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SD Medicaid Buy-In - Freedom to Work Project

The Freedom To Work Steering Committee and staff, and the Medicaid Buy-In (MBI) Workgroup have worked together and reached consensus on the elements needed to build the foundation of a South Dakota MBI.

MBI will be for individuals with disabilities who are self-employed or employed in an integrated setting, and who are compensated at not less than the customary wage and level of benefits paid by the employer for the same or similar work when it is performed by individuals who do not have disabilities.

MBI will allow individuals who return to competitive work to have substantial earnings and savings and still have Medicaid coverage. MBI is a work incentive that allows working people with disabilities to pay a cost-share (such as a premium) to participate in the state's Medicaid program, just as they would if they were buying private health insurance.

As of January 2005, specific amounts of earnings levels, asset limits, and cost-share amounts have not been decided for the Medicaid Buy-In in South Dakota. Since the implementation of an MBI is a systems change effort requiring much research, legislative and executive approval, and requests for state funds, the process of implementation is time-consuming. Research on program details is ongoing.

See Also:

Personal Assistance Services (PAS)

Source:

http://www.sd-ccd.org/ftw/faq_answers.html#b_q01 and personal communication with project staff

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Freedom to Work Project

Welcome and Introduction to the South Dakota Benefits Information System

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