Health, Education & Government Government & Public Sector Public Health & Human Services

Benefits Administration

Multi-agency, multi-stakeholder programs where procurement, compliance, and mission alignment determine success.

MAXIMUS Leidos Deloitte CGI Federal
Inside this journey
  1. Pre-Discovery

    Align the room on outcomes, decision process, and constraints before deeper discovery.

    1. Stakeholder Alignment

      Confirm decision roles, federal/state accountability, timeline, and acceptable risk thresholds before deeper discovery.

      Alignment Questions

      Start With Your One-Line: What’s the real urgency?

      • In one sentence, why are you exploring a new eligibility and enrollment solution right now?
      • How fast does leadership expect measurable improvement (e.g., weeks, months)? Options: Immediate (days–2 weeks), 30 days, 60–90 days, 3–6 months, 6–12 months, Unsure
      • Who is ultimately accountable to the governor for meeting these goals? Options: Commissioner / Secretary, Deputy Director, State CIO, Program Director, Federal liaison, Other
      • Which trigger best describes your situation right now? Options: Federal corrective action, Legacy COBOL failure/obsolescence, Disaster-driven surge, Policy change, Proactive modernization, Other
      • What outcome would make you say, in three months, 'this decision was the right call'?

      Are You Comfortable Leaving Payments to Chance?

      • If you had to name the single biggest risk to uninterrupted benefit payments during transition, what would it be?
      • How often in the past 12 months have timeliness or accuracy failures resulted in corrective action or formal findings? Options: Multiple times, Once, Close call but no finding, Never, Unsure
      • Describe a recent incident where a system or process change nearly caused payment disruption—what happened and who felt the impact?
      • What level of short-term risk is acceptable during transition, if it accelerates long-term compliance? (Select one.) Options: No increase in risk allowed, Small, tightly controlled risk, Moderate, with safeguards, Willing to tolerate larger risk for faster gains, Unsure
      • Which stakeholders would elevate any sign of payment disruption immediately? (Select all that apply.) Options: Governor's office, Federal program office, State auditor, Legislature, Media/press, Client advocacy groups, Other
      • How would missed payments or audit findings feel politically and operationally for your team?

      What’s Hidden in the COBOL Black Box?

      • Which legacy behaviors or business rules do you suspect exist only in COBOL code and nowhere in documentation?
      • Which of these legacy artifacts currently drive decisions in your day-to-day operations? Options: Untested COBOL routines, Manual spreadsheets/workarounds, Ad-hoc supervisor notes, Paper case files, Legacy batch reports, Other
      • How frequently do caseworkers apply manual overrides or exceptions because the system doesn’t match policy? Options: Daily, Weekly, Monthly, Rarely, Never, Unsure
      • List two edge-case scenarios you worry a new rules engine might not replicate correctly.
      • Have data conversions or feeds failed in past modernizations? If yes, what patterns repeated? Options: Yes—mapping/format issues, Yes—missing historical records, Yes—timing/latency failures, No major failures, Unsure
      • How would you prioritize undocumented rules, data cleanup, and infrastructure stabilization (rank short answer)?

      Who Really Pulls the Levers and Signs Off?

      • Who will say 'go' or 'stop' for each of these areas: policy interpretation, technical acceptance, federal reporting, and public communications?
      • Which groups must be included in approval gates for design or cutover? (Select all that apply.) Options: Policy/Program Office, IT/Architecture, Legal/Compliance, Federal Program Managers, County/Local partners, Vendor PMO, Other
      • How do you currently document who is accountable for an eligibility decision when multiple parties are involved? Options: Case notes, Audit log in system, Manual sign-off forms, Not consistently tracked, Other
      • Describe political or federal sensitivities we should know about up front (e.g., upcoming audits, elections, new federal guidance).
      • Who in your team would be the most resistant to outsourcing parts of eligibility operations, and why?

      If Washington Said 'Fixed', What Would That Actually Be?

      • What specific accuracy and timeliness thresholds would satisfy federal reviewers in your view? Options: >= 98% accuracy; 100% timeliness, >= 98% accuracy; federal timeliness targets, 95–97% accuracy; federal timeliness targets, <95% accuracy acceptable short-term, Unsure—need guidance
      • Which citizen experience signals matter most to you—what should improve for people calling or applying? Options: Faster resolution, Clearer explanations, Fewer recontacts, Reduced paperwork, Better multi-channel access, Other
      • What audit artifacts or outputs must be produced end-to-end to satisfy the federal team? Options: Decision-level audit trail, Caseworker activity logs, Batch processing records, Federal report reconciliation, All of the above, Unsure
      • If the governor asked you to point to one metric in 6 months to prove success, which metric would you choose and why?
      • What trade-offs would you accept between speed, accuracy, and scope during transition? Options: Accuracy prioritized over speed, Speed prioritized over accuracy, Balance equally, Scope reduced to protect accuracy, Unsure

      How Will Your People Live Through This Change?

      • If we asked your front-line staff how they feel about modernization, what three words would they use?
      • What is your current caseworker-to-workload ratio and how flexible is it during surge? Options: <1:50 (light caseload), 1:50–1:200, 1:200–1:500, >1:500 (high caseload), Unsure
      • How do new policies, exceptions, or system quirks get taught to staff today? Options: Formal training sessions, On-the-job mentoring, Email/announcements, Shadowing/supervisor guidance, Not consistently taught
      • What would make your staff trust a vendor’s contact center or BPO agents to handle sensitive eligibility conversations?
      • How high is turnover among experienced eligibility staff, and what typically causes departures? Options: Low turnover, Moderate—compensation, High—burnout/caseload, High—unclear career path, Unsure
      • What training cadence and competency checks would you require before we route live cases to external agents?

      Can a New Rules Engine Recreate Your Worst Edge Cases?

      • Which three legacy scenarios keep you awake because they’re hard to model in a rules engine?
      • How important is transparency into decision logic (explainability) for auditors and supervisors? Options: Critical—must be fully explainable, Important—mostly explainable, Somewhat—exceptions okay, Not a priority
      • What data sources must the new system ingest and reconcile on day one? Options: State payroll/earnings, Federal data hubs, Local records, Legacy batch files, Provider feeds, Other
      • Have you previously tested rule parity between legacy and modern systems? What were the failure modes? Options: Yes—parity achieved, Yes—parity gaps in edge cases, No formal parity testing, Unsure
      • What level of manual review do you expect to keep after cutover for high-risk cases? Options: None—fully automated, Small % flagged for review, Significant manual review for first year, Depends on case type

      What Would a Safe Cutover Plan Have to Include?

      • What concrete rollback triggers would immediately stop a cutover and revert to legacy processing?
      • Which of the following must remain uninterrupted during cutover? Options: Federal reporting, Benefit payments, Critical public hotlines, Data transfers to other agencies, All of the above
      • What surge scenarios should we rehearse in parallel runs (select all that apply)? Options: Natural disaster influx, Policy-driven spike, System outage elsewhere, Pandemic-like surge, Other
      • Who will own daily cutover coordination across agencies and vendors (name/role)?
      • What communications cadence and audience segmentation would you require during cutover? Options: Daily executive brief, Twice-daily ops check, Weekly stakeholder summary, Real-time incident channel, Other

      Money, Contracts, and Guarantees — What Really Matters?

