Matthew Bardgett, age 50, was left paraplegic by a car accident at age 19. Matt ultimately returned to work, but with no coverage offered through his job, and unable to get private coverage due to his pre-existing condition, he remained uninsured for 20 years. For cost reasons, Matt often delayed getting needed care. In 2002, Matt enrolled in Kansas’ Working Healthy program, which enables working individuals with disabilities to get Medicaid by paying a premium. Since gaining Medicaid, Matt has addressed long-neglected health problems, including depression. He has gotten both recommended preventive care and check-ups and needed specialist care. Medicaid also covers personal attendant services, which help Matt with bathing, transferring, and other daily tasks that exhaust him, enabling Matt to be more productive and improving the quality of his life.