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Cinsavich, S. & Rado, G. (2002). Medicaid Buy-In: Concept and Implementation.Policy Brief - Volume 4, Number 2 - April 2002 Boston, MA: Institute for Community Inclusion. Retrieved January 14, 2004, from http://www.communityinclusion.org/publ
Abstract
This policy brief provides an overview on Medicaid Buy-In programs (MBI). It explains the history of MBI programs, their relationship to Medicaid and SSI eligibility, and describes key features of existing MBI programs in 23 states.
The Ticket to Work and Work Incentives Improvement Act (TWWIIA) of 1999 gave states the option of providing Medicaid coverage to individuals with a disability who might not otherwise be eligible for SSI or Medicaid because their earned income from working would be too high to qualify. States that exercise this option can set up a Medicaid Buy-In (MBI) program. This policy brief provides a brief history of the TWWIIA, and an overview of key features of existing MBI programs in 23 states.
The brief defines and discusses aspects of TWWIIA such as the Federal Poverty Level (FPL), eligibility for people with potential disabilities, and the Continuing Disability Review (CDR) required under the Social Security Act It also covers key features of Medicaid Buy-in 23 state programs, such as requirements, income disregards, asset provisions, cost-sharing thresholds, premium payments and implementation dates A list of states with MBI legislation pending, or with no legislation is also provided
The brief found that over half the states that have implemented an MBI program have done so under the authority of the Balanced Budget Act (BBA), and that all the state MBI programs cover individuals with disabilities on SSI/SSDI. The states vary in their income limit for eligibility, their application of SSI income disregards, and their cost-sharing thresholds.
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Contact
Gabriella Rado
Institute for Community Inclusion
UMass Boston
100 Morrissey Blvd.
Boston, Massachusetts 02125
(617) 287-4300
Email: gabriella.rado@umb.edu
This is a publication of the Center on State Systems & Employment (RRTC) at the Institute for Community Inclusion which is funded, in part, by the National Institute on Disability and Rehabilitation Research of the US Dept. of Education under grant no. H133B980037. The opinions in this publication are those of the grantee and do not necessarily reflect those of the US Dept. of Education.
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