While every state is different, most MBI programs follow these core criteria:
Coverage for services like home health aides and specialized medical equipment that private plans often exclude.
A Medicaid Buy-In program is an optional state benefit designed for workers with disabilities who have earnings above traditional Medicaid limits. Instead of being disqualified due to their income, participants can "buy into" Medicaid by paying a monthly premium, often based on a sliding scale. Why This Matters
You can build a career and save money without fear of a "benefit cliff" where one extra dollar of income cancels your entire healthcare safety net.
For many people with disabilities, the decision to take a job or a promotion isn’t just about the salary—it’s a high-stakes calculation about health insurance. Historically, earning "too much" money could mean losing access to , the only program that often covers essential long-term services like personal care attendants.
If you have Medicare or employer insurance, Medicaid can act as a secondary payer to cover remaining costs. General Eligibility Requirements
Enter the program: a game-changing policy that allows you to work, earn a paycheck, and keep your vital health coverage. What is a Medicaid Buy-In Program?
For most, private insurance or Medicare doesn't cover everything. MBI programs provide access to:




