Medicaid Buy-In Program for Working People with Disabilities
Online Guide

Navigating the Local Department of Social Services System

To apply for the Medicaid Buy-In program for Working People with Disabilities, you will need to submit your application to your Local Department of Social Services (LDSS).

Here are some tips to help you with the application process:

Know your facts about the MBI-WPD program. This toolkit will help you learn all you need to know about the MBI-WPD. Learn all you can about the program, and you will go in with a knowledge base you can rely on.

Be Prepared when you do go in to the Local Department of Social Services. Use the "Medicaid Documentation Checklist" enclosed in this toolkit to make sure you have all the materials you need in order to apply for the MBI-WPD program.

Bring Documentation to establish your eligibility for the MBI-WPD program. Carefully review the enclosed "Medicaid Documentation Checklist" and bring the required documents when you go to the Local Department of Social Services.

Document Your Actions. Make sure you take names of everyone you speak with, or meet with, and make sure that you write down any problems you experience along with the dates and times they occur. Try to get the problem resolved with your eligibility worker, if necessary ask to speak with a supervisor.

Know your rights. An applicant should not accept a verbal decision from a worker. A Medicaid eligibility determination must be in writing. An applicant has the right to:

  • Be told about the programs and help they can get.
  • Be told what they need to do to get these programs.
  • Apply for these programs.
  • Get an application when they ask for one.
  • Have an interview.
  • Get written notice telling them if their application is approved or denied.

Follow-up. Make sure that your application is complete. It is recommended that you follow-up with your eligibility worker 10 days after your interview to make sure that nothing further is required.

If you need help with the process, contact your Work Incentive Planning and Assistance (WIPA). WIPAs are contracted with the Social Security Administration to provide benefits counseling, planning, assistance and outreach free of charge. There is a list enclosed with this toolkit. If you already have assistance with your benefits, go to the person with whom you are the most comfortable.

If your application for Medicaid/MBI-WPD program is denied, you have the right to request a Fair Hearing. Instructions on how to ask for a Fair Hearing are on the denial form issued by the local Medicaid office. An applicant can ask for a Fair Hearing in writing, in person, over the internet or by calling the State-wide toll free number at 1-800-342-3334.

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