      • Which contract levers are non-negotiable for you (select all that apply)? Options: Accuracy SLAs, Timeliness SLAs, Staffing FTE guarantees, Federal reporting compliance clause, Liquidated damages, Performance incentives
      • Do you prefer penalties for missing SLAs, incentives for exceeding them, or a blend? Options: Penalties, Incentives, Blend, Case-by-case
      • How important is vendor staffing continuity (same supervisors/SMEs) during the first 12 months? Options: Critical, Important, Nice to have, Not necessary
      • Are there procurement or state law constraints we must design around (e.g., pay structure, background checks, residency)?
      • What would constitute an unambiguous mutual commit from your side (e.g., funding authorization, data access, program approval)?

      What Evidence Would Let You Say ‘Go’ Next Week?

      • If we provided three artifacts next week, which would matter most: parity test run, staffed surge plan, or a draft SLA—rank your top pick? Options: Parity test evidence, Staffing & training roster, Draft contract & SLAs, Detailed cutover Gantt, Other
      • Who must be at the table for a 60–90 minute decision workshop to move forward (roles/emails if possible)?
      • What calendar windows are off-limits due to audits, elections, or fiscal deadlines in the next 6 months?
      • What blockers would prevent quick engagement (e.g., pending RFP, budget hold, legal review)? Options: Pending RFP/procurement, No budget authority yet, Legal/compliance review, Political sensitivity, None
      • How would you like us to demonstrate respect for your constraints while rapidly validating feasibility—what’s a reasonable first milestone? Options: 72-hour discovery findings, 2-week parity prototype, 30-day feasibility report, Other
    2. Current State Mapping

      Document legacy COBOL behaviors, edge cases, caseworker capacity, infrastructure limits, and failure modes affecting payments and timeliness.

      Current State

      Tell Us About the World You're Running Today

      • In one or two sentences, how would you describe today’s eligibility platform and operations?
      • Which public assistance programs does this system currently serve? (select all that apply) Options: SNAP, TANF, Medicaid, CHIP, Unemployment Insurance, Child Care Subsidies, Other
      • How long has your COBOL-based system been the authoritative source for eligibility? Options: < 5 years, 5–10 years, 10–20 years, > 20 years
      • Which operational outcomes are causing the most immediate pain right now? (select up to three) Options: Late payments, Incorrect denials, Backlogs/aging cases, Surge failures, Poor citizen satisfaction, Federal audit findings
      • Who is the single point owner for payment timeliness and system uptime inside your agency? Options: Commissioner/Director, Deputy Director, Program Manager, State CIO, Shared ownership, Other
      • When you picture this environment succeeding for the governor and citizens, what three signals would you expect to see?

      What Legacy Rules Keep Breaking Assumptions?

      • Which legacy rule behaviors are you quietly relying on that no one can fully explain?
      • Can you name specific legacy rules or hard-coded exceptions that regularly produce unexpected outcomes?
      • How often do these legacy behaviors create exceptions that require manual overrides? Options: Daily, Weekly, Monthly, Rarely
      • Do you have up-to-date documentation (decision tables, flow diagrams, business rules) for those behaviors? Options: Complete and current, Partial/fragmented, Outdated, None
      • When legacy logic diverges from written policy, which wins today—system behavior or policy guidance? Options: System behavior, Policy guidance, Depends on caseworker, Unclear
      • If we had to reproduce every legacy exception exactly, which three would you rank highest priority and why?

      Where Do Edge Cases Hide and How Often Do They Bite?

      • Which rare scenarios take disproportionate staff time or trigger most escalations?
      • Which of these edge-case categories apply in your caseload? (select all that apply) Options: Interstate cases, Mixed household types, Erroneous income records, Identity/documentation gaps, Retroactive eligibility, Emergency/disaster declarations, Other
      • Approximately what percent of your active cases fall into those edge-case buckets? Options: <1%, 1–5%, 5–15%, 15–30%, >30%
      • Tell a recent story of a single edge case that escalated to leadership or the governor’s office—what happened and why?
      • How does the current system surface or flag these cases for specialized handling? Options: Automated flags/rules, Manual triage by staff, Separate queueing system, Not effectively surfaced
      • What workarounds do staff use today to resolve these exceptions, and how fragile are those workarounds?

      Who's Holding the Work — People, Shifts, and Burnout

      • Are you unintentionally relying on heroic staff to keep payments on time?
      • How many full-time equivalent caseworkers are processing eligibility actions today (give best estimate)? Options: <50, 50–199, 200–499, 500–999, 1000+
      • What is your annual frontline turnover rate for eligibility staff? Options: <10%, 10–25%, 25–50%, >50%
      • How do you currently onboard and certify staff on complex policy and system navigation? Options: Formal classroom training, On-the-job apprenticeship, Shadowing/mentoring, Ad-hoc/tribal knowledge, Vendor-run training
      • When staffing gaps appear, what short-term fixes are used and how do those affect accuracy or timeliness?
      • How do your caseworkers describe their day—overwhelmed, empowered, or something else? Options: Overwhelmed, Mostly managing, Efficient and empowered, Mixed

      If the System Stutters, Who Pays the Price?

      • How close has a system slowdown or outage come to triggering a missed federal timeliness standard in the last 24 months? Options: We missed standards, We narrowly avoided missing, No close calls, Not tracked
      • List recent incidents that impacted payments or reporting in the last two years—what failed and for how long?
      • What are your recovery time (RTO) and recovery point (RPO) targets for eligibility services? Options: RTO <1 hour / RPO <5 minutes, RTO 1–4 hours / RPO 5–60 minutes, RTO 4–24 hours / RPO 1–24 hours, No formal targets
      • How do you handle peak-volume events today (e.g., disasters, mass layoffs)? Options: Auto-scale infrastructure, Surge staffing contracts, Manual triage and delays, We struggle to respond
      • Which monitoring and alerting tools are in place to detect failures that affect payments? Options: Real-time dashboards, Threshold alerts, Manual health checks, No systematic monitoring
      • Who is notified when a payment-impacting failure occurs and what is the escalation path? Options: Ops team only, Ops + program leadership, Executive/commissioner alerted, No clear escalation

      Paper Trails, Data Gaps, and the Secrets They Hide

      • Which data elements do you not trust, and what happens operationally when they’re incorrect?
      • Rate the reliability of these core data domains in your system Options: Identity (SSN/DOB), Income/employment, Household composition, Address/contact information, Benefit history
      • How are external interfaces and batch feeds (TANF, unemployment, federal sources) managed and reconciled? Options: Near real-time APIs, Daily batch jobs, Weekly/monthly transfers, Manual file exchanges
      • Have you attempted a data conversion or migration before? What failed or surprised you about that effort?
      • How frequently do you reconcile operational case outcomes to federal reporting extracts? Options: Daily, Weekly, Monthly, Quarterly, Ad-hoc/never
      • What percentage of cases require manual data correction before being reportable? Options: <1%, 1–5%, 5–15%, >15%

      What Would Put Federal Auditors and the Governor at Ease?

      • If federal auditors came tomorrow, what single evidence item would you struggle to produce?
      • Which federal reporting outputs give you the most anxiety (select all that apply)? Options: Timeliness reports, Accuracy/error rate reports, Financial reconciliations, Eligibility audits, Other
      • What controls and attestations are currently in place to prove accuracy and timeliness? Options: Automated reconciliation, Manual attestations, Third-party audits, Limited controls
      • How would missing a key federal metric affect your political leadership or corrective action status? Options: Immediate corrective action, Increased oversight, Public reporting but limited sanctions, Uncertain
      • What evidence or capability would make you comfortable committing to a modernization timeline? Options: Parallel run results, Third-party validation, Staffing guarantees, Escrow/rollback plans, Other
      • Which audit trails or artifacts are easiest for you to produce today, and which are the hardest?

