§ 12-15-41-13 — Criteria for determining effectiveness of buy-in program and continued Medicaid coverage

Indiana § 12-15-41-13

• Jurisdiction: Indiana
• Art. 15: MEDICAID
• Ch. 41: Medicaid Buy-In Program for Working Individuals

Text

(a) The office shall establish criteria to
determine the effectiveness of:
(1) the buy-in program; and
(2) continued Medicaid coverage through Section 1619 of the
federal Social Security Act (42 U.S.C. 1382h).
(b) The criteria required under subsection (a) must include the
following:
(1) The number of individuals with disabilities who are:
(A) enrolled in the buy-in program; or
(B) receiving Medicaid through Section 1619 of the federal
Social Security Act (42 U.S.C. 1382h).
(2) State revenues resulting from premiums paid by participants
in the buy-in program.
(3) State costs incurred as a result of implementing the buy-in
program, including administrative costs and costs of providing
services.
(c) In addition to the criteria required under subsection (b), the
office may establish criteria to determine the following:
(1) Comparative costs of Medicaid funded services for
participants in the buy-in program and work incentives created
through Section 1619 of the federal Social Security Act (42
U.S.C. 1382h) before and after employment.
(2) The number of Supplemental Security Income and Social
Security Disability Insurance recipients in Indiana who are no
longer dependent on, or who have reduced dependence on, public
assistance or health care entitlement services, other than Medicaid
or the children's health insurance program, due to participation in
the buy-in program or work incentives created through Section
1619 of the federal Social Security Act (42 U.S.C. 1382h).
(3) The number of individuals with severe disabilities who are no
longer dependent on, or who have reduced dependence on, public
benefits or services, other than Medicaid or the children's health
insurance program, due to income or support services received
through participation in the buy-in program or work incentives
created through Section 1619 of the federal Social Security Act
(42 U.S.C. 1382h).
(4) The change in the number of buy-in program participants or
participants in work incentives created through Section 1619 of
the federal Social Security Act (42 U.S.C. 1382h) who have
health care needs and related services covered though employer
based benefit programs.
(d) In evaluating the effectiveness of the state's work incentive
initiatives for individuals with disabilities, the office:
(1) shall collaborate with other state agencies on data collection;
and
(2) may consult with an independent contractor to collect data on
the criteria listed under subsection (b).

Legislative History

As added by P.L.287-2001, SEC.9. Amended by P.L.197-2011, SEC.43.