Fear of losing Medicaid coverage can deter people with disabilities from entering the labor market. Medicaid buy-in programs allow workers with disabilities to purchase Medicaid coverage that enables them to participate in the workforce without losing health care benefits. A large majority of states such as Colorado, Illinois and Ohio, amongst others, are participating in or pursuing these kinds of programs.
In 2003, New York implemented the Medicaid Buy-In for Working People with Disabilities program, or MBI-WPD. In doing so, the state created an online toolkit outlining eligibility, income, financial planning resources, as well as other program requirements. The toolkit also provides a number of examples, worksheets and outlines for helping individuals create a Plan to Achieve Self-Support, or PASS.