With federal Medicaid work requirements taking effect in 2027, states are actively investing in new technology and data systems to support a major shift in how certain applicants qualify for and maintain benefits. States are seeking to adopt a more flexible and agile approach to procurement for eligibility and enrollment systems, as well as for technology infrastructure writ large. Alaska’s Medicaid agency is a recognized leader in procurement agility, having invested in this transformation for almost a decade, and the state’s experience offers important lessons for others.

This tipsheet draws on Alaska’s experience and insights from procurement expert Waldo Jaquith, U.S. Digital Response, shared during a state‑only Medicaid Work Requirements: Tech Implementation and Integration Learning Series in March 2026. It outlines best practices states can use to improve their processes within existing procurement authorities.