this window to return to course.


1619(b) provides for continuation of Medicaid for most working SSI recipients whose earnings are too high to qualify for a cash benefit with SSI, but they are

not high enough to offset the loss of the benefit, Medicaid and any published attendant care services that the person may have. Even if the person has earnings too high to receive a cash benefit, they still can continue their Medicaid under 1619(b). How does it work? The trigger for the 1619(b) provision is earnings over the breakeven point, which is defined as the point that a person's earnings go so high that it reduces their SSI cash benefit to zero. When a person reaches their breakeven point and their SSI check is reduced to zero, their claims representative at the Social Security Administration will get an alert that tells them to check their eligibility for 1619(b). They will develop the case and determine the eligibility. Once this is determined that a person does meet the eligibility criteria for it, the Social Security Administration will essentially disregard the person's earned income and the person will continue to remain on the SSI rolls in an active status on the SSI rolls for purposes of receiving the Medicaid. Even though they are not getting a cash benefit, they are still considered an SSI recipient on the rolls, and they continue on Medicaid as such.

Incentives by Susan O'Mara, available online: The seminar was produced by Virginia Commonwealth University's T-TAP project funded by the Office of Disability Employment Policy, U.S. Department of Labor (Number E9-4-2-01217). The opinions expressed herein do not necessarily reflect the position or policy of the U.S. Department of Labor. Nor does mention of trade names, commercial products,or organizations imply the endorsement by the U.S. Department of Labor.