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 2016 and 2015 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.


2016 1619(b) THRESHOLD AMOUNTS FOR DISABLED SSI BENEFICIARIES

STATE

THRESHOLD

ALABAMA

$27,075

ALASKA

$55,597

ARIZONA

$36,522

ARKANSAS

$29,763

CALIFORNIA

$37,184

COLORADO

$33,605

CONNECTICUT

$66,520

DELAWARE

$42,664

D.C.

$39,930

FLORIDA

$30,566

GEORGIA

$30,315

HAWAII

$37,949

IDAHO

$39,570

ILLINOIS

$27,370

INDIANA

$36,772

IOWA

$32,575

KANSAS

$35,021

KENTUCKY

$29,746

LOUISIANA

$31,305

MAINE

$32,667

MARYLAND

$41,740

MASSACHUSETTS

$39,662

MICHIGAN

$34,923

MINNESSOTA

$50,971

MISSISSIPPI

$29,876

MISSOURI

$36,376

MONTANA

$30,970

NEBRASKA

$38,579

NEVADA

$32,307

NEW HAMPSHIRE

$39,640

NEW JERSEY

$35,003

NEW MEXICO

$35,617

NEW YORK

$43,583

NORTH CAROLINA

$34,131

NORTH DAKOTA

$44,673

OHIO

$38,509

OKLAHOMA

$30,262

OREGON

$33,221

PENNSYLVANIA

$36,567

RHODE ISLAND

$34,239

SOUTH CAROLINA

$30,834

SOUTH DAKOTA

$35,233

TENNESSEE

$38,613

TEXAS

$34,670

UTAH

$34,936

VERMONT

$39,943

VIRGINIA

$35,118

WASHINGTON

$32,875

WEST VIRGINIA

$31,883

WISCONSIN

$31,381

WYOMING

$36,253

NO.MARIANA ISL.

$18,612

 

2015 1619(b) THRESHOLD AMOUNTS FOR DISABLED SSI BENEFICIARIES

STATE

THRESHOLD

ALABAMA

$27,244

ALASKA

$55,990

ARIZONA

$36,162

ARKANSAS

$29,765

CALIFORNIA

$37,805

COLORADO

$32,942

CONNECTICUT

$65,144

DELAWARE

$41,123

D.C.

$39,719

FLORIDA

$30,594

GEORGIA

$29,480

HAWAII

$37,788

IDAHO

$39,779

ILLINOIS

$28,221

INDIANA

$37,087

IOWA

$32,442

KANSAS

$35,025

KENTUCKY

$29,651

LOUISIANA

$31,511

MAINE

$32,784

MARYLAND

$41,761

MASSACHUSETTS

$40,006

MICHIGAN

$34,512

MINNESSOTA

$51,132

MISSISSIPPI

$29,407

MISSOURI

$35,661

MONTANA

$30,416

NEBRASKA

$38,326

NEVADA

$31,363

NEW HAMPSHIRE

$39,503

NEW JERSEY

$34,772

NEW MEXICO

$35,226

NEW YORK

$47,499

NORTH CAROLINA

$34,098

NORTH DAKOTA

$44,004

OHIO

$37,914

OKLAHOMA

$30,298

OREGON

$33,098

PENNSYLVANIA

$35,821

RHODE ISLAND

$34,347

SOUTH CAROLINA

$30,554

SOUTH DAKOTA

$36,639

TENNESSEE

$37,112

TEXAS

$34,289

UTAH

$34,462

VERMONT

$39,265

VIRGINIA

$34,543

WASHINGTON

$31,972

WEST VIRGINIA

$31,347

WISCONSIN

$33,622

WYOMING

$36,134

NO.MARIANA ISL.

$18,612

 

2016 1619(b) THRESHOLD AMOUNTS FOR BLIND SSI BENEFICIARIES

STATE

THRESHOLD

CALIFORNIA

$38,504

IOWA

$33,103

MASSACHUSETTS

$40,511

NEVADA

$34,056

 

2015 1619(b) THRESHOLD AMOUNTS FOR BLIND SSI BENEFICIARIES

STATE

THRESHOLD

CALIFORNIA

$39,125

IOWA

$32,970

MASSACHUSETTS

$40,855

NEVADA

$33,986