"In the US? Using Medicaid? There's a good chance DXC is about to boot your data into the AWS cloud.
What could possibly go wrong?"
"Nearly 30 states' Medicaid IT systems will head into the public cloud over a two-year period, with AWS acting as subcontractor for DXC. Any worries about the security of the sensitive data should be allayed by DXC's decades of experience in the field."
https://www.theregister.co.uk/2019/07/16/dxcmedicaidaws/