AI Voice Automation

MedicaidRedetermination

Reach every member before their renewal date and improve coverage retention with HIPAA-secure voice automation.

  • AI voice agents that guide members through the Medicaid redetermination process
  • HIPAA-compliant and TCPA-aware for secure outreach
  • Two-way conversations that update records and book visits
  • Customizable to your health center's name and workflows
See it in action
Member outreach · Sample view
Your Health CenterCalling about your Medicaid
AI voice agentSample conversation
  • Contact info Updated
  • Redetermination status Confirmed
  • Next visit Booked
Customizable to your health center's name and workflows
Built for Hospitals FQHCs Managed Care Organizations (MCOs) Health Systems Medicaid Agencies

The renewal journey

AI Voice Automation to Simplify the Redetermination Process

It educates members on how to retain Medicaid coverage, verifies their information, and assists them through each step of the renewal process.

01

Renewal Education & Verification

  • Convey the redetermination timeline and what to expect.
  • Obtain digital TCPA consent for calls and follow-up, as applicable.
  • Verify member identity and check renewal status.
02

Contact & Eligibility Updates

  • Validate member contact information (phone, address, and email) and update as needed.
  • Capture household composition and income changes.
  • Ensure members receive renewal notices and forms.
03

Redetermination Completion Support

  • Check document readiness.
  • Pre-screen for H.R. 1 work requirements and exemptions.
  • Connect members with the enrollment team, or complete and submit their Medicaid renewal forms on their behalf.
04

Retention, Benefits & Care

  • Screen for social needs (food, housing, transportation, etc.) and other support programs.
  • Book overdue visits.
  • Leave voicemails and follow up before the redetermination date.
AI Caller & Outreach

Real Conversations. Real Impact.

Built for Hospitals, FQHCs, Managed Care Organizations (MCOs), Health Systems, and Medicaid Agencies.

9:41
On call · 0:00 (510) 555-0187 Member Outreach AI Health Agent Your Health Center
Mute
Keypad
Speaker
Multilingual Conversation Support
Your Health CenterHealthy People. Stronger Communities.
AI Voice Agent · Live

Hello, may I speak with Maria Lopez?

Type a response…

Built around your team

Designed for Seamless Patient Outreach

Recognizable Caller ID

Minimal IT Setup

Built-In Analytics

24/7 Patient Access

Resources & insights

Read more

Guides & Reports A guide to
Medicaid
renewal.
Guides & Reports

A Health Center's Guide to Medicaid Redetermination
Member outreach One call.
Continued
coverage.
Blog

Why Members Lose Coverage — and How One Call Prevents It
Call checklist Five questions.
A clearer
conversation.
Blog

5 Questions Every Redetermination Call Should Ask

Good questions. Clear answers.

FAQs

Learn how SocialRoots helps health centers simplify Medicaid redeterminations, improve outreach, and keep patients covered.

Medicaid redetermination is the yearly process the state uses to confirm patients still qualify. If a patient misses their notice, they can lose coverage even when they're still eligible.

The AI agentic caller calls patients for your health center, confirms their information, checks redetermination status, and connects them with help to complete it.

Yes. Address, phone and email updates captured on the call sync back to your systems.

The call transfers to your enrollment team or books an in-person appointment.

Yes. A short pre-screen asks about work, school and caregiving to flag likely exemptions.

The AI agentic caller leaves a voicemail with your callback number and follows up on the schedule you set.

Yes. If a patient is overdue for a visit, the AI agentic caller schedules it during the same call.

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