SPOTLIGHT ON CONTINUED MEDICAID ELIGIBILITY FOR PEOPLE WHO WORK: SECTION 1619(B) -- 2024 Edition

WHAT WILL HAPPEN TO MY MEDICAID IF I GO TO WORK?

In most cases, if you are blind or have a qualifying disability, regardless of age, and you have Medicaid before you go to work, your Medicaid will continue while you are working as long as your disabling condition still exists.

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IF MY SSI STOPS BECAUSE OF THE AMOUNT OF MY EARNINGS, CAN I STILL KEEP MY MEDICAID?

In most cases, you can keep your Medicaid even if you earn too much to receive a monthly Supplemental Security Income (SSI) benefit as long as:

    small blue and black arrowYou are still blind or have a disability; and

    small blue and black arrowYou meet all the SSI eligibility requirements, except for the amount of your earnings; and

    small blue and black arrowYou were eligible to receive a regular SSI cash payment for at least one month before you became eligible under Section 1619 of the Social Security Act; and

    small blue and black arrow You were eligible for Medicaid coverage in the month before you became eligible under Section 1619; and

    small blue and black arrow You need continued Medicaid in order to work; and

    small blue and black arrow Your earnings would not replace the value of your SSI cash benefits, your Medicaid benefits, and any publicly funded personal or attendant care you receive that would be lost due to your earnings. To see the amount for your State, call our toll free number or you can visit www.ssa.gov/disabilityresearch/wi/1619b.htm on our website.

 

If your earnings are higher than this amount, but you have special work expenses or medical expenses, you may still qualify for continued Medicaid. See www.ssa.gov/redbook/index.html for more information about individualized thresholds.


THIS INFORMATION IS GENERAL.
FOR MORE INFORMATION, CALL 1–800–772–1213 (TTY 1–800–325–0778),
VISIT OUR WEBSITE (www.ssa.gov) ON THE INTERNET,
OR CONTACT YOUR LOCAL SOCIAL SECURITY OFFICE.