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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

Medicaid Buy-In Legislation enacted in June 2001
Program began January 1, 2002

Pennsylvania has received a Medicaid Infrastructure Grant from CMS.
Download file - describes four major components of the grant intended to "create a more integrated system for allowing individuals with disabilities to obtain and maintain employment."

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

Person to Contact:

Holly A. Duncan
Project Director
PA Department of Public Welfare
Office of Policy
Health and Welfare Building
Harrisburg, PA 17120
Phone: (717) 783-3104

Summary description of Pennsylvania Medicaid Buy-In program
Download Summary

Consumer Bulletin for Pennsylvania Medical Assistance for Workers with Disabilities program:
Download PDF file of Consumer Bulletin

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

    Personal Assistance Services
    State completed a study that estimated that adding PAS to the state Medicaid plan would annually cost Pennsylvania’s Medicaid program between $157 and $262 million in state dollars


IV. State Legislation - Adopted and Pending

New - Medicaid Buy-In program authorized in HB 2
Download File which contains text from HB 2 regarding the Medicaid Buy-In program.

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

    Link to application form for Pennsylvania Medicaid Buy-In program by consumers


VI. Program Data and Impact

  • Medicaid Buy-In Data
    1,761 Medicaid Buy-In enrollees as of June 30, 2003
  • Consumer Surveys and Evaluation Studies


VII. Comprehensive Employment Initiatives

Comprehensive Local Employment Projects
The Medicaid Infrastructure Grant Project is developing demonstration projects in a rural area and one in an urban area. The purpose is to work with One-Stop employment centers

Transportation for Persons with Disabilities Who Work
The Pennsylvania Department of Transportation administers the Shared Ride Program, which offers door-to-door service for any purpose, with advance reservations. The service is subsidized for older Pennsylvanians. Recently, the Department of Transportation took steps to make this program more accessible by establishing the Rural Transportation Pilot Project to reach out to persons with disabilities. This project offers a shared ride subsidy in eight counties to persons with a disability if there is no other funding source or mode of transportation. The transportation may be used for any purpose, and is funded by state dollars.

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.