.

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