Irving, Texas – March 31, 2026 – Gainwell Technologies LLC today announced a new solution to help state Medicaid agencies identify medically frail members as part of Community Engagement Verification (CEV) programs required under H.R. 1. As part of its pledge to CMS, Gainwell is making the underlying proprietary clinical logic—the rules that determine whether someone qualifies as medically frail—available to every state…

Implementing medical frailty exceptions for Community Engagement Verification (CEV) is a massive administrative hurdle for state agencies. Recent legislative changes, such as H.R. 1, require states to assess medical frailty exemptions rapidly and accurately despite complex data environments. The process demands sophisticated clinical logic, seamless data integration, and highly adaptable…

Immunization technology is moving smarter and faster—and Gainwell is at the center of it at the AIRA 2026 National Meeting. We can’t wait to see you to share hands-on insights, proven strategies, and real‑world solutions that help states strengthen data quality, boost interoperability, and modernize IIS platforms with confidence.

Fraud, waste, and abuse (FWA) in Medicare and Medicaid are significant challenges that threaten the sustainability of these programs, reduce access to care for vulnerable Americans, increase taxpayer costs, and undermine trust in the healthcare system. The recent House Energy and Commerce Committee Oversight and Investigations Subcommittee hearing, titled “Protecting Patients…

Learn how the Maine DHHS transformed vaccine distribution and access through critical insights and targeted interventions supported by Gainwell Technologies.

Immunization program leaders face unprecedented challenges. Read 5 tips from a former immunization program director to help you succeed in this vital role.