DIG State Adaptation Generator

Step 1

State & agency basics

These fields are pre-filled with example values as a starting point. Update anything that differs for your state.

State name

Medicaid agency full name Agency acronym

Medicaid expansion program name Program acronym

State digital benefit portal Portal URL

State work requirements info page URL State general Medicaid eligibility page URL Ways for residents to check if they are in the expansion population. One per line — each becomes a bullet point. We recommend clear, easy-to-find, specific methods. Supports {portal} for your portal name above.

Name or acronym of food program Name or acronym of cash program

State-run employment/training program example Appears in: "Work programs include state-run programs like [this]."

Step 2

Brand colors

Pick your primary accent color and a darker header/button color. Status colors for exempt/meeting/report stay fixed across states so their meaning stays consistent. Ensure the accent color you select is dark enough for people with low vision to see and meets WCAG color-contrast requirements.

Primary accent color

Dark header/button color

Step 3

1931 / FPL threshold

Check with your policy team for your state's Section 1931 income threshold and the corresponding dollar amounts. This also determines the logic used for the "parent of a child under 18" card automatically — no separate choice needed.

Threshold (% of Federal Poverty Level)

Example amount, family of 2 Example amount, family of 4

Example amounts are calculated automatically from your threshold above, using the current HHS federal poverty guidelines (48 contiguous states, effective Jan 13, 2026: $21,640/year for a family of 2, $33,000/year for a family of 4).

You can edit either amount manually if your state's figures differ — it will stop auto-updating once you do. Alaska and Hawaii use higher base guidelines.

Step 4

State policy choices

Change these policy choices if they differ from your state's implementation plan.

Note: The DIG is currently designed for a 1-month lookback period.

State optional short-term hardship exemptions

Controls two Zone 2 cards together: "Medical travel" and "Receiving medical care." Turn off if your state hasn't adopted these optional exemptions.

Allow self-attestation for exemptions

Recommended. When on, the DIG tells people (in the next steps for people with exemptions and in the medically frail definition) that they can claim exemptions by self-attesting at this time. Turn off if your state is not allowing self-attestation.

Implementation month & year

Updates every "starting [month] [year]" reference throughout the tool.

Step 5

Other exemption & situation cards

Edit the language for your state, or turn off any card that doesn't apply. Most of this text reflects federal HR1 statute, so changes should usually be about state terminology or program names — not the underlying eligibility rule. Each zone below is closed by default so it doesn't get in the way.

Optional

Advanced: everything else that's editable

Disclaimer text, the summary panel, and the printed "summary & next steps" language. Most states won't need to touch this — it's here if your policy team wants to adjust wording. Closed by default so it doesn't get in the way.

Step 6

Review & generate

Everything below reflects your current answers. Download the ready-to-publish tool, and a review document for your policy team's sign-off.

Both files are static, self-contained, and run entirely in the browser — no server, login, or data collection. Your state's security/ATO reviewers may still want to review this before publishing.

Found a bug or mistake, or have a question? Send feedback to Kayla@civilla.org.