I. Federal Laws & Initiatives

II. Policy Choices & Fiscal Issues in Design

III. Summary tables of State Medicaid Buy-In Programs

IV. Medicaid Buy-In Admin & Evaluations

V. Cross-Disability Coalitions in States

VI. State Programs

VII. WIA, One-Stops, ADA etc.

VIII. SSDI Work Incentive Demos

Comprehensive Person-Centered State Work Incentive Initiatives:

A Resource Center for Developing & Implementing Medicaid Buy In Programs
Related Employment Initiatives for Persons with Disabilities

III. Summary Tables of State
Medicaid Buy-In Programs
Design Characteristics & Data

A. Summary of Status of State Medicaid Buy-In Programs

Download - Summary of Status of State Medicaid Buy-In Program (.doc)


B. State Medicaid Buy-In Program Design Features

Download - State Medicaid Buy-In Program Design Features (.doc)

Table 1. Medicaid Buy-In Program Income Eligibility Criteria

Table 2. Medicaid Buy-In Program: Resources Limits and Exclusions

Table 3 Cost Sharing Policies: Minimum Income Level and Premium Method

Table 4. Work-Related Policies and Protections

C. Variables Impacting Participation In a State’s Medicaid Buy-In Program:
Medicaid Eligibility “Starting Points” and Restrictions in Medicaid Buy-In Programs

Download - Variables Impacting Participation in a State's Medicaid Buy-In Program (.doc)

Table A is a listing of those states with Medicaid Buy-In programs implemented or soon to be implemented as to their Medicaid eligibility criteria or "starting point" other than the state’s Medicaid Buy-In program in each of the following programs:

  • SSI benefit standard (including the state SSI supplement);
  • Poverty level or standard of need income standard; and
  • Protected income level standard under the state’s Medically Needy program.

Table B shows for those states which have implemented or will shortly implement a Medicaid Buy-In program information and data which can be useful in understanding the primary variables impacting participation levels in the Medicaid Buy-In program. In general, the higher the "starting point" and the tighter the restrictions that a state applies to its Medicaid Buy-In program, the lower the enrollment and the smaller the fiscal exposure of the state.

D. Examples of State Medicaid Buy-In Reports


Center for the Study and Advancement of Disability Policy and Center for Health Services Research and Policy at George Washington University

Supported by a grant from the Robert Wood Johnson Foundation with additional support provided by NIDRR of the US Department of Education through the RRTC on Workforce Investment and Employment Policy at the Law, Health Policy and Disability Center at the University of Iowa. (#H133B980042)

Website created and maintained by the Law, Health Policy and Disability Center at the University of Iowa College of Law. The opinions and analyses set out in the articles on this website are those of the authors and do not necessarily reflect the positions of the Robert Wood Johnson Foundation, the US Department of Education, George Washington University or the University of Iowa.