MEDICAID FOR EMPLOYED PEOPLE WITH DISABILITIES Connecting the Medicaid Buy-In Dots with the Employer Employment Policy Group Center for Disabilities and Development The Developmental Environment Projected low unemployment rates in the long-term. A conservative, pro-business legislature. More than 310,000 workers needed in the next ten years just to fill jobs that open due to retirement and turnover. The Developmental Environment Most public systems of care separate Medicaid from the employer context. Medicaid programs are not typically structured to be integrated with employer health care benefits. More workers are required if the economy is going to grow. The Developmental Environment Employers do not know where to turn. The Governor's Strategic Planning Council and the Governor's 21st Century Workforce Council offered recommendations on how people with disabilities can play a role in addressing the looming labor shortage Businesses "in the know" are emphasizing wellness and family-centered practices. Developmental Environment The mutual interests of business and Iowans with disabilities wanting to enter the workforce. Public-private partnerships to enhance the economic growth and workforce development of many communities. Development Principles Assure that Medicaid Buy-In serves as a recruitment tool. Not just another "welfare program" but an "economic development" strategy. Keep it simple. Allow for a greater accumulation of assets. Getting the Word Out Emphasize coverage statewide Highlight workforce needs in the state Op-Ed placements in a variety of newspapers News conferences at strategic supporting sites Getting the Word Out Establish a statewide identity with business constituencies Use of associational strategies Regular participation in trade association committees Presentations at Business Groups Newsletters Getting the Word Out Developed a News Release & Announcement Standard "Frequently Asked Questions" Sheet Bios of Business Champions Purpose of Medicaid Buy-In framed in business parlay Contacts of participating agencies Relevant archive news clips highlighting workforce development The Results Integration of perspectives of medical assistance programs and the employer. Gearing health care to employment and workplace supports. The Results Public programs playing a supportive role as required by the workplace. Focus on anticipatory health-related responses. Health care coverage equally oriented to functioning, symptoms and diagnosis. The Results Expanded involvement with business. Weaving Medicaid Buy-In and employers' health care resources together. Integration between health care and essential support services for employers. The Results A restructuring of Medicaid-funded programs from the employer outward. Employee assistance programs are critical. Expanded role for Medicaid agencies in the career-development process. Questions? Jack Hillyard, Director Employment Policy Group Center for Disabilities and Development 108 Third Street, Suite 350 Des Moines Iowa 50309-4770 Telephone: 515.283.2310 Email: jack-hillyard@uiowa.edu Web page: http://e-epg.info