• Home
  • Solutions
  • Education-based Insights
  • Education Verification for HR1 Medicaid Eligibility
  • Stay Compliant with the Big Beautiful Bill Act (OBBBA)

    Simplify education verification for HR1 Medicaid eligibility

    States face new time-sensitive Medicaid requirements. We have the data and tools to help you meet them — fast.

    Stay Compliant with the Big Beautiful Bill Act (OBBBA)

    Simplify education verification for HR1 Medicaid eligibility

    States face new time-sensitive Medicaid requirements. We have the data and tools to help you meet them — fast.

    Streamline Medicaid Eligibility Verification with Trusted, First-Party Data

    Using the National Student Clearinghouse, states can quickly verify enrollment and education status to meet federal requirements.

    The Current Status

    Under the Big Beautiful Bill Act, one of the ways that able-bodied adult Medicaid recipients, ages 19-64, can maintain their eligibility is by being enrolled at least half-time in an educational program.

    Based on currently available information:

    • We provide a “half-time” enrollment data element to meet the requirement. This can be done via our Insights Platform via API or batch files.
    • This requirement will go into effect January 1, 2027
    • Eligibility will need to be re-verified every 6 months

      The Challenge

      States must establish a verification workflow that enables compliance — on a tight timeline.

      • Limited time to implement a compliant workflow
      • Uncertainty around CMS guidance
      • Verifying eligibility for Medicaid through education requires accurate, comprehensive enrollment data

      Use the Clearinghouse Solution for Your Medicaid Eligibility Education Verification

      We have the depth of data and technology to make compliance simple:

      Coverage

      Enrollment records for nearly 3,600 US institutions — 97% of students enrolled in Title IV institutions

      Insights API

      Immediate, real‑time education status verification delivered directly into eligibility systems and workflows

      Secure batch processing

      High‑volume batch file processing

      Compliant

      Meets FERPA and applicable legal requirements. 

      Why Choose the National Student Clearinghouse?

      Comprehensive coverage — 97% of students enrolled in Title IV institutions

      Flexible integration to fit your workflow

      Proven solution used by thousands of employers, financial institutions, and background screeners

      Trusted name in higher education data — for more than 30 years, thousands of institutions have relied on us to provide verifications on behalf of their learners

      NOTE: The National Student Clearinghouse provides verification and data services; we do not make eligibility determinations or provide legal advice.

      Get started on your HR1 Medicaid eligibility verification solution today.

      Contact us with your questions or to learn more about our Insights API.

      Name(Required)
      State(Required)