Continued Medicaid Eligibility under Section 1619(b) of the Social Security Act is the crucial work incentive that allows those on Supplemental Security Income (SSI) to continue to remain eligible for Medical Assistance even if their earned income has caused their SSI monthly payments to be reduced to $0.
Each state has its own rate based on the determination of their average Medicaid expenses, which leads to some significant differences in the allowances. The highest threshold is in Alaska where you can earn up to $91,034; and this year’s unluckiest working SSI recipients will be in Alabama where earnings over $38,224 will mean the end of MA coverage.
Maryland sits somewhere in the middle of the standings. This year that threshold has climbed to $57,296, up from 2024’s $52,892.
Here’s where you can see the full table: Continued Medicaid Eligibility (Section 1619(B)) | Disability Research | SSA