This chart highlights the state laws related to Medicaid Programs for Workers with Disabilities, including who qualifies and costs. Check back often, as this chart is updated frequently.
For more information, visit our Medicaid Topics Page.
| State | Does this state have a program for workers with disabilities? (Y/N) | Name of the program | Description of who qualifies | Is there a cost or contribution from the worker? | |
|---|---|---|---|---|---|
| ALABAMA | N | N/A | N/A | N/A | N/A |
| ALASKA | Y | Working Disabled Medicaid Buy-In | http://dpaweb.hss.state.ak.us/manuals/adltc/adltc.htm#t=534_working_disabled_medicaid_buy-in%2F534_working_disabled_medicaid_buy-in.htm | An individual with a disability who is ineligible for Medicaid because of earned income that is either the individual's own income or the individual's spouse's earned income. | Y - A monthly premium based on your income and your family's income. |
| ARIZONA | Y | AHCCCS Freedom to work Program | https://www.azahcccs.gov/Members/GetCovered/Categories/workingdisabled.html | Arizona residents aged 16-64 who have a disability, are US citizens or qualified immigrants, are working and paying taxes, have or have or have applied for an SSN, do not qualify for another AHCCCS program, and have countable monthly earned income below the program limit. | Y - A monthly premium of up to $35.00. |
| ARKANSAS | Y | Workers with Disabilities Program | https://humanservices.arkansas.gov/divisions-shared-services/county-operations/health-care-programs/workers-with-disabilities/ | Individuals aged 16 to 65 who are working and have a disability determination from the Social Security Administration. | Y - Co-payments based on family income. |
| CALIFORNIA | Y | 250% Working Disabled Program (250% WDP) | https://www.dhcs.ca.gov/services/Pages/TPLRD_WD_cont.aspx#:~:text=The%20250%25%20Working%20Disabled%20Program,the%20local%20county%20welfare%20department. | Individuals who are disabled, working, have a net family income of less than 250% of the federal poverty level, and are eligible to receive Supplemental Security Income/State Supplementary program benefits if it were not for earned income. | N |
| COLORADO | Y | Health First Colorado Buy-In Program for Working Adults with Disabilities | https://hcpf.colorado.gov/buy-in-program-working-adults-disabilities | Individuals who are 16 or older, employed, have a qualifying disability through the Social Security or State Disability Determination vendor, and have an income below 450% of the federal poverty level. | Y - A monthly premium based on income. |
| CONNECTICUT | Y | Medicaid for Employees with Disabilities (Med-Connect) | https://portal.ct.gov/dss/health-and-home-care/disability-services/med-connect-medicaid-for-employees-with-disabilities/med-connect-medicaid-for-employees-with-disabilities?language=en_US | Individuals who have a medically certified disability or blindness and are working for pay. | Y - A monthly premium based on family income. |
| DELAWARE | Y | Medicaid for Workers with Disabilities | https://dhss.delaware.gov/dmma/medicaid-for-workers-with-disabilities-mwd/ | Delaware residents aged 16-64 who have a disability, are US citizens or qualified non-citizens, and meet specified employment requirements and income limits/standards. | N |
| *DISTRICT OF COLUMBIA | N | N/A | N/A | N/A | N/A |
| FLORIDA | Y | Working People with Disabilities | https://ahca.myflorida.com/medicaid/medicaid-policy-quality-and-operations/medicaid-policy-and-quality/medicaid-policy/federal-authorities/working-people-with-disabilities | Individuals enrolled in the Developmental Disabilities Individual Budgeting (iBudget) Waivers, the Long-term Care Waiver, the Familial Dysautonomia Waiver, or the Model Waiver, and whose income and assets come from earned income through paid employment. | N |
| GEORGIA | Y | Georgia Medicaid for Workers with Disabilities | https://pamms.dhs.ga.gov/dfcs/medicaid/2149/ | Georgia residents aged 16-65 with a disability under the Social Security Administration's standards, who have disability income between $600 to $699 per month, are employed and receiving compensation, have countable income less than the Medicaid Cap, and countable resources less than $4000 for an individual and $6000 for a couple. | Y - A monthly premium based on the individual's age and total countable income. |
