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Compliance and language access

Show the reviewer which criteria, which version, who approved

Auditors ask how a notice was checked, which version went out and who approved it. HealthLiteracyCopilot checks each document against the rules you track, such as §1557 and 42 CFR 438.10. Risky translated text goes to a person. Every approval is kept on a record that can't be changed.

For compliance officers and language-access leads

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Sketch of a notice beside a clipboard record with four checked rows: criteria, version, reviewer and date.CriteriaVersionReviewerDate

What you check first

Which criteria, which version, who approved

  • Each document keeps the rules it was checked against.
  • Every score, version and approval is recorded and can't be edited after the fact.
  • A translated segment that would lose a date, an amount or a "not" goes to a human translator.

Illustrative example, with a synthetic portrait.

What you're measured on

Open a measure to see why it matters and how HealthLiteracyCopilot helps.

  • Audit findings

    Why it matters
    Auditors ask how a notice was checked, which version went out and who approved it. A gap in that record can become a finding.
    How HealthLiteracyCopilot helps
    Every score, version and approval goes on an append-only audit trail you can export. Each finding cites the rule it was checked against.

    The record is evidence of review, not proof of compliance. Your compliance team decides what it shows.

  • §1557 and §438.10 conformance

    Why it matters
    Section 1557 rules require notices of language help and human review of machine-translated critical text. 42 CFR 438.10 requires Medicaid materials to be easily understood.
    How HealthLiteracyCopilot helps
    Policy packs check each document against the federal and state rules you track, with the rule cited beside each finding. A translated segment that could lose a date, an amount or a "not" goes to a human translator.

    We support your review. We don't decide whether a document conforms to a rule.

  • Complaints to Medicare (CTMs)

    Why it matters
    CMS tracks the complaints members file with Medicare, and they count toward a Star Ratings measure.
    How HealthLiteracyCopilot helps
    The notices members complain about most are scored against your target grade and N-PLAT. Each fix carries its reason and a reviewer decision on the record.

    We don't promise fewer complaints. Track your CTM data to see what changes.

Why plain language matters here

60%

of Medicaid enrollees had Basic or Below Basic health literacy

Source: NAAL 2003, reported in Kutner et al. (2006), 2003

The documents you own

Documents and the measure each one touches
DocumentWhat it touches
Notices of availability and taglines45 CFR 92.11
Translated member materials45 CFR 92.201 language assistance
Medicaid member materials42 CFR 438.10 "easily understood"
Denial and appeal noticesState readability rules

What you'd use most

Try it on one of your documents

Send a blank template, not a copy with a patient's or member's details.

Compose an email

Questions

Does machine-translated Spanish satisfy Section 1557?

Not on its own. §92.201(c)(3) calls for a qualified human translator to review machine translation of critical text. We support that review and don't replace it.

Is the record proof of compliance?

No. It is evidence of review: which criteria, which version and who approved. Your compliance team decides what it shows.

Do you need member data?

No. Send templates or blank notices, never a member's copy.