Medicaid Insurance for Workers with Disabilities (MIWD)

WorkingMedicaid Insurance for Workers with Disabilities (MIWD), referred to by some as Nebraska's Medicaid Buy-In, is intended to allow people who are competitively employed and who, because of wages would lose their benefits, to purchase Medicaid like private insurance. The program is administered by the Nebraska Department of Health & Human Services and was implemented in July of 1999.

View the MIWD brochure.

Many people with disabilities want to work but worry that doing so could jeopardize their vital health and long term care coverage. MIWD offers people with disabilities who are working or interested in working the opportunity to keep their Medicaid coverage while on the job. Benefits include the same as those available through Nebraska Medicaid; the opportunity to earn more without the risk of losing health care benefits and support services; higher income eligibility; increased personal and financial independence; and Personal Assistance Services (PAS) at the workplace.

Your local DHHS Medicaid Eligibility Worker can provide you with eligibility and enrollment information *or you can contact a Work Incentives Specialist with Easter Seals Nebraska to help you with your benefits and answer questions. Contact Easter Seals Nebraska at 1-800-471-6425.

*The Nebraska Department of Health and Human Services has offices serving each of Nebraska's 93 counties. Contact information for each office, as well as other offices that provide DHHS-related services, can be found at the Nebraska Department of Health and Human Services website.

What are the Social Security disability thresholds for 2008?
For Substantial Gainful Activity (SGA), they are:

  • For Substantial Gainful Activity (SGA), they are: Non-blind: $900 per month Blind: $1,500 per month.
  • The monthly earnings amount Social Security uses to determine if a month counts for the Trial Work Period (TWP) is $640 per month.
  • The Supplemental Security Income (SSI) Federal Benefit Rates (FBR) is $623 for an eligible individual and $934 for an eligible couple.
  • The monthly income amounts that will have no effect on eligibility or benefits for SSI beneficiaries who are students is $1,510 and the yearly maximum is $6,100.

FAQ about Medicaid, Medicare, SSI and SSDI