The Medicaid Buy-In for Working People With Disabilities (MBI-WPD)

The Medicaid Buy-in for Working People with Disabilities (MBI-WPD) is a special program for individuals with disabilities under age 65 who have work income.  Under MBI-WPD, individuals are eligible for full Medicaid benefits at much higher incomes than individuals who are not working.   The income limit is 250% of the Federal Poverty Line, after more than half of gross earned income is disregarded.   This allows them to earn more income without the risk of losing health coverage. 

The official State website on this program has basic information, including the current income and resource limits which change every year with the Federal Poverty Line.  Current levels are in Box 5 in the Medicaid Income and Resource Levels Chart.  

Applications for MBI-WPD should include the usual components of a Medicaid application, as well as proof of disability, proof of employment, and two additional forms:

LAW:  NY Social Services Law § 366(1)(a)(14 - 15), §  367-a(15).  State directives include:

Through the NY Makes Work Pay project -- --Neighborhood Legal Services in Buffalo, funded by a subgrant from Cornell University, has extensive resources to encourage enrollment in MBI-WPD, including:

Direct links to some key policy-to-practice briefs:

This article was authored by the Empire Justice Center.

Empire Justice Center

Article ID: 59
Last updated: 20 Aug, 2020
Revision: 25
Medicaid -> Financial Eligibility -> The Medicaid Buy-In for Working People With Disabilities (MBI-WPD)