      What Would Break This Project in the First 12 Months?

      • If you had to name one early failure that would be politically catastrophic, what would it be?
      • Which of these risks feel most likely to occur during transition? (select top three) Options: Rules divergence from legacy, Insufficient surge staffing, Data conversion errors, Outages during cutover, Federal policy change, Stakeholder misalignment
      • What explicit rollback triggers or acceptance criteria would you insist on for a full cutover? Options: Accuracy threshold, Timeliness threshold, QA pass rate, Parallel run concordance, Stakeholder sign-off
      • Who are the internal and external stakeholders who must be engaged during month-by-month progress (list roles)? Options: Governor's office, Commissioner/Deputy, State CIO, Federal program office, County/field leadership, Union/HR, Other
      • What three mitigations would make you say 'go' on an aggressive 12-month improvement mandate?
      • Which early wins could we deliver in the first 90 days to reduce political and operational risk? Options: Stabilize payment engine, Resolve top edge-case classes, Deliver federal report concordance, Staff augmentation for surge
  2. Outcome Discovery

    Define required accuracy, timeliness, citizen satisfaction, audit acceptance criteria, and what ‘good’ looks like for the governor’s office.

    Discovery Questions

    Start With the Governor's 'North Star'

    • Who on your leadership team is the primary decision owner for this modernization (who signs the final acceptance)? Options: Governor, Commissioner / Cabinet Secretary, Deputy Director of Public Assistance, State CIO, Federal liaison / grant manager, Other
    • Which of the following outcomes would the governor describe as top priority (select all that apply)? Options: No disruption to benefit payments, Restore/maintain federal compliance, Improve first-pass accuracy, Protect vulnerable populations, Minimize political exposure/media incidents, Cost neutrality / budget control, Reduce caseworker burden
    • Write a single-sentence ‘success statement’ you believe the governor would use to describe a successful transition.
    • How tolerant is the governor's office for short-term errors or exceptions during cutover? Options: Very tolerant (operational fixes are expected), Somewhat tolerant (limited, documented exceptions), Low tolerance (only trivial exceptions), Zero tolerance (no errors acceptable), Unsure / depends on context
    • What program or political deadlines are immovable (legislative sessions, federal reporting dates, elections) that we must build around?
    • List the people or roles who must receive daily status vs weekly briefings vs only exception-based updates.

    If Payments Slip, Who Gets Blamed First?

    • Imagine payments are delayed for two weeks during cutover—what is the worst-case political or operational fallout you can foresee?
    • Which external parties are likely to escalate fastest if problems appear (select all that apply)? Options: Governor's office / Chief of Staff, Federal auditors / regional office, Advocacy groups and legal clinics, Local county partners, Media / press, Legislators
    • How quickly do you expect public inquiries, press, or elected officials to react after a noticeable program failure? Options: Within hours, Same day, 1–3 days, Within a week, Longer than a week
    • Recall a past incident where public pressure forced a rapid course correction—what made that event unavoidable and what would you want done differently now?
    • Which mitigations would you find acceptable if a problem reached the public (select all that apply)? Options: Immediate pause and rollback, Public statement plus remediation plan, Targeted outreach to affected populations, Financial/contractual penalties for vendor, Deploy surge resources to catch up, Other
    • How would you like escalation triggers and notification channels structured so your team feels in control during an incident?

    What If 98% Isn’t Good Enough?

    • If an auditor or the governor's office concluded that a 98% first‑pass accuracy still caused systemic harm, what would that imply about acceptable performance for you?
    • What minimum first-pass accuracy range would be politically and operationally acceptable for your program? Options: <90%, 90–92%, 93–95%, 96–97%, 98%+, Unsure
    • Which kinds of errors cause the most damage for your population (select all that apply)? Options: Incorrect approvals (false positives), Incorrect denials (false negatives), Timing-related failures (late actions), Data misclassification (wrong program/coding), Reconciliation mismatches, Other
    • How would you like errors to be triaged and reported during parallel run (what fields must each error record include)? Options: Severity + root cause, Severity + business impact + remediation plan, Complete decision trace + responsible owner, Executive summary only with deep-dive on request
    • Provide three representative case examples (IDs or short descriptions) that must be correct from day one and explain why each matters.
    • What statistical confidence levels or sample sizes do your auditors or QA teams expect when validating reported accuracy? Options: 95% CI, 99% CI, Sample-based per federal guidance, Full-population reconciliation, Unsure / need guidance

    When Is 'Late' a Crisis, Not an Inconvenience?

    • If timeliness slipped by one week, who would suffer most and why—beneficiaries, counties, federal partners, or the governor's credibility?
    • Which federal timeliness standards are non-negotiable for your programs (select all that apply)? Options: SNAP certification/recert timelines, Medicaid eligibility deadlines, Unemployment insurance adjudication timelines, Child care subsidy processing, Other / program-specific
    • What backlog threshold (by case count or average days overdue) should automatically trigger a formal incident response? Options: <1,000 cases, 1,000–5,000 cases, 5,000–20,000 cases, 20,000+ cases, Trigger based on avg days overdue (1–3, 4–7, >7)
    • Describe the last time timeliness standards were missed—what operational failures caused the miss and how were they resolved?
    • During an emergency surge (natural disaster, pandemic), what timeliness compromises, if any, are you willing to accept and under what governance? Options: None — must meet SLAs, Short delays with prioritized cohorts, Extended delays with documented federal waivers, Flexible depending on program
    • Who on your side can authorize a formal waiver or exception to timeliness SLAs, and what documentation will they require?

    Would an Auditor Smile or Raise a Red Flag?

    • If a federal auditor walked into the operations room today, what specific weaknesses would likely draw criticism?
    • Which audit artifacts must be producible on demand (select all that apply)? Options: Reconciliation reports, Decision logs / rule trace, Full audit trail of rule changes, Policy-to-rule mapping documentation, Training records and QA reviews, Customer contact records
    • How have prior audit findings reshaped your required controls—are there mandatory checkpoints or approvals we must replicate?
    • Historically, what tolerance for missing or late audit evidence has been accepted (percent of cases or days)? Options: 0% tolerated, <1%, 1–5%, 5–10%, Varies / case-by-case
    • Who will be our official point of contact for audit responses and federal inquiries? Options: State Audit Liaison, Agency Legal Counsel, Program Director, Commissioner/Deputy, Other
    • What remediation timeline do auditors expect for critical findings (30/60/90 days or other)? Options: 30 days, 60 days, 90 days, Varies by finding

    What Will Citizens Say About the New System?

    • If a long‑time beneficiary called angry after being incorrectly denied, what would an ideal agent interaction look like—tone, steps, and resolution?
    • Which citizen experience metrics matter most to your leadership (select all that apply)? Options: CSAT (satisfaction), NPS (recommendation), First-call resolution, Average handle time, Complaints per 1k cases, Accessibility metrics
    • What CSAT or complaint levels would satisfy political leadership—do you have numerical targets? Options: CSAT 90%+, CSAT 80–89%, CSAT 70–79%, No numeric target set, Other
    • Describe the plain-language and cultural expectations you have for contact center interactions (tone, complexity of explanations, escalation style).
    • What languages, accessibility supports, or specialized competencies must the contact center cover at launch (select all that apply)? Options: English, Spanish, Other prevalent languages (please list), ASL / TTY, Trauma-informed / cultural competency training, Other
    • How should case-level escalations from citizens be routed between contractor and agency to balance speed and oversight? Options: Contractor resolves then escalates to agency as needed, Agency approves all escalations, Joint escalation with SLAs and shared dashboards, Other

    Which Legacy Quirks Will Break Us?

