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 2021 and 2020 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.


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

 

2020 1619(b) THRESHOLD AMOUNTS FOR DISABLED SSI BENEFICIARIES

STATE

THRESHOLD

ALABAMA

$28,114

ALASKA

$57,356

ARIZONA

$37,107

ARKANSAS

$31,029

CALIFORNIA

$37,994

COLORADO

$34,484

CONNECTICUT

$66,740

DELAWARE

$45,029

D.C.

$44,977

FLORIDA

$31,752

GEORGIA

$31,949

HAWAII

$42,387

IDAHO

$40,095

ILLINOIS

$28,254

INDIANA

$38,794

IOWA

$34,053

KANSAS

$35,925

KENTUCKY

$31,106

LOUISIANA

$32,715

MAINE

$36,887

MARYLAND

$41,157

MASSACHUSETTS

$41,485

MICHIGAN

$36,840

MINNESOTA

$53,946

MISSISSIPPI

$31,496

MISSOURI

$37,980

MONTANA

$32,887

NEBRASKA

$40,298

NEVADA

$33,398

NEW HAMPSHIRE

$41,072

NEW JERSEY

$35,808

NEW MEXICO

$33,941

NEW YORK

$46,604

NORTH CAROLINA

$34,859

NORTH DAKOTA

$47,842

OHIO

$40,478

OKLAHOMA

$31,462

OREGON

$35,743

PENNSYLVANIA

$38,719

RHODE ISLAND

$33,557

SOUTH CAROLINA

$31,426

SOUTH DAKOTA

$37,055

TENNESSEE

$41,003

TEXAS

$35,973

UTAH

$34,774

VERMONT

$42,159

VIRGINIA

$36,836

WASHINGTON

$33,768

WEST VIRGINIA

$33,271

WISCONSIN

$34,325

WYOMING

$37,443

NO.MARIANA ISL.

$19,812

 

2020 1619(B) THRESHOLD AMOUNTS FOR BLIND SSI BENEFICIARIES

STATE

THRESHOLD

CALIFORNIA

$39,350

IOWA

$34,664

MASSACHUSETTS

$42,334

NEVADA

$34,859