Minnesota’s Medicaid Buy-In
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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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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


Ma epd goals

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.


Background

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)


General enrollment data

Medical Assistance for Employed Persons with Disabilities

General Enrollment Data

Data Source: MMIS


Demographics

Medical Assistance for Employed Persons with Disabilities

Demographics

Source: MMIS


Enrollee earnings

Medical Assistance for Employed Persons with Disabilities

Enrollee Earnings

Source: MN Dept. of Revenue

MA-EPD Average monthly earned income Q3 2009: $541


Minnesota s medicaid buy in

Medical Assistance for Employed Persons with Disabilities

Changes in MA-EPD Policy


Minnesota s medicaid buy in

Medical Assistance for Employed Persons with Disabilities

Changes in MA-EPD Policy


Minnesota s medicaid buy in

Medical Assistance for Employed Persons with Disabilities

Compare: MA and MA-EPD


Expenditure trends

Medical Assistance for Employed Persons with Disabilities

Expenditure Trends

Source: MMIS, DHS Data warehouse


Expenditure trends1

Medical Assistance for Employed Persons with Disabilities

Expenditure Trends

Source: MMIS, DHS Data warehouse


Expenditure trends 2008

Medical Assistance for Employed Persons with Disabilities

Expenditure Trends (2008)

Source: MMIS, DHS Data warehouse


Taxes premiums

Medical Assistance for Employed Persons with Disabilities

Taxes & Premiums

Source: MMIS, MN Dept. of Revenue, DHS Data warehouse


What s next

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


Further information

Medical Assistance for Employed Persons with Disabilities

Further information

  • Beth Grube, Policy Consultant

    [email protected]

    651-431-2412

  • MaryAlice Mowry, Director, Pathways to Employment

    [email protected]

    651-431-2384

  • www.positivelyminnesota.com/pte

  • MA-EPD Statistical Information2005 MA-EPD Evaluation


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