New Hampshire
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 West Virginia

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

"The Employment Initiative is a multi-faceted endeavor of the Department of Human Resources. The intent of this initiative is to develop new methodologies and new partners that will address the unique needs of each individual interested in beginning or increasing their work activity. The divisions of the Department of Human Resources and the Employment Department are working together to create more holistic approach to the removal of barriers to employment and to the provision of necessary services. " Excerpt from a description of the Oregon Employment Initiative on the Oregon Department of Human Resources Web Site

Link - Oregon's Employment Initiative

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

690 Medicaid Buy-In Enrollees as of June 30, 2003

Elizabeth Lopez
Administrator for Seniors and People with Disabilities
Office of Employment and Financial Benefits
500 Summer Street NE, E10
Salem, Oregon 97310
Phone (voice): 503/945-6458
Fax: 503/373-7902
E-mail: Elizabeth.A.Lopez@state.or.us

Joan Claypool, Program Coordinator
Disability Employment Policy Unit
Seniors and People with Disabilities
Department of Human Services
500 Summer Street NE, E-10
Salem OR 97301
Phone (voice): 503/945-6428
Fax: 503-373-7902
E-mail: joan.claypool@state.or.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

For a description of the development of the Oregon program go to the Oregon 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 Oreogn study in the Table of Contents

Or download a Word file of the Oregon Case Study

See File: "Oregon Advisory Committee's: A Description of Active Advisory Committees - February 2000

See File: "Oregon's Employed Person with a Disability Program: Why We Made Certain Choices,"
A Paper Prepared by Scott Lay explaining policies in the State's Medicaid Buy In State Plan - Fall 1998

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
  • 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
See File: Oregon Employed Persons with Disabilities Program Regulations

VI. Program Data and Impact

  • Medicaid Buy-In Data

    739 Medicaid Buy-In Enrollees as of March 31, 2003
  • Consumer Surveys and Evaluation Studies


VII. Comprehensive Employment Initiatives

Employment Initiative Specialists




AssistiveTechnology and Reasonable Accomodations

Oregon's Workforce System -

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.