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Journal of Disability Policy Studies
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Participants in the Medicaid Buy-In Program, 2000–2004

Characteristics, Earnings, and Medical Expenditures

Su Liu

Mathematica Policy Research, Inc, sliu{at}mathematica-mpr.com

Henry T. Ireys

Mathematica Policy Research, Inc

Craig Thornton

Mathematica Policy Research, Inc

The Medicaid Buy-In program, a state Medicaid option since the late 1990s, is designed to encourage adults with disabilities to work by allowing them to buy into Medicaid when their earnings are above the standard Medicaid eligibility limits. This study provides a descriptive profile of enrollment, expenditures, and earnings for Buy-In participants in 27 states between 2000 and 2004. Analyses indicate that younger participants receiving no federal income support when they enroll in the Buy-In program have higher earnings compared with older participants receiving Social Security Disability Insurance payments. The innovative process used in this study to link data from multiple agencies could be adapted for exploring other policy issues related to the employment of individuals with disabilities.

Key Words: Medicare/Medicaid • employment • health care • state policy • programs • Social Security Administration

This version was published on September 1, 2008

Journal of Disability Policy Studies, Vol. 19, No. 2, 95-102 (2008)
DOI: 10.1177/1044207308315282
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