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Minnesota’s Medicaid Buy-In

Minnesota’s Medicaid Buy-In. Medical Assistance for Employed Persons with Disabilities (MA-EPD) Established July 1999 MN Statute: 256(B).057, subd. 9. Medical Assistance for Employed Persons with Disabilities. MA-EPD Goals.

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Minnesota’s Medicaid Buy-In

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  1. Minnesota’s Medicaid Buy-In Medical Assistance for Employed Persons with Disabilities (MA-EPD) Established July 1999 MN Statute: 256(B).057, subd. 9

  2. Medical Assistance for Employed Persons with Disabilities MA-EPD Goals • The goal of the program is to establish a continuum of access, regardless of earnings, to the full range of medical, mental health and long term care benefits, and • Promote competitive employment and the economic self-sufficiency of people with disabilities.

  3. Medical Assistance for Employed Persons with Disabilities Background • Eligibility: • Ages 16-64 • Certified disabled by SSA or SMRT • Be employed • Meet the asset limit ($20,000) • Pay a monthly premium • Services Covered: • Comprehensive benefits under State Plan • MN provides almost every optional services • 40% of MA-EPD enrollees are on MN’s four 1915(c) waivers (CADI, CAC, TBI, DD)

  4. Medical Assistance for Employed Persons with Disabilities General Enrollment Data Data Source: MMIS

  5. Medical Assistance for Employed Persons with Disabilities Demographics Source: MMIS

  6. Medical Assistance for Employed Persons with Disabilities Enrollee Earnings Source: MN Dept. of Revenue MA-EPD Average monthly earned income Q3 2009: $541

  7. Medical Assistance for Employed Persons with Disabilities Changes in MA-EPD Policy

  8. Medical Assistance for Employed Persons with Disabilities Changes in MA-EPD Policy

  9. Medical Assistance for Employed Persons with Disabilities Compare: MA and MA-EPD

  10. Medical Assistance for Employed Persons with Disabilities Expenditure Trends Source: MMIS, DHS Data warehouse

  11. Medical Assistance for Employed Persons with Disabilities Expenditure Trends Source: MMIS, DHS Data warehouse

  12. Medical Assistance for Employed Persons with Disabilities Expenditure Trends (2008) Source: MMIS, DHS Data warehouse

  13. Medical Assistance for Employed Persons with Disabilities Taxes & Premiums Source: MMIS, MN Dept. of Revenue, DHS Data warehouse

  14. Medical Assistance for Employed Persons with Disabilities What’s Next • Maximize the use of the buy-in as a work incentive • Generate revenue • Integrate lessons from the Demonstration to Maintain Independence & Employment • “Paycheck therapy is better than talk therapy. I feel so much better when I am working. I really want to be a success story for this program.” – DMIE Enrollee

  15. Medical Assistance for Employed Persons with Disabilities Further information • Beth Grube, Policy Consultant Beth.grube@state.mn.us 651-431-2412 • MaryAlice Mowry, Director, Pathways to Employment Maryalice.mowry@state.mn.us 651-431-2384 • www.positivelyminnesota.com/pte • MA-EPD Statistical Information2005 MA-EPD Evaluation

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