    • Which COBOL-era edge cases or local conventions do you believe a modern rules engine will struggle to reproduce?
    • Roughly how many undocumented or locally customized rules and overrides do you estimate exist today? Options: <10, 10–50, 50–200, 200+, Unsure / need inventory
    • Describe a decision or exception that only a human currently understands—how is it detected and applied?
    • Which data quality problems force manual workarounds most often (select all that apply)? Options: Missing identifiers (SSN/Tax ID), Inconsistent coding across county systems, Legacy date/time formats, Duplicate or merged records, Incomplete program history, Other
    • Would you accept a staged approach where certain edge cases are handled manually while automation ramps up? Options: Yes, temporarily with defined SLAs, No — must be automated before cutover, Depends on case types / severity
    • Which local or county partners have bespoke processes we must mirror or coordinate with during transition?

    If We Pass Metrics but the Governor Is Unhappy, What Then?

    • What non-metric outcomes (political optics, equity impacts, community trust) would lead leadership to call the project a failure even if SLAs are met?
    • Who must sign final acceptance after parallel run completes (select one)? Options: Program Director / Agency Head, Governor's Office Representative, State Procurement / Legal, Federal Representative, Joint sign-off from multiple parties
    • Which dashboards, reports, or alerts will give you day‑to‑day confidence after cutover (select all that apply)? Options: Real-time accuracy metrics, Timeliness heatmaps, Top error types and volumes, Citizen sentiment and complaints, Operational capacity / staffing levels, All of the above
    • How long do you expect to monitor parallel operations (and by what criteria will you approve full cutover)? Options: 3 months, 6 months, 12 months, Metric-driven / variable
    • If we need an emergency rollback, what immediate actions should be taken (select all that apply)? Options: Stop new intakes, Rollback code to legacy path, Notify stakeholders and beneficiaries, Deploy surge staffing to remediate, Other
    • Who must approve an emergency rollback and what documentation or evidence will they require to make that decision?
  3. Solution Experience

    Walk through how modernization, the rules engine, BPO, and contact center operations deliver the agreed outcomes using the customer’s real surge and edge-case scenarios.

    Experience Meetings

    • Solution Experience Kickoff — Current State & Consequence Alignment
    • Scenario Validation Workshop — Live Surge & Edge-Case Walkthroughs
    • Rules Engine Proof Session — Traceability & Parity
    • End-to-End Operations Rehearsal — BPO, Contact Center & Reporting
    • Acceptance Criteria & Mutual Validation — Consolidation and Sign-off
    • Seller to finalize surge playbook with staffing rosters and escalation contacts.
    • Seller to deliver a rule-mapping workbook showing legacy-to-modern logic, test results, and remediation notes.
    • Customer to sign or mark as pending the rule outcomes for tested cases with commentary.
    • Agree deadlines for rule updates and schedule a re-test session.
    • Document remaining high-risk rule gaps that require parallel-run monitoring.
    • Runbook & Surge Playbook Review
    • Validate that operational playbooks and staffing meet surge response and timeliness requirements.
    • Confirm contact center agents and BPO processes correctly apply policy and reduce manual caseworker rework.
    • Demonstrate federal reporting outputs meet format and timeliness expectations.
    • Identify operational improvements and assign owners for implementation prior to parallel run.
    • Introductions & Objectives
    • Customer to validate federal reporting samples and confirm acceptance criteria.
    • Operational leads to implement dashboard metrics for timeliness and accuracy and share access.
    • Schedule a follow-up readiness checkpoint after operational changes are applied.
    • Consolidated Evidence Review
    • Agree a concrete set of measurable acceptance criteria and SLA thresholds for parallel run and cutover.
    • Consolidate and archive proof artifacts demonstrating readiness against the future-state definition.
    • Document all remaining gaps with owners and deadlines and secure mutual commitments to remediation.
    • Establish the validation gate schedule and responsibilities for entering parallel processing.
    • Produce and distribute the Acceptance Pack containing test logs, rule-workbooks, runbook, and agreed SLAs.
    • Customer and Seller to sign an agreed acceptance checklist or record objections with remediation dates.
    • Schedule the parallel-run start date and intermediate checkpoints with clear success gates.
    • Assign monitoring dashboard owners and ensure access for customer stakeholders.
    • Lock a single clear current-state sentence that everyone concurs is accurate.
    • Quantify the consequences of the current state with 2–3 measurable metrics.
    • Agree one operational future-state sentence that defines success for the governor/commissioner.
    • Produce an agreed list of prioritized scenarios and required data extracts for simulations.
    • Assign owners and deadlines for pre-work to enable the first live simulation.
    • Customer to deliver anonymized sample cases and data extracts for the prioritized scenarios (deadline: X)
    • Seller to produce the confirmed one-sentence current and future state wording and distribute for sign-off.
    • Create a scenario test matrix mapping each scenario to expected success signals and deliver to attendees.
    • Schedule the Scenario Validation Workshop and reserve simulation environment.
    • Recap Preconditions & Success Signals
    • Observe and record how the full solution handles prioritized surge scenarios end-to-end.
    • Validate whether outcomes meet the customer-defined future state and where they fall short.
    • Identify and prioritize failure modes with measurable impact on consequence metrics.
    • Capture explicit customer validation or corrections for each scenario run.
    • Assign remediation owners and schedule the rule-proofing cadence.
    • Seller to provide simulation logs and an exception report for each executed scenario.
    • Customer to annotate any scenario outcomes that do not match expectations with specifics and regulatory concerns.
    • Create prioritized remediation backlog with owners and target dates for rule fixes or operational changes.
    • Confirm next Rules Engine Proof Session date to validate remediations.
    • One-line Rule Parity Statement
    • Demonstrate rule-level parity or operational equivalence for prioritized edge cases.
    • Provide traceable evidence linking rule logic to observed decisions.
    • Enumerate and prioritize rule mismatches with quantified consequence and remediation plan.
    • Obtain explicit customer validation or documented non-acceptance for each tested rule outcome.
    • One-sentence Current State
    • Live Contact Center & BPO Surge Rehearsal
    • Measure Outcomes vs Success Signals
    • Rule Traceability Walkthrough
    • Surge Scenario Walkthroughs (live/runbook)
    • Live Execution on Customer Cases
    • Define Measurable Acceptance Criteria & SLAs
    • QA, Sampling, and Exception Handling
    • Consequence Quantification
    • Edge-case Storyboards & Live Executions
    • Remediation Plan & Owner Commitments
    • Federal Reporting & Timeliness Proof
    • Tie Outcomes to Consequences
  4. Solution Scope

    Specify modules (rules engine, BPO, contact center, QA, reporting), responsibilities, parallel run approach, and measurable acceptance criteria.

