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    The Medicaid Medically Improved Group: Losing Disability Status and Growing Earnings

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    MMRR2014_Thomas_and_Hall.pdf (157.7Kb)
    Issue Date
    2014
    Author
    Hall, Jean P.
    Thomas, Kathleen C.
    Publisher
    Centers for Medicare & Medicaid Services, Office of Information Products & Data Analytics
    Type
    Article
    Article Version
    Scholarly/refereed, publisher version
    Published Version
    http://www.cms.gov/mmrr/Downloads/MMRR2014_004_01_a02.pdf
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    Abstract
    Objectives: Under the Ticket to Work and Work Incentives Improvement Act (PL 106-170), states may

    extend Medicaid Buy-In coverage to a medically improved group. Improved group coverage allows adults

    with disabilities to retain Medicaid coverage even once they lose disability status due to medical

    improvement, as long as they retain the original medical impairment. The goal of this paper is to describe

    who participated, the patterns of their participation, and employment outcomes.

    Methods: The study population consists of all individuals (n=315) who participated in medically

    improved group coverage 2002–2009 in the seven states with coverage by 2009 (Arizona, Connecticut,

    Kansas, New York, North Carolina, Pennsylvania, and West Virginia). Linked data from state Medicaid

    Buy-In finder files and Social Security Administration Ticket Research and Master Earnings Files were

    used to describe improved group participants and their patterns of enrollment.

    Results: Although enrollment has been limited, with 255 participants in 2009, it has doubled annually on

    average with little churning and drop-out. Participants’ earnings grew nearly 200 dollars per month after

    two years, likely reflecting increased work hours and/or higher pay rates.

    Conclusions: Improved group participants represent an unusually successful group of individuals with

    disabilities, many of whom have recently moved off Social Security cash benefit rolls or who were diverted

    from them. Specifics of insurance eligibility and coverage for improved group participants are uncertain

    under the Affordable Care Act. The challenge remains to provide a pathway for adults with disabilities to

    increase work and assets without loss of adequate health insurance.
    URI
    http://hdl.handle.net/1808/16644
    ISSN
    2159-0354
    Collections
    • Center for Research on Learning Scholarly Works [125]
    • Institute for Health and Disability Policy Studies [12]

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    Contact KU ScholarWorks
    785-864-8983
    KU Libraries
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    Lawrence, KS 66045
    785-864-8983

    KU Libraries
    1425 Jayhawk Blvd
    Lawrence, KS 66045
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    Contact KU ScholarWorks
    785-864-8983
    KU Libraries
    1425 Jayhawk Blvd
    Lawrence, KS 66045
    785-864-8983

    KU Libraries
    1425 Jayhawk Blvd
    Lawrence, KS 66045
    Image Credits
     

     

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