SSI Threshold for Continued Medicaid benefits!

I can’t believe I am just learning about the Social Security SSI Threshold for Medicaid benefits!

For the past 16 years, my understanding was that to get Medicaid through SSI, you needed to qualify for a monthly SSI payment.

That is NOT true, and here’s the proof on the Social Security website.

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 wminork; 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:


2017 1619(b) THRESHOLD AMOUNTS FOR DISABLED SSI BENEFICIARIES

STATE

THRESHOLD

TEXAS

$34,821

In layman’s terms, this means that even if you earn too much money to receive an SSI payment, you can continue to get Medicaid while earning up to $34,821 (or more if you ask for an individual threshold of more than $34,821).

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Dentists for individuals with special needs

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Summer House

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YOUNG ADULTS WITH INTELLECTUAL DISABILITIES are deserving of high quality programming that is client-centered enabling them to become valued, respected, contributing members of society. With this simple goal in mind, The Summerhouse team has built a creative, powerful program.

Their staff creates an environment that fosters opportunities for all of our members to bloom continuously through a customized approach. The programming is designed to meet members where they are, with their abilities and goals in mind. They focus on developing skills that will contribute to a more engaged, active life.

Three key areas of focus are:

VOCATIONAL
Develop skills that would allow members to fulfill their employment potential.

COMMUNITY INVOLVEMENT
Develop skills to engage and connect with peers and the broader community.

DAILY LIVING
Refine skills that allow members to maintain a high quality of life and independence on a daily basis.

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Lifespan Respite

I just learned about a program called Lifespan Respite.

This is a program that provides respite care for people who do not qualify for publically funded respite care from any other source. It serves persons of any age and any disability, as well as caregivers for the elderly.

Lifespan Respite provides a voucher for 80 hours of respite to be used within 60 days.

To get the voucher:

  1. Contact Care Connections Aging & Disability Resource Center to request Lifespan Respite 1-877-393-1090. A Resource Specialist will prescreen you and invite you to orientation on a specific date.
  2. Go to orientation at Care Connections Aging & Disability Resource Center 4802 Lockwood Drive
    Houston? Texas? 77026. Orientation is from 9am-3pm. (Bring along the proof of disability for the person you need respite from caregiving.)
  3. Fill out the application for the voucher from Easterseals. (To request this application in advance, email Julia Serrano.
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Challenged Athletes Foundation

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Established in 1997, the Challenged Athletes Foundation recognizes the athletic greatness inherent in all people with physical challenges and supports their athletic endeavors by providing unparalleled sports opportunities that lead to success in sports — and in life.

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Desperate for Respite

desperate for Respite provides support to caregivers caring for special needs children, dependent adults and their families in the northwest Houston area. Their services concentrates on raising the awareness of caring for caregivers, educating the community and developing relationships for supporting their families.
They are a non-profit charitable corporation organized exclusively for charitable and community development purposes.
They partner with businesses, ministries and organizations within your community. Your partnership with us aids in gathering resources for caregivers and their families while educating and promoting awareness about the importance and benefits of Respite care.

dfR also serves the community at large by focusing on Community Education, Intellectual Disabilities and individuals needing Special Attention.
They achieve the goal of educating the local community about Respite care through various avenues such as partnering with churches and their members, area businesses and organizations. This education also focuses on the benefits of utilizing community Respite programs.
We serve individuals with Autism, Blindness, Deafness, Cerebral Palsy, Downs Syndrome, Medically fragile, Tourette’s Syndrome, ADHD and more. We work alongside national and local advocacy/support groups and health & human service professionals in order to provide caregivers and their families with the necessary support and networking opportunities needed to maintain a healthy family environment.

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Special needs trust & guardianship

Attorneys

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