ELIGIBILITY AND ENTITLEMENT
A proven, scalable and modern approach to benefit delivery
Efficient workflows allow agencies to provide better outcomes for individuals and their families.
OVERVIEW
Modernize the delivery of your health and social programs
Innovate your eligibility and entitlement processes so you can focus on what matters the most. The Cúram platform is a modular solution that can adapt to the demands of changing legislation, policy and population needs to support you in improving the lives of those you serve.
Configurable solutions to meet your specific needs
- Configuration tools in our administrative suite provide no-code capabilities to implement new program features and modify existing programs
- Supports both on-premise and cloud-based deployments that scale quickly
- Supports incremental modernization by allowing agencies to add on new modules and features over time
Specifically designed for health and human services
- Incorporates a domain-specific eligibility and entitlement engine that can evaluate determinations across the lifespan of client interactions
- Manages resulting benefits and service deliveries, including financial issuances and provider service authorizations
- Features robust financial management, including automated over- and under-payment determinations when reassessments are required
Integrating data across programs
- Provides comprehensive data on service delivery for accountability and decision-making purposes
- Delivers integrated data across programs, agencies and governments
- Includes business and infrastructure security mechanisms to keep data protected
Our eligibility and entitlement solution provides
- Automated payment scheduling
- Automatic overpayment case creation for tracking and recoupment
- Capture & reuse evidence
- Deduction configuration for recouping overpayments
- Eligibility and entitlement determination
- Handles multiple evidence changes, rule and rate changes
- Household composition determination
- Household composition display
- Multi-program payment consolidation
- Nominee payments
- Overpayment and underpayment calculation
- Prepayment entitlement verification
- Program specific verification rules
- Rate change
- Retroactive change processing
Public and client portals
Cúram's citizen engagement solution delivers screening, application, and account management features to securely engage your clients 24/7
Eligibility and entitlement
Rules, processes and an engine that all aid in determining eligibility and entitlement
Ongoing financial and case management
Disburse timely, accurate payments and monitor the progress of individuals to promote positive outcomes
“The huge take-up of this new benefit in its first three months highlighted just what can be achieved when you design a service with the people who will actually use it.”
Shirley-Anne Somerville, Cabinet Secretary, Social Security Scotland
Ready to talk?
RESOURCES
Solution Brief
Eligibility & Entitlement Solution Brief
Governments need a social program infrastructure that can respond, scale and engage at the speed of change.
BLOG
Creating a new social benefits agency
See how The Scottish Government disbursed GBP 190 million to nearly 100,000 households.
Solution Brief
Cúram supports CCWIS compliance
Learn how Cúram's child welfare solution aligns with all federal standards and supports state efforts to achieve CCWIS compliance.