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Comprehensive Person-Centered State Work Incentive Initiatives:

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


California


I. Overview of a State's Comprehensive Person-Centered Employment Initiatives

In August 2002, A.B. 925. the “California Workforce Inclusion Act” was enacted. It is the first state-level, legislative initiative of such broad scope. The law, aimed at building a more comprehensive employment supports network,includes:
a) state-level requirements for One-Stop service provision to persons with disabilities;
b) expansion of personal assistance services to the workplace;
c) expansion, as possible, of benefits planning assistance and outreach services, and
d) an evaluation component of the state’s Medicaid Buy-In program for working individuals with disabilities.

A.B. 925 will require the California Department of Health, the Department of Social Services, and the Labor and Workforce Development Agency, using existing resources “to create a sustainable, comprehensive strategy to bring persons with disabilities into gainful employment at a rate that is as close as possible to that of the general adult population.”

New - Download file of two summary charts
Chart contents:

State's Medicaid Buy-In Program Design Features
- Income Eligibility Criteria
- Resource Limits and Exclusions
- Cost Sharing - Minimum Income Level and Premium or Cost Share Methods
- Work Related Policies and Protections
State's SSI and Other Medicaid Income Standards for Adults with Disabilities

Medicaid Buy In Legislation was enacted in 1999 and was implemented effective April 2000.

 

II. What's New and Persons to Contact

746 Medicaid Buy-In enrollees as of June 30, 2003

New-
The Medi-Cal Policy Institute of the California Health Care Foundation funded a study of the California Medicaid Buy-In program and conducted by The Lewin Group. The report , “The California Working Disabled Program: Lessons Learned , Looking Ahead” was released in April 2003.

Link to download a copy of the report
http://www.medi-cal.org/topics/view.cfm?itemID=20684

New-
On September 29, 2002, Governor Gray Davis signed into law AB 925 a Comprehensive Employment Initiative
Go to IV to download a copy of the law

New-
For a complete description of the law download a reprint from the December 2002 newsletter of the Center for Workers with Disabilities at APHSA

File:
Download an analysis of AB 925 as amended by the Senate on August 26, 2002 as prepared by the Office of State Floor Analyses.


Persons to Contact:

Curtis Richards
The Advocat Group
1331 H Street, NW, Suite 301
Washington, DC 20005
Phone (voice): 202-393-4446
Fax: 202-363-1607
E-mail : Advocrat@aol.com

Marlene Ratner
Manager. Policy
Calfornia Department of Health Services
Medi-Cal Eligibility Branch
714 P Street, Room 1650
Sacremento, CA 95814
Phone (voice): 916-657-0715
Fax: 916-657-3224
E-mail : Mratner@dhs.ca.gov

Bryon R. MacDonald
Public Policy Advocate
World Institute on Disability
510 16th Street, Suite 100
Oakland, CA 94612
Phone: 510-251-4304
Fax: 510-763-4109
TTY/TDD: 510-208-9493
E-mail: bryosemite@aol.com

Mitch Jeserich
World Institute on Disability
510 16th Street, Suite 100
Oakland, CA 94612
Phone: 510-251-4350
Fax: 510-763-4109
TTY: 510-208-9493
E-mail: mitch@wid.org

III. Program Development - Past and Present

  • Executive Branch Leadership, Cross Disability Coalition Leadership and Interagency Working Groups

    Cross Disability Coalition Active in California

    Link to Web Site of the California Work Incentive Initiative at the World Institute on Disability (WID)
    http://www.wid.org/pages/eped/California Work Incentives Initiatives.htm

    From the website:
    "The nerve center for the community-based initiative is the California Work Group on Work Incentives and Health Care (the CWG). CWG participants meet twice monthly, developing a consensus-based California agenda for implementation of new state and federal employment and health care law for workers with disabilities. The CWG is an open and accessible cross-disability network of ethnically and culturally diverse consumers, advocates and interested stakeholder groups."

  • Initial Planning, Information Gathering and Program and Fiscal Estimates

 

IV. State Legislation - Adopted and Pending


New-
On September 29, 2002, Governor Gray Davis signed into law AB 925 a Comprehensive Employment Initiative
Download a copy of the law

New-
For a complete description of the law download a reprint from the December 2002 newsletter of the Center for Workers with Disabilities at APHSA

File: Q & A on the current California Medicaid Buy In program prepared by the World Institute on Disability.

 


V. Current State Policies and Program Descriptions

  • State Policies: State Plans, Regulations and Waiver Requests to Federal Agencies - Pending and Adopted Programs
  • Ensuring Informed Choice and Person - Centered Programs: Benefits Counseling, Work Force Investment Act Implementation and Related Educational Services
    New-
    The World Institute on Disability is developing a Web site called “Disability Benefits 101”, a California-specfic website on health coverage and benefit programs for workers and job seekers with disabilities, and for benefits planners and service providers.
    A preview of the site can be seen at http://www.preview.disabilitybenefits101.org/about.htm
  • Descriptions for Consumers and Staff Training Activities

File: Q & A on the current California Medicaid Buy In program prepared by the World Institute on Disability.

VI. Program Data and Impact

 

VII. Comprehensive Employment Initiatives

Workforce Investment Act (WIA) and Services in One Stop Centers and Persons with Disabilities- State Legislative Mandates
Provisions in AB 925 – Download explanation of requirements of related to role of One-Stop Centers and person with disabilities and specific provisions in state legislation.

Personal Assistance Services and Work – State Legislative Mandates
Provisions in AB 925 – Download explanation of requirements of related to Personal Assistance Services and California’s In-Home Supportive Services (IHSS) program and person with disabilities who work and specific provisions in state legislation.

Benefits planning assistance and outreach services – State Legislative Mandates
Provisions in AB 925 – Download explanation of requirements of related benefits planning assistance and outreach services and person with disabilities who work and specific provisions in state legislation


Center for the Study and Advancement of Disability 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.