    Scope Configuration

    • Migrate COBOL Eligibility Rules to Rules Engine
    • Deploy Cloud-Based Benefits Application Platform
    • Integrate Identity Proofing and Document Upload
    • Operate 24/7 Program-Trained Contact Center
    • Process Automated First-Pass Eligibility Determinations
    • Handle Manual Complex Eligibility Casework
    • Generate Federal-Compliant Notices and Letters
    • Run Parallel Processing with Legacy System
    • Execute Bulk Backlog Clearance Operations
    • Submit Federal Timeliness and Accuracy Reports
    • Operate Scaled Surge Capacity for Emergencies
    • Deliver Plain-Language Agent Eligibility Scripts

    Scope Questions

    Migrate COBOL Eligibility Rules to Rules Engine

    • Do you require a full-line-by-line parity migration of COBOL rules or prioritized/phase-based migration? Options: Full parity migration, Prioritized (critical first), Phased by program/module
    • How many unique rules, decision tables, or COBOL programs must be analyzed and migrated?
    • Are there documented legacy edge cases, handwritten policy notes, or ad-hoc fixes that must be captured? Options: Yes, No
    • What rule parity acceptance threshold do you require during parallel validation (e.g., percentage of identical outcomes)? Options: 95%, 98%, 99%+, Other (describe)
    • Do you need traceability that links each rules-engine decision back to original COBOL source lines or policy references? Options: Yes, No
    • Who will own final sign-off for migrated rules (state policy team, vendor, third-party auditor, combined)? Options: State policy team, Vendor rules team, Third-party auditor, Combined sign-off
    • Do you require training and handover materials for state staff to maintain rules post-cutover? Options: Yes, No

    Deploy Cloud-Based Benefits Application Platform

    • Which cloud deployment model do you require for the platform? Options: Public cloud (FedRAMP-enabled), Dedicated government cloud, Hybrid (on-prem + cloud), Other
    • What data residency or state-hosting requirements must be met? Options: State-hosted only, Regional US data centers, No residency constraint
    • What uptime and SLA targets do you require (monthly availability percentage)? Options: 99.0%, 99.5%, 99.9%, Other (specify)
    • Which existing systems must integrate in deployment (legacy eligibility, MMIS, payment engine, case management)?
    • Are there specific security or compliance standards required (FedRAMP, HIPAA, CJIS, FISMA)? Options: FedRAMP, HIPAA, CJIS, FISMA, Other, None
    • Do you require a dedicated sandbox and data-masked test environments for verification prior to parallel run? Options: Yes, No
    • What performance benchmarks must the platform meet (transactions per hour, response time under load)?

    Integrate Identity Proofing and Document Upload

    • Do you require identity proofing to specific assurance levels (e.g., IAL2, IAL3)? Options: IAL1, IAL2, IAL3, Not required
    • What document types and formats must be supported for upload (IDs, income, residency, PDFs, images)?
    • Is automated OCR and classification required, or will uploads be manually reviewed by staff? Options: Automated OCR/classification, Manual review only, Hybrid (automated + manual)
    • Are there state-specific accessibility or multilingual requirements for the upload/user flow? Options: Yes, No
    • Do you require integration with third-party identity verification vendors or use the vendor's built-in solution? Options: Third-party vendor, Vendor built-in, State-provided service
    • What retention and legal-hold policies apply to uploaded documents?
    • What fraud-detection thresholds or manual review triggers should be configured for identity transactions? Options: Low, Medium, High, Custom (describe)

    Operate 24/7 Program-Trained Contact Center

    • Do you require 24/7 coverage from day one or phased scaling to 24/7? Options: Immediate 24/7, Phased to 24/7, Business hours only
    • What program areas must agents be trained on (SNAP, TANF, Medicaid, UI, child care)? Options: SNAP, TANF, Medicaid, Unemployment Insurance, Child Care, Other
    • Which channels must be supported (phone, chat, email, SMS, video)? Options: Phone, Chat, Email, SMS, Video, Portal messaging
    • What SLA for average speed-to-answer and abandonment rates do you require? Options: <30s ASA, <5% abandonment, <60s ASA, <10% abandonment, Custom (describe)
    • Do agents need the ability to view eligibility decision traces and reconciled case history while assisting callers? Options: Yes, No
    • Are background checks, certifications, or state-specific clearances required for contact center staff? Options: Yes, No
    • Do you require workforce management reporting and SLA dashboards accessible to state owners? Options: Yes, No

    Process Automated First-Pass Eligibility Determinations

    • What target first-pass accuracy rate is required for automated determinations? Options: 95%, 98%, 99%+, Other (specify)
    • Which programs and benefit types should be included in automated first-pass? Options: SNAP, TANF, Medicaid, UI, Child Care, All
    • Do automated determinations require human-in-the-loop review for specific trigger conditions? Options: Yes, No
    • What data quality thresholds (completeness, verification flags) must be met to allow auto-decisioning?
    • Do you require audit logs and explainability for every automated decision? Options: Yes, No
    • How should exceptions be routed (contact center, specialized team, queue)? Options: Contact center, Specialized complex team, State caseworkers, Automated queue with SLA
    • Are there federal reporting or certification gates required before automated determinations can be used operationally? Options: Yes, No, Unknown

    Handle Manual Complex Eligibility Casework

    • What categories of cases are considered 'complex' and require manual handling (e.g., inter-state, appeals, fraud investigations)?
    • What target SLA do you require for resolution of complex cases? Options: 7 business days, 14 business days, 30 business days, Custom
    • Who will perform manual complex work: vendor BPO staff, state caseworkers, or a hybrid model? Options: Vendor BPO staff, State caseworkers, Hybrid model
    • Do manual caseworkers need access to the rules engine debug/tracing tools and decision audit logs? Options: Yes, No
    • What training level and certification are required for manual caseworkers handling complex cases? Options: Program-certified, Policy-level certified, No formal certification
    • How should workload be prioritized during backlogs or surge (oldest-first, severity, risk-based)? Options: Oldest-first, Severity-based, Risk-based, Custom
    • Do you require separate QA sampling rules for manual complex casework vs automated decisions? Options: Yes, No

    Generate Federal-Compliant Notices and Letters

    • Which notice types must be generated (eligibility determinations, denials, renewals, adverse actions)? Options: Determinations, Denials, Renewals, Adverse actions, All
    • Do notices need to meet specific federal templates and language requirements? Options: Yes - provide templates, Yes - vendor to map, No - state will provide
    • Which delivery channels are required (mail, email, SMS, portal inbox)? Options: Mail, Email, SMS, Portal inbox
    • Do you require multilingual notice generation and certified translations? Options: Yes, No
    • What acceptance criteria (format, legal language, timestamps) must notices pass before being sent?
    • Should notices be version-controlled and auditable for federal review? Options: Yes, No
    • Who approves final notice templates: state legal, policy, or vendor content team? Options: State legal, State policy, Vendor content team, Combined sign-off

    Run Parallel Processing with Legacy System

    • What parallel run duration do you expect (months)? Options: 3 months, 6 months, 12 months, Custom
    • What reconciliation frequency and tolerance do you require between legacy and new system outputs? Options: Daily, Weekly, Monthly
    • What acceptance thresholds determine when cutover can proceed (e.g., parity rate, error volume)? Options: 95% parity, 98% parity, 99% parity, Custom
    • Who will own reconciliation exceptions and remediation (state, vendor, joint team)? Options: State, Vendor, Joint team
    • Do you require automated reconciliation dashboards and daily exception exports? Options: Yes, No
    • Will legacy system data be continuously synced, or will extracts be used for parallel processing? Options: Continuous sync, Periodic extracts, Hybrid
    • Are there federal audit checkpoints during parallel that must be documented and reported? Options: Yes, No, Unknown

    Execute Bulk Backlog Clearance Operations

    • What is the estimated backlog volume to be cleared (cases per week/month)?
    • Do backlog cases require special handling (aging priority, eligibility re-determination, fraud review)? Options: Aging priority, Eligibility re-determination, Fraud review, Standard processing
    • What target throughput should vendor teams meet during backlog operations? Options: 200 cases/day, 500 cases/day, Custom (specify)
    • Will backlog clearance run in parallel with normal operations or be a dedicated surge effort? Options: Parallel with normal ops, Dedicated surge team, Hybrid
  5. Mutual Commit

    Finalize contract modules, SLAs for accuracy and timeliness, staffing guarantees, federal reporting obligations, and escalation paths.

