Access to Medicaid Expenditure Records for SSA’s 1619(b) Individualized Threshold Development
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A barrier to establishing an individualized threshold under Social Security’s Supplemental Security Income (SSI) program has been access to an accurate estimation of an individual’s Medicaid expenditures. Disability Rights Florida has collaborated with the Agency for Health Care Administration (AHCA) to establish two different reports that can be accessed by either the individual or a third-party helping the individual to show the paid claims for the determination period and a monthly breakdown to expedite SSA processing.
When an SSI beneficiary is no longer receiving a cash benefit due to work, they can utilize the 1619(b) work incentive in order to keep their Medicaid. One of the rules to be eligible for this work incentive is that the beneficiary does not earn more than the state threshold amount for that year based on the state that they live in. Here is where you can find the State’s threshold formula and current threshold amounts.