Special Benefits If You Are Eligible Under 1619 and Enter a Medical Facility (SSI eligible)

How does it help you?

If you are working and eligible under section 1619, you may receive a Supplemental Security Income (SSI) cash benefit for up to 2 months while in a facility. This may be a Medicaid facility or a public medical or psychiatric facility.

What happens if you enter a Medicaid facility?

Usually, if you enter a Medicaid facility where Medicaid pays more than 50% of the cost of care, your SSI payment is limited to $30 per month, plus any state supplement. This excludes any countable income. However, if you enter a Medicaid facility while you are eligible under section 1619, we will figure your benefit using the full Federal Benefit Rate for up to 2 months.

What happens if you enter a public medical or psychiatric facility?

Usually, if you are in a public medical or psychiatric facility, you are not eligible to receive an SSI payment. However, if you enter a public medical or psychiatric facility while you are eligible under section 1619, your SSI cash benefits may continue for up to 2 months. For this provision to apply, the facility must enter an agreement with us that will allow you to keep all your SSI payment.