    Agreement Modules

    • Statement of Work (SOW)
    • Master Services Agreement (MSA)
    • Service Level Agreement (SLA) - Accuracy & Timeliness
    • Staffing & Resourcing Guarantee
    • Federal Reporting & Audit Obligations
    • Escalation & Governance Plan
    • Pricing, Payment Schedule & Invoicing
    • Performance Remedies & Liquidated Damages
    • Data Security & Privacy Addendum (DPA)
    • Transition & Parallel-Run Acceptance Criteria
    • Acceptance Test Plan & Reporting
    • Change Control & Scope Modification Agreement
    • Subcontracting & BPO Staffing Plan
    • Training & Knowledge Transfer Commitment
    • Termination, Exit & Data Return Plan
    • Insurance, Indemnity & Liability
  6. Deployment

    Operationalize rollout with readiness checks, enablement, and outcome validation.

    1. Pre-Deployment Readiness

      Confirm data conversions, access, knowledge transfer, parallel-processing plans, surge playbooks, and rollback triggers are in place.

      Readiness Questions

      Quick Check — Who’s in the Room?

      • Which role best describes your participation in this readiness planning? Options: State Commissioner/Director, Deputy Director / Program Lead, State CIO / IT Lead, Program Manager / Operations, Federal Liaison, Vendor/Integrator, Other
      • Which stakeholders must explicitly approve go/no-go for deployment readiness? Options: Governor’s office, Federal program officer, State procurement/contract, IT security office, Program operations leadership, Quality assurance team, Other
      • What firm dates or windows constrain your cutover planning (e.g., federal deadlines, fiscal milestones)? Options: Specific calendar date (e.g., regulatory deadline), End of corrective action period, Avoid month-end/benefit cycle, Rolling waves by region, No firm constraint, Other
      • Who will serve as the day-to-day readiness lead we coordinate with during parallel operations?
      • What is your single biggest fear about the deployment that you’d want us to address first?

      If We Cutover Tomorrow, What Would Break?

      • What hidden dependency — a system, report, or manual step — would most likely interrupt benefit payments if it failed at cutover?
      • Which legacy COBOL behaviors or business rules do you currently rely on that are hard to find in documentation?
      • Which edge-case categories cause the most variance in decisions today? Options: Interstate transfers/portability, Retroactive eligibility, Complex household/blended benefits, Nonstandard income sources, Manual overrides/waivers, Other
      • How often do these edge cases occur and what percent of throughput do they represent? Options: Daily / >5% of cases, Weekly / 1–5%, Monthly / <1%, Rarely / anecdotal
      • Can you share a recent example where a failure mode led to a missed federal timeliness or accuracy target? What happened?

      How Confident Are You in Your Data?

      • What proportion of your case and eligibility data do you expect will require cleansing or transformation before the cutover? Options: None — data is ready, Small fraction (under 10%), Moderate (10–30%), Large (30–60%), Very large (over 60%), Unsure
      • Which of these data issues are present today that could derail conversions? Options: Missing/mismatched identifiers, Inconsistent household composition, Old lookup tables/rules, Sensitive PII protection concerns, Incomplete historical payments, Other
      • What sample datasets can you provide for mapping and validation (scope, formats, frequency)? Options: Full anonymized extracts, Subset extracts by region, API access to live test data, No samples available yet, Other
      • Who owns the authoritative source for each critical data domain (eligibility, payments, case notes, audit logs)?
      • How would you prioritize data correctness vs. expediency if we had to choose during conversion (e.g., delay cutover to fix data or proceed and remediate post-cutover)? Options: Prioritize correctness even if delayed, Balance both equally, Prioritize meeting cutover timeline and remediate after

      If Your SMEs Were Gone Tomorrow, Could You Survive?

      • If your three most experienced policy SMEs were unavailable during launch, how would you expect complex adjudications to be handled? Options: We have documented escalation paths, We would rely on vendor SMEs, We would pause complex cases, Unsure
      • Which knowledge-transfer assets currently exist and which are missing (e.g., runbooks, decision trees, recorded shadow sessions)? Options: Runbooks, Decision matrices, Recorded training sessions, Annotated legacy code explanations, None of the above, Other
      • What proportion of your frontline caseworkers regularly handle edge cases versus scripted routinized work? Options: Most (over 60%), Some (20–60%), Few (under 20%), Unsure
      • How do you currently measure caseworker competency and how often are performance assessments performed? Options: Monthly QA reviews, Quarterly assessments, Annual training checks, Ad-hoc / as needed, No formal measurement
      • What retention or staffing risks should we plan for during training and the parallel period (e.g., seasonal turnover, collective bargaining restrictions)?

      What Would a Surge Really Look Like — and Who Breaks First?

      • At what multiplier of baseline volume (e.g., 2x, 3x) have you historically seen critical failures or missed timeliness? Options: 1.5x, 2x, 3x, 4x+, No historical surge
      • Which components do you believe are most fragile under surge: intake, rules processing, payments, QA, or contact center? Options: Intake, Rules engine, Payments/reconciliation, Quality assurance, Contact center, Other
      • What surge triggers are realistic for your program (natural disaster, policy change, eligibility expansion, corrective action deadline)? Options: Natural disaster, Policy change, Economic shock/unemployment spike, Federal corrective action, Other
      • Do you have existing surge playbooks and have they been exercised in the last 24 months? Options: Yes — exercised recently, Yes — not exercised recently, No playbook, Partial playbook
      • What maximum acceptable response times and SLA targets must hold during a 3x surge to avoid federal penalties? Options: Meet baseline SLAs at all times, Allow temporary SLA degradation with reporting, Unclear / need to define

      Parallel Run — Will Two Systems Create Reconciliation Chaos?

      • What reconciliation cadence would you prefer during parallel operations: daily, weekly, or event-driven? Options: Daily, Weekly, Bi-weekly, Event-driven / exceptions only, Other
      • Which acceptance gates should determine when a case moves from legacy to new platform (e.g., accuracy threshold, audit signoff, user competency)? Options: Accuracy threshold, Audit acceptance, Caseworker certification, Federal signoff, Other
      • What reconciliation methods do you currently use or prefer (automated diff tools, manual audits, sampling)? Options: Automated diffs, Manual reconciliation, Statistical sampling/audits, Hybrid approach, Other
      • How many parallel run iterations do you expect before full cutover, and over what timeframe? Options: 1–2 iterations, 3–6 iterations, Continuous / rolling for 12 months, Unsure
      • What team or role will own day-to-day reconciliation and exception resolution during parallel?

      If We Ever Had to Roll Back, How Fast Must We Be?

