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| FAQs |
| How Does Section 1619(b) Work? When an SSI recipient who is over the break-even point (BEP), yet under certain earned income limits called “threshold amounts”, SSI disregards earned income. This earned income is removed from the eligibility determination process thus enabling the person to be considered SSI eligible for the purposes of Medicaid, even though no SSI cash payment is received. Section 1619(b) does not help a working recipient keep more of his/her SSI cash payment - Section 1619(a) does that. Rather, this incentive extends Medicaid coverage beyond the BEP. Keep in mind that not everyone who loses eligibility for SSI cash benefits will be eligible for 1619(b). This provision is a work incentive intended for eligible individuals who reach the BEP because of earned income. Additionally, although everyone who is eligible for Medicaid the month before their wages reach the BEP is entitled to Medicaid under 1619(b), it is not automatic. A SSI Claims Representative must enter a special code on the SSI record at the same time the SSI payment stops to begin 1619(b). Since it is not automatic, mistakes do happen. Be sure that the people you advise know to request Medicaid under 1619(b) if they use Medicaid.
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Disclaimer: The VCU-BARC FAQ Pages are general information provided
as a public service. The contents do not necessarily represent the
policy, interpretations or opinion of the Social Security Administration
(SSA). The information contained here is intended to inform readers
of issues that may affect Social Security and/or other public assistance
benefits. Because individual circumstances differ, the reader should
not rely on any information here as being specifically applicable
to an individual's situation. |