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Medicaid Buy-In Program for Children with Disabilities

posted Jul 12, 2012, 2:48 PM by Dicia Kemp
The Medicaid Buy-In Program for Children with Disabilities (Children’s Buy-In) launched July 1st! Many of your staff may have attended information sessions on the new program, but below you will find basic background about the program and Children’s Buy-In resource information.
Program Background
The Medicaid Buy-In Program for Children with Disabilities (Children’s Buy-In) will provide Medicaid benefits for children who are under age 19, have a qualifying disability and whose adjusted family income is at or below 300% FPL. Eligible families will receive Medicaid benefits for their child with a disability by paying a monthly premium on a sliding scale based on their adjusted income.
· Applications are being accepted for the Children’s Buy-In as of July 1, 2012
· The Children’s Buy-In is a Family Medical Assistance program
· Child/children with a qualifying disability receive the Medicaid benefit
· Asset/resources are not taken into account to determine eligibility
· There are no enrollment limits or waitlists on this program
· Children will receive Regular Medicaid benefits which include, but are not limited to, office visits, hospitalizations, x-rays, home health services, durable medical equipment (DME), prescription medications and therapy (e.g. physical, speech, occupational, etc.)
· Waiver services are not a benefit of the Children’s Buy-In
· Children on the waitlist for the Children’s Extensive Support (CES) or Children with Autism (CWA) waiver: Children can remain on the waitlist and receive Medicaid benefits through the Children’s Buy-In while awaiting enrollment onto the waiver
· Children on the waitlist for the C-HCBS waiver: Children cannot remain on the C-HCBS waiver and concurrently receive Medicaid through the Children’s Buy-In. Families will need to work with their case managers to choose which option best suits their child’s needs
· Funding for the Children’s Buy-In is provided by the Hospital Provider Fee and federal funds, no general funds
Additional Resources
· Children’s Buy-In FAQs – The frequently asked questions for the Children’s Buy-In is a working document and will be updated as necessary
· Children’s Buy-In Manual – This comprehensive resource geared toward eligibility staff has program and policy information
· Program Flyer – This client-friendly resource is for counties and community partners to post at their sites
Please contact Martha Beavers at (303) 866-3998 or or Andrea Skubal at (303) 866-3632 or with additional questions on the Children’s Buy-In.