In May 2018, Virginia Gov. Ralph Northam and state lawmakers reached an agreement to expand the Medicaid program, offering low- or no-cost health care options to close to 400,000 newly eligible adults statewide. New income eligibility requirements meant that more Virginians could receive benefits from the insurance program, and it was the mission of Virginia’s Department of Medical Assistance Services (DMAS) to inform as many newly eligible adults as possible in order to give them the opportunity to have health coverage. With the help of Granicus’ Digital Engagement Services team of digital communications experts and the email marketing, text message, and social media platform govDelivery, DMAS was able to enroll more than 250,000 new adult members in Medicaid.