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Medicaid Buy-In

Recent legislation has empowered the States to devise and offer Medicaid Buy-In programs. These programs would allow individuals with disabilities who would not otherwise be eligible for Medicaid to gain Medicaid coverage. Those with incomes over some specified amount are required to "buy-in" by paying a premium (and perhaps by paying for some amount of their medical expenses (called a deductible) prior to receiving Medicaid coverage.

SSA posts a list of the States that are implementing and planning to implement Medicaid Buy-Ins. Information about the status of each state, current as of 01/23/2004, is provided below. First is a map that displays the information graphically, followed by a table that provides the same information in a text format.

The most current information will be available on the Centers for Medicare and Medicaid Services at (CMS) website at:
http://www.cms.hhs.gov/TWWIA/

Image of map of United States showing States in various colors representing Buy-In status.

Medicaid Buy-In States for Working People With Disabilities

State Plans Approved by CMS	State Plans at CMS Pending Approval	1115 Approved by CMS, Similar to Balanced Budget Act of 1997 (BBA)	State-Legislation/ plans/not submitted to CMS	Pending Legislation or Advocate Interest
Alaska Arizona Arkansas California Connecticut Illinois Indiana Iowa Kansas Maine Minnesota Mississippi Missouri Nebraska New Hampshire New Jersey New Mexico New York Oregon Pennsylvania South Carolina Utah Vermont Washington Wisconsin Wyoming	Michigan Nevada West Virginia	Massachusetts	Colorado Louisiana Maryland North Dakota Oklahoma Rhode Island Texas Virginia	Alabama DC Delaware Florida Georgia Hawaii Idaho Kentucky Montana North Carolina Ohio South Dakota Tennessee

Source

Information for this topic was drawn from the SSA website at:
http://www.socialsecurity.gov/disabilityresearch/wi/buyin.htm

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