This article is a section taken from Medical Assistance (MA), a part of the revisions and additions to the Minnesota Health Care Program Eligibility Policy Manual.
MA 1619(a) or 1619(b)
Supplemental Security Income (SSI) is a federal program administered by the Social Security Administration (SSA) that provides monthly cash payments to people age 65 or older and people who are or certified blind or disabled and have little or no income.
SSI has a work incentive provision under section 1619 of the Social Security Act for people whose earnings reduces or eliminates their SSI cash benefit. People who are eligible for SSI under section 1619 are eligible for Medical Assistance (MA) without regard to their income or assets. 1619(a) is for people who receive a partial SSI cash benefit. 1619(b) is for people who no longer receive an SSI cash benefit.
This page outlines the general, financial, non-financial, and post-eligibility requirements for people under a 1619(a) or 1619(b) status. It describes policies that apply to MA-1619(a) and 1619(b) and links to policies that apply to all MA programs, MA for People Who Are Age 65 or Older and People Who Are Blind or Have a Disability (MA-ABD), and all Minnesota Health Care Programs (MHCP) programs.
People currently enrolled in MA who gain 1619(a) or 1619 (b) status are not required to submit a new application to continue MA eligibility. People not currently enrolled in MA who gain 1619(a) or 1619(b) status must submit a new application to apply for MA. Refer to Section 1.2 Minnesota Health Care Programs (MHCP) Applications for more information about applications.
To be eligible for 1619(a) or 1619(b), the person must:
- be eligible for a regular SSI payment based on disability for at least one month before he or she earned income above the SSI limit;
- continue to have a disability or blind status; and
- continue to meet all other SSI eligibility criteria except for earnings
To be eligible for 1619(b), a person must:
- Need MA coverage to continue working; and
- Not have sufficient earnings to replace SSI cash benefits, MA benefits, and publicly funded personal or attendant care services that would be lost due to the person’s earnings.
People are eligible without an asset test as long as they remain under the 1619(a) or 1619(b) status. SSA decides when a person exceeds the 1619(a) or 1619(b) asset limit.
People are eligible without an income test as long as they retain 1619(a) or 1619(b) status. SSA decides when a person exceeds the income limit.
See the SSA Continued Medicaid Eligibility web page for more information.
DHS pays Medicare Part B premiums for 1619(a) and 1619(b) recipients enrolled in Medicare and receiving Retirement, Survivors, or Disability Insurance (RSDI) benefits.
Minnesota Statutes, section 256B.056, subdivision 1a
Social Security Act, section 1619
CREDIT: The content of this post has been copied or adopted from the Minnesota Healthcare Programs Eligibility Policy Manual, originally published by the Minnesota Department of Human Services.
This is also part of a series of posts on Minnesota Healthcare Eligibility Policies.