Medicaid Audit Matrix

2026 Medicaid Compliance Architecture

Medicaid represents the primary social safety net for healthcare delivery in the U.S. In the 2026 regulatory environment, the focus is on **MAGI (Modified Adjusted Gross Income) Accuracy**, **State Expansion Elasticity**, and **Non-MAGI Asset Protection**. Our S-Class engine analyzes the core eligibility vectors: **FPL Threshold Scaling**, **Continuous Coverage Redetermination**, and **Estate Recovery Friction**.

The Actuarial Model: Solving for the MAGI Margin

Standard calculators often fail to account for the **Deduction Elasticity** of MAGI. Because Medicaid eligibility is based on a specific income calculation, contributing to a traditional IRA or 401(k) can effectively lower your MAGI enough to cross the 138% FPL threshold, granting access to full medical coverage. Our Audit Engine applies a **Threshold Efficiency Index**, identifying the exact dollar-amount of pre-tax savings required to trigger eligibility in 2026.