A sizable portion of the adult TANF population has disabilities, but identifying the needs of clients with disabilities and offering them appropriate services can prove difficult. This brief describes assessment strategies used by local TANF agencies and organizations, discusses their strengths and weaknesses, and offers points to consider in choosing methods.
Publications
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MIHOPE-Strong Start, a collaboration of the Centers for Medicare and Medicaid Services, the Administration for Children and Families, and the Health Resources and Services Administration, assesses the impacts of home visiting programs for disadvantaged expectant mothers. This report describes the study and the programs: Healthy Families America and Nurse-Family Partnership.
Lessons from an In-Depth Data Analysis
Both Temporary Assistance for Needy Families (TANF) and Supplemental Security Income (SSI) may serve low-income individuals with disabilities. This brief uses MDRC’s analysis of merged national-level TANF and SSI data — two rich data sources that have never before been linked — to better understand the extent of the two programs’ overlap.
A Guide for TANF Staff Members
Both Temporary Assistance for Needy Families (TANF) and Supplemental Security Income (SSI) may serve low-income individuals with disabilities. This brief compares the SSI disability determination process with TANF procedures, discusses how some TANF agencies gauge who is likely to qualify for SSI, and reviews the employment support programs of both.
Innovative Strategies for Serving TANF Recipients with Disabilities
Both Temporary Assistance for Needy Families (TANF) and Supplemental Security Income (SSI) may serve low-income individuals with disabilities. Yet the two programs’ differences in approach and structure pose challenges to coordinating services. This report describes the implementation and findings of three promising pilot interventions intended to address that problem.
Lessons from the TANF/SSI Disability Transition Project
Both Temporary Assistance for Needy Families (TANF) and Supplemental Security Income (SSI) may serve low-income individuals with disabilities. To understand how best to help TANF recipients with disabilities, the parent agencies of TANF and SSI contracted with MDRC and its partners to conduct the TANF/SSI Disability Transition Project. This brief summarizes the project’s findings.
Testing a New Approach to Increase Employment Advancement for Low-Skilled Adults

This policy brief discusses a new skills-building model designed to help low-income adults prepare for, enter, and succeed in quality jobs, in high-demand fields with opportunities for career growth. WorkAdvance uses strategies found in sector-based employment programs, combined with career coaching after participants are placed into jobs.
Managing Health Care for Medicaid Recipients with Disabilities
This program aimed to improve the quality of health care while reducing Medicaid costs by helping individuals use appropriate care that would reduce hospital admissions and emergency department visits. Like a similar pilot run by Colorado Access, which is described in a separate report, it had little effect on health care use.
Early Findings from the TANF/SSI Disability Transition Project

Both Temporary Assistance for Needy Families (TANF) and Supplemental Security Income (SSI) may serve low-income individuals with disabilities. Yet the two programs’ differences in approach and structure pose challenges to coordinating services. This report describes how TANF agencies interact with local SSA offices and documents the extent to which adult TANF recipients are connected with the SSI system.
Final Report on the Colorado Access Coordinated Care Pilot Program
This pilot program aimed to improve the quality of health care while reducing Medicaid costs by helping individuals use appropriate care that would reduce hospital admissions and emergency department visits. The program had little effect on health care use, but the report suggests several ways to improve its design.
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