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An SSI Beneficiary’s Right to Automatic Medicaid Eligibility in Most States

In 41 States, the District of Columbia, and the Northern Mariana Islands, Eligibility for SSI Means the Person is Eligible for Medicaid

  • In 34 of those states the SSI application serves as a Medicaid application.Upon approval for SSI the person is automatically found eligible for Medicaid.
  • The following seven states use the same rules to decide eligibility for Medicaid as SSA uses for SSI, but require the filing of a separate application:Alaska, Idaho, Kansas, Nebraska, Nevada, Oregon, and Utah.This is also true in the Northern Mariana Islands.

In the Nine Section 209(b) States, the State Medicaid Program Long Ago opted to apply Separate Medicaid Eligibility Criteria for SSI Recipients. 

  • The 209(b) states are Hawaii, Illinois, Minnesota, Missouri, New Hampshire, North Dakota, Oklahoma, and Virginia.

A VR counselor should find out whether a separate Medicaid application will be needed for SSI recipients in your state and, if so, how to go about filing that application.  Your state or regional Work Incentives Planning and Assistance (WIPA) Project (see Web-Based Resources) should be able to give you that information.