Background Paper

Bridging Silos, Part I: Linkages among the DI, SSI, Medicare, and Medicaid Programs
November 14, 2003

Author

Karen Matherlee

Summary

This paper, the first of two on the general topic of public disability and health benefits, centers on the fundamentals of the Disability Insurance and Supplemental Security Income programs and their relationships with Medicare and Medicaid. In addition to looking at the programs’ definitions, distinctions, and overlaps, it reviews the effects on them of the Ticket to Work and Work Incentives Improvement Act of 1999 and, to a lesser extent, the Personal Responsibility and Work Opportunity Reconciliation Act of 1996.

Related Materials

The companion paper, "Bridging Silos, Part II" lays out some key issues confronting the Social Security Disability Insurance, Supplemental Security Income, Medicare, and Medicaid programs. It also discusses major initiatives to address those issues, in light of growing administrative, fiscal, and other problems.

Other related Forum programming includes Forum sessions on aging demographics (May 9, 2008) and consumer direction and Money Follows the Person (November 7, 2008); reports from site visits to Fairfax, Virginia (March 2007) and Wisconsin (Madison and vicinity in August 2007, and Milwaukee in August 2008); and a paper on Real Choice Systems Change grants (Issue Brief No. 822, May 30, 2007).

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