Justinian helps health and human-services teams interpret state plans, waivers, provider rules, rates, eligibility, coverage determinations, contracts, manuals, and child or family-services policy.
Workflow
The work Justinian helps with
Explain what a state plan, waiver, manual, or coverage determination allows or requires.
Compare reimbursement rates, fee schedules, provider requirements, prior authorization, and documentation rules.
Summarize provider enrollment, quality, enforcement, directory, and contract questions.
Draft policy memos, program FAQs, reviewer notes, and compliance checklists with source support.
Agent behavior
What the agent does differently
Connects federal CMS material with state program documents and operational records.
Keeps eligibility, coverage, rate, provider, and contract questions grounded in source text.
Helps staff turn complex program authority into plain explanations and reviewable memos.
Surfaces gaps, conflicts, and follow-up documents needed for a reliable answer.
Questions teams bring
The common asks are already mapped.
What does the approved plan or waiver allow?
What rate, prior authorization, or documentation rule applies?
What provider requirements control this scenario?
How should program staff explain this to stakeholders?
Source surface
The corpus behind this page
Medicaid state plans, waivers, contracts, rates, and provider records
CMS manuals, coverage determinations, health quality, and enforcement data
State statutes, regulations, guidance, and human-services policy manuals
Uploaded program files, contracts, spreadsheets, and case materials
More government use cases