16 Del. Admin. Code § 17000-17130
Current through Register Vol. 28, No. 7, January 1, 2025
| · | the individual continues to be blind or continues to have the disabling physical or mental impairment on the basis of which he was found to be eligible for SSI, and |
| · | the individual, except for his earnings, continues to meet all non- disability- related requirements for eligibility for SSI, and |
| · | the loss of Medicaid benefits would seriously inhibit his ability to continue employment, and |
| · | the individual's earnings are not sufficient to allow him to provide for himself a reasonable equivalent of the benefits available under Medicaid. |
*Effective May 1991, the age restriction was lifted. 1619(b)'s will not lose their Medicaid eligibility at age 65.
15 DE Reg. 202 (08/01/11)
The SSI Medicaid Unit receives the names of these individuals via the State Data Exchange (SDX). They have a payment status code of "NO1" and code "C" in Medicaid eligibility field.
The "C" means - Federally administered Medicaid coverage should be continued regardless of payment status code.
SSA monitors 1619(b) clients to assure they still meet the eligibility criteria for the 1619(b) program. An annual Medicaid redetermination consists of obtaining verification from Social Security that the client is still 1619(b) eligible.
16 Del. Admin. Code § 17000-17130