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Medicaid Infrastructure Grants

Section 203 of the Ticket to Work and Work Incentives Improvement Act of 1999 directs the Secretary of the Department of Health and Human Services (DHHS) to establish the Medicaid Infrastructure Grant (MIG) Program. Funding for this program is intended to facilitate enhancements to State Medicaid programs and services, to promote linkages between Medicaid and other employment-related service agencies, and to develop a comprehensive system of employment supports for people with disabilities.

The resources and tools found on this theme page are designed for or created by MIG grantees. It is our hope that this will a useful page and that you bookmark the site so that you may stay up-to-date with events, articles and answers to your frequently asked questions.

Contact Information

Ascellon Corporation:
The MIG Team
TheMIGTeam@ascellon.com
240-487-3032

CMS:
Joe Razes
Project Officer
410-786-6126
Joseph.Razes@cms.hhs.gov

Effie George
Project Officer/Health Policy Analyst
410-786-8639
Effie.George@CMS.hhs.gov


What's New

Analysis of Medical Expenditures and Service Use of Medicaid Buy-In Participants, 2002-2005
Overall findings of this report suggest that Buy-In participants who are working may require fewer services or a less expensive mix of services than other adult disabled Medicaid enrollees.

State Examples
Explore these states’ innovative use of MIG funds:
Oregon – This presentation and speaker’s notes outlines the Supported Employment Program and presents the case that supported employment is an important part of improving the lives of people with a mental health diagnosis.

Nebraska – The Ticket to Work Palliative Care Program combines palliative care with employment services in an effort to address chronic pain as a barrier to employment.

Washington - The Project SEARCH High School Transition Program is a school-to-work program that takes place entirely at the workplace.

Grantee Resources: Documents and tools developed by fellow MIG grantees are now being added to the clearinghouse weekly. Review the resources that other states have shared. The new listings will appear on the left hand side of this page. You can also browse the database:

  • Topics for Medicaid Buy-In,
  • Select Type Grantee Produced
  • Narrow down your search by adding the State you are interested in.

Frequently Asked Questions

This section is organized by category, with examples featured below.
» See all questions

General Overview

What is the difference between a “basic” MIG grant and a “comprehensive” MIG grant?
» Go To Answer

Ticket To Work and Work Incentives Improvement Act of 1999

What is the Ticket To Work and Work Incentives Improvement Act of 1999?
» Go To Answer

Highlighted Articles

Please note: Below is a portion of the documents available to MIG grantees found in the Clearinghouse. Some of the resources are issue briefs and papers, but many of the resources are from state grantees who wanted to share their resources. To view all MIG documents choose Medicaid Infrastructure Grants from the Topics list.

ArkWrkDisabilities's YouTube Channel - Arkansas
> more info

Workforce Infrastructure in Support of People with Disabilities: Matching Human Resources to Service Needs
> more info

Employer Designation Pilot Program - Connecticut
> more info

Freedom To Work Project 2007 End of Year Evaluation Report - South Dakota
> more info

Working! Incentives and Supports – Utah
> more info

Survey of Barriers to Employment - Montana
> more info

Medicaid Buy-In Objectives and Overview - Texas
> more info

HELPS Brain Injury Screening Tool - Nebraska
> more info

Work Activity and Use of Employment Supports Under the Original Ticket to Work Regulations – Process Evaluation of the Work Incentives Planning and Assistance Program (WIPA)
> more info

Building Gateways Strategic Map 2007-2010: Building a Comprehensive System for Competitive Employment of West Virginians with Disabilities
> more info

Providing Personal Assistance Services Through a Medicaid State Plan Option
> more info

Analysis of Proposed Ticket to Work Payment Changes on Potential Revenue - Vermont
> more info


Browse all Grantee Produced MIG Documents

Browse all
Clearinghouse
documents


HCBS / Clearinghouse for the Community Living Exchange Collaborative / (http://www.hcbs.org)