PolicyEngine currently models working-disabled Medicaid buy-in eligibility only for California and Illinois via is_working_disabled_buy_in_for_medicaid. Mississippi has a Working Disabled Medicaid pathway that is not modeled.
Source:
Key policy details from Mississippi:
- Disabled person works at least 40 hours per month.
- Disability uses the Social Security definition except SGA is not considered.
- Earnings limit: 250% FPL.
- Unearned income limit: 135% FPL.
- Resource limit: $24,000 individual / $26,000 couple.
- Premium applies above 150% FPL.
Why this matters:
- For SSI asset-limit analyses, we found many marginal SSI recipients in Mississippi who report Medicaid at baseline but fail PE's modeled baseline Medicaid eligibility because they fail standard ABD/SSI-style resource limits.
- This specific Working Disabled pathway did not explain the zero-earnings Mississippi cluster I checked, but it is a concrete missing Medicaid pathway and should be modeled to improve Medicaid baseline reconciliation and downstream health-cost estimates.
Implementation sketch:
- Add Mississippi to
is_working_disabled_buy_in_for_medicaid or split state-specific buy-in formulas.
- Add parameters for work threshold, earned/unearned income limits, resource limits, and premium.
- Add tests for disabled workers with resources between $2k and $24k qualifying under this pathway.
PolicyEngine currently models working-disabled Medicaid buy-in eligibility only for California and Illinois via
is_working_disabled_buy_in_for_medicaid. Mississippi has a Working Disabled Medicaid pathway that is not modeled.Source:
Key policy details from Mississippi:
Why this matters:
Implementation sketch:
is_working_disabled_buy_in_for_medicaidor split state-specific buy-in formulas.