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People with disabilities having to choose between meaningful work and income, and access to health insurance and needed services, is a problem being addressed by an increasing number of states through the Medicaid Buy-In program. The state of Alabama created the policy paper attached below, outlining the policy objectives and proposed design of their program. It could be a useful resource for other states proposing a MIG program of their own.

Getting the word out to eligible enrollees as well as service providers is key to any MIG programs’ success. This can be complicated by the fact that there are often many programs working together. One way Alabama is keeping everyone informed is by distributing brochures about their MIG program that specifically highlight the partnerships between programs and address fears about benefits and health care. Attached are two such brochures. These could serve as samples for other states.

How is Hawaii providing its disabled population with benefits information? In the attached slide presentations, Hilo Benefits Information Outreach covers disability programs, work incentives and self employment work incentives for self-employed clients and case managers. These presentations for Hawaii’ s MIG program could be useful to other states implementing similar programs.

Interested in statistical analysis of MIG grant programs? The following presentation represents Idaho’s Medicaid for Workers with Disabilities (MWD) program. The program’s history and its’ current state are outlined here alongside graphs and charts with corresponding data. It’s an example of how to chart out a state’s MIG program alongside statistical analysis and could be beneficial to other states looking to do the same.

Looking for an in-depth sample of MIG grant program implementation? The District of Colombia has provided their final deliverables document here. This document includes a strategic plan for Medicaid Buy-In Program Implementation, along with the subsequent step-by-step tasks, leading ultimately to the final report, and includes such tools as marketing materials, forms and brochures. This document could serve as a helpful resource to other states interested in implementing a MIG program.

How can MIG programs be more successful in helping clients? One approach Oregon has taken is training its employment and residential providers, case managers, brokerages and office of developmental disability service staff. The attached presentation is one of their training tools and explains how their program works, including the benefits to both clients and brokers. The presentation provides examples that could be helpful to other states with MIG programs.

How can we dispel myths and create opportunities for the employment of the disabled? Oregon’s Work Incentives Network (WIN) addresses this issue in the attached presentation. Given at the 6th Annual Pacific Northwest Brain Injury Conference, as well as statewide training events for stakeholders, this presentation explains how WIN works, myths that exist about benefits and working and how to access services. While WIN is specific to Oregon, the approaches it takes could be useful to other states.

The Oregon Competitive Employment Project seeks to enhance the quality of life in Oregon by achieving, maintaining and advancing the competitive and inclusive employment of persons with disabilities. The project is funded by a four-year Medicaid Infrastructure Grant and is part of the Oregon Department of Human Services, Office of Vocational Rehabilitation Services. The project website contains information and downloads, and could be a useful tool for other MIG grantees.

View a presentation given by consultants to explain the VD-HCBS program to veterans once they are enrolled. It delineates the target populations and roles played by the veterans, AAA VD-HCBS staff, and financial management services. Also included is a sample budget sheet.

The cornerstone of NH’s systems change efforts has been the development of the statewide SLRC network. Find the state’s RFP seeking vendors to operate centers, job description and standards of practice for long term support counselor, a guide produced to help consumers learn about eligibility, and resources from NH’s Choices for Independence Program.