Continued Medicaid Eligibility (Section 1619(B))

What is Medicaid?

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:

Impairment-related work expenses; or
Blind work expenses; or
A plan to achieve self-support; or
Personal attendant whose fees are publicly funded; or
Medical expenses above the average State amount.

We show the 2026 and 2025 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.

**2026 1619(b) THRESHOLD AMOUNTS FOR DISABLED SSI BENEFICIARIES**
STATE	THRESHOLD
ALABAMA	$40,026
ALASKA	$73,070
ARIZONA	$59,182
ARKANSAS	$40,366
CALIFORNIA	$66,078
COLORADO	$63,454
CONNECTICUT	$55,480
DELAWARE	$60,163
D.C.	$73,901
FLORIDA	$42,946
GEORGIA	$41,927
HAWAII	$51,832
IDAHO	$53,625
ILLINOIS	$47,756
INDIANA	$47,397
IOWA	$53,732
KANSAS	$54,547
KENTUCKY	$48,099
LOUISIANA	$44,804
MAINE	$56,143
MARYLAND	$62,929
MASSACHUSETTS	$52,015
MICHIGAN	$42,987
MINNESOTA	$84,208
MISSISSIPPI	$43,992
MISSOURI	$55,181
MONTANA	$49,174
NEBRASKA	$56,282
NEVADA	$47,006
NEW HAMPSHIRE	$50,485
NEW JERSEY	$63,400
NEW MEXICO	$54,557
NEW YORK	$68,654
NORTH CAROLINA	$51,178
NORTH DAKOTA	$60,145
OHIO	$50,138
OKLAHOMA	$46,831
OREGON	$47,856
PENNSYLVANIA	$55,023
RHODE ISLAND	$46,819
SOUTH CAROLINA	$44,963
SOUTH DAKOTA	$53,537
TENNESSEE	$41,797
TEXAS	$53,165
UTAH	$54,668
VERMONT	$52,699
VIRGINIA	$63,537
WASHINGTON	$73,897
WEST VIRGINIA	$42,379
WISCONSIN	$51,711
WYOMING	$51,244
NO.MARIANA ISL.	$29,412

2026 1619(B) THRESHOLD AMOUNTS FOR BLIND SSI BENEFICIARIES

STATE	THRESHOLD
CALIFORNIA	$68,103
IOWA	$54,260
MASSACHUSETTS	$52,864
NEVADA	$49,629

**2025 1619(b) THRESHOLD AMOUNTS FOR DISABLED SSI BENEFICIARIES**
STATE	THRESHOLD
ALABAMA	$38,224
ALASKA	$68,402
ARIZONA	$56,455
ARKANSAS	$37,814
CALIFORNIA	$64,517
COLORADO	$60,307
CONNECTICUT	$61,000
DELAWARE	$58,286
D.C.	$69,141
FLORIDA	$42,119
GEORGIA	$38,308
HAWAII	$50,963
IDAHO	$50,535
ILLINOIS	$44,018
INDIANA	$43,358
IOWA	$52,860
KANSAS	$50,882
KENTUCKY	$44,078
LOUISIANA	$41,886
MAINE	$52,139
MARYLAND	$57,296
MASSACHUSETTS	$48,854
MICHIGAN	$43,627
MINNESOTA	$79,483
MISSISSIPPI	$39,380
MISSOURI	$50,375
MONTANA	$46,792
NEBRASKA	$53,380
NEVADA	$41,854
NEW HAMPSHIRE	$50,515
NEW JERSEY	$60,852
NEW MEXICO	$52,325
NEW YORK	$64,017
NORTH CAROLINA	$46,540
NORTH DAKOTA	$59,539
OHIO	$46,314
OKLAHOMA	$44,009
OREGON	$45,681
PENNSYLVANIA	$52,088
RHODE ISLAND	$43,226
SOUTH CAROLINA	$41,539
SOUTH DAKOTA	$53,022
TENNESSEE	$40,658
TEXAS	$53,501
UTAH	$53,845
VERMONT	$50,283
VIRGINIA	$59,755
WASHINGTON	$60,181
WEST VIRGINIA	$40,250
WISCONSIN	$49,368
WYOMING	$51,502
NO.MARIANA ISL.	$28,764

2025 1619(B) THRESHOLD AMOUNTS FOR BLIND SSI BENEFICIARIES

STATE	THRESHOLD
CALIFORNIA	$66,542
IOWA	$53,388
MASSACHUSETTS	$49,703
NEVADA	$44,477