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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


Minnesota


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

Begun in July 1999, Medical Assistance for Employed Persons with Disabilities (MA-EPD) allows working people with disabilities to qualify for Medical Assistance (MA) under higher income and asset limits. MA-EPD is intended to encourage persons with disabilities to work and enjoy the financial benefits of being employed. The program is administered by the Department of Human Services, which assists county welfare and human services agencies in administering the program. The One-Stop centers established udner the Workforce Investment Act are involved in outreach and vocational training and counseling.

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

New -
Minnesota Medicaid Buy-In Law as amended in 2003
Word file excerpt from State legislation

Minnesota Session Laws 2003, 1st Special Session, Chapter 14
http://www.revisor.leg.state.mn.us/slaws/2003/ss1.14.html

New:
Quarterly Data Report (April - June 2003) data on enrollees in Minnesota Medicaid Buy-In program
Download Word version of the report

New:
Updated brochure describing Medicaid Buy-In program (July 2003)
Link to page to download brochure
http://edocs2.dhs.state.mn.us/lfserver/Legacy/DHS-2087L-ENG

 

Persons to Contact:
MaryAlice Mowry
Ticket to Work Project Director
Continuing Care for Persons with Disabilities
Minnesota Department of Human Services
444 Lafayette Road North
St. Paul, MN 55155-3872
651-634-2058 Fax: 651-582-1808
Maryalice.mowry@state.mn.us

 

III. Program Development - Past and Present

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

    The Minnesota Work Incentives Coalition and the Minnesota Consortium for Citizens with Disabilities provided the impetus for the Medicaid Buy-In program. These groups, consisting primarily of individuals with disabilities, family members, advocates, and providers, began efforts nearly a decade ago to convince policy makers of the need to allow disabled workers to retain their eligibility for Medicaid. In a cooperative effort, these groups published a survey instrument in a disability newspaper and circulated it to 200 disability-related organizations.
  • Initial Planning, Information Gathering and Program and Fiscal Estimates

New -
For a description of the development of the Minnesota program go to the Minnesota 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 Minnesota study in the Table of Contents
http://aspe.hhs.gov/daltcp/reports/EIcasest.htm

Or download a Word file of the Minnesota Case Study

Minnesota's Medicaid Buy-In Program
A Powerpoint Presentation by Jeff Bangsberg
Minnesota Consortium for Citizens with Disabilities
Presented at the National Conference of State Legislatures Annual Meeting
Chicago, IL July 17, 2000
Download presentation

IV. State Legislation - Adopted and Pending

New-
Minnesota Medicaid Buy-In Law as amended in 2003 - Word file excerpt from State legislation

Minnesota Session Laws 2003, 1st Special Session, Chapter 14
Download file of Medicaid Buy-In law as amended

V. Current State Policies and Program Descriptions

  • State Policies: State Plans, Regulations and Waiver Requests to Federal Agencies - Pending and Adopted Programs

    Link to site of Medicaid Buy-In regulations:
    http://www.dhs.state.mn.us/HlthCare/ReportsManuals/ManualCounty/chapter07.htm#0907.21.07.05
  • 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

New-
Updated brochure describing Medicaid Buy-In program (July, 2003)
Link to page to download brochure
http://edocs2.dhs.state.mn.us/lfserver/Legacy/DHS-2087L-ENG


Minnesota Medicaid Buy-In Eligibility Policy - Eligibility policy in State Manual.
Link to site
http://www.dhs.state.mn.us/HealthCare/reportsmanuals/manualcounty/chapter07.htm#0907.21.07.05

 

VI. Program Data and Impact

  • Medicaid Buy-In Data
    6,510 Medicaid Buy-In enrollees as of June 30, 3003
    Link to data on Minnesota web site
    http://www.dhs.state.mn.us/Contcare/disability/maepd_statistics.htm

    New-
    Quarterly Data Report (April – June 2003) data on enrollees in Minnesota Medicaid Buy-In program
    Download Word file
  • Consumer Surveys and Evaluation
    Minnesota is currently conducting study of Medicaid Buy-In enrollees since July 1999

    Minnesota is currently conducting a study of all Medicaid Buy-In enrollees who have disenrolled using case notes and coded the reasons fro disenrollment
 

VII. Comprehensive Employment Initiatives

Benefits Planning
New-
The Minnesota Work Incentives Connection (MN WIC) is a joint effort of the Minnesota Department of Employment and Economic Development with the Minnesota Department of Human Services with support of the Social Security Administration. The Minnesota Work Incentives Connection is designed to help people with disabilities understand how work income affects public benefits like SSI,
SSDI/RSDI, Medical Assistance, Medicare, Minnesota Supplemental Aid (MSA), Food Stamps and Public Housing.
Link to web site of Work Incentives Connection
http://www.mnworkincentives.com/index.html

Link to Work Incentives Connection new flyer on new Medicaid Buy-In provisions in Minnesota
http://www.mnworkincentives.com/mnwicprint/MA-EPD%20Flyer,%20July%202003%20_CURRENT_.pdf


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.