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Alert: Medicaid Lost (State Threshold)

Your annualized gross earned income is greater than the "Threshold" amount for your State.

See: State 1619(b) Thresholds - Overview for an explanation of the threshold concept.

See: State 1619(b) Threshold Amounts for a list of the threshold amounts.

SSA will calculate an individualized threshold for you if you have one or more of the following:

·     Medical expenses greater than the average per capita Medicaid expenditure cost in your State.

·     Impairment Related Work Expenses (IRWE)

·     Blind Work Expenses (BWE)

·     A Plan to Achieve Self-Support (PASS)

·     Publicly funded attendant or personal care (not funded by Medicaid – since that would be reflected in the first item)

For more information see Individualized 1619(b) Threshold Amounts.

Even if your gross earnings are greater than your State or Individualized threshold, you may be able to retain your Medicaid coverage if your State has special programs, such as a Medicaid Buy-In, for that purpose. Check with the State agency that administers Medicaid to find out if you are eligible for such a program.

NOTE: If your Medicaid stops and you have SSDI and Medicare Part B coverage, go back and answer "YES" to the question, "Is Medicare Part B Premium deducted from your SSDI Check?" Otherwise, WorkWORLD will not deduct the premium amount when calculating the amount of your SSDI check.

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Topic Title: Alert: Medicaid Lost (State Threshold)
Topic URL: https://help.workworldapp.com/wwwebhelp/alert_medicaid_lost_state_threshold_.htm
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