The Breaking Barriers program, based in San Diego, provided employment services to lower-income individuals with disabilities. MDRC carried out a random assignment evaluation of the program. As part of the Building Evidence on Employment Strategies for Low-income Families project, MDRC is collecting additional administrative records to extend the original evaluation.
This program aimed to improve health care quality and reduce Medicaid costs for high-needs Medicaid recipients in New York by helping them use appropriate care that would reduce hospital admissions and emergency department visits. The program did not appear to reduce Medicaid costs or care from hospitals and emergency departments.
Both Temporary Assistance for Needy Families and Supplemental Security Income serve low-income individuals with disabilities. Yet the programs’ differences in approach and structure pose challenges to coordinating services. The Administration for Children and Families and the Social Security Administration contracted with MDRC and its partners to conduct the TANF/SSI Disability Transition Project. Five publications from the project have just been released.