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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


Washington


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

New -
A Washington Ticket to Work Advisory Group (TWAG) has been established to involve community and cross-administrative stakeholders in health systems improvement and Ticket participation. The Washington Medicaid Buy-In program is called "Healthcare for Workers with Disabilities" (HWD). The purpose of HWD is to make sure people with disabilities are able to keep partly-subsidized medical and personal care services they need to live and work in the community.

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 -
195 Medicaid Buy-In enrollees by June 30, 2003

New -
The state legislature chose to continue the Medicaid Buy-In program during the 2003 legislative session.

New -
450 People Attend Educational Conferences on Employment and Independent Living
In April 2003 a number of state and federal agencies co-sponsored two conferences to educate potential partners on the Medicaid Buy-In, Benefits Planning, Tickets and Olmstead Planning for Independent Living
Download a pdf file about the conferences

New -
Download pdf file of presentation by Steve Kozak on Ticket and Medicaid Buy-In programs at April, 2003 conferences

 

Person to Contact:
Stephen Kozak, Medicaid Buy In Program Coordinator
Department of Social and Health Services
Medical Assistance Administration
Division of Client Support - Eligibility, Policy, and Outreach
P.O. Box 45534
Olympia, WA 98504-5534
Voice: 360-725-1321
Fax: 360-664-0910
Email: KOZAKSJ@dshs.wa.gov
Project web site
http://fortress.wa.gov/dshs/maa/Eligibility/HWD.htm

III. Program Development - Past and Present

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

    State of Washington's Department of Social and Health Services Work Incentives Work Group.
    File:
    Download description of workgroup

    New June 2003
    The state legislature chose to continue the Medicaid Buy-In program during the 2003 legislative session.

    On July 11, 2001, Governor Gary Locke signed legislation to establish a Medicaid Buy-In program for the state of Washington. The program was effective January 1, 2002.

  • Initial Planning, Information Gathering and Program and Fiscal Estimates

A Report was prepared by the Washington State Institute for Public Policy, November 2000 at the request of the State legislature

Medicaid Expansion for Employed Persons With Disabilities: Costs and Benefits of the "Ticket to Work" Buy In November 2000
File: Download the text of the report

IV. State Legislation - Adopted and Pending


New-
Download Word file of Language of Medicaid Buy In program legislation enacted – Eligibility provisions

July 12, 2001
File:
Download Language of Medicaid Buy In program legislation enacted - Eligibility provisions

 

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

    Direct link to DHHS New Fact Sheet on State of Washington's Medicaid Buy-In program
    http://fortress.wa.gov/dshs/maa/Eligibility/HWD.htm

    Regulations for new Medicaid Buy-In program
    Download file

    New:
    Download pdf file of presentation
    by Steve Kozak on Ticket and Medicaid Buy-In program at Spring 2003 conference

 

VI. Program Data and Impact

  • Medicaid Buy-In Data
    195 Medicaid Buy-In enrollees by June 30, 2003
  • Consumer Surveys and Evaluation Studies

 

VII. Comprehensive Employment Initiatives

Interagency Coordination
Washington Ticket to Work Advisory Group (TWAG) established to involve community and cross-administrative stakeholders in health systems improvement and Ticket participation

In April 2003 a number of state and federal agencies co-sponsored two conferences to educate potential partners on the Medicaid Buy-In, Benefits Planning, Tickets and Olmstead Planning for Independent Living
Agencies and organizations involved in planning and development of conferences included: Division of Vocational Rehabilitation; Medical Assistance Administration; Governor’s Committee on Disability Issues and Employment; Employment Security Department; Washington Workforce Association; Department of Services for the Blind; Aging and Disability Services Administration; Division of Developmental Disabilities; Mental Health Division, the DSHS Olmstead Coordinator ; and the Social Security Administration
Download a pdf file about the conferences

Personal Assistance Services
Personal Assistant Recruitment and Retention (PARR) project has resulted in recruiting and training over 400 PAS providers


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.