SocialRoots.ai's new AI Agentic Caller and SMS outreach helps health centers communicate Medicaid renewal information, identify members who may need additional assistance, and prepare for upcoming federal work and community engagement requirements.
PALO ALTO, Calif., Oct. 18, 2026 /PRNewswire-PRWeb/ -- SocialRoots.ai today announced a new AI Agentic Caller and SMS outreach capability designed to help Federally Qualified Health Centers (FQHCs) and community health organizations reach Medicaid members ahead of upcoming renewal deadlines and the new federal Work and Community Engagement requirements taking effect January 1, 2027. Available through GridSocial, SocialRoots.ai's Closed-Loop Referral System (CLRS), the capability helps organizations communicate with members in multiple languages, identify those who may need additional assistance, and guide them toward the next steps to help maintain their coverage.
New Federal Requirements Raise the Stakes for Medicaid Renewal Outreach
Under the federal H.R. 1 law, most states that have expanded Medicaid coverage - 42 states and the District of Columbia must implement new Medicaid Work and Community Engagement requirements by January 1, 2027. Under the requirements, many working-age adults ages 19 to 64 will generally need to demonstrate 80 hours per month of work, school, volunteering, or another qualifying activity, or establish that they meet an exemption, to maintain their coverage.
Health policy researchers estimate that roughly 18.5 million adults nationally could be affected by the new requirements. Some members may face the risk of losing coverage because of missed paperwork, outdated contact information, or renewal notices that never reach them, rather than because they are ineligible.
For health centers and community organizations, reaching members early and helping them understand what action they need to take will be important to supporting timely renewals and reducing avoidable coverage disruptions.
AI Agentic Caller and SMS Outreach Helps Members Take the Next Step
The new AI Agentic Caller and SMS outreach capability enables health centers and community organizations to contact Medicaid members through automated, conversational calls and text messages in multiple languages.
During an outreach interaction, the AI Agentic Caller can verify relevant contact details, check renewal status where connected data is available, and ask screening questions about household changes, income, and work or community engagement activities. Based on the member's responses, it can help explain the next steps and identify when additional assistance may be needed.
Members who need help with their renewal can receive step-by-step guidance, connect with a live enrollment team, arrange an in-person appointment, or request a guided phone walkthrough, depending on the support available through the organization. Outreach interactions and outcomes are recorded to help care teams track who has been reached, who has completed the necessary steps, and who may need further follow-up before a deadline.
Available through SocialRoots.ai's Closed-Loop Referral System (GridSocial), the capability supports more consistent member outreach while helping organizations manage large outreach lists.
Key Capabilities
- AI Agentic Caller and SMS Outreach at Scale: Reach large numbers of Medicaid members through automated, conversational calls and text messages, helping organizations maintain consistent outreach ahead of renewal deadlines.
- Contact and Renewal Verification: Confirm contact details and check renewal status where the necessary information is available, helping identify members who may need reminders or additional assistance.
- Work Requirement Pre-Screening: Ask questions about work, school, volunteering, caregiving, or other relevant circumstances to help identify members who may need additional information, exemption guidance, or supporting documentation.
- Connection to Enrollment Assistance: Connect members who need help with a live enrollment team, an in-person appointment, or a guided phone walkthrough, based on available services and member preference.
- Multilingual Support: Conduct outreach conversations in multiple languages and provide renewal guidance to help members understand the steps they may need to take.
- Retention and Follow-Up Support: Help members who need additional assistance connect with the appropriate team and, where supported, schedule appointments or receive follow-up reminders.
The capability is already being used with community health organizations supporting Medicaid members through renewal outreach and preparation for upcoming work and community engagement requirements.
By handling routine outreach, reminders, and follow-ups, the capability helps reduce the manual workload on enrollment and outreach teams, allowing staff to focus on members who need more personalized assistance. This can also help organizations reduce the time and resources spent on repetitive outreach activities while improving visibility into member responses and outstanding follow-up needs.
Help Members Stay Connected to Medicaid Coverage
Healthcare organizations preparing for upcoming Medicaid renewal and work requirement changes can explore the AI Agentic Caller and SMS outreach capability through SocialRoots.ai's Closed-Loop Referral System (GridSocial).
A free proof of concept is available for interested organizations to explore how the capability may support their member outreach and enrollment workflows.
About SocialRoots.ai
SocialRoots.ai is a Palo Alto-based healthcare technology company building software for community-based care. Its platforms, including GridSocial, support closed-loop referral management, care coordination, and member outreach for health systems, FQHCs, public health organizations, and community-based organizations across the United States.
Learn more at https://www.socialroots.ai/
Media Contact
Bala Murali, Dataterrain inc, 1 8472547133, [email protected], https://dataterrain.com/
SOURCE SocialRoots.ai
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