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Effectiveness of Medicaid Buy-in Programs in Promoting the Employment of People With Disabilities. Briefing Paper Prepared for the: Ticket to Work and Work Incentives Advisory Panel

机译:医疗补助计划在促进残疾人就业方面的有效性。简报准备工作:工作和工作激励咨询小组的门票

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The 1999 Ticket to Work and Work Incentives Improvement Act (Ticket Act) expanded state authority originally granted under the 1997 Balanced Budget Act (BBA) to provide Medicaid coverage to working people with disabilities who, because of income and assets, would not otherwise qualify for Medicaid coverage. Both the BBA and the Ticket Act authorized states to charge premiums for this coverage, and thus, allow working individuals with disabilities to buy in to Medicaid. These programs are commonly referred to as Medicaid Buy-in programs. In addition to the expanded state authority, the Ticket Act also appropriated funds for Medicaid Infrastructure Grants (MIGs) to states for purposes of developing Buy-in program infrastructure and conducting a variety of activities designed to promote the employment of people with disabilities. As of May 2004, 29 states had implemented Buy-in programs. Collectively, these programs are serving approximately 64,000 people with significant disabilities. Of the 29 states that have implemented Buy-in programs, 15 have been implemented under the authority of the Ticket Act.

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