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Benefits Highlights

1619(b) Update

Benefits Specialists should note that each year the SSA updates the 1619(b) thresholds for each state. The 2004 limits may be found at:

http://policy.ssa.gov/poms.nsf/lnx/0502302200

Here are a few additional things to keep in mind with 1619(b):

  • To be eligible under section 1619(b), an individual cannot have earnings sufficient to replace SSI cash benefits, Medicaid benefits, and publicly-funded Personal or attendant care that would be lost due to his/her earnings.
  • SSA only looks at income from earnings in making this determination; unearned income is not considered.
  • The initial threshold determination is usually made at the time the individual reports earnings that will cause ineligibility for cash payments.
  • The SSA will recalculate whether the earnings are sufficient to replace SSI, Medicaid and publicly funded attendant care at each 1619(b) redetermination.
  • Individuals eligible for section 1619(b) will be selected for a redetermination every year.
  • The SSA will look at earnings for the 12-month period prior to the date the redetermination is done
  • If the SSI recipient has a PASS, uses a lot of SSI work incentives, or has high Medicaid costs, the SSA may calculate a higher individualized threshold to help the individual retain 1619(b) until the earnings are sufficient to replace SSI cash benefits, Medicaid benefits, and publicly-funded personal or attendant care that would be lost due to his/her earnings.

For more information view our BARCa briefing paper, Understanding 1619(b), Vol. 6, June 2002. To download a copy of this paper go to the Briefing Papers section on this website.

Terri Uttermohlen