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June 2003
GAO Report
 Medicaid and Ticket
to Work: States? Early Efforts to Cover Working Individuals with
Disabilities
As of December 2002,
12 states had implemented Medicaid Buy-In programs under the
authority of the Ticket to Work legislation, which was effective
October 1, 2000, enrolling over 24,000 working individuals with
disabilities. These states used the flexibility allowed by the
legislation to raise income eligibility and asset limits as well
as cost-sharing fees. Across the 12 states, income eligibility
levels ranged from 100 percent of the federal poverty level (FPL)
in Wyoming to no income limit in Minnesota, with 11 states setting
income eligibility limits at twice the FPL or higher. In addition
to increasing income and asset levels, these states required
participants to buy in to the program by charging premiums,
ranging from $26 to $82 a month, and copayments, generally ranging
from $0.50 to $3 for office visits and prescription drugs.
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