Low utilization is not low need.
Medicaid programs carry more benefit types, more vendors, and more member churn than any other line of business. The barriers members hit are practical ones: members don’t know what they have, too many cards, no visibility into balances, and support that lives outside the app.
Members don’t know it’s there
Members cannot use a benefit they never hear about. Awareness collapses before access or usability even become questions.
A card for every program
A card for food, another for OTC, a transportation number on a mailer. Members are left carrying the integration burden.
No line of sight to balances
When a member cannot see what a benefit is worth today, they treat it as unavailable. Utilization reporting arrives too late to fix that.
Benefits live in silos
Members manage food, pharmacy, and transportation benefits in different places, with different support lines.
One card. One wallet. One line to call.
Speak collapses each of those barriers into a single member experience — one card at the register, real-time visibility in the wallet, and one team on the phone.
One card for every program
A single Universal Wallet card replaces the food card, the OTC card, and the transportation number on a mailer.
Balances and alerts in the wallet
Members see what’s available today, not a utilization report that arrives after the benefit period has closed.
One support line in the app
Groceries, pharmacy, and transportation questions go to the same place, not three different vendors.
Benefit design per contract
Purses, eligibility rules, and allowable spend are configured per state and line of business, with versioned records of every change.
Value-added services
Vision, dental, hearing, non-emergency transportation, and meal supports administered as documented, restricted purses.
Continuity through churn
A digital channel that still reaches members when a mailing address has gone stale.
Encounter and utilization reporting
Produced from platform data on your submission schedule, aligned to your state’s reporting requirements.
Configured to the contract you actually signed.
Speak administers Medicaid benefits the way state contracts are written and audited — purse by purse, with the documentation attached rather than reconstructed later.
Card your members once, support them forever.
One multi-functional, custom-branded card carries every carded benefit in the program. Restrictions are enforced at the point of sale, so a member never has to guess whether an item qualifies.
Curated or custom Approved Product Lists, restricted at SKU and merchant level.
Add new benefit purses to the same card as the program evolves — no re-carding.
Card management, PIN reset, and replacement handled inside the wallet.
Reward programs built around the measures you are held to.
Reward purses follow proven program archetypes. Members earn on the card they already carry, and every earned dollar ties back to a completed activity.
Mother & baby support
- Prenatal visit attendance
- Postpartum follow-up
- Well-child visit series
Supports timeliness of prenatal and postpartum care
Diabetes support
- A1c screening
- Retinal exam
- Supplies and monitoring purse
Supports comprehensive diabetes care
Immunization support
- Childhood immunization series
- Adolescent catch-up
- Seasonal shots
Supports childhood and adolescent immunization status
Support built around the member, not the vendor.
Speak runs its own AI-enabled service operation, so the team answering a Medicaid member's call knows the benefit, the card, and the retailer. It works alongside your existing call center — live agent support can sit with the plan, with Speak, or with a third party.
Get in Touch24/7 support inside the app
- In-app live chat and support calling
- Phone and chat coverage around the clock
- No leaving the wallet to get help
Language and accessibility
- Support in the member’s own language
- Plain-language collateral at required reading levels
- Live agents, IVR, and visual assist
Proactive outreach
- Benefit reload alerts
- Reward opportunities as they are earned
- Well-child, prenatal, and screening reminders
360° coverage
- Activation, balances, lost or stolen cards
- Product eligibility and store finder
- Program questions and transaction history
Reporting built around what your state requires.
A 24/7 client portal shows card issuance, activation, and utilization as they happen, with presentation-ready exports and the transaction-level detail behind every figure.
Member communications — cards, mailers, and catalogs — are designed and produced in-house at required reading levels, with translation and accessible formats.
Let's talk about your Medicaid program.
Tell us what your contract requires, and we will show you how the program is configured, launched, supported, and reported.


