2.3.7 Medical Assistance 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 reduce or eliminate 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 and maintain their disability status.

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.

  1.  General Requirements

    1. MA Applications

    2. 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.

    3. MA Responsibilities

      1. MA Benefit Recovery

        1. MA Estate Recovery

        2. MA Liens

        3. MA Third Party Liability

        4. MA Cost Effective Insurance

        5. MA Medical Support

        6. MA Other Third Party Liability

      2. MA Cooperation

      3. MA Cost Sharing

      4. MHCP Fraud

      5. MHCP Inconsistent Information

      6. MA Referral for Other Benefits

    4. MHCP Rights

      1. MHCP Appeals

      2. MHCP Authorized Representative

      3. MHCP Civil Rights

      4. MHCP Data Privacy

      5. MHCP Notices

  2. Non-Financial Eligibility

    1. 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

    2. 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.

      The person's 1619(a) or 1619(b) status must be verified at application and renewal.

  3. MA-ABD Non-Financial Eligibility

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.

Legal Citations

Minnesota Statutes, section 256B.056, subdivision 1a

Social Security Act, section 1619