25.5 1619 Cases

Section 1619 of the Social Security Act applies to people with severe impairments who work. If they would be ineligible for SSI because of their earnings, they keep their SSI Medicaid eligibility.

1619(a): They are working people with earnings at or above the SGA who continue to receive a small SSI check. They retain SSI Medicaid eligibility.

1619(b): They are working people who do not receive a SSI check but are still eligible for SSI Medicaid. For the COLA disregard determination, use the date cash payments ended.

To determine the person's SSI status, contact the local Social Security Office. Social Security processes Medicaid eligibility for these members.

The SSI benefits of a 1619 person entering an institution continue for up to two months.

If a member loses 1619 status, but also is a widow/widower, DAC , or 503, he or she is entitled to all disregards that are appropriate for these special status cases when determining eligibility. Losing 1619 status is considered the same as losing SSI eligibility.

This page last updated in Release Number: 18-01

Release Date: 04/13/2018

Effective Date: 04/13/2018

The information concerning the Medicaid program provided in this handbook release is published in accordance with: Titles XI and XIX of the Social Security Act; Parts 430 through 481 of Title 42 of the Code of Federal Regulations; Chapters 46 and 49 of the Wisconsin Statutes; and Chapters HA 3, DHS 2, 10 and 101 through 109 of the Wisconsin Administrative Code.

Notice: The content within this manual is the sole responsibility of the State of Wisconsin's Department of Health Services (DHS). This site will link to sites outside of DHS where appropriate. DHS is in no way responsible for the content of sites outside of DHS.

Publication Number: P-10030