What is the Children’s Medicaid Buy-In?
The Medicaid Buy-In Program for Children with Disabilities (Children’s Buy-In) is a program that allows eligible families to pay a monthly premium (no more than $120/month per family, even if multiple children qualify) to ‘buy in’ to Medicaid benefits.
Who is eligible for the Children’s Buy-In?
Families with a child or children under age 19 with a qualifying disability (based on Social Security criteria) and whose household income is no greater than 300% of Federal Poverty Level after a 33% income disregard is applied. For example, a family of 4 may qualify with a gross monthly income of up to $8,600.
Read our Fast Fact – Medicaid, CHP+, Children’s Buy-In to see the full income eligibility chart.
The Children’s Buy-In may be an option for:
Families of children with disabilities who are over income or resources for other Medicaid programs or CHP+; children on a waitlist for a children’s waiver (other than the C-HCBS waiver; contact us to learn more about this); children who do not qualify for waiver services; children who do not have health insurance or who need coverage as a wrap-around to other insurance.
Read the full overview and Frequently Asked Questions from the Department of Health Care Policy and Financing (HCPF).
Visit HCPF’s page about the Children’s Buy-In for all the details.
Apply online through the Program Eligibility and Application Kit (PEAK). Note that you will also need to complete and submit the disability application, linked above, on paper rather than online.