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4.1.3 Medicaid Buy-In Program for Employed Individuals with Disabilities
The Medicaid Buy-In (MBI) Program allows employed individuals with disabilities to receive Medicaid services by paying a monthly premium. Some MBI participants, based on income requirements, may be determined to have a $0 premium amount and therefore are not required to make a premium payment. Individuals with earnings of less than 250 percent of the federal poverty level (FPL) may be eligible to participate in the program. Applications for the program are accepted through HHSC's regular Medicaid application process.
Participants will have a Medicaid identification card that indicates the Medicaid services for which they are eligible. MBI participants in urban service areas will be served through Texas Medicaid fee-for-service and MBI participants in PCCM counties will be served through PCCM.
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