What Is the Demonstration to Maintain Independence and Employment (DMIE) and Who is Participating?

The DMIE awards funds to states to develop, implement, and evaluate interventions that are intended to improve health care coverage and employment services for working adults with potentially disabling conditions. It allows states to offer Medicaid-equivalent coverage, employment support, and case management services in order to sustain employment. This issue brief reviews the rationale for the DMIE, the interventions of the four most recent states, evaluation, and information dissemination.