      • What is the maximum acceptable exposure window (hours/days) before federal timeliness or payment integrity consequences occur? Options: Under 4 hours, 4–24 hours, 1–3 days, More than 3 days, Unsure
      • What concrete rollback triggers would you require (e.g., payment errors above X%, outage affecting Y% of users)?
      • Who has final authority to approve an emergency rollback and what communication chain should be triggered? Options: Governor’s office, Commissioner/Director, Federal program officer, Joint state-vendor committee, Other
      • How many rollback rehearsals would you expect before go-live (none, 1, multiple) and in what environments should they run? Options: None, One rehearsal, Multiple rehearsals, Continuous tabletop exercises
      • What data synchronization or reprocessing steps worry you most during a rollback (payments, appeals, audit logs)? Options: Payments, Appeals/case notes, Audit logs, Benefit history, Other

      What Metric Will Make the Governor Sleep at Night?

      • Which single outcome would you use to declare deployment success publicly (e.g., 98% accuracy, 95% on-time payments, zero material audit findings)? Options: First-pass accuracy %, On-time payments %, Reduction in case backlog, Citizen satisfaction score, Zero critical audit findings, Other
      • Which federal reporting outputs must exactly match legacy reports, and are there any tolerances for format or timing differences?
      • What level of evidence (test results, sample audits, federal pre-acceptance) do you require before signing full cutover acceptance? Options: Automated test pass rates, Third-party sample audits, Federal pre-acceptance, Executive sign-off via committee, Other
      • How should we handle continuous improvement post-cutover—regular retrospective cadence, shared issue tracker, or an ongoing governance board? Options: Weekly retrospectives, Monthly governance board, Shared issue tracker with SLAs, Ad-hoc as issues arise, Other
      • Who will be accountable for documenting lessons learned and maintaining the shared enhancement backlog after deployment?
    2. Deployment Enablement

      Schedule cutover tasks, run parallel operations, validate surge capacity, and coordinate owners with integrated Gantt timelines.

    3. Validation Checklist

      Verify accuracy benchmarks, timeliness metrics, caseworker competency, and federal reporting outputs before full cutover.

      Validation Questions

      Start With the Big Picture — Who You Serve and Why It Matters

      • Which benefit programs are you most urgently focused on modernizing right now? Options: SNAP, TANF, Medicaid eligibility, Unemployment insurance, Child care subsidies, Multiple of the above, Other
      • How would you describe, in one sentence, the specific problem that keeps you up at night about this program?
      • Who in your agency is ultimately accountable to the governor for program performance and federal timeliness? Options: Commissioner, Deputy Commissioner, Program Director, State CIO, Combined/Shared accountability, Other
      • What recent trigger prompted you to consider a modernization partner now (select all that apply)? Options: Federal corrective action plan, Audit findings, COBOL system failure, Natural disaster / surge, Staffing shortages/caseworker turnover, Cost pressures, Other
      • When you think about stakeholders—Governor’s office, federal partners, caseworkers—what single concern do you hear most often from them?
      • How soon does leadership expect measurable improvements (e.g., accuracy, timeliness) after a partner is selected? Options: 3 months, 6 months, 9-12 months, 18+ months, No firm deadline

      Are You Comfortable Letting 'Good Enough' Keep You Vulnerable?

      • If you had to name one assumption your team keeps making about current performance that might be wrong, what would it be?
      • How frequently have you experienced federal findings or corrective actions related to eligibility accuracy or timeliness in the last three years? Options: None, Once, Twice, Three or more
      • What’s the emotional climate when corrective action is discussed—defensive, resigned, urgent, crisis-driven, or something else? Options: Defensive, Resigned, Urgent, Crisis-driven, Hopeful/optimistic, Other
      • How does a missed timeliness target actually impact real people in your state—describe a recent example if available.
      • What accuracy and timeliness thresholds would make federal auditors pause or withdraw an escalation? Options: >98% accuracy, 95–97% accuracy, 90–94% accuracy, Timeliness within federal standard consistently, Other

      Where Do Your Legacy Systems Secretly Break Trust?

      • How often do legacy COBOL rules produce incorrect determinations that only show up after federal reporting—daily, weekly, monthly, or less? Options: Daily, Weekly, Monthly, Quarterly, Rarely/Unknown
      • Which failure modes from the legacy stack have the biggest downstream impact (select up to three)? Options: Incorrect eligibility calculations, Missed renewal triggers, Data loss in conversions, Batch processing delays, Integration timeouts with payment systems, Reporting mismatches with federal schema, Other
      • Tell us about an edge case that the current system gets wrong or that your team still treats as a manual workaround.
      • Do you have historical logs, test cases, and known edge-case datasets available for vendor validation, and where do they live? Options: Yes—comprehensive and accessible, Partial datasets available, Limited/no documented cases, We don't know yet
      • How do current infrastructure limits (CPU, batch windows, network) shape when and how determinations run?

      Who Really Calls the Shots When Decisions Matter?

      • If we had to deliver a change that affects eligibility rules, who signs off at the state level—and who needs to be informed at the federal level?
      • Where do decision bottlenecks usually occur—policy interpretation, legal review, procurement, IT change control, or stakeholder alignment? Options: Policy interpretation, Legal review, Procurement, IT change control, Inter-agency coordination, Other
      • What is your internal decision timeline for contracting and implementation approval (weeks/months)? Options: <4 weeks, 4–8 weeks, 2–4 months, 4–6 months, Longer/uncertain
      • How comfortable are your subject-matter experts explaining complex policy decisions to non-technical stakeholders (e.g., governor’s office or auditors)? Options: Very comfortable, Somewhat comfortable, Not comfortable, We lack SMEs
      • Who would be our primary day-to-day contacts for rules, QA, reporting, and escalation during transition?

      When the System Is Overwhelmed, Who Suffers—and How Fast?

      • When a sudden surge occurs (e.g., disaster, economic shock), how many times normal volume have you experienced? Options: 1.5–2x, 2–3x, 3–5x, >5x
      • What are the first three operational signs you see that indicate you are hitting capacity limits?
      • How does backlog manifest—longer call wait times, increased manual reviews, missed payments, or other failures? Options: Longer call waits, Increased manual reviews, Late or missed payments, Federal reporting shortfalls, Other
      • Describe the last time you executed an emergency surge play—what worked, what failed, and how long did recovery take?
      • Which surge mitigations are available today (select all that apply)? Options: Cross-trained state staff, Temporary contractors, Automated triage rules, Extended batch windows, Alternate data centers, None of the above

      If the Governor Asked You What 'Good' Looks Like, What Would You Say?

      • What three measurable outcomes would satisfy the governor’s office (rank or list in order of importance)?
      • Which federal metrics are non-negotiable for you—accuracy, timeliness, audit acceptance, or something else? Options: Accuracy, Timeliness, Audit acceptance, Consistent federal reporting, Citizen satisfaction
      • What’s an acceptable tradeoff, if any, between reaching perfect accuracy immediately versus guaranteeing uninterrupted payments during transition? Options: Prioritize uninterrupted payments, Prioritize accuracy improvements, Balance with parallel processing, Undecided
      • How would you like citizens’ experience to change—faster decisions, clearer communications, fewer manual calls, or other improvements? Options: Faster decisions, Clearer communications, Fewer manual calls, More self-service options, Other
      • What sample success signal would you want to see within the first 90 days of a parallel run?

      What Would a Vendor Absolutely Have to Promise to Make You Sleep at Night?

