I. Federal Laws & Initiatives

II. Policy Choices & Fiscal Issues in Design

III. Summary tables of State Medicaid Buy-In Programs

IV. Medicaid Buy-In Admin & Evaluations

V. Cross-Disability Coalitions in States

VI. State Programs

VII. WIA, One-Stops, ADA etc.

VIII. SSDI Work Incentive Demos

Comprehensive Person-Centered State Work Incentive Initiatives:

A Resource Center for Developing & Implementing Medicaid Buy In Programs
Related Employment Initiatives for Persons with Disabilities

V. Cross-Disability Coalitions in States:

Advocating for Change

A. Cross-Disability Community Leadership:
Organization and Roles

Cross-disability coalitions consisting of persons with disabilities, family members, advocates, and service providers are playing a central role in the design, implementation, and evaluation of comprehensive state work incentive initiatives. This three page paper describes the organization and various roles that have been played by these coalitions and organizations related to advocating for Medicaid Buy-In programs and related employment initiatives for persons with disabilities.

Download full Word version (.doc)

B. State Cross Disability Coalitions and Other Disability Advocacy Groups

A draft list has been prepared of Cross-Disability Coalitions in states and other disability organizations in states that have been identified as being active in promoting the development of Medicaid Buy-In and comprehensive employment initiatives for persons with disabilities. The list includes primary contacts for these coalitions and organizations and link to their web sites where available.

Download full Word version (.doc)

C. Comprehensive Person-Centered Executive Branch Leadership:

Policy makers in the Executive Branch are developing comprehensive multi-agency plans with the intent to integrate implementation of new Medicaid Buy In programs, the Workforce Investment Act, and/or other service delivery initiatives related to the employment needs of persons with severe disabilities. States are also developing a variety of different strategies and organizational structures to financially support, administer and deliver information and counseling to ensure that individuals with severe disabilities are empowered with information to make informed choices related to work.

1.  Key Principles and Examples of Comprehensive Person-Centered Executive Branch Initiatives

Click here to download full MS Word Version

Back to Table of Contents

2.  Person-Centered Services to Ensure Informed Choice

Click here to download full MS Word Version

Back to Table of Contents

D.  Legislative Policy Leadership:

The role of State legislatures in developing state policies and utilizing the new options for states to reduce work disincentives and improve work opportunities for persons with significant disabilities has varied among the states.

Click here to download full MS Word Version

Back to Table of Contents


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.