New Hampshire
 New Jersey
 New Mexico
 New York
 N. Carolina
 N. Dakota
 Rhode Island
 S. Carolina
 S. Dakota
 West Virginia

Comprehensive Person-Centered State Work Incentive Initiatives:

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


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


II. What’s New and Persons to Contact

What's New
Medicaid Buy-In legislation has been prepared for introduction in the Florida legislature.
The legislation is based on recommendations of a Work Group formed under the leadership of the Florida Advocacy Center for Persons with Disabilities. The bill would establish an unearned income limit at 88% of the Federal Poverty Level and would have a 250% net income limit. Premiums would be charged beginning at a net income of 100 % of the Federal Poverty Level.

The recommendations for the legislation are contained in a report prepared for the Advocacy Center for Individuals with Disabilities, which is the Protection and Advocacy Center for Social Security Beneficiaries (PABSS) in Florida which is funded by the Social Security Administration

Download a copy of the report – “Freedom to Work 2003 – Medicaid Buy-In Program Cost and Feasibility Study” (.pdf)

Download a copy of the background material related to the report (.pdf)

Download a copy of the draft proposed Medicaid Buy-In legislation (.doc)

Persons to Contact
Florida Advocacy for Persons with Disabilities
2671 Executive Center Circle W.
Suite 100
Tallahassee, FL 32301-5092
Phone (voice): 850-488-9071
Phone (TDD): 800-346-4127
Toll-Free: 800-342-0823
Fax: 850-488-8640
SC: 278-9071
SC Fax: 278-8640
E-mail: info@advocacycenter.org

III. Program Development - Past and Present

  • Executive Branch Leadership, Cross Disability Coalition Leadership and Interagency Working Groups
  • Initial Planning, Information Gathering and Program and Fiscal Estimates


IV. State Legislation - Adopted and Pending


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
  • Descriptions for Consumers and Staff Training Activities


VI. Program Data and Impact

  • Medicaid Buy-In Data
  • Consumer Surveys and Evaluation Studies


VII. Comprehensive Employment Initiatives

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.