The trouble here in Colorado was that the schedulers could not find an open time to make an appointment for a Doctor.
I’m just commenting based on my experience working with a public employee union in CA. It cost more to pay someone to shuffle paperwork to decide eligibility than for say, the actual food stamps, then it would to just give the stamps to people and tract how much/how often. Same with MediCal. When MediCal had budget problems, the Docs took a hit, not the social eligibility workers. With benefits and everything, they do better than the professionals.