      • Which contractual guarantees matter most to you—accuracy SLAs, staffing levels, reporting fidelity, or financial penalties? Options: Accuracy SLAs, Staffing guarantees, Federal reporting fidelity, Penalties/credits, Escalation pathways
      • What minimum accuracy and timeliness SLA thresholds would you require in a contract? Options: ≥98% accuracy, 95–97% accuracy, 90–94% accuracy, Timeliness within federal standard, Other
      • How important is vendor transparency—daily dashboards, audit logs, and open-book QA—to your decision? Options: Critical, Very important, Somewhat important, Nice to have, Not important
      • If a vendor proposed a financial penalty for missed SLA, what type of remedy would feel proportionate to you? Options: Service credits, Termination rights, Remediation plans with third-party oversight, No penalties—collaborative approach
      • Which federal reporting obligations must be explicitly covered in the vendor SOW (select all that apply)? Options: FNS/SNAP reporting, CMS/Medicaid reporting, DOL/unemployment reporting, Child care/federal grant reporting, Other

      Can We Recreate The Weirdest, Most Painful Cases Before Cutover?

      • What are the top five edge-case scenarios that, if missed, would trigger federal scrutiny or a public outcry?
      • Do you have anonymized case files or synthetic datasets for each edge case, and can those be used by a vendor in testing? Options: Yes—full dataset, Partial/anonymized only, We can produce on request, No
      • How do you currently validate rule changes—peer review, SME sign-off, parallel-processing comparison, or other? Options: Peer review, SME sign-off, Parallel-processing, Automated regression tests, Other
      • What acceptance criteria would you require before a vendor’s rules engine is allowed to handle live cases (examples: match rate, false positive rate)?
      • Who in your organization would be responsible for certifying that edge cases are handled correctly during transition?

      What Would a Safe Transition Actually Look Like Day-to-Day?

      • How do you feel about a year-long parallel run—comforting safeguard or unacceptable delay? Options: Comforting safeguard, Necessary but costly, Unacceptable—need faster cutover, Unsure
      • Which day-one operational items must be in place before you allow any vendor-handled determinations to touch live payments?
      • What rollback triggers would force you to revert to legacy processing during or after cutover? Options: Payment delays beyond X days, Accuracy below SLA, Federal reporting mismatch, Caseworker competency issues, Other
      • How would you prefer escalation to work during cutover—daily war room, weekly steering meetings, or automated alerting with named contacts? Options: Daily war room, Twice-weekly steering, Weekly check-ins + alerts, Escalation only on incidents
      • What training, shadowing, or certification would you require for vendor staff who will touch complex eligibility decisions? Options: Policy certification exam, Shadowing state SMEs, Periodic QA audits, Ongoing refresher trainings, Other

      What Would Make You Confident To Move Forward — Right Now?

      • What are the top three deal-breakers that would stop you from selecting a vendor today?
      • Which evidence would most convince you—live throughput demos, audited performance reports, references from similar states, or a short pilot? Options: Live throughput demo, Audited performance reports, Peer references, Short pilot/POC, Other
      • If we proposed a 90-day pilot with defined acceptance criteria, what would you require to feel that pilot was meaningful?
      • Realistically, who needs to be on the approval chain for a contracting decision, and what would make them say yes?
      • Finally, what immediate next step would you prefer—detailed SOW draft, technical deep dive with your SMEs, or a small-scale pilot design? Options: Draft SOW, Technical deep dive, Pilot design, Stakeholder alignment workshop, Other
  7. Success

    Review outcomes against success signals, capture lessons learned, and maintain a shared channel for issues and enhancements.

    Success Reviews

    • Success Signals Review
    • Lessons Learned & Continuous Improvement Workshop
    • Federal Reporting & Audit Readiness Review
    • Operational Handover & Sustained Support Planning
    • Open Issues & Enhancements Triage (Recurring)

    Issues & Enhancements

    • Establish the sustained support cadence and shared channel governance.
    • Schedule the first Continuous Improvement sprint kickoff and the monthly retrospective cadence.
    • Recap Federal Obligations & Acceptable Artifacts
    • Confirm which federal reporting items are complete and which require remediation.
    • Agree a concrete, timebound remediation plan to close audit gaps.
    • Establish a clear handoff and communication path for federal auditors.
    • Assemble and deliver the audit evidence packet for agreed items by the committed date.
    • Assign a single federal-audit liaison with contact details and escalation authority.
    • Log remaining audit gaps in the CAP tracker with owners, actions, and verification steps.
    • Handover Status Summary
    • Ensure the state has access to all runbooks, knowledge artifacts, and trained staff needed to operate.
    • Confirm surge and rollback plans are understood and actionable by named owners.
    • Introductions & Objectives
    • Provide final runbook repository access and ensure all key personnel have credentials.
    • Conduct a cross-check training session for identified critical caseworker and contact center roles within 30 days.
    • Create the shared channel, populate participant list, and post initial triage rules and SLAs.
    • Review of Critical Open Incidents
    • Reduce the open critical-incident list and ensure no item threatens payments or federal compliance.
    • Maintain a prioritized enhancement backlog with clear owners and delivery SLAs.
    • Keep executive stakeholders informed of any high-risk items and planned mitigations.
    • Update the issue tracker with new priorities, owners, and SLA dates within 24 hours.
    • Notify executive sponsors of any items that require contractual changes or additional funding.
    • Prepare a brief status memo for the governor's office and federal liaison for any item with potential audit impact.
    • Confirm whether the deployment meets the contract and governor-level success signals.
    • Surface and quantify any remaining gaps that threaten payments or federal acceptance.
    • Agree remediation owners, timelines, and a re-check cadence for conditional acceptance.
    • Create a single, auditable record of acceptance decisions and evidence references.
    • Produce and distribute the final KPI evidence packet (metrics, QA samples, federal extracts) with annotated pass/fail markers.
    • Document each gap with owner, root cause summary, remediation plan, and due date in the shared tracker.
    • Schedule the conditional-acceptance re-check meeting (if required) and invite federal liaison and governor's office rep as appropriate.
    • Pre-work Review & Framing
    • Document a comprehensive list of lessons with evidence and root causes.
    • Create a prioritized improvement backlog with owners and target dates.
    • Establish governance and cadence for implementing and validating fixes.
    • Publish the lessons-learned report and prioritized backlog to the shared channel and issue tracker.
    • Assign owners and target completion dates for all top-tier improvements (top 5).
    • Recap of Agreed Success Signals
    • Enhancement Backlog Prioritization
    • Staffing & Competency Validation
    • Review Submitted Reports & Discrepancies
    • Timeline Review (What happened when)
    • Audit Evidence Package Checklist
    • Surge & Rollback Playbook Review
    • Owner Assignment & SLA Commitments
    • What Worked / What Didn't (Breakouts)
    • Evidence Walkthrough: Metrics & Artifacts
    • Risks & Dependencies Review
    • Gap Analysis & Root Cause Summary
    • Remediation Plan for Open Audit Items
    • Root Cause Synthesis & Quick Wins
    • SLA Operations & Escalation Paths
    • Acceptance Determination & Next Steps
    • Prioritization & Backlog Formation
    • Sign-off Path & Communication to Federal Stakeholders
    • Confirm Next Steps & Communication
    • Shared Channel & Governance for Issues/Enhancements
    • Governance for Continuous Improvement
    • Close & Action Confirmation
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