Module #6

How Earnings Impact Medicaid

You can use this toolkit to aid you in understanding and explaining  to youth and their families: how Medicaid is impacted by earning; and that Medicaid will, in most cases, will continue under the 1619(b) work incentive when the monthly SSI payment is not available due to work and earnings.

1. For youth, under age 21, all state Medicaid programs must provide all the federally-mandated Medicaid service categories and up to five optional service categories of the state’s choosing.
True | False
2. A state can choose to provide all, some, or no optional Medicaid service categories to adults age 21 or older.
True | False
3. In 41 states, the District of Columbia, and the Northern Mariana Islands, an SSI beneficiary is automatically eligible for Medicaid without the need to file a separate Medicaid application.
True | False
4. An SSI beneficiary, who works and loses the right to an SSI payment, due to countable earned income, can potentially retain Medicaid through the 1619(b) work incentive for an indefinite period.
True | False
5. An SSI beneficiary has qualified for 1619(b) Medicaid, after losing the right to an SSI payment through countable earned income. Some months later, the beneficiary’s gross monthly wages are reduced to a point where he or she would once again qualify for an SSI payment. This beneficiary can once again start receiving SSI payments but only if a medical review is conducted to see if he or she still meets the SSI disability requirements.
True | False
6. The Medicaid Buy-In for working individuals exists in every state and allows certain individuals, who are disabled and working, to qualify for Medicaid when they are not eligible for the 1619(b) work incentive.
True | False