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Barbara Phillips and Barbara Schneider Mathematica Policy Research, Inc. May 2002 This report was prepared under contract #HHS-100-95-0046 between the U.S. Department of Health and Human Services (HHS), Office of Disability, Aging and Long-Term Care Policy (DALTCP) and the University of Maryland.
This report provides policy frameworks to assist stakeholders design and implement Medicaid Buy-In programs and related work incentive initiatives to enhance the level of economic self-sufficiency of persons with significant disabilities. Of particular focus are the design decisions affecting enrollment, costs, and a state's fiscal exposure.
This report discusses findings from case studies of nine states Alaska, Connecticut, Iowa, Maine, Minnesota, Nebraska, Oregon, Vermont and Wisconsin operating Medicaid Buy-In programs for working persons with disabilities. At the time of this study, approximately 13,000 persons were enrolled in the programs in these nine states.