United States Government Publishing Office publisher pbl distributor dst United States Government Accountability Office author aut Government Organization text government publication eng GAOREPORTS Legislative Agency Publications gao legislative 2010-08-12 U.S. Government Printing Office 2003-06-13 monographic deposited born digital 42 p. GA 1.13:GAO-03-587 https://www.govinfo.gov/app/details/GAOREPORTS-GAO-03-587 P0b002ee18038994f f:d03587 DGPO 2010-08-12 2011-03-23 GAOREPORTS-GAO-03-587 machine generated eng fdlp REPORT GAOREPORTS-GAO-03-587 GAO-03-587 Disability insurance Employees with disabilities Health care programs Managed health care Persons with disabilities Program evaluation State-administered programs Strategic planning Connecticut Illinois Medicaid Program Medicare/Medicaid Buy-In Program Minnesota New Jersey Social Security Disability Insurance Program Other Written Product A07162

Over 7 million individuals with disabilities rely on medical and supportive services covered by Medicaid. However, if working-age individuals with disabilities desire to increase their self-sufficiency through employment, they could jeopardize their eligibility for Medicaid coverage, possibly leaving them without an alternative for health insurance. In an effort to help extend Medicaid coverage to certain individuals with disabilities who desire to work, Congress passed the Ticket to Work and Work Incentives Improvement Act of 1999. This legislation authorizes states to raise their Medicaid income and asset eligibility limits for individuals with disabilities who work. States may require that working individuals with disabilities "buy in" to the program by sharing in the costs of their coverage--thus, these states' programs are referred to as a Medicaid Buy-In. The act also required that GAO report on states' progress in designing and implementing the Medicaid Buy-In. GAO identified states that operated Buy-In programs as of December 2002 and analyzed the income eligibility limits and cost-sharing provisions established by those states. GAO also assessed the characteristics of the Buy-In participants in four states that were among the most experienced in implementing the program. https://www.govinfo.gov/content/pkg/GAOREPORTS-GAO-03-587/html/GAOREPORTS-GAO-03-587.htm https://www.govinfo.gov/content/pkg/GAOREPORTS-GAO-03-587/pdf/GAOREPORTS-GAO-03-587.pdf GAO-03-587 https://www.govinfo.gov/app/details/GAOREPORTS-GAO-03-587 Other Written Product GAO-03-587; Medicaid and Ticket to Work: States' Early Efforts to Cover Working Individuals with Disabilities; Disability insurance Employees with disabilities Health care programs Managed health care Persons with disabilities Program evaluation State-administered programs Strategic planning Connecticut Illinois Medicaid Program Medicare/Medicaid Buy-In Program Minnesota New Jersey Social Security Disability Insurance Program Title 42 Section 1382h Title 42 Section 1396a 42 U.S.C. 1382h 42 U.S.C. 1396a Volume 111 Page 251 111 Stat. 251 Volume 113 Page 1860 113 Stat. 1860 Public Law 105-33 Public Law 106-170