Medicaid Buy-in Program

The Medicaid Buy-In Program for Working People with Disabilities (MBIWPD) offers Medicaid coverage to people with disabilities who are working and earning more than the allowable limits for regular Medicaid, the opportunity to retain their health care coverage through Medicaid.

This program allows working people with disabilities to earn more income without the risk of losing vital healthcare coverage.


To qualify for the Medicaid Buy-In program for Working People with Disabilities, you must:

  • Be at least 16 years of age (coverage up to 65 years of age)
  • Be engaged in paid work (includes part-time and fulltime work)
  • Be a resident of New York State
  • Have a disability as defined by the Social Security Administration
  • Have a gross income that is set by the State of New York

See also Spend Down/Provisional Medicaid.