Medicaid Infrastructure Grants

Section 203 of the Ticket to Work and Work Incentives Improvement Act of 1999 directs the Secretary of the Department of Health and Human Services (DHHS) to establish the Medicaid Infrastructure Grant (MIG) Program. Funding for this program is intended to facilitate enhancements to State Medicaid programs and services, to promote linkages between Medicaid and other employment-related service agencies, and to develop a comprehensive system of employment supports for people with disabilities.

The resources and tools found on this theme page are designed for or created by MIG grantees. It is our hope that this will a useful page and that you bookmark the site so that you may stay up-to-date with events, articles and answers to your frequently asked questions.

Contact Information

Ascellon Corporation:
The MIG Team

Effie George
Project Officer/Health Policy Analyst


Enrollment, Employment, and Earnings in the Medicaid Buy-In Program, 2011

A report on participation in the Medicaid Buy-In Programs in 2011. These buy-in programs allow states to expand Medicaid coverage to workers with disabilities whose incomes would otherwise make them ineligible for traditional Medicaid. This information can be helpful for current MIG grantees, so they may find ways to more effectively promote employment. Updates on trends in enrollment, employment and earnings, as well as changes to state program rules and policies are included.

Characteristics and Service Use of Medicaid Buy-In Participants with Higher Incomes: A Descriptive Analysis 

Few employer-sponsored and private insurance plans offer the range of services that workers with disabilities may need. Medicaid Buy-In programs are a viable option that allows these workers to receive needed services without spending down for Medicaid. This report describes findings from a study of characteristics and service utilization of higher-income enrollees compared to regular Medicaid enrollees. Providing these programs may keep higher-income workers with disabilities employed.

Medicaid Infrastructure Grants: Impacts and Outcomes

The MIG program was authorized for eleven years and expires in federal fiscal year 2011. This succinct impact statement highlights key outcomes and impacts related to health care, employment and economic outcomes, Medicaid and employment policy improvements, and service improvements.

How Are the Experiences of Individuals with Severe Mental Illness Different from Those of Other Medicaid Buy-In Participants?

Review this issue brief profiling Medicaid Buy-In participants with severe mental illness and comparing their characteristics, employment experiences, and medical expenditures with those of other program participants. Findings indicate lower medical expenditures, a greater likeliness to be employed and increase their earnings over time.