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Continued Medicaid Eligibility (Section 1619(B))


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One of the biggest concerns SSI beneficiaries have about going to work is the possibility of losing Medicaid coverage. Section 1619(b) of the Social Security Act provides some protection for these beneficiaries. To qualify for continuing Medicaid coverage, a person must:

  • Have been eligible for an SSI cash payment for at least 1 month;
  • Still meet the disability requirement; and
  • Still meet all other non-disability SSI requirements; and
  • Need Medicaid benefits to continue to work; and
  • Have gross earnings that are insufficient to replace SSI, Medicaid and publicly funded attendant care services.

This means that SSI beneficiaries who have earnings too high for a SSI cash payment may be eligible for Medicaid if they meet the above requirements. SSA uses a threshold amount to measure whether a person’s earnings are high enough to replace his/her SSI and Medicaid benefits. This threshold is based on the:

  • amount of earnings which would cause SSI cash payments to stop in the person’s State; and
  • average Medicaid expenses in that State.

If a SSI beneficiary has gross earnings higher than the threshold amount for his/her State, SSA can figure an individual threshold amount if that person has:

We’ve shown the 2011 and 2010 threshold amounts for each State below for disabled and blind beneficiaries. (Please note that five states have separate threshold amounts for blind beneficiaries.) We usually update these amounts annually for the prior calendar year. These amounts continue in effect until replaced with the next year’s amounts when they become available.


2012 1619(b) THRESHOLD AMOUNTS FOR DISABLED SSI BENEFICIARIES

State

Threshold

ALABAMA

25,253

ALASKA

54,352

ARIZONA

36,921

ARKANSAS

29,587

CALIFORNIA

36,423

COLORADO

33,982

CONNECTICUT

68,132

DELAWARE

39,015

D.C.

44,857

FLORIDA

30,259

GEORGIA

28,347

HAWAII

35,149

IDAHO

39,775

ILLINOIS

27,435

INDIANA

35,280

IOWA

31,066

KANSAS

35,225

KENTUCKY

28,086

LOUISIANA

30,157

MAINE

33,919

MARYLAND

39,926

MASSACHUSETTS

37,685

MICHIGAN

29,919

MINNESOTA

50,846

MISSISSIPPI

26,889

MISSOURI

33,175

MONTANA

29,752

NEBRASKA

36,651

NEVADA

30,346

NEW HAMPSHIRE

42,320

NEW JERSEY

33,751

NEW MEXICO

33,098

NEW YORK

46,318

NORTH CAROLINA

34,318

NORTH DAKOTA

38,564

OHIO

34,339

OKLAHOMA

27,521

OREGON

32,440

PENNSYLVANIA

30,953

RHODE ISLAND

35,894

SOUTH CAROLINA

30,018

SOUTH DAKOTA

34,014

TENNESSEE

31,464

TEXAS

31,174

UTAH

29,889

VERMONT

37,403

VIRGINIA

34,272

WASHINGTON

28,802

WEST VIRGINIA

28,892

WISCONSIN

32,044

WYOMING

35,896

NO.MARIANA ISL.

17,772

 

2012 1619(b) THRESHOLD AMOUNTS FOR BLIND SSI BENEFICIARIES

STATE

THRESHOLD

CALIFORNIA

37,743

IOWA

31,594 

MASSACHUSETTS

38,187

NEVADA

32,969

 

2011 1619(b) THRESHOLD AMOUNTS FOR DISABLED SSI BENEFICIARIES

State

Threshold ($)

ALABAMA

24,438

ALASKA

51,525

ARIZONA

30,870

ARKANSAS

28,730

CALIFORNIA

35,023

COLORADO

31,990

CONNECTICUT

56,502

DELAWARE

38,668

D.C.

43,037

FLORIDA

28,753

GEORGIA

27,509

HAWAII

36,977

IDAHO

38,495

ILLINOIS

26,141

INDIANA

34,713

IOWA

30,811

KANSAS

34,071

KENTUCKY

27,345

LOUISIANA

29,763

MAINE

32,403

MARYLAND

38,660

MASSACHUSETTS

36,391

MICHIGAN

29,036

MINNESOTA

49,550

MISSISSIPPI

25,923

MISSOURI

31,180

MONTANA

29,429

NEBRASKA

36,295

NEVADA

30,135

NEW HAMPSHIRE

40,720

NEW JERSEY

33,487

NEW MEXICO

36,421

NEW YORK

45,454

NORTH CAROLINA

33,568

NORTH DAKOTA

38,049

OHIO

34,013

OKLAHOMA

26,480

OREGON

31,462

PENNSYLVANIA

29,410

RHODE ISLAND

36,324

SOUTH CAROLINA

28,141

SOUTH DAKOTA

32,991

TENNESSEE

26,645

TEXAS

29,329

UTAH

29,176

VERMONT

35,554

VIRGINIA

32,545

WASHINGTON

28,160

WEST VIRGINIA

28,283

WISCONSIN

31,468

WYOMING

33,855

NO.MARIANA ISL.

17,196

 

2011 1619(b) THRESHOLD AMOUNTS FOR BLIND SSI BENEFICIARIES

STATE

THRESHOLD ($)

CALIFORNIA

35,716

IOWA

31,339  

MASSACHUSETTS

37,240  

NEVADA

32,759

OREGON

31,462

 

2010 1619(b) THRESHOLD AMOUNTS FOR DISABLED SSI BENEFICIARIES


STATE

THRESHOLD ($)

ALABAMA

23,981

ALASKA

50,054

ARIZONA

26,638

ARKANSAS

28,221

CALIFORNIA

34,324

COLORADO

31,212

CONNECTICUT

54,815

DELAWARE

37,538

D.C.

42,071

FLORIDA

28,427

GEORGIA

27,295

HAWAII

34,056

IDAHO

38,097

ILLINOIS

26,298

INDIANA

32,930

IOWA

30,477 

KANSAS

33,540

KENTUCKY

26,528

LOUISIANA

29,305

MAINE

43,107

MARYLAND

38,328

MASSACHUSETTS

36,133

MICHIGAN

27,858

MINNESSOTA

49,245

MISSISSIPPI

25,907

MISSOURI

30,571

MONTANA

28,819

NEBRASKA

35,984

NEVADA

31,871

NEW HAMPSHIRE

40,383

NEW JERSEY

34,292

NEW MEXICO

34,401

NEW YORK

43,956

NORTH CAROLINA

34,457

NORTH DAKOTA

36,082

OHIO

32,004

OKLAHOMA

26,422

OREGON

30,367

PENNSYLVANIA

29,349

RHODE ISLAND

37,828

SOUTH CAROLINA

27,804

SOUTH DAKOTA

31,924

TENNESSEE

25,484

TEXAS

28,730

UTAH

28,381

VERMONT

35,441

VIRGINIA

30,600

WASHINGTON

28,470

WEST VIRGINIA

27,206

WISCONSIN

32,284

WYOMING

32,585

NO.MARIANA ISL.

17,196

2010 1619(b) THRESHOLD AMOUNTS FOR BLIND SSI BENEFICIARIES

State

Threshold ($)

CALIFORNIA

37,252

IOWA

31,005 

MASSACHUSETTS

36,982 

NEVADA

33,620

OREGON

30,967

 

 

 

 

 

 


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Last reviewed or modified Thursday May 17, 2012
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