Healthcare: Medicaid & Medicare


SSA implements several protections or safety nets to further support the return to work of SSI beneficiaries beyond IRWE, PASS and BWE. Individuals whose earnings exceed the break even point for receiving cash benefits retain their eligibility for SSI and Medicaid under the 1619(b) as long as their earnings do not exceed certain state thresholds and they meet specific eligibility criteria. This program provides for continuation of critical health care benefits. Further, individuals who receive SSI and meet certain criteria are provided special protections from Continuing Disability Reviews as well as Expedited Reinstatement of Benefits should their attempts at work not be successful.

Key Topics

  • The 1619(b) Provision and Continued Eligibility
  • Medicaid Covered Services
  • Medicaid Needs Test
  • Medicaid Buy-In
  • Extended Medicare Coverage
  • Premium Payments
  • Continuing Disability Review (CDR) Protections
  • Expedited Reinstatement of Benefits (EXR)

Special Features

Through the use of PowerPoint, lecture and written materials, participants will gain additional information that will assist any SSI beneficiary who wishes to return to work at any level of activity. Proper planning and information is critical to this effort and participants will gain the knowledge necessary to help ease this transition. Online polling will be used to test participant knowledge and utilization of the various provisions. A preparatory reading assignment will be provided and is required.

Who Will Benefit

Social workers, advocates, attorneys, rehabilitation workers and job placement personnel will gain special knowledge to assist their consumers in planning and executing a return to work effort.