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DE Medicaid - Employment and Eligibility

The effect that employment has on your eligibility for Medicaid in Delaware depends on which type of Medicaid program you are enrolled in. (See Medicaid - Covered Groups for an overview of the different programs.)

In order to make an informed decision about employment or increasing your earnings, you should contact the Division of Social Services (DSS) and find out which covered group you are in and what would be the effect of earnings on your Medicaid eligibility.

SSI-Related Medicaid

If you receive Medicaid because you belong to an SSI-Related Covered Group, then your earnings may not cause you to lose Medicaid eligibility unless you earn more than the Delaware State Threshold amount (see State 1619(b) Threshold Amounts for current and historical state threshold amounts). (You could earn even more without losing Medicaid coverage, if you have greater than average medical expenses, or Impairment Related Work Expenses , or a Plan for Achieving Self-Support (PASS) , and the Social Security Administration establishes an Individualized Threshold for you.)

Medicare-Related Medicaid

If you receive the limited benefits available through one of the Medicare-Related Covered Groups (i.e., QMB, SLMB, QDWI, or QI-1), and if your earnings make you ineligible for one group, you may be eligible for one of the other Medicare-Related groups.

If your earnings are such that your countable income exceeds 200% of the Federal Poverty Level (FPL), then you would not be eligible for the limited benefits of any of the Medicare-Related Medicaid groups.

AFDC-TANF Related Programs

If you receive Medicaid through one of the AFDC-TANF Related Covered Groups (such as the Low Income Families with Children - Section 1931 program, or the Deeming Eligibles group), and if your earnings cause you or your family to lose Medicaid eligibility, you may be eligible for up to 12 months of Transitional Medicaid.

Federal Poverty Level (FPL) Related Programs

If, however, you receive Medicaid through one of the Federal Poverty Level Related Covered Groups (such as the Pregnant Women, or Infants and Children group), and if your earnings cause you or your family to lose Medicaid eligibility, Transitional Medicaid is not an option for you. Unless you are eligible under some other covered group, you would lose your Medicaid eligibility.

NOTE: If your family receives Medicaid coverage because you have low income and dependent children, you may be covered under either an AFDC-TANF or FPL Related group. If you are covered under an AFDC-TANF group, then you may be eligible for Transitional Medicaid. If you are covered under an FPL group, you would not be eligible for Transitional Medicaid. DSS can tell you which group you are in.

See also:

DE Medicaid - Covered Groups

DE Medicaid - Eligibility

DE Medicaid - Application Procedures

DE DSS - Change Reporting Requirements

DE DSS - Contact Information

Source:

DSS Policy Manual (Sects. 13400, 15100, 15120, 15130, 16000, 16100)

Back to:

DE Medicaid - Overview

DE Division of Social Services - Overview

DE Benefit Information System Overview

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