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Medicaid Infrastructure Grants

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... How do we know a consumer is ready for asset development programs? ... Consumer Credit Counseling programs. Financial institutions. Trust development programs ... – PowerPoint PPT presentation

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Title: Medicaid Infrastructure Grants


1
Medicaid Infrastructure Grants Asset Building
Strategies
NCHSD
  • National Consortium for Health Systems
    Development
  • Audio Conference Call July 25, 2006
  • Joe Entwisle, Health Disability Advocates/NCHSD

2
MIGs Asset Building
  • Purpose of this topical call
  • Learn about how asset building programs can
    further the objectives of the MIGs
  • Hear about the range of strategies MIGs can
    employ to become more engaged in asset building
    in their state and
  • Find out about how other MIGs have been involved
    in asset building in their state.

3
MIGs and Asset Building Programs
  • Medicaid Buy-in programs are really a first step
    in asset development ability to set up or keep
    independence accounts and access much needed
    services
  • Asset building programs serve as an incentive for
    Buy-in participants to increase their earnings
  • Medicaid Infrastructure Grants are focused on
    systems change that promote competitive
    employment and building infrastructure to sustain
    the support those changes

4
MIGs and Asset Building Programs
  • Intertwined goals of Asset Building Programs
    MIGs
  • Both programs support and encourage employment
  • Both create an environment that enables financial
    self-sufficiency
  • Financial literacy prepares individuals future
    for competitive employment

5
Asset Building Programs People with
Disabilities
  • Utilization Very low utilization of asset
    building programs by people with disabilities --
    especially within Medicaid buy-ins. Programs
    are largely marketed to other low-income
    populations (TANF).
  • Integration with work incentives Existing asset
    building tools can work in conjunction with each
    other AND with other work incentives programs.
  • Program implementation People with disabilities
    often have trouble accessing information on how
    to enroll and participate in asset building
    programs.

6
Asset Building Tools
  • Individual Development Accounts (IDAs)
  • Work Incentive Related Strategies
  • PASS
  • Family Self Sufficiency
  • Student Earned Income Exclusion
  • Tax Related Strategies
  • Earned Income Tax Credit
  • Child Tax Credit
  • Volunteer Income Tax Assistance

7
Asset Development Tools (cont.)
  • Trust Funds
  • Family Trust Funds
  • Court ordered Trust Funds
  • Pooled Trust Funds

8
Role for MIG in Asset Building Programs
  • Assess existing asset building programs and
    resources.
  • Facilitate systems change and policy development.
  • Initiate and support effective education
    outreach plans.

9
MIG Role in Asset Building Program Development
  • Assessment
  • Concrete ideas for involvement
  • Identify and map asset building programs
    available in the state how many are available
    to people with disabilities? How are people
    accessing those programs? Or --include asset
    building programs in existing mapping efforts.
  • Potential outcome resource guide that people
    with disabilities and providers can use to
    increase utilization of programs.

10
MIG Role in Asset Building Program Development
  • Assessment
  • Concrete ideas for involvement
  • Assess how existing asset building programs mesh
    with existing public benefits and work incentives
    programs do Medicaid Buy-in resource limits
    serve as a barrier to participation in asset
    development programs? Should there be a tie
    between asset building programs to other services
    like benefits planning?
  • Potential outcome Identify programs and systems
    challenges and create policy recommendations on
    how they can be improved.

11
MIG Role in Asset Building Program Development
  • Facilitate Policy Development
  • Concrete Ideas for Involvement
  • Convene key stakeholders to address issues such
    as
  • System challenges eliminating programmatic
    barriers and identifying challenges with delivery
    systems (program coordination)
  • Adequacy of existing asset building programs do
    existing programs meet the expressed needs of
    people with disabilities?
  • Program participation issues How do we know a
    consumer is ready for asset development programs?
    What needs to be in place to ensure that
    consumers are accessing programs when they need
    them?

12
MIG Role in Asset Building Program Development
  • Facilitate Policy Development
  • Concrete Ideas for Involvement
  • Convene key stakeholders to address issues such
    as
  • Leveraging funding for asset building resources
    --While the MIG can not use grant dollars to
    provide services, it can use its position to
    leverage other dollars and jump start programs.
  • Consumer Credit Counseling programs
  • Financial institutions
  • Trust development programs

13
MIG Role in Asset Building Program Development
  • Facilitate Policy Development
  • Concrete Ideas for Involvement
  • Convene key stakeholders to address issues such
    as
  • Identify strategies to maximize asset development
    programs
  • Assess unified entry points to programs
  • Create incentives to coordinate services for
    maximum benefit
  • Support the development of asset building
    coalition

14
MIG Role in Asset Building Program Development
  • Education Outreach
  • Concrete ideas for Involvement
  • Create plan for outreach and education
  • Are current IDA programs marketing to people with
    disabilities? Are they reaching the MIG
    population?
  • What is the message of the outreach efforts
    focused on working building assets?
  • Targeting the outreach what points within the
    system make sense? e.g. Benefits planning
    programs, financial literacy programs

15
Examples Asset Development Strategies in Action
  • Sarah is an SSI beneficiary who opens a PASS
    plan using earnings from work for down payment on
    small business start up.
  • In this scenario the PASS plan allows her to
  • Maximize her SSI benefit
  • The opportunity to open an IDA that matches
    earnings placed in PASS
  • Qualify for EITC for additional match in PASS/IDA
  • And have her taxes processed at VITA for free!

16
State Examples
  • WA State IDA Initiative
  • Abbey Cooper
  • World Institute on Disability
  • Megan ONeil

17
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