| HAWAII | Y | Ticket to Work and Work Incentives Improvement Act (TWWIIA) | https://medquest.hawaii.gov/content/dam/formsanddocuments/med-quest/hawaii-state-plan/SPA_21-0004_Public_Notice_posted_12-30-20_and_TWWIIA_Attachment_2_2-A_and_2_6-A.pdf | Individuals with disabilities at least 19 but less than 65 years of age, whose income and resources do not exceed a standard established by the State. | N |
| IDAHO | Y | Medicaid for Workers with Disabilities (MWD) | https://healthandwelfare.idaho.gov/services-programs/medicaid-health/medicaid-workers-disabilities | Idaho residents aged 16-64 who have a disability under the Social Security Administration definition, have a job or are self-employed, and meet certain income and source limits. | Y - A monthly premium based on family income. |
| ILLINOIS | Y | Health Benefits for Workers with Disabilities (HBWD) | https://hfs.illinois.gov/medicalprograms/hbwd.html | Illinois residents aged 16 to 65 who have a disability, are not eligible for the state's regular medical program for those with disabilities, are citizens or eligible non-citizens, are employed, have countable assets of $25,000 or less, and have countable income equal to or less than 350% of the Federal Poverty Level for the family size. | Y - A monthly premium based on income. |
| INDIANA | Y | Medicaid for Employees with Disabilities (MEDWorks) | https://www.in.gov/fssa/ompp/med-works/ | Indiana residents aged 16 to 64 who have a disability under the Social Security Administration's definition, are employed and earning a monthly minimum of $290 | Y - A monthly premium based on family income. |
| IOWA | Y | Medicaid for Employed People with Disabilities (MEPD) | https://hhs.iowa.gov/medicaid/plans-programs/medicaid-employed-people-disabilities | People who are disabled and have earned income can get Medicaid when the person is under age 65, is still considered to be disabled based on SSI medical criteria for disability, has earned income from employment or self-employment, meets general SSI-related Medicaid eligibility requirements, is not eligible for any other Medicaid cover group other than QMB, SLMB, or Medically Needy, have resources less than $12,000 for an individual and $13,000 for a couple, and has a net family income less than 250% of the federal poverty level. | Y - A monthly premium based on income. |
| KANSAS | Y | Working Healthy | https://www.kancare.ks.gov/consumers/working-healthy | Individuals aged 16 to 64 who have a disability determined by Social Security, are employed, have total income of less than 300% of the Federal Poverty Level, are not receiving Home and Community Based Services, are not living in a nursing facility, and have resources that are less than $15,000. | Y - A monthly premium based on family income. |
| KENTUCKY | Y | Medicaid Works | https://chfs.ky.gov/agencies/dms/dpo/epb/Pages/medicaid-works.aspx | Individuals aged 16 to 64 who have a disability determined by Social Security, are employed, have countable income less than 200% of the Federal Poverty Level, and personal assets under $4,000. | Y - A monthly premium based on income. |
| LOUISIANA | Y | Louisiana's Medicaid Purchase Plan (MPP) | https://ldh.la.gov/medicaid/medicaid-purchase-plan | Individuals aged 16 to 65 who have a disability determined by Social Security, have assets under $25k, take any free health insurance offered. | Y - A monthly premium if monthly income is above 150% of the Federal Poverty Level. |
| MAINE | Y | MaineCare Option for Workers with Disabilities (WWD) | https://www.maine.gov/dhhs/sites/maine.gov.dhhs/files/inline-files/DRAFT%202021%20WD%20Brochure.pdf | Individuals who are under the age of 65, have a disability as defined by the Social Security Administration, have earned income from employment or self-employment, and meet the income and asset guidelines for the program. | Y - A monthly premium if monthly income is over $1,699 if single and $2,289 if married. Above that, monthly premium of $10-$20. |
