PolicyEngine / PolicyEngine/policyengine-us

Add Indiana M.E.D. Works (Medicaid buy-in for workers with disabilities)

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Python
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Description

## Program

Indiana M.E.D. Works (Medicaid for Employees with Disabilities) — Indiana's Medicaid buy-in for workers with disabilities under the Ticket to Work basic coverage group.

## Current state

`is_working_disabled_buy_in_for_medicaid` models three state buy-in programs (California 250% WDP, Illinois HBWD, Mississippi Working Disabled). Indiana is not among them, so working Hoosiers with disabilities above the 138% FPL adult-expansion line are modeled as having no Medicaid pathway even when M.E.D. Works would cover them.

## Rules (IN FSSA)

- Disabled and working
- Countable income above 100% and at or below 350% FPL
- Asset limit $2,000 single / $3,000 couple (applicant's assets only)
- Sliding-scale premiums

Sources:
- Program page: https://www.in.gov/fssa/ompp/med-works/
- Fact sheet (100–350% FPL, $2,000/$3,000 assets): https://www.in.gov/fssa/ompp/files/MEDWorksFactsSheet.pdf

## Suggested implementation

Add `in_med_works_eligible` (person-level, monthly like the IL/MS variables) and OR it into `is_working_disabled_buy_in_for_medicaid`, with parameters under `gov/states/in/fssa/med_works/`.

## Context

Surfaced while triaging PolicyBench reference values (PolicyEngine/policybench#91, scenario_015): a disabled worker at 268.9% FPL in IN. That specific household would still be ineligible ($584,850 countable assets ≫ $2,000), so this gap did not produce a wrong reference — it is an enhancement, not a bug.

Contributor guide

Open the contributing guide

Research direction

Start by reading is_working_disabled_buy_in_for_medicaid and the existing person-level Illinois and Mississippi variables. Add the Indiana implementation under gov/states/in/fssa/med_works/ using the stated income, asset, disability, work, and premium rules, then include it in the existing buy-in condition. Done means eligible Indiana workers with disabilities can qualify through M.E.D. Works while the documented asset limits are applied.

Written by the indexing model from the issue text.

Assessment

Tech stack
python
Domain
backend
Issue type
Feature
Difficulty
4/5
Estimated time
3-5 days
Activity status
Quiet
Clarity
Mostly clear
Newbie friendliness
67/100

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