141st APHA Annual Meeting and Exposition

In This section

282947
Identifying persons with disabilities to improve access and coverage under the affordable care act

Monday, November 4, 2013 : 9:00 AM - 9:15 AM

John Gettens, PhD , Disability, Health and Employment Policy Unit, Center for Health Policy and Research, University of Massachusetts Medical School, Shrewsbury, MA
A. E. Adams, PhD , Disability Evaluation Services, University of Massachusetts Medical School
Peter Mosbach, PhD , Disability Evaluation Services, University of Massachusetts Medical School
Sherry Campanelli, MPA , Disability Evaluation Services, University of Massachusetts Medical School
Laura Newhall, MA, CRC , Disability Evaluation Services, University of Massachusetts Medical School
Philip Barrell, LPN , Disability Evaluation Services, University of Massachusetts Medical School
The Affordable Care Act (ACA) will change the role of the disability determination process in persons' with disabilities access to Medicaid. Currently, a disability determination is required to establish disability-based eligibility and the disability determination process can be burdensome for some and hinder access. Under the ACA, low-income persons with disabilities will be able to access Medicaid without a disability determination; however, persons who meet the disability standard and access Medicaid through the disability determination process will likely receive more comprehensive coverage and incur lower costs compared to persons who forgo a disability determination. States are facing the challenge of designing eligibility processes that ensure persons with disabilities receive the most favorable coverage without unduly burdening applicants with excess disability determinations. There is a lack of information available to states on how best to do this. In this study, we describe the ACA changes that affect Medicaid eligibility and the need for disability determinations; and, we assess potential approaches for identifying persons with disabilities who would benefit from a disability determination. We leverage the Massachusetts healthcare reform experience and describe the current Massachusetts approach. We conducted a qualitative analysis that included interviews with stakeholders and advocates and captured their knowledge and opinions of potential approaches. Finally, we describe approaches that will effectively identify persons with disabilities who will benefit from a disability determination.

Learning Areas:
Public health or related public policy

Learning Objectives:
Describe how the Affordable Care Act (ACA) affects Medicaid eligibility and the disability determination process. Describe the current Massachusetts approach for identifying persons with disabilities for a disability determination. Examine new approaches that will effectively identify persons who will benefit from a disability determination.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have worked on analyses of the effects of the Affordable Care Act. I conduct research on public health, healthcare and the employment of persons with disabilities.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.