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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


II. What's New and Persons to Contact

Legislation was enacted in 2003 which authorizes the state Medicaid agency to develop a Medicaid Buy-In program. The legislation does not contain specifics regarding the program. It authorizes the state agency to develop a Medicaid Buy-In program under either the Balanced Budget Act of 1997, the Ticket legislation of 1999 or through seeking a Medicaid waiver from CMS. The only specific in the legislation enacted is that the Medicaid agency may require a participant in the program to pay a premium or other cost-sharing charges in a manner that is consistent with federal law.
It is intended that the program will begin July 1, 2004

Download text (.doc) of the legislation enacted.

Or direct link to legislation:

Persons to Contact:
Harry Snoek
Program Coordinator
Medicaid Infrastructure Grant
Division of Health Care Financing and Policy
1100 E William Street, Suite 209
Carson City, Nevada 89701
Phone: 775-684-3769

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

Medicaid Buy In legislation introduced in Nevada Senate
Link to text of legislation

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. Emerging Implementation Policy Issues


VII. Documenting Outcomes & Performance

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.