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MEDICAL INSURANCE: MEDICAID:
A Government Performance and Results Act (GPRA) Report: The Status of the
Medicaid Infrastructure Grants Program as of 12/31/07




A Government Performance and Results Act (GPRA) Report: The Status of the
Medicaid Infrastructure Grants Program as of 12/31/07
Final Report
December 10, 2008
Cindy Gruman
Sarah Croake
Jody Schimmel
Su Liu
Submitted to:
Centers for Medicare & Medicaid Services
Disabled and Elderly Health Programs Group
S3-16-04 South Bldg.
Mail Stop S2-14-26
7500 Security Blvd.
Baltimore, MD 21244-1850
Telephone: (410) 786-6126
Project Officer: Joseph Razes
Submitted by:
Mathematica Policy Research, Inc.
600 Maryland Ave., SW, Suite 550
Washington, DC 20024-2512
Telephone: (202) 484-9220
Facsimile: (202) 863-1763
Project Director: Su Liu
<http://www.cms.hhs.gov/TWWIIA/Downloads/2008GPRAReport.pdf>



CONTENTS




EXECUTIVE SUMMARY
I OVERVIEW OF MIGS AND THE ASSESSMENT PROCESS
A. POLICY CONTEXT
B. PURPOSE AND PLAN OF THE REPORT
II MIG AWARDS, FUNDING, AND ACTIVITIES
A. NUMBER OF MIG AWARDS AND FUNDING AMOUNTS
B. THE RANGE OF ACTIVITIES SUPPORTED BY MIG FUNDING
III MIG PERFORMANCE: PROTECTING AND ENHANCING WORKERS
HEALTH CARE, OTHER BENEFITS, AND EMPLOYMENT SUPPORTS
A. GROWTH IN MEDICAID BUY-IN PROGRAMS IN MIG STATES
B. PERSONAL ASSISTANCE SERVICES
IV MIG PERFORMANCE: MAXIMIZING EMPLOYMENT AMONG PEOPLE WITH DISABILITIES
A. EARNINGS MEASURES OF PARTICIPATION IN THE BUY-IN PROGRAM
B. BUY-IN PREMIUM COLLECTION
C. OVERALL EMPLOYMENT RATES OF PEOPLE WITH DISABILITIES
D. EMPLOYMENT RATES OF PEOPLE WITH DISABILITIES
WHO RECEIVE FEDERAL DISABILITY BENEFITS
E. THE CHALLENGE OF
OBSERVING MIG EFFECTS ON EMPLOYMENT RATES
V CONCLUSIONS AND RECOMMENDATIONS: MOVING TOWARD BETTER OUTCOME
MEASURES
REFERENCES
APPENDIX A: KEY DATA SOURCES CONSULTED IN PREPARING THIS REPORT
APPENDIX B: STATE-LEVEL ANALYSES OF MIG PERFORMANCE
APPENDIX C: MIG PROGRAM-LEVEL OUTCOME




FIGURES


II.1 NUMBER OF MIGS AND TOTAL MIG FUNDING, BY YEAR, 2001-2007
II.2 TOP 10 COMMONLY REPORTED ACTIVITIES SUPPORTED BY
MIG FUNDING, 2001-2007
III.1 NUMBER OF MIG STATES WITH MEDICAID BUY-IN PROGRAMS
AND TOTAL BUY-IN ENROLLMENT, 2001-2007



The Medicaid Infrastructure Grant (MIG) program provides funding to states
so they can develop the infrastructure necessary to promote competitive
employment for people with disabilities. Since 2001, the Centers for
Medicare & Medicaid Services (CMS) have administered the program, which
Congress authorized as part of the Ticket to Work and Work Incentives
Improvement Act of 1999. Grantee states use MIG funding to support a range
of activities tailored to the needs of their target population, including
developing and implementing a Medicaid Buy-In program; improving access to
personal assistance services (PAS); developing supported employment
programs; providing benefits counseling; educating employers; building
employment networks; performing outreach to potential Buy-In participants,
service providers and general public; and conducting research and
evaluation to improve MIG-supported activities and programs.


This report builds on the content of last year.s GPRA report and examines
the performance of MIGs, with particular emphasis on the outputs and
outcomes of MIG funding in calendar year 2007, the program.s seventh year.


<snip>



The complete report may be read at the URL above.





Many thanks to Brian Zimmerman and David Mitchell at
the Institute for Disabilities at Temple University for
sharing information regarding this online resource.


Institute on Disabilities
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University Services Bldg. Suite 610
Philadelphia, PA 19122
Voice/TTY: 215-204-1356
Fax: 215-204-6336
http://www.temple.edu/instituteondisabilities/
iod@...





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