AI is turning the 1115 Waiver's Promise Into Results One Medicaid Member at a Time

AI is turning the 1115 Waiver's Promise Into Results One Medicaid Member at a Time

AI is turning the 1115 Waiver's Promise Into Results One Medicaid Member at a Time

Jun 3, 2026

The 1115 Medicaid Waiver created an ambitious mandate: connect millions of members to food, housing, and Medicaid resources before those unmet needs turn into costly hospital visits.

Blooming Health’s technology enables some of the country’s largest federally qualified health centers, health systems and plans, and social care networks. Our platform instantly scales surveys, screens, reminders, and other types of outreach through AI agents that reach people by voice call, text, or email and on 55+ languages to ensure people receive the messages and notifications they need.

In this blog we outline 3 anonymous case studies with different Blooming Health clients to show what happens when the 1115 Waiver meets the right technology.

Case Study 01: New York Social Care Network 

This New York Social Care Network is responsible for serving millions of New Yorker Medicaid members with more than 300 community-based organizations. The math simply didn't work with traditional staffing: there weren't enough hours in the day for manual outreach to reach everyone.

They used Blooming Health to:
Screen for social needs (SDOH) — the platform handled eligibility screenings at scale, completing 100+ more per day than before

Send outreach communications — 4.8M total communications sent across the network

Connect members to CBOs — coordinating with 300+ community-based organizations to route people to the right food, housing, and transportation support

Track follow-through in real time — so staff could see which members were engaged and which needed additional attention

The results were undeniable. This New York Social Care Network was able to reach 1.7 million, at a 93% engagement rate. This lead to an estimated $11.3M estimated savings,

Case Study 02: Social Care Network - Lead Entity for Local Region

A New York-based Social Care Network and 1115 Waiver Lead Entity partnered with Blooming Health in 2025 with an ambitious goal: connect hundreds of thousands of community members to the services and supports they need. The challenge was determining whether technology could identify individual needs and facilitate service connections more effectively than traditional outreach methods while reducing administrative burden.

Using Blooming Health the organization launched a multilingual outreach campaign across SMS, voice, and email, meeting community members where they already were.

Automated wellness surveys and screenings were delivered at scale, responses were captured in real time, and individuals with identified needs were connected to appropriate resources through streamlined referral workflows.

The first campaign reached 9,000 people and generated meaningful engagement—work that would have required an estimated 500–600 staff hours if completed manually. Instead, it was executed in minutes.

More than 600 community members completed self-screenings, surfacing needs that staff could address directly. Rather than spending time on repetitive outreach, staff were able to focus on what matters most: supporting individuals and strengthening community connections.

Case Study 03: Major Community Care Hub that Connects Medicaid Members

For a major regional nonprofit network that connects Medicaid members to essential health and social services, the bottleneck was screenings. Every person entering the network needed one before they could be connected to food, housing, transportation, or healthcare resources. As referral volumes climbed, a growing backlog meant people were waiting for support they needed immediately.

Blooming Health's platform changed the math entirely. Instead of each screening requiring a staff member's time, AI and automation engages individuals via SMS, voice, and digital channels—asking the right questions, capturing responses in real time, and surfacing actionable needs to care coordinators instantly.

The organization reached more than 73,000 people, tripled daily screening volume, and reduced outreach timelines from weeks to minutes—all without adding a single staff member.

The 1115 Waiver was designed to transform how Medicaid members access health-related social needs services by creating stronger connections between healthcare and community-based organizations. But achieving that vision requires more than funding alone. It requires the ability to identify needs, engage members consistently, and connect people to the right services at scale.

By automating outreach, screenings, follow-ups, and service navigation, Blooming Health helps organizations reduce administrative burden while expanding their reach. The result is faster identification of needs, increased engagement, more completed benefits renewals, and more successful connections to critical services—all while giving frontline staff back 10 to 20 hours each week to focus on the human work that technology cannot replace.

See more in-depth case studies here. And reach out to our team to explore solutions. 

Learn more
about us

Stay informed

Keep in touch with Blooming Health, and discover how innovative approaches in social health engagement are breaking barriers and fostering stronger connections within communities.

Blooming Health empowers organizations to seamlessly connect with their communities through a powerful AI-assisted engagement platform, ensuring every message is personalized and effectively delivered, regardless of age, communication method, or language.

Contact

info@gobloominghealth.com

287 Park Ave S, Office 432, New York, NY 10010

Copyright © 2024. All right reserved to Blooming Health

Learn more
about us

Stay informed

Keep in touch with Blooming Health, and discover how innovative approaches in social health engagement are breaking barriers and fostering stronger connections within communities.

Blooming Health empowers organizations to seamlessly connect with their communities through a powerful AI-assisted engagement platform, ensuring every message is personalized and effectively delivered, regardless of age, communication method, or language.

Contact

info@gobloominghealth.com

287 Park Ave S, Office 432, New York, NY 10010

Copyright © 2024. All right reserved to Blooming Health

Learn more
about us

Stay informed

Keep in touch with Blooming Health, and discover how innovative approaches in social health engagement are breaking barriers and fostering stronger connections within communities.

Blooming Health empowers organizations to seamlessly connect with their communities through a powerful AI-assisted engagement platform, ensuring every message is personalized and effectively delivered, regardless of age, communication method, or language.

Contact

info@gobloominghealth.com

287 Park Ave S, Office 432, New York, NY 10010

Copyright © 2024. All right reserved to Blooming Health