Case Study: a State Medicaid agency builds trusted AI governance with KPMG

State Medicaid agency builds trusted AI governance with KPMG

A state Medicaid agency sought to modernize its eligibility and enrollment system by exploring artificial intelligence, but needed a strategic framework with strong security, privacy, and governance guardrails to adopt AI responsibly. The agency engaged KPMG to help build a foundation for secure and trusted AI adoption.

KPMG conducted assessments of the agency's existing policies and developed an initial AI security framework based on NIST guidance. This established clearer governance, oversight of AI use cases, and a future-state roadmap for managing AI-related risks. As a result, the client now has a flexible and scalable governance approach that integrates people, process, and technology, enabling more confident innovation across the enterprise. KPMG continues to collaborate with the agency to embed long-term governance into its AI-supported processes.