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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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What Is the Demonstration to Maintain Independence and Employment (DMIE) and Who is Participating?

The DMIE awards funds to states to develop, implement, and evaluate interventions that are intended to improve health care coverage and employment services for working adults with potentially disabling conditions. It allows states to offer Medicaid-equivalent coverage, employment support, and case management services in order to sustain employment. This issue brief reviews the rationale for the DMIE, the interventions of the four most recent states, evaluation, and information dissemination.

Short URL: http://www.advancingstates.org/node/51736

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Freedom to Work Information and Marketing Materials – South Dakota

South Dakota’s Freedom to Work (FTW) project provides supports to job seekers with disabilities. Here are examples of tools used to publicize the project. The FTW brochure summarizes all associated services, while the Personal Assistance Services brochure and poster and the Work Incentives Planning and Assistance brochure provide more detailed information for those particular services. The website has relevant links and quarterly newsletters about FTW.

Short URL: http://www.advancingstates.org/node/51679

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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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Choice and Customized Employment: A Critical Component

Up to 70% of community rehabilitation providers report that individuals with disabilities prefer to stay in facility-based, rather than community-based, employment programs. This edition of the “Customized Employment Corner” series confronts some challenges of helping individuals make informed choices about employment options. The questions and answers address issues of finding jobs that fit individuals’ qualifications and choices, communication, and funding.

Short URL: http://www.advancingstates.org/node/51666

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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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MIG Innovations: Nebraska Ticket to Work Palliative Care Program

Here is a brief profile of an innovative program that combines palliative care with employment services to help people with chronic pain acquire or keep employment. Learn how core teams of nurses, social workers, and pharmacists coordinate healthcare services and provide referrals to employment services. The profile examines the history and development, program goals, funding, and keys to success of the program.

Short URL: http://www.advancingstates.org/node/51643

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Systems Transformation Grant News and Highlights Website – Arkansas

Arkansas was one of 10 states awarded funds from the CMS to improve home and community based services. The project has many goals including developing and implementing a statewide one stop system for long term care services and options. The website lists their other objectives, their strategic plan, and also has the premiere edition of their newsletter. Review the information about this collaborative effort between consumers, stakeholders, and state policy makers.

Short URL: http://www.advancingstates.org/node/51635

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