Medicaid Infrastructure Grant (MIG)

Most Medicaid beneficiaries are enrolled in some form of managed care. States are expected to increase their reliance on managed care to deliver services in their Medicaid programs. This 50-state survey provides a comprehensive look at state Medicaid managed care programs, documenting their diversity, examining how states monitor access and quality, and exploring emerging efforts to improve care, including managed long-term care and initiatives targeted toward dual eligibles.

This study explores the perceived value of workplace accommodations from the perspective of the individual users of PAS who had contacted the Job Accommodation Network (JAN). A follow-up survey assessed their perspective on the impact of PAS and other accommodations. The findings indicate that people who have considered or implemented PAS accommodations perception of work ability increases from being "Substantially Limited" with no accommodation to "Not Limited at All" with accommodiation.

How does the state of Virginia measure how financial incentives affect disabled workers' decision to work? To learn more, read this report which features a model used to predict behavior of individuals, budget costs, and related savings of the Virginia Medicaid Works program, along with the well-being of affected individuals. This frame-work will also be used to predict how proposed changes in the Medicaid Works program would affect behavior.

How is the state of Virginia working to better understand its Medicaid program's efficacy? This report aims to develop a framework to understand the incentive effects of the Virginia Medicaid Works program that provides disabled Medicaid recipients the option to earn higher income while ensuring continued Medicaid coverage. By decoupling labor market decisions from Medicaid receipt, the primary objective of the Works program is to increase the employment and earnings of disabled recipients.

This study evaluated impacts on employment and earnings levels among people with disabilities of eliminating the cash cliff aspect of Social Security Disability Insurance, in which beneficiaries lose their entire cash benefit when their earnings become too high. Findings demonstrated that an SSDI offset can have a significant effect on the SGA earnings rate of beneficiaries, but that the effect may be limited to a subset of individuals, and may be enhanced when paired with healthcare protection.

The Utah Medicaid Work Incentive (MWI) Program began in 2001 as a way to encourage low income people with disabilities to work without fear of losing needed health care services. The program allows people with disabilities to earn above the poverty level to have access to Medicaid as long as their income remains low. The purpose of this study was to assess the impact of MWI policy on recipients’ earnings, Medicaid expenditures, and use of other public benefits.

The Alternative State Application Program is a program designed to appoint qualified persons with disabilities through an on-the-job examination period. Attached is a presentation on the program put out by Utah's Work Ability. The presentation includes information on positions available, eligibility, the application process, and more.

This Power Point presentation was put out by Utah's Work Ability for the fall Employer Workshop. The presentation educates consumers, families, and professionals on the Americans with Disabilities Act, available technology, agency services and supports, and more and how they can all be used as valuable resources to help the deaf and hard of hearing.

How does the state of South Dakota provide outreach, including personal testimonials, important suggestions, and resources to individuals with disabilities seeking to maintain their benefits while also working? This July 2010 newsletter is one example of MIG outreach work being done in the state in order to provide these services. May be replicable by other states seeking to reach out to similar demographics.

On September 1 & 2 2010, over 50 stakeholders representing service providers, families, advocates and individuals with intellectual and developmental disabilities came together at Oregon's Silver Falls Conference Center for the Employment First Summit, the kick-off event for the Employment First Outreach Project. Employment First's goal is full employment for working age adults with intellectual and developmental disabilities in Oregon. To learn more, explore this paper with recommendations.