The federal and state partnership that helps Americans obtain health insurance coverage through the Medicaid and Children’s Health Insurance Program (CHIP) and improve their healthcare is critical to approximately 72 million Americans. To effectively facilitate the federal and state partnership, CMS provides a suite of tools for the submission, review, disposition, and management support for various functions, including Medicaid and CHIP initiatives, Quality Measure Reporting, State Plan Amendments (SPA), Waivers, and Demonstrations. eSimplicity User Experience SMEs, Medicaid policy experts, and engineers help CMS implement the workflow and communicate between the federal and state level. This supports Medicaid expansion through the electronic exchange of business information for program data collected from the states. .