Michigan's computer-run Medicaid eligibility system, operated under contracts worth approximately $768 million by the consulting giant Deloitte, has repeatedly and incorrectly denied or misdirected disabled residents away from the benefits they are legally entitled to receive, a KFF Health News investigation published July 20, 2026 has found. The problems documented in Michigan include the system incorrectly enrolling disabled people in a skimpier benefits plan not designed for them, denying coverage to working disabled adults whose earnings the system miscalculated, and failing to recognize specific Medicaid eligibility rules that apply only to people with disabilities.
Deloitte does not operate only in Michigan. The same company holds contracts to build or run Medicaid eligibility systems in at least 25 states, according to KFF Health News, making it the dominant private vendor in the government business of determining who can access safety-net health coverage.
