Medicaid Buy-In Advocacy Survey

Medicaid Buy-In Advocacy Survey
What is a Medicaid buy-in program?

A Medicaid Buy-In Program provides a pathway for individuals with disabilities to gain access to Medicaid services while still engaging in paid employment, ensuring they can maintain essential healthcare coverage without being forced to choose between work and health benefits.
Are you currently enrolled in Medicaid?*

YesNo
The information in this form is confidential. In completing this form, advocates in this campaign, including Tennessee Disability Coalition, may be in contact about Medicaid Buy-In advocacy opportunities.

This information will be used for no other purpose other than to collect contact information for individuals who may be interested in participating in this advocacy effort, and details will not be shared with those outside of this effort.
Are you currently receiving Social Security Disability Insurance (SSDI) or SSI?*

YesNo
Do you participate in a Tennessee long-term supports and services (LTSS) program (like CHOICES)?*

YesNo
Would you be interested in participating in an advocacy campaign around Medicaid Buy-In?*

YesNo
If you are interested in participating, may we contact you with further information?

YesNo
If yes, what is your preferred method of communication?

EmailPhoneZoom/Video ConferencingOther
Name*

First NameLast Name
Email*
example@example.com
Phone Number
Please enter a valid phone number.
County*
Is there anything else you'd like to share with us at this time?
If you would like more information about this effort, please contact:

Robby Barbieri
Rbarbieri13@gmail.com
(952) 334-6507

Alex Bennewith, VP Govt. Relations, United Spinel
abennewith@unitedspinal.org
202-556-2076 ext. 7102

Jeff Strand, Coordinator of Government and External Affairs, Tennessee Disability Coalition
jeff_s@tndisability.org
952-237-5630
Should be Empty:

Medicaid Buy-In Advocacy Survey

What is a Medicaid buy-in program?