| MARYLAND | Y | Employed Individuals with Disabilities Program | https://health.maryland.gov/mmcp/eid/pages/home.aspx | Individuals who are 16 to 65 years old, have a disability that meets Social Security's medical criteria, are working for pay, are a US citizen or qualified non-citizen, and meet the program assets limits. | Y - A monthly premium based on family income. |
| MASSACHUSETTS | N | N/A | N/A | N/A | N/A |
| MICHIGAN | Y | Freedom to Work (FTW) | https://www.michigan.gov/mdhhs/assistance-programs/medicaid/portalhome/beneficiaries/programs/freedom-to-work | Individuals aged 16 to 64 who meet specified non-financial and financial factors, are disabled according to the Social Security Administration disability standards, are employed on a regular basis, cannot be above 250% FPL. | Y - A monthly premium based on family income. |
| MINNESOTA | Y | Medical Assistance for Employed Persons with Disabilities (MA-EPD) | https://mn.gov/dhs/people-we-serve/people-with-disabilities/health-care/health-care-programs/programs-and-services/ma-epd.jsp | Individuals who are certified by either the Social Security Administration or the State Medical Review Team, are employed and have required taxes withheld or paid from earned income, have monthly earnings of more than $65 on average over a six month period. | Y - A monthly premium based on income and household size. American Indian or Alaska Natives are exempt from paying a premium. |
| MISSISSIPPI | Y | Working Disabled | https://medicaid.ms.gov/medicaid-coverage/who-qualifies-for-coverage/working-disabled/ | Individuals who work at least 40 hours each month at some type of paid activity, and disabled under the Social Security definition of disability except for the provision of Substantial Gainful Activity (SGA). | Y - A monthly premium if monthly income is above 150% of the Federal Poverty Level. |
| MISSOURI | Y | Ticket to Work Health Assurance Program (TWHA) | https://dmh.mo.gov/medicaid-eligibility/twha | Individuals with disabilities aged 16 to 64 who are employed (who are paying Social Security/Medicare taxes) that provides coverage without a spend down if countable income does not exceed 250% of the FPL ($3,261 single, $4,407 couple) | Y - A monthly premium if the participant's income is above 100% of the Federal Poverty Level. |
| MONTANA | Y | Medicaid for Workers with Disabilities (MWD) | https://dphhs.mt.gov/assets/hcsd/mamanual/ABD201-6Oct012018.pdf | Individuals who are 16 or older, meet all Medicaid non-financial requirements, are currently considered disabled, or would be considered disabled under Social Security Act criteria if not for their current work activities, or for whom a disability determination under SSA criteria is not available due to being aged, are employed or self-employment, are within the MWD program resource limits, have countable income at or below 250% of poverty, are not residing in residential medical institutions. | Y - A monthly cost share fee based on only the disabled worker's income. MWD clients who attest to being enrolled in a tribe are exempt. |
| NEBRASKA | Y | Medicaid Insurance for Workers with Disabilities (MIWD) | https://dhhs.ne.gov/Pages/MIWD.aspx | Individuals aged 16 to 64 who work for income, have income between 101-250% of the Federal Poverty Level, with assets under $4k for individuals and $6k for basic coverage, allowing higher incomes for the Medical Improvement Group. | Y - A monthly premium based on family income. |
| NEVADA | Y | Health Insurance for Working Disabled (HIWA) | https://dss.nv.gov/Medical/2_General_Information-_3MAABD/ | Individuals aged 16 to 64 who are disabled or blind and not eligible for Medicaid under any other category. Employment related disregards allowed. | Y - A monthly premium based on income and family size. |
