The Demonstration to Maintain Independence and Employment (DMIE), a grant program administered by the Centers for Medicare & Medicaid Services, awards funds to states to develop, implement, and evaluate interventions that are intended to improve health care coverage and employment services for working adults with potentially disabling conditions such as diabetes and mental illness. Authorized by the Ticket to Work and Work Incentives Improvement Act of 1999, the DMIE allows states to provide Medicaid-equivalent coverage or “wrap-around” coverage, which supplements existing health insurance. They also may offer employment-support and case management services that increase the likelihood of sustained employment. Four states were approved as of June 2007 under the most recent DMIE solicitation—Hawaii, Kansas, Minnesota, and Texas.
This issue brief, the sixth in a series on workers with disabilities, reviews the rationale for the DMIE, the interventions in the four most recent DMIE states, the DMIE evaluation, and next steps in disseminating information about the effects of these innovative demonstration projects. (author abstract)