Continued Medicaid Eligibility (Section 1619(B))

What is Medicaid?

One of the biggest concerns SSI beneficiaries have about going to work is the possibility of losing Medicaid coverage. Section 1619(b) of the Social Security Act provides some protection for these beneficiaries. To qualify for continuing Medicaid coverage, a person must:

Have been eligible for an SSI cash payment for at least 1 month;
Still meet the disability requirement; and
Still meet all other non-disability SSI requirements; and
Need Medicaid benefits to continue to work; and
Have gross earnings that are insufficient to replace SSI, Medicaid and publicly funded attendant care services.

This means that SSI beneficiaries who have earnings too high for a SSI cash payment may be eligible for Medicaid if they meet the above requirements. SSA uses a threshold amount to measure whether a person’s earnings are high enough to replace his/her SSI and Medicaid benefits. This threshold is based on the:

amount of earnings which would cause SSI cash payments to stop in the person’s State; and
average Medicaid expenses in that State.

If a SSI beneficiary has gross earnings higher than the threshold amount for his/her State, SSA can figure an individual threshold amount if that person has:

Impairment-related work expenses; or
Blind work expenses; or
A plan to achieve self-support; or
Personal attendant whose fees are publicly funded; or
Medical expenses above the average State amount.

We show the 2025 and 2024 threshold amounts for each State below for disabled and blind beneficiaries. (Please note that four states have separate threshold amounts for blind beneficiaries.) We usually update these amounts annually for the prior calendar year. These amounts continue in effect until replaced with the next year’s amounts when they become available.

**2025 1619(b) THRESHOLD AMOUNTS FOR DISABLED SSI BENEFICIARIES**
STATE	THRESHOLD
ALABAMA	$38,224
ALASKA	$91,034
ARIZONA	$56,455
ARKANSAS	$37,814
CALIFORNIA	$64,517
COLORADO	$60,307
CONNECTICUT	$61,000
DELAWARE	$58,286
D.C.	$69,141
FLORIDA	$42,119
GEORGIA	$38,308
HAWAII	$50,963
IDAHO	$50,535
ILLINOIS	$44,018
INDIANA	$43,358
IOWA	$52,860
KANSAS	$50,882
KENTUCKY	$44,078
LOUISIANA	$41,886
MAINE	$52,139
MARYLAND	$57,296
MASSACHUSETTS	$48,854
MICHIGAN	$43,627
MINNESOTA	$79,483
MISSISSIPPI	$39,380
MISSOURI	$50,375
MONTANA	$46,792
NEBRASKA	$53,380
NEVADA	$41,854
NEW HAMPSHIRE	$50,515
NEW JERSEY	$60,852
NEW MEXICO	$52,325
NEW YORK	$64,017
NORTH CAROLINA	$46,540
NORTH DAKOTA	$59,539
OHIO	$46,314
OKLAHOMA	$44,009
OREGON	$45,681
PENNSYLVANIA	$52,088
RHODE ISLAND	$43,226
SOUTH CAROLINA	$41,539
SOUTH DAKOTA	$53,022
TENNESSEE	$40,658
TEXAS	$53,501
UTAH	$53,845
VERMONT	$50,283
VIRGINIA	$59,755
WASHINGTON	$60,181
WEST VIRGINIA	$40,250
WISCONSIN	$49,368
WYOMING	$51,502

2025 1619(B) THRESHOLD AMOUNTS FOR BLIND SSI BENEFICIARIES

STATE	THRESHOLD
CALIFORNIA	$66,542
IOWA	$53,388
MASSACHUSETTS	$49,703
NEVADA	$44,477

**2024 1619(b) THRESHOLD AMOUNTS FOR DISABLED SSI BENEFICIARIES**
STATE	THRESHOLD
ALABAMA	$35,902
ALASKA	$86,438
ARIZONA	$53,159
ARKANSAS	$38,551
CALIFORNIA	$58,638
COLORADO	$52,578
CONNECTICUT	$54,293
DELAWARE	$50,146
D.C.	$54,775
FLORIDA	$36,734
GEORGIA	$35,761
HAWAII	$49,781
IDAHO	$47,643
ILLINOIS	$38,906
INDIANA	$39,153
IOWA	$45,246
KANSAS	$44,316
KENTUCKY	$44,433
LOUISIANA	$38,748
MAINE	$48,959
MARYLAND	$52,892
MASSACHUSETTS	$44,965
MICHIGAN	$43,228
MINNESOTA	$74,611
MISSISSIPPI	$37,847
MISSOURI	$44,287
MONTANA	$44,272
NEBRASKA	$52,190
NEVADA	$41,941
NEW HAMPSHIRE	$45,194
NEW JERSEY	$51,902
NEW MEXICO	$48,855
NEW YORK	$59,826
NORTH CAROLINA	$43,307
NORTH DAKOTA	$53,007
OHIO	$40,936
OKLAHOMA	$42,494
OREGON	$42,955
PENNSYLVANIA	$50,536
RHODE ISLAND	$41,109
SOUTH CAROLINA	$39,557
SOUTH DAKOTA	$43,595
TENNESSEE	$34,490
TEXAS	$50,161
UTAH	$46,961
VERMONT	$40,339
VIRGINIA	$45,976
WASHINGTON	$57,954
WEST VIRGINIA	$35,216
WISCONSIN	$46,545
WYOMING	$42,527

2024 1619(B) THRESHOLD AMOUNTS FOR BLIND SSI BENEFICIARIES

STATE	THRESHOLD
CALIFORNIA	$60,663
IOWA	$45,774
MASSACHUSETTS	$45,814
NEVADA	$44,564