Public benefits infrastructure
Getting people enrolled is hard. Keeping them covered is harder.
Mirza does both.
Mirza matches, verifies, and enrolls people in the benefits they qualify for, and keeps them covered as eligibility rules and verification requirements keep changing.
The new medical frailty standard requires evidence that has never existed in any eligibility system. We surface it.
Mirza's live eligibility stream: a household matched to Childcare (CCAP) at $1,120/mo, SNAP at $291/mo, WIC at $74/mo, and Head Start enrollment, every eligible benefit matched in under 3 minutes.
The shift
Access has become table stakes. Continuity is the new problem.
For years, the work was access: helping people find and apply for the benefits they qualify for. That's now expected. The harder, growing problem is keeping people covered over time, as eligibility is re-checked, rules tighten, and verification requirements grow. Every renewal and redetermination is another moment when someone who still qualifies can lose coverage over paperwork, not eligibility.
Sources: USDA FNS, Center for American Progress, CBPP, Pew Research, FRAC.
Why now
H.R.1's Medicaid community-engagement requirement takes effect January 1, 2027.
States must determine who is subject to the requirement, and whether they're compliant, deemed compliant, or excluded. They must verify it from available data, run outreach and cure workflows, and keep auditable records. All on systems that were never built for this.
Figures are CMS estimates accompanying the interim final rule implementing H.R.1's Medicaid community engagement requirement: Medicaid Program; Community Engagement Requirement for Certain Individuals (CMS-2454-IFC), published June 3, 2026; requirements effective January 1, 2027.
What we've built
An engine that matches, verifies, and enrolls, at scale.
Mirza does the hard parts of connecting people to benefits. We take complex eligibility and application rules, federal, state, and local, and turn them into machine-readable logic, so the same engine that connects families to childcare and food today runs across the safety net.
Confirm eligibility from data
With consent, Mirza verifies income and eligibility directly from payroll, employer, and benefits data, and pulls details from uploaded documents with OCR. Fewer people are asked to prove what can already be verified.
Reach people who'd fall through
Plain-language, mobile-first outreach in 100+ languages reaches the households that traditional systems struggle to find.
Enroll across programs in one flow
One guided flow prepares applications across the programs a person qualifies for, pre-filling up to 70% of fields from verified data so no one re-enters the same information each time.
Keep a clear record
Every eligibility decision is rule-based and traceable to the policy it came from. Every step, from confirmation to approval, is reviewable and auditable, with full visibility for the institution.
The Mirza member app, live todayWhat you get
An audit-ready compliance record for every member.
Mirza turns the engine's work into a single exportable record your team and your auditors can stand behind. Built to drop into agency systems, MCO workflows, or your integrator's environment.
Built for the hard cases
For state Medicaid agencies and managed care organizations navigating H.R.1: Mirza surfaces the clinical evidence behind medical frailty exemptions before disenrollment notices go out. Claims data captures diagnoses. The new work-ability standard requires something different. Mirza bridges that gap using clinical documentation infrastructure that no eligibility system can reach, delivering a clean evidence feed to states without managing EHR data directly.
- StatusSubject, compliant, deemed compliant, excluded, or needs outreach.
- EvidenceThe data sources and documents behind every determination.
- Rules & reviewThe logic applied, plus human-review actions and consent history.
- Audit trailEvery step timestamped, from first data check to final output.
Delivered as structured output, straight to your system of record.
Data first, member burden last
Verify what can be verified before asking anyone to prove it.
Regulators call it ex parte verification: use the reliable data you already have before shifting the burden of proof onto members. Mirza makes that the default order, and routes the hard cases to people, not dead ends. Then we widen the check itself: Mirza brings work-activity and medical-frailty evidence the system doesn't already hold, so more people clear before anyone is asked for paperwork.
Confirm identity & consent
Establish the person, the household, and what data may be accessed, and by whom.
Check reliable data first
Evaluate status against state, plan, payroll, and income data, plus the sources Mirza brings: live payroll and gig-platform connections for work activity, and medical-frailty evidence from clinical documentation that claims-based systems can't reach.
