Congress established the Medicaid Buy-In program when it passed the Balanced Budget Act (BBA) of 1997 and the Ticket to Work and Work Incentives Improvement Act (Ticket Act) of 1999. Under the program, so named because participants “buy into†Medicaid by paying monthly premiums or...

When workers with disabilities “buy into†Medicaid by paying monthly premiums, states can offer them Medicaid coverage when their income and assets would otherwise make them ineligible. Using MAX data and Medicare claims files, this report provides the most comprehensive information to...

This article examines the Medicaid Buy-In program, so named because workers with disabilities “buy into†Medicaid coverage with monthly premiums. In 2006, over 97,000 individuals were enrolled in 32 state Buy-In programs. States have taken different pathways toward the program’s dual...

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 exceed standard Medicaid eligibility limits. This article describes enrollment, expenditures, and...

This study examines the value of state Medicaid program spending by exploring the relationship between both sides of the efficiency coin—costs and outcomes. The authors create measures that relate spending per beneficiary to quality indicators, compare states’ performance, and...

When workers with disabilities “buy into†Medicaid by paying monthly premiums, states can offer them Medicaid coverage when their income and assets would otherwise make them ineligible. Using MAX data and Medicare claims files, this report provides the most comprehensive information to...

This study examines the value of state Medicaid program spending by exploring the relationship between both sides of the efficiency coin—costs and outcomes. The authors create measures that relate spending per beneficiary to quality indicators, compare states’ performance, and build a...

This brief presents an analysis of the Database of Publicly Available Medicaid and CHIP Performance Measure Reports. It provides background on the database; highlights the types of documents and reports available; and discusses which measure domains are typically represented, including examples of...