All State Buy-In Agreements were effective July 1, 1966, except for the following:
|
State
|
Agreement date
|
|
Alaska
|
October 1, 1982
|
|
Oregon
|
January 1, 1984
|
|
Louisiana
|
July 1, 1985
|
|
Wyoming
|
April 1, 1989
|
Wyoming's previous State Buy-In Agreement was effective from July 1, 1966 through
July 31, 1967; and the Commonwealth of the Northern Mariana Islands was effective
on July 1, 1989.
A number of states, which have bought in for all of their medical assistance recipients
under Title XIX, do not provide Title XIX approved medical assistance to the medically
needy. In those states, the only noncash recipients who are eligible for State Buy-in
(the Medical Assistance Only (MAO) category) are noncash recipients who are categorically
needy; e.g., certain institutionalized individuals.
States with 1634 agreements are known as Supplemental Security Income (SSI) auto accrete
states and those states which make all their own Medicaid eligibility determinations
are known as 209 (b), or SSI alert, states. States using SSI standards, but making
their own State Buy-in determinations, are shown as alert*. All states, except Kentucky
(180), include Part A of Title IV, Temporary Assistance to Needy Families (formerly
Aid to Families with Dependent Children (AFDC) in their State Buy-in coverage groups.
The following chart shows the SSI status of each state:
|
AGENCY CODE
|
STATE
|
SSI STATUS ACCRETE OR ALERT
|
STATE SUPP.
|
TITLE XIX MA ONLY
|
|
MAN.
|
OPT.
|
|
010
|
Alabama[1]
|
Accrete
|
N/A
|
State
|
01/01/92
|
|
020
|
Alaska
|
Alert*
|
State
|
State
|
10/01/82
|
|
030
|
Arizona
|
Accrete
|
State
|
N/A
|
01/01/82
|
|
040
|
Arkansas
|
Accrete
|
Federal
|
N/A
|
01/01/70
|
|
050
|
California
|
Accrete
|
Federal
|
Federal
|
01/01/70
|
|
060
|
Colorado[2]
|
Accrete
|
State
|
State
|
03/01/69
|
|
640
|
Commonwealth of the Northern Mariana Islands
|
Alert
|
N/A
|
N/A
|
01/01/89
|
|
070
|
Connecticut
|
Alert
|
N/A
|
State
|
N/A
|
|
080
|
Delaware
|
Accrete
|
Federal
|
Federal
/State
|
N/A
|
|
090
|
District of Columbia
|
Accrete
|
Federal
|
Federal
|
08/01/69
|
|
100
|
Florida
|
Accrete
|
N/A
|
State
|
02/01/70
|
|
110
|
Georgia
|
Accrete
|
Federal
|
State
|
04/01/68
|
|
650
|
Guam
|
Title I, IV, X, XIV, XIX[3]
|
N/A
|
N/A
|
07/01/68
|
|
120
|
Hawaii
|
Alert
|
N/A
|
Federal
|
01/01/70
|
|
130
|
Idaho
|
Alert*
|
State
|
State
|
04/01/68 through 02/28/83
|
|
140
|
Illinois
|
Alert
|
State
|
State
|
N/A
|
|
150
|
Indiana[4]
|
Accrete
|
N/A
|
State
|
01/01/70
|
|
160
|
Iowa
|
Accrete
|
Federal
|
Federal/
State
|
01/01/70
|
|
170
|
Kansas
|
Alert*
|
Federal
|
State
|
04/01/68
|
|
180
|
Kentucky
|
Accrete
|
N/A
|
State
|
N/A
|
|
190
|
Louisiana
|
Accrete
|
Federal
|
State
|
N/A
|
|
200
|
Maine
|
Accrete
|
State
|
State
|
04/01/68 through 08/31/74
|
|
210
|
Maryland[5]
|
Alert*
|
Federal
|
State
|
01/01/72
|
|
220
|
Mass. - DMA[6]
|
Accrete
|
State
|
State
|
N/A
|
|
230
|
Michigan[7]
|
Accrete
|
Federal
|
Federal/
State
|
08/01/81
|
|
240
|
Minnesota
|
Alert
|
N/A
|
State
|
N/A
|
|
250
|
Mississippi[8]
|
Accrete
|
Federal
|
N/A
|
01/01/70
|
|
260
|
Missouri
|
Alert
|
State
|
State
|
N/A
|
|
270
|
Montana
|
Accrete
|
Federal
|
Federal
|
03/01/70
through 02/28/92
|
|
280
|
Nebraska
|
Alert
|
State
|
State
|
04/01/68
through 03/31/69
|
|
290
|
Nevada
|
Alert*
|
N/A
|
Federal
|
05/01/69
|
|
300
|
New Hampshire
|
Alert
|
State
|
State
|
N/A
|
|
310
|
New Jersey
|
Accrete
|
Federal
|
Federal
|
01/01/70
|
|
320
|
New Mexico
|
Accrete
|
State
|
State
|
01/01/70
|
|
330
|
New York[9]
|
Accrete
|
Federal
|
Federal/
State
|
N/A
|
|
340
|
North Carolina[10]
|
Accrete
|
State
|
State
|
01/01/70
|
|
350
|
North Dakota
|
Alert
|
N/A
|
State
|
N/A
|
|
360
|
Ohio[11]
|
Accrete
|
Federal
|
State
|
04/01/68
|
|
370
|
Oklahoma
|
Alert
|
State
|
State
|
N/A
|
|
380
|
Oregon
|
Alert
|
State
|
State
|
01/01/84
|
|
390
|
Pennsylvania
|
Accrete
|
Federal
|
Federal/
State
|
N/A
|
|
400
|
Puerto Rico
|
N/A
|
N/A
|
N/A
|
N/A
|
|
410
|
Rhode Island
|
Accrete
|
N/A
|
Federal
|
N/A
|
|
420
|
South Carolina
|
Accrete
|
N/A
|
State
|
07/01/68
|
|
430
|
South Dakota
|
Accrete
|
Federal
|
State
|
N/A
|
|
440
|
Tennessee
|
Accrete
|
Federal
|
N/A
|
12/01/69
through 03/31/76
|
|
450
|
Texas
|
Accrete
|
N/A
|
State
|
04/01/68
through
06/30/90
|
|
460
|
Utah
|
Alert
|
N/A
|
Federal
|
10/01/71
|
|
470
|
Vermont[12]
|
Accrete
|
N/A
|
Federal
|
N/A
|
|
480
|
Virgin Islands
|
Title I, IV, X, XIV, XIX[13]
|
N/A
|
N/A
|
09/01/68 through
06/30/93
|
|
490
|
Virginia
|
Alert
|
N/A
|
State
|
09/01/69
|
|
500
|
Washington[14]
|
Accrete
|
State
|
State
|
05/01/68
|
|
510
|
West Virginia
|
Accrete
|
N/A
|
N/A
|
N/A
|
|
520
|
Wisconsin[15]
|
Accrete
|
N/A
|
State
|
04/01/82
through 07/31/83
|
|
530
|
Wyoming
|
Accrete
|
State
|
State
|
04/01/89
|