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Medicaid Infrastructure Grants


To Support the Competitive Employment of People with Disabilities

Section 203 of the Ticket to Work and Work Incentives Improvement Act of 1999 directed the Secretary of the Department of Health and Human Services (DHHS) to establish a grant program to support State efforts to enhance employment options for people with disabilities. The Centers for Medicare and Medicaid Services (CMS) is the designated DHHS agency with administrative responsibility for this grant program. The Medicaid Infrastructure Grant program is authorized for 11 years, and $150 million in funding has been appropriated for the first five years of the program. The minimum grant award to an eligible State is $500,000 per fiscal year.

The goal of the Medicaid Infrastructure Grant program is to support people with disabilities in securing and sustaining competitive employment in an integrated setting. The grant program will achieve this goal by providing money to the States to develop and implement the core elements of the Ticket to Work and Work Incentives Improvement Act of 1999, so as to successfully modify their health care delivery systems to meet the needs of people with disabilities who want to work.


State Specific Grant Activities

Medicaid Infrastructure Grant Questions and Answers

Technical Assistance Partners

Technical assistance on Medicaid buy-in programs and other employment-related Medicaid supports is available for State policymakers and program staff. The two resources below may be of assistance in planning and developing programs and policies that remove barriers to employment for people with significant disabilities.

Center for Workers with Disabilities PDF 174K

Mark Newsom
(202) 682-0100 x-280
Mnewsom@aphsa.org

National Consortium for Health Systems Development PDF 82K

Melissa Wittman, Project Director
(312) 925-3040
melwittman@mindspring.com

Required Grant Application Kit - (Standard Forms) PDF 179K

For individuals who are visually impaired or those having difficulty accessing the solicitation on the Internet, application kits can be obtained by writing:

Attn: Judith Norris
Centers for Medicare and Medicaid Services
OICS, AGG, Grants Management Staff
Mailstop C2-21-15
7500 Security Boulevard
Baltimore, Maryland 21244-1850
Phone: (410) 786-5130

e-mail: jnorris@cms.hhs.gov

For additional information regarding this solicitation, please contact:

Medicaid Infrastructure Grants Program
Disabled and Elderly Health Programs Group
Center for Medicaid and State Operations
7500 Security Boulevard
Baltimore, Maryland 21244-1850
(410) 786-6126

Attn: Joe Razes, Project Manager

Contact: Jeremy Silanskis at jsilanskis@cms.hhs.gov

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Last Modified on Thursday, September 16, 2004