- Medicaid and CHIP beneficiaries make up 16% of total US health expenditures, costing $495.8 billion annually. - Text messaging can effectively engage Medicaid members by providing targeted health information and reminders. Two-way texting results in much higher engagement than one-way texts. - Studies show text reminders increase vaccination and screening rates, and educational texts reduce emergency department use for non-urgent issues by 2.5 times. Interactive text messaging can help Medicaid populations improve health outcomes.