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HHS/CMS RIN: 0938-AO10 Publication ID: Fall 2008 
Title: Medical Improvement Eligibility Group and Definition of Work (CMS-2143-P) 
Abstract: This proposed rule would establish, in regulations, certain provisions under the Balanced Budget Act of 1997 and the Ticket to Work and Work Incentives Improvement Act of 1999 (TWWIIA). In addition, this rule would allow States to provide health services to employed individuals with disabilities who lose eligibility for disability benefits due to improvement in medical conditions or because their income exceeds the income limitations. This rule would also provide a definition for "medically determinable severe impairment" under the TWWIIA. Under this definition, States would determine eligibility standards for the Medical Improvement Group authorized under the TWWIIA legislation, thereby permitting eligible individuals to retain their Medicaid coverage. Additionally, this rule would give States offering Medicaid buy-in programs for employed individuals with disabilities the option of applying a minimum work standard to two Medicaid buy-in groups. 
Agency: Department of Health and Human Services(HHS)  Priority: Other Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Long-Term Actions 
Major: No  Unfunded Mandates: No 
CFR Citation: 42 CFR 435 and 436   
Legal Authority: PL 105-33, sec 4733 Balanced Budget Act of 1997    PL 106-170, sec 201 Ticket to Work and Work Incentives Improvement Act of 1999   
Legal Deadline:  None
Timetable:
Action Date FR Cite
NPRM  To Be Determined    
Regulatory Flexibility Analysis Required: No  Government Levels Affected: State 
Small Entities Affected: No  Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Joseph Razes
Technical Director, Disabled and Elderly Health Program Group Div. of Advocacy and Special Issues
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Medicaid and State Operations, Mail Stop, S2-14-26, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-6126
Fax:410 786-9004
Email: joseph.razes@cms.hhs.gov