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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


Indiana


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

Indiana implements Medicaid Buy-In program July 1, 2002

Link to State Medicaid agency announcement of Medicaid Buy-In program:
www.in.gov/fssa/healthcare/med/index.html

 

The Medicaid Buy in legislation creates a "Medicaid Work Incentives Council"
The Council has the following responsibilities and membership as described in the legislation:

Assists in developing coordinated and aggressive state policy to bring adults with disabilities into gainful employment and supports the goals of equality, opportunity, full participation, independent living and economic self-sufficiency for individuals with disabilities.
Meets quarterly and consists of 12 members appointed by the governor (to be appointed by 7-01). The council includes members of the house and senate, OMPP (State Medicaid agency), and 1/3 representatives of people with disabilities. Members must be knowledgeable of employment services, VR services, work incentives, long term health care, and other support services for people with disabilities. The council will review the effectiveness of program, and develop rules and recommendations.

NewDownload file of two summary charts
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

 

II. What's New and Persons to Contact

What's New:

New
Link to website for Indiana Medicaid Buy-In program
http://www.in.gov/fssa/healthcare/med/

Persons to Contact

Andrea Vermeulen
M.E.D. Works Program Director
402 W. Washington, Rm W382
Indianapolis, IN 46204
(317) 234-2129
avermeulen@fssa.state.in.us

Becky Banks
Community Coordinator
Center for Community Living and Careers
Indiana Institute on Disability and Community
Indiana University
2853 East 10th Street
Bloomington, Indiana 47408-2601
bebanks@indiana.edu
Bloomington office phone: 812-855-6508
Northern Office Phone: (765) 674-7346

Cris Fulford
ATTAIN, Inc
101 East Walnut St
Washington, IN 47501
812-254-7305
317-486-8808
cfulford@attaininc.org
www.attaininc.org

III. Program Development - Past and Present

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

    Governor Bannon Signed Medicaid Buy-In legislation (HB 1950) on May 11, 2001.

    File:
    Text of announcement by the Indiana Medicaid Action Coalition on Governor's signing the legislation. Contains a summary of the bill as enacted.

    An Indiana Medicaid Action Coalition (IMAC)
    was formed in 1999. It is a coalition comprised of people with disabilities, family members, advocates, providers and other interested stakeholders representing all disability groups whose stated mission is to positively influence Indiana public policy and practice to remove Medicaid Barriers to employment for people with disabilities.

    The Indiana Medicaid Action Coalition was formed as a result of discussions and planning of the Indiana Association for Persons in Supported Employment (IN-APSE) with support and representation of a number of stakeholders and organizations. The Indiana Medicaid Action Coalition conducted a survey of persons with disabilities to gather information to share with policy makers on the barriers to employment. The Coalition is assisted by staff at the Center on Community Living and Careers at the Indiana Institute on Disability and Community at Indiana University.



  • Initial Planning, Information Gathering and Program and Fiscal Estimates

IV. State Legislation - Adopted and Pending

New:
Medicaid Buy In Legislation (HB 1950) was signed into law by Governor Bannon on May 11, 2001.

Link to Indiana code for text of Medicaid Buy-In law
http://www.in.gov/legislative/ic/code/title12/ar15/ch41.html

 

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

Link to Final rules to implement Medicaid Buy-In program
http://www.in.gov/legislative/register/Vol25/10Jul/02F405010393.pdf

 

    HEA 1950, Chapter 42, establishes the Work Incentives Council made up of persons with disabilities, advocates, as well as other experts in the area of work-incentives programs for persons with disabilities. The responsibilities of the Council are:
  • To assist the Office in developing a coordinated and aggressive state policy to bring adults with disabilities into gainful employment through a Medicaid program at a rate that is as close as possible to that of the general adult population.
  • To support the goals of equality, opportunity, full participation, independent living, and economic self-sufficiency for individuals with disabilities.
  • To evaluate and report on the feasibility of establishing a program to collaborate with and subsidize employer sponsored health care coverage under a Medicaid Buy-In program.
  • Evaluate and report on the feasibility of providing personal care assistance to individuals participating in a Medicaid Buy-In program.

House Enrolled Act 1950
http://www.in.gov/legislative/ic/code/title12/ar15/ch41.html

VI. Program Data and Impact

  • Medicaid Buy-In Data
    4,560 Medicaid Buy-In enrollees as of June 30, 2003
  • 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.