By 2015 Michigan's public-benefits application had grown, through years of accumulated policy add-ons, to 42 pages, more than 1,000 questions and 18,000 words — the longest such form in the United States, asking applicants things like the exact date of conception of their children. 5 million residents a year applying for food assistance, Medicaid, cash assistance and other programs, and both sides of the counter suffered under it: applicants found it dehumanizing and adversarial, and caseworkers spent most of their time on data entry and correcting errors instead of actually helping people.

Michigan had effectively tried the standard fix before: convene a task force to review the form on paper and trim what looked redundant. It never produced enough change, because nobody reviewing bullet points from a conference table was feeling what an actual applicant felt filling it out, and 1,700 pages of underlying federal and state regulation gave nearly every individual question a defender somewhere in the bureaucracy.

Had officials who could authorize a rewrite fill out the form as applicants, turning an abstract complaint into a felt experience that built will to cut it to 18 pages.

Filling out the form made the pain visceral and personal, not abstract.

Shared embarrassment made it hard for stakeholders to defend redundant questions.

The exercise built internal political will to fight 1,700 pages of regulation.

Pairing with user research ensured the cut form still met legal requirements.

To build will for a redesign, have decision-makers experience the process as users do, not just review it on paper.

The new application dropped from 42 pages to 18, cut its word count by 80 percent to under 4,000 words, and reduced its number of questions from over 1,000 to 213 — while still satisfying every federal and state legal requirement the original 1,700 pages of regulation demanded. In the pilot counties, applicants completed it in an average of 20 minutes versus 45 for the old form, and caseworkers spent 20 fewer minutes per application on review and correction; the redesigned form has been used by over a million Michiganders since its 2018 statewide launch.

FOLLOW THE EVIDENCE

The sources

  1. MDHHS re:forms assistance application to be more user friendly; New document is less than half the size of previous version Michigan Department of Health and Human Services · michigan.gov
  2. Project Re:form Case Study Civilla · civilla.org