| NEW HAMPSHIRE | Y | Medicaid for Employed Adults with Disabilities (MEAD) and Medicaid for Employed Older Adults with Disabilities (MOAD) | https://www.dhhs.nh.gov/programs-services/medicaid/nh-medicaid-medical-assistance-eligibility/mead-and-moad-eligibility | To be eligible for MEAD, an individual must be 18 to 64; to be eligible for MOAD, an individual must be 65 or older. MEAD and MOAD individuals must be employed or self-employed for pay, contribute to FICA, meet MEAD and MOAD income and resource criteria, meet ANB or APTD medical criteria, have a medical impairment that is expected to last 48 months or longer, and enroll in cost-free health insurance if their employer offers it. | N |
| NEW JERSEY | Y | NJ WorkAbility | https://www.nj.gov/humanservices/dds/programs/njworkability/ | Individuals over 16 who have a disability determination. | Y - A monthly premium if countable income is over 250% of the Federal Poverty Level. |
| NEW MEXICO | Y | Working Disabled Individuals (WDI) | https://www.dvr.state.nm.us/wp-content/uploads/2020/12/WorkingDisabledIndividualMedicaid15.pdf | Individuals 18 or older with a disability under the Social Security Administration's definition who are employed and meet specified income and resource limits. | N |
| NEW YORK | Y | Medicaid Buy-In Program for Working People with Disabilities (MBI-WPD) | https://www.health.ny.gov/health_care/medicaid/program/buy_in/ | New York residents aged 16 to 64 with disability as defined by the Social Security Administration who are engaged in paid work, have a gross income that may be as high as $79,284 for an individual and $106,788 for couples, and have non-exempt resources that do not exceed the Medicaid resource limit of $32,396 for a one-person household and $43,781 for a two-person household. | N |
| NORTH CAROLINA | Y | Health Coverage for Workers with Disabilities (HCWD) | https://medicaid.ncdhhs.gov/beneficiaries/apply/eligibility/medicaid-workers-disabilities | Individuals aged 16 to 64 who meet the Social Security Administration's definition of disability except for earnings or are eligible under the Medically Improved Group, are employed, have countable resources equal to or less than $25,728, and meet specific income requirements. | N |
| NORTH DAKOTA | Y | Workers with Disabilites Medicaid Coverage | https://www.hhs.nd.gov/sites/www/files/documents/fact-sheet-workers-disabilities-medicaid.pdf | North Dakota residents aged 16 to 65 who have a disability under the Social Security Administration's guidelines, are employed or become employed, and meet specified income guidelines. | Y - A monthly premium based on income. |
| OHIO | Y | Medicaid Buy-In for Workers with Disabilities (MBIWD) | https://medicaid.ohio.gov/families-and-individuals/citizen-programs-and-initiatives/medicaid-buy-in-for-workers-with-disabilities | Individuals aged 16 to 64 with a disability under the Social Security Administration, Ohio Medicaid, or eligible under the MBIWD medically improved category, are employed in paid work, meet certain financial requirements including a monthly income less than or equal to 250% of the federal poverty level, and comply with annual MBIWD Resource Eligibility Limits. | Y - A monthly premium if monthly income is above 150% of the Federal Poverty Level. |
| OKLAHOMA | N | N/A | N/A | N/A | N/A |
| OREGON | Y | Employed Persons with Disabilities (EPD) | https://sharedsystems.dhsoha.state.or.us/DHSForms/Served/de9029.pdf | Individuals with a qualifying disability who have any amount of taxable income. | Y - A monthly premium of $0-$150. |
| PENNSYLVANIA | Y | Medical Assistance for Workers with Disabilities (MAWD) | https://www.pa.gov/agencies/dhs/resources/medicaid/medicaid-workers-disabilities | Individuals aged 16 to 65 who are employed and receiving compensation, have a disability that meets the Social Security Administration's standards, have countable income below 250% of the Federal Poverty Income Guidelines, and have $10,000 or less in countable resources. | Y - A monthly premium based on income. |
| *PUERTO RICO | N | N/A | N/A | N/A | N/A |
