How It Helps You

1619b—SSI & Medicaid Coverage 2013 Fact Sheet

Section 1619b How It Helps You: allows If you are eligible for SSI, have Medicaid for your health insurance, and individuals who are employed, 1619b allows you to work and to keep Medicaid coverage are eligible for without a Medicaid spend-down. You can continue to be eligible for SSI to continue Medicaid coverage until your gross annual income reaches a certain to be eligible for amount (this amount is $29,269 in 2013). Medicaid How It Works: coverage when If you are earning income from work and that income causes your SSI their earnings check to reduce to $0, and if you continue to have a disability or are are too high to blind, need Medicaid in order to work, and you meet all other continue to requirements (such as having less than $2,000 in resources), you are receive an SSI eligible for 1619b Medicaid protection. cash payment. You should report your earnings to the Social Security Administration (SSA) monthly. At the time that your SSI cash payments go to $0 due to your work, SSA will automatically determine eligibility for 1619b, and inform you of your eligibility for this Medicaid protection.

This information will be sent electronically to the local office of DSHS. However, you should continue to report your earnings to DSHS, especially if you have other benefits with them, like food stamps or TANF.

With 1619b you also remain eligible for SSI, even though your check has stopped. If your earnings drop to the point that you are due a check or if you are not working, your SSI check will start again. It is very important to always report your earnings to Social Security each month to have your check adjusted accurately.

The viewpoints of this fact sheet do not necessarily reflect the viewpoints of the Social Security Administration. This fact sheet has been adapted from Indiana’s Benefits Information Network by Plan to Work for use in Washington State.

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