State to State Technical Assistance

Welcome to the Center website. The Center for Workers with Disabilities is a technical assistance center for states enhancing or developing employment infrastructure and supports for working persons with disabilities. Since 2000, the Center has supported states in their efforts to administer the Medicaid Infrastructure Grants established under the Ticket to Work and Work Incentives Improvement Act of 1999 (P.L. 106-170). Over the years, our activities have evolved to meet the changing needs of states, and to share the lessons and experiences of state Medicaid Infrastructure Grant projects. The Center's web pages provide information and resources for our members and other stakeholders on the Medicaid Buy-In program, Medicaid Infrastructure Grants, state disability employment initiatives, and related topics that address employment of individuals with disabilities.

The Center for Workers with Disabilities is a project of the American Public Human Services Association (APHSA). APHSA is a bipartisan, nonprofit organization representing state and local health and human service agency leaders along with their key state program managers and hundreds of county-level directors of human services throughout the nation. APHSA has been working to improve public health and human services for over 80 years by collaborating with state and local agencies, partners and national policymakers to promote effective policies and innovative strategies. APHSA's Pathways initiative is our members' policy and practice agenda for a transformed health and human services system. The Pathways vision will require changing health and human service programs and funding streams so that they become integrated, outcomes-focused, and centered on how we can support people to achieve sustainable, meaningful changes in their lives. At the center of Pathways are four major outcomes that we seek: gainful employment and independence; stronger families, adults, and communities; healthier families, adults, and communities; and sustained well-being of children and youth. For more information, visit Pathways at