Continued Medicaid Eligibility (Section 1619(B))


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 show the 2022 and 2021 threshold amounts for each State below for disabled and blind beneficiaries. (Please note that four 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.


2022 1619(b) THRESHOLD AMOUNTS FOR DISABLED SSI BENEFICIARIES

STATE

THRESHOLD

ALABAMA

$34,521

ALASKA

$82,847

ARIZONA

$44,619

ARKANSAS

$42,141

CALIFORNIA

$54,082

COLORADO

$50,767

CONNECTICUT

$52,750

DELAWARE

$46,118

D.C.

$54,771

FLORIDA

$35,627

GEORGIA

$33,353

HAWAII

$44,962

IDAHO

$43,936

ILLINOIS

$36,327

INDIANA

$39,449

IOWA

$46,446

KANSAS

$37,223

KENTUCKY

$35,658

LOUISIANA

$35,570

MAINE

$44,630

MARYLAND

$46,852

MASSACHUSETTS

$44,068

MICHIGAN

$40,275

MINNESOTA

$66,319

MISSISSIPPI

$35,679

MISSOURI

$47,856

MONTANA

$39,723

NEBRASKA

$41,723

NEVADA

$40,403

NEW HAMPSHIRE

$40,758

NEW JERSEY

$53,202

NEW MEXICO

$44,270

NEW YORK

$50,534

NORTH CAROLINA

$40,301

NORTH DAKOTA

$54,889

OHIO

$40,078

OKLAHOMA

$40,682

OREGON

$39,878

PENNSYLVANIA

$47,813

RHODE ISLAND

$43,534

SOUTH CAROLINA

$35,798

SOUTH DAKOTA

$42,589

TENNESSEE

$37,309

TEXAS

$45,355

UTAH

$49,816

VERMONT

$45,386

VIRGINIA

$46,340

WASHINGTON

$46,925

WEST VIRGINIA

$35,120

WISCONSIN

$44,033

WYOMING

$45,675

 

2022 1619(B) THRESHOLD AMOUNTS FOR BLIND SSI BENEFICIARIES

STATE

THRESHOLD

CALIFORNIA

$55,439

IOWA

$46,974

MASSACHUSETTS

$44,917

NEVADA

$69,896

 

2021 1619(b) THRESHOLD AMOUNTS FOR DISABLED SSI BENEFICIARIES

STATE

THRESHOLD

ALABAMA

$31,451

ALASKA

$80,171

ARIZONA

$41,015

ARKANSAS

$38,487

CALIFORNIA

$47,395

COLORADO

$49,441

CONNECTICUT

$53,709

DELAWARE

$42,875

D.C.

$51,269

FLORIDA

$32,642

GEORGIA

$30,848

HAWAII

$42,473

IDAHO

$40,772

ILLINOIS

$38,350

INDIANA

$32,397

IOWA

$43,741

KANSAS

$43,709

KENTUCKY

$32,062

LOUISIANA

$32,162

MAINE

$41,755

MARYLAND

$44,729

MASSACHUSETTS

$43,001

MICHIGAN

$36,324

MINNESOTA

$69,070

MISSISSIPPI

$33,935

MISSOURI

$44,320

MONTANA

$35,748

NEBRASKA

$44,627

NEVADA

$35,227

NEW HAMPSHIRE

$42,333

NEW JERSEY

$52,110

NEW MEXICO

$42,260

NEW YORK

$54,611

NORTH CAROLINA

$37,852

NORTH DAKOTA

$74,401

OHIO

$36,985

OKLAHOMA

$37,439

OREGON

$43,116

PENNSYLVANIA

$46,458

RHODE ISLAND

$36,440

SOUTH CAROLINA

$33,394

SOUTH DAKOTA

$40,540

TENNESSEE

$34,200

TEXAS

$47,676

UTAH

$48,770

VERMONT

$33,775

VIRGINIA

$41,399

WASHINGTON

$41,112

WEST VIRGINIA

$34,059

WISCONSIN

$45,027

WYOMING

$43,359

NO.MARIANA ISL.

$27,552

 

2021 1619(B) THRESHOLD AMOUNTS FOR BLIND SSI BENEFICIARIES

STATE

THRESHOLD

CALIFORNIA

$48,752

IOWA

$44,269

MASSACHUSETTS

$43,850

NEVADA

$64,456