Medicaid While Working — Section 1619(b)

After you return to work, your Medicaid coverage can continue, even if your earnings (alone or in combination with your other income) become too high for an SSI cash payment..

To qualify, you must meet all of the following qualifications:

• Have been eligible for an SSI cash payment for at least 1 month;
• Would be eligible for cash payment except for earnings;
• Still be disabled;
• Still meet all other eligibility rules, including the resources test;
• Need Medicaid in order to work; and
• Have gross earned income that is insufficient to replace SSI, Medicaid, and any publicly funded attendant care.
• The "threshold amount" is the measure that SSA uses to decide whether your earnings are high enough to replace your SSI and Medicaid benefits. Your threshold amount is based on:
• The amount of earnings that would cause your SSI cash payments to stop in your state; and
• The annual per capita Medicaid expenditure for your state.
• In Louisiana, the 2018 threshold amount is $31,923.00. It is expected that the 2023 threshold amount will become known by April 30.

 

If you are not working above SGA and are eligible for a benefit payment for the 37th month, you will continue to be eligible for benefits until you:

Your benefits will end if you work above SGA after the 36-month re-entitlement period. However you may be able to start your benefits again if you stop work within the next 5 years.

The 2021 SGA levels are $1,310.00 per month for non-visually impaired recipients and $2,190.00 per month for visually impaired recipients. The EPE applies only to individuals who receive SSDI cash benefits.

For a complete explanation go to SSA Online and view the Redbook section or contact your local Benefits Planner by calling 1-866-YOURTICKET (1-866-968-7842).

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