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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

Missouri has a Medicaid Buy-In program which was implemented on July 1, 2002

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

12,954 Medicaid Buy-In enrollees as of June 30, 2003

Persons to Contact
Sherl Taylor
Medicaid Manager
Missouri Department
of Social Services
615 Howerton Court
P.O. Box 6500
Jefferson City, MO 65102-6500
Phone (voice): 573/751-9290
Fax: 573/562-2041
E-mail: sherltaylor@mail.medicaid.state.mo.us


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

Download a file which contains the legislative language of the Missouri Medicaid Buy-In law


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
    12,954 Medicaid Buy-In enrollees as of June 30, 2003
  • Consumer Surveys and Evaluation Studies
    The Institute for Human Developemnt at the Uuniversity of Missouri – Kansas City conducts a project under a contract with the Medicaid Infrastructure Grant (MIG) project.
    Including the following:
    *Written surveys were sent to consumers, advocates, family members, providers and employers to determine the issues and needs of people with disabilities entering the workforce
    *Over 4000 surveys were returned and the data is being analyzed
    *Focus groups of employers were held in eight communities across the state
    *Community facilitators meet monthly to receive training and continuing suppor.
    Link to Description of activities of the Institute for Human Development MIG Project

    or download a copy of the pdf file of the description.


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.