Apply rules, exceptions included
Compliant, deemed compliant, excluded, or needs outreach, with logic for medical frailty, caregiving, and hardship built in.
Ask only when needed
Request a document only when reliable data falls short, and send sensitive, low-confidence cases to human review.
When outreach is needed, it meets members where they are: reminders and guided follow-ups in the member's language, on the channels they already use. A conversation that starts on one channel can continue on another without starting over. Progress is saved, and documents uploaded once are reused across every program.
Results from the field
Built, proven, and deployed.
“Because of the UFT, I was able to secure affordable childcare, which allowed me to return to work and ease the burden on my family… We're lucky to be part of a union that looks out for its people.”
Benefits continuity
From benefits access to benefits continuity.
This is the infrastructure that runs on top of our proven engine: not just getting people enrolled, but keeping eligible people covered as the rules keep changing.
Verify first, burden last
Mirza confirms eligibility from available data before anyone is asked to prove it, so the burden of proof lands on members last, not first.
Catch people before they fall through
Mirza flags members approaching a renewal or redetermination deadline and reaches them with reminders while there's still time to act, not after they've already churned.
One continuous record of coverage
States and plans get one clear, reviewable record of how eligibility was confirmed over time.
Cut cross-agency complexity
Mirza reconciles conflicting and duplicate requirements across programs and agencies, so states and plans run on clean, consistent eligibility logic instead of a fragmented rulebook.
Who we serve
Built for the systems that deliver benefits at scale.
Mirza is the connective layer between the programs people qualify for and the institutions responsible for delivering them.
State agencies
A modern front door to public programs. Verify and enroll eligible residents, and keep them covered through redeterminations, without adding headcount.
Learn more →Health plans & MCOs
Keep members enrolled as eligibility rules shift. Close the benefit gaps that drive disenrollment and poor outcomes, and lift retention and quality measures.
Learn more →Employers & unions
Help your workforce reach the benefits they already qualify for. Better retention, less absenteeism, no new headcount.
Learn more →Procurement
The deadline is fixed. The acquisition path doesn't have to be slow.
CMS-2454-IFC requires states to verify community engagement compliance, and identify medically frail and other exempt members, by January 1, 2027. Most eligibility systems were never built to do this, and no standard E&E module does it today. States without a tool in place may qualify for expedited or sole-source acquisition under their procurement rules. Our government team prepares the documentation your procurement office needs, including the technical justification.
- TodayJune 2026
- Acquisitionvehicle · APD · sole-source
- Integration~8 weeks · data agreements
- Outreach & cure livebefore first determinations
- Jan 1, 2027requirement effective
Working backward from January 1: states that start acquisition this quarter run outreach and cure workflows before the first determinations are due.
APD support
We prepare Advance Planning Document-ready documentation (scope, cost allocation, and the federal funding pathway for E&E system enhancements) so your team isn't drafting it from scratch.
Through your integrator
Already mid-contract with a systems integrator? Mirza drops into integrator-led programs as the verification, exception, and compliance layer. No procurement reset required.
Medicaid Program; Community Engagement Requirement for Certain Individuals (CMS-2454-IFC), 91 Fed. Reg., published June 3, 2026. Requirements apply beginning January 1, 2027. Exemptions include medically frail individuals, pregnant and postpartum women, certain caregivers, Tribal members, and veterans with a total disability rating. Sole-source and expedited acquisition availability varies by state procurement law. Mirza provides supporting documentation; your procurement office determines the vehicle.
For health plans & MCOs
You carry the retention risk.
Members churn at redetermination over paperwork, not eligibility, and it lands on your retention and quality measures. Eligibility authority sits with the state, so you can't fix it alone. Mirza runs the layer between you and the state.
See risk early
Flag members at risk of losing coverage before the deadline, not after they've churned.
Hand the state clean determinations
Audit-ready records instead of document chasing, in the format the agency needs.
Protect your measures
Defend retention and quality without needing authority you don't have.
