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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


Maine


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

Maine CHOICES Project for Workers with Disabilities

Maine CHOICES (Continuing Health Options and Incentives via coordinated Employment Supports) is a Medicaid infrastructure enhancement project that builds on the strength of Maine’s current Medicaid Buy-in Program. Maine.
CHOICES undertakes a significant multi-year research, program development and partnership-building initiative. Its goals are:

  1. To improve access to competitive employment for people with disabilities;
  2. To advance technical understanding of how Medicaid-funded services specifically support the competitive employment of people with disabilities, and to devise equitable and effective methods for targeting Medicaid resources to that end;
  3. To improve the coordination of multiple policies and programs available to support competitive employment among people with disabilities; and
  4. To increase collaborative efforts with other states to promote employment of people with disabilities.

The above is taken from the home page of Medicaid Infrastructure Grant Project
http://choices.muskie.usm.maine.edu/

The Maine "Medicaid Option for Workers with Disabilities Program" has been in effect since August 1999

New Download 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

New -
Project Choice is preparing a supplement to the Chart Book which will describe the Personal Assistance Services (PAS) system in Maine to support employment for persons with disabilities and will summarize claims, eligibility, survey and other data related to use of PAS by Medicaid Buy-In enrollees. Intended to be available in Fall 2003

New-
Maine has indicated interest in participating in a Social Security Demonstration Project for SSDI beneficiaries which would provide for a gradual reduction ($1 for $2 earning for those receiving SSDI. For a link to the material prepared by the Choices Project on this issue go to:
http://choices.muskie.usm.maine.edu/ssdidemo.htm

The Medicaid Infrastructure Grant Project at the Univeristy of Southern Maine has created a web site which is intended to be a clearinghouse for information on all Ticket to Work and Work Incentives Improvement activities in Maine.
Link to the site
http://www.maineticket.org/index.htm

Persons to Contact
Larry Glantz
Project Director
CHOICES (Continuing Health Options and Incentives via Coordinated Employment Supports)
Maine Medicaid Infrastructure Grant
Muskie School of Public Service
University of Southern Maine
96 Falmouth Street
P.O. Box 9300
Portland, ME 04104-9300
207-228-8345
E-mail: glantz@usm.maine.edu

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

New-
For a description of the development of the Maine program go to the Maine Case Study prepared by the George Washington University Work Incentives Project with support from ASPE at the Department of Health and Human Services and scroll down and click on to the Maine study in the Table of Contents
http://aspe.hhs.gov/daltcp/reports/EIcasest.htm

Or download a Word file of the Maine Case Study

 

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
    New
    A Medicaid eligibility flow chart was developed which presents a unique description of the categories of Medicaid eligibility for persons with disabilities in Maine – including the Maine Medicaid Buy-In program - based on income eligibility standards in 2001
    Download a Word file of the flow chart
    Download a Word file of the flow chart which also includes information on the number of enrollees by categories of eligibility in the period July 1999 through June 2000
  • 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


For a direct link to a Fact Sheet on the Maine Medicaid Buy In program go to:
http://choices.muskie.usm.maine.edu/wwdoption.htm

VI. Program Data and Impact

  • Medicaid Buy-In Data
    521 Medicaid Buy-In enrollees as of June 30, 2003
  • Consumer Surveys and Evaluation Studies
    New
    The MaineCare Option for Workers with Disablities: A Survey of Past and Present Enrollees
    Link to report http://choices.muskie.usm.maine.edu/surveycover.htm

    New
    The Choices Project has prepared a Chart Book which describes the MaineCare Workers with Disabilities Option and the people who have enrolled in it during the first three years, 1999-2001.
    Go to the following site to download a copy of the Chart Book
    http://choices.muskie.usm.maine.edu/chartbook.html

    New
    Project Choice is preparing a supplement to the Chart Book which will describe eht Personal Assistance Services (PAS) system in Maine to support employment for persons with disabilities and will summarize claims, eligibility, survey and other data related to use of PAS by Medicaid Buy-In enrollees. Intended to be available in Fall 2003

 

VII. Comprehensive Employment Initiatives

The Medicaid Infrastructure Grant Project at the Univeristy of Southern Maine has created a web site which is intended to be a clearinghouse for information on all Ticket to Work and Work Incentives Improvement activities in Maine.
Link to the site
http://www.maineticket.org/index.htm


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.