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(MRG) UPDATED: JANUARY 2012 43 CATEGORICAL FACTORS MEDICAID BUY-IN PROGRAM FOR WORKING PEOPLE WITH DISABILITIES Policy: Sections 62-69 of Part A of Chapter 1 of the Laws of 2002 extends Medicaid coverage to working disabled applicants/recipients (A/Rs) who have net incomes at or below 250% of the Federal Poverty Level (FPL) and non-exempt resources at or below the appropriate Medicaid Resource Level. Unlike other Medicaid programs, the Medicaid Buy-In Program for Working People with Disabilities (MBI-WPD) is a work incentive program and work activity is a requirement of eligibility. SSI-related budgeting, including allocation and deeming, is used for determining net available income and resources. (See INCOME MEDICAID BUY-IN PROGRAM FOR WORKING PEOPLE WITH DISABILITIES for a discussion on budgeting of income and RESOURCES MEDICAID BUY-IN PROGRAM FOR WORKING PEOPLE WITH DISABILITIES for budgeting of resources.) At application, individuals in the MBI-WPD program may attest to resources other than trusts, burial funds and Third Party Health Insurance, if not requesting Medicaid coverage of long term care services. At renewal/recertification, individuals in the MBI-WPD program may attest to income including interest income, residence, and itemized resources but must document employment. Managed Care is a voluntary option for MBI-WPD individuals who are income eligible under 150% FPL. Mandatory Managed Care counties cannot require these individuals to enroll in a Managed Care plan. MBI-WPD individuals with income at or above 150% FPL are excluded from Managed Care. Such individuals may voluntarily participate in Managed Long Term Care. References: SSL Sect. 366(1)(a)(12) & (13) ADM 11 OHIP/ADM-1 11 OHIP/ADM-7 10 OHIP/ADM-2 04 OMM/ADM-5 03 OMM/ADM-4 GISs 11 MA/017 10 MA/003 09 MA/015 08 MA/027 08 MA/004