For health plans & MCOs
Built for the right side of the MLR.
Mirza spend is structured to be classifiable as Quality Improvement Activity spend under federal MLR rules: on the medical side of the ledger, not admin. Per-member fees are tied to documented quality outcomes, care coordination, and patient safety interventions, each supported by a member-level audit trail your actuarial team can review before contract.
Administrative spend
Counts against your MLR
- ·Document chasing & mailings
- ·Call-center churn handling
- ·Re-enrollment marketing
- ·Manual verification staffing
QIA-classifiable spend
Counts toward your MLR, not against it
- +Member-level HEDIS attribution records
- +Care coordination & benefit navigation
- +Exemption identification before disenrollment
- +Health IT platform investment
● Mirza sits here: the medical side of the ledger
Classification you can defend
Quarterly HEDIS-mapped quality reports and an annual MLR QIA filing support package: the documentation your actuarial and compliance teams need to confirm classification before contract, and to stand behind it at audit.
Coverage that survives redetermination
Members with exemption signals (medical frailty, caregiving, pregnancy) are identified from data you already have, before a disenrollment notice goes out. Members who are subject to the requirement get reminders and cure-period support in their language and channel.
- ✓Live payroll and gig-platform integrations for work-activity evidence
- ✓Exemption identification from existing clinical and administrative data
- ✓SOC 2 Type II · HIPAA · BAA available
- ✓8-week deployment, layered on the systems you run
Trust & compliance
Enterprise-grade security. Government-grade compliance.
Families share their most sensitive information with Mirza, and so do the institutions we serve. We protect it to the standards health plans and government agencies require.
End-to-end encryptedFits your stack
Accelerate the systems you have. Don't replace them.
Mirza attaches to the eligibility systems, plan workflows, and integrator-led programs you already run, adding the verification, exception, and compliance layer on top. Each module deploys on its own: pick what your program needs, skip what you've already covered. Together they snap into one auditable benefits-continuity workflow.
Layer on, don't rip out
Ex parte verification, exception logic, and compliance records over your existing eligibility systems.
Make your integrator faster
Drop into integrator-led programs to accelerate H.R.1 readiness, with no procurement reset required.
Deliver where it lands
Structured output flows to agency systems, plan workflows, or your system of record, by API, file, or export.
Componentized by design
Work & income verification
Live payroll and gig-platform connections that verify work activity and income automatically, with ex parte evidence flowing straight into your eligibility workflow.
Clinical documentation intelligence
Surfaces the medical-frailty evidence the new standard requires, from clinical documentation no claims-based system can reach, delivered as a clean evidence feed.
Rules & exemption engine
Compliant, deemed compliant, excluded, or needs outreach: federal, state, and local rules as machine-readable, auditable logic, kept current as policy changes.
Outreach & cure-period workflows
Notices, reminders, and guided follow-ups in the member's language and channel. The outreach and cure obligations H.R.1 creates, automated.
Intelligent document processing
Reads submitted documents, checks sufficiency, and flags errors before submission, for cleaner evidence into whatever system you run.
Eligibility screening
A guided screen that determines what someone qualifies for in minutes, embeddable in the front doors you already run.
Common application
Collect once, apply to every program a household qualifies for, from 200+ supported, in a single pre-filled application, in under 15 minutes.
As seen on Bloomberg · February 2024
Bloomberg Technology on the company rebuilding benefits access.
Co-founder and CEO Siran Cao on how Mirza started by cracking childcare subsidies, and where the infrastructure goes from here.
Backed by top-tier investors and trusted by leading institutions.
Leading investors back Mirza, and the institutions that serve working families deliver it, so no family misses the benefits they're owed.
Investors & partners
Company
Operators building the safety net's missing infrastructure.
Female-founded, built from lived experience. CEO Siran Cao scaled Uber's frontline support operations before founding Mirza to fix the fragmented benefits system she grew up helping her family navigate.
Let's keep eligible people covered.
See what Mirza does for the people you serve. We'd love to show you.