Medicaid Buy-In

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Healthcare for Workers with Disabilities: Supporting and Encouraging Employment

This program (HWD) is Washington’s implementation of Medicaid Buy-In. The report evaluates HWD’s impact on employment and earnings, Medicaid coverage, and receipt of food stamps by comparing enrollees to traditional Medicaid participants. They found significant outcome improvements for the HWD group in several categories.

Short URL: http://www.advancingstates.org/node/51968

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Working Healthy Data Chartbook: Evaluation of the Kansas Medicaid Buy-In 2002-2007

The Chartbook documents trends in enrollment, earnings, employment, medical expenditures, and consumer experiences and satisfaction since Kansas began its Buy-In program. Summarized are survey and administrative data that document increased earnings and taxes paid over time by participants, decreased medical expenditures for those continuously enrolled, and improved quality of life and financial status.

Short URL: http://www.advancingstates.org/node/51934

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Making the Connection: Building Cross Agency Partnerships

The second in a series focused on affordable housing, this issue brief focuses on developing partnerships with state finance agencies and other stakeholders. It showcases successful strategies that have expanded integrated community living for workers with disabilities. While MIG grantees, who are the main audience of this brief, are unable to use grant funds to provide housing services, they can create linkages with other programs to support the individuals they serve.

Short URL: http://www.advancingstates.org/node/51846

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How Do Employment Outcomes of Medicaid Buy-In Participants Vary Based on Prior Medicaid Coverage? An Example from Massachusetts

This brief, the eighth in a series on working with disability, looks at the employment outcomes of participants in CommonHealth Working (CHW), Massachusetts’s Medicaid Buy-In program. Differences in post-enrollment employment rates, monthly hours worked and earnings, and private health insurance coverage are compared between new CHW enrollees previously covered by MassHealth, Massachusetts’s Medicaid program, and those without prior MassHealth coverage.

Short URL: http://www.advancingstates.org/node/51762

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Interaction of Medicaid Buy-In and other Federal Efforts to Improve Access to Health Coverage for Adults with Disabilities

The Medicaid Buy-In (MBI), Social Security Disability Income (SSDI), and Supplemental Security Income (SSI) programs all provide workers with disabilities options to maintain health coverage if they earn too much for Medicaid or Medicare benefits. The first issue brief explains how these programs compare and interact in terms of eligibility, coverage, populations, and enrollment. The second examines how MBI participants that collect SSDI utilize SSDI work incentives.

Short URL: http://www.advancingstates.org/node/51742

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How Do Medicaid Buy-In Participants Compare with Other Medicaid Enrollees with Disabilities?

Answering the question posed in the title is one key to evaluating Medicaid Buy-In (MBI) programs. This issue brief, the fifth in a series on workers with disabilities, compares demographics, health status, and expenditures between these groups. Significant areas of difference that were identified are race, gender, diagnoses, and expenditures.

Short URL: http://www.advancingstates.org/node/51741

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Earnings of Medicaid Buy-In Participants – Issue Briefs

Mathematica researchers examine the effects that the Medicaid Buy-In program has had on participants’ earnings. The first brief looks at whether earnings increase after enrollment. The second profiles the workers that earn the highest wages. The last brief profiles all Buy-In participants and compares earnings data by state. Each brief analyzes the traits of the workers and different state programs to identify successful strategies.

Short URL: http://www.advancingstates.org/node/51672

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Affordable Housing Financing and Subsidies: Resources for Programs Serving Workers with Disabilities

The first in a series on housing issues, this brief provides an overview of various federal and state housing financing programs that can be used to support low income workers with disabilities. The brief also summarizes the related nature of housing and employment services and the impacts of the current housing market on employees with disabilities. The series is meant to provide information to MIG grantees and help them create linkages with agencies providing direct housing services.

Short URL: http://www.advancingstates.org/node/51662

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The Case for Inclusion 2008: An Analysis of Medicaid for Americans with Intellectual and Developmental Disabilities

States are ranked in this report based on the outcomes of Medicaid services provided to people with intellectual and developmental disabilities. The key outcomes measured are the promotion of independence and meaningful employment, tracking quality and safety, keeping families together, and reaching those in need. Each state’s progress is measured by comparing data from the previous year. This report is issued annually with past editions available on the included website.

Short URL: http://www.advancingstates.org/node/51647

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The 2008 Red Book - A Guide to Work Incentives

The Red Book 2008 serves as a general reference source about the employment-related provisions of the Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI). In addition to the PDF versions posted here in English and Spanish, the Red Book website has a page highlighting recent changes to the programs and html versions of the resource in both languages.

Short URL: http://www.advancingstates.org/node/51585

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