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Medicaid Buy-In For Working People With Disabilities |
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A person is not required to be receiving SSI in order to be eligible under the Medicaid provision. However, if not an SSI recipient, the State decides if he or she is disabled. The fact that the individual is working will not be considered when making the disability decision for this law. EXAMPLEHere is an example of how this provision could work. The Federal poverty level for an individual is $9,570 in 2005. The net income test for help under this provision is income of less than 250 percent of the Federal poverty level, ($23,925). Joe Green's gross annual earnings are $42,765. After the SSI earned income exclusions, he meets the net income test for Medicaid and is eligible under this provision, as follows:
In this example, Mr. Green's net income of $20,872.44 is below $23,925 limit for an individual. The Ticket to Work and Self-Sufficiency Program is the centerpiece of new legislation (signed into law by President Clinton in December 1999) under the Ticket to Work and Work Incentives Improvement Act of 1999. This law includes several important opportunities for people who receive Social Security disability benefits who want to go to work. Effective October 1, 2000, one of the provisions of this new law expands States' options under Medicaid.
The Social Security Administration and the Center for Medicare and Medicaid Studies (CMS) are encouraging States to participate in this new program and has information on the State Medicaid Buy-In program. (This link will open in a new window.)
How to Apply To apply for assistance under this new rule, you should first contact the State Medicaid office in your area to find out if your State participates or plans to participate.
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Last reviewed or modified Monday Jan 14, 2008 |