| RHODE ISLAND | N | Ticket to Work (TTW) and the Sherlock Plan | https://eohhs.ri.gov/Consumer/TheSherlockPlan.aspx | TTW is for individuals aged 16 to 64 who currently meet the Medicaid requirements for eligibility based on a disability and have proof of active, paid employment. The Sherlock Plan is for individuals at least 65, currently meet the Medicaid requirements for eligibility based on a disability, have proof of active, paid employment, have countable earned net income no greater than 250% of the Federal Poverty Level, and countable assets no greater than $10,000 for individuals and $20,000 for couples. | Y - For both programs, a monthly premium if monthly income is above 150% of the Federal Poverty Level. |
| SOUTH CAROLINA | Y | Working Disabled | https://www.scdhhs.gov/members/program-eligibility-and-income-limits | Individuals who are working, disabled, have a family income less than 250% of the Federal Poverty Level, and who would be eligible to receive Supplemental Security Income (SSI) benefits except for their earned income. | N |
| SOUTH DAKOTA | Y | Medicaid for Workers with Disabilities (MAWD) | https://dss.sd.gov/economicassistance/medical_programs.aspx | Individuals who are employed, have a significant disability, have resources less than $8000, have a total income below 250% of the Federal Poverty Level, and a monthly countable unearned income less than the SSI Federal Benefit Rate (plus a $20 income disregard). | N |
| TENNESSEE | N | N/A | N/A | N/A | N/A |
| TEXAS | Y | Medical Buy-In for Adults (MBI) | https://www.hhs.texas.gov/services/health/medicaid-chip/medicaid-chip-programs-services/programs-children-adults-disabilities/medicaid-buy-adults | Individuals who have a disability, are working and live in Texas, and don't live in a state institution or nursing home all the time. | Y - A monthly premium based on income. |
| UTAH | Y | Medicaid Work Incentive (MWI) | https://medicaid.utah.gov/medicaid-work-incentive-program/ | Individuals who meet the Social Security criteria for disability and have earned household income below 250% of the Federal Poverty Level. | Y - A monthly premium if household net income is above 100% but below 250% of the Federal Poverty Level. |
| VERMONT | Y | Medicaid for Working People with Disabilities | https://dvha.vermont.gov/members/medicaid/medicaid-aged-blind-or-disabled-mabd#whoiseligible | Individuals who are blind or disabled, and have monthly income less than 250% of the Federal Poverty Line for those who work at least a few hours each month. | N |
| VIRGINIA | Y | Medicaid Works | https://www.dmas.virginia.gov/for-applicants/populations-served/for-adults/aged-blind-or-disabled/medicaid-works/ | Individuals aged 16 to 65 who are blind or disabled, have total countable income of no more than $1,801 per month for an individual or $2,434 for a couple, and have resources of no more than $2,000 if single ($3000 if a couple). | N |
| WASHINGTON | Y | Apple Health for Workers with Disabilities (HWD) | https://www.dshs.wa.gov/esa/community-services-offices/apple-health-workers-disabilities-hwd-program | Individuals who meet federal disability requirements and are employed full or part time. | Y - A monthly premium based on income. |
| WEST VIRGINIA | Y | Medicaid Work Incentive Network (M-WIN) | https://dhhr.wv.gov/bms/BMSPUB/Documents/Guide%20to%20Medicaid%202023.pdf | Individuals aged 16 to 65 who have a disability, are working, and meet specified financial and asset levels. | Y - A $50 enrollment fee and monthly premium based on income. |
| WISCONSIN | Y | Medicaid Purchase Plan | https://www.dhs.wisconsin.gov/medicaid/medicaid-purchase-plan.htm | Wisconsin residents over 18 who are US citizens or qualifying immigrants, are determined disabled by the Disability Determination Bureau, have an adjusted family income of 250% of the federal poverty level or less based on family size, have individual assets of $15,000 or less, and meet the MAPP work requirement. | Y - A monthly premium if total gross monthly income is above 100% of the Federal Poverty Level. |
| WYOMING | Y | Employed Individuals with Disabilities (EID) | https://ecom.wyo.gov/m1000-aged-blind-or-disabled-program/m1003-employed-individuals-with-disabilities-eid | Individuals aged 16 to 64 who meet all basic eligibility factors, are disabled, are employed, and meet specified income requirements. | Y- A monthly premium based on 7.5% of gross monthly income. |
| GUAM | N | N/A | N/A | N/A | N/A |