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In some situations, an individual's benefit status with the Supplemental Security Income (SSI) program influences his non-financial eligibility. The following sections discuss these situations. Effective June 1, 2014, SSI recipients are deemed eligible for Medicaid coverage in Indiana. SSI recipients will be eligible under the MASI category. The following sections cover special groups of former SSI recipients that are considered eligible for Medicaid.

2414.10.00 SSI 1619 STATUS Section 1619 of the Social Security Act provides an incentive to the blind or disabled SSI recipient to continue work when his earned income reaches levels that would otherwise jeopardize eligibility. Individuals in 1619(a) status receive reduced SSI benefits, while individuals in 1619(b) status receive no SSI benefits.

A recipient's 1619-SSI status is verified through data exchange. The eligibility system automatically updates an individual's SSI status on the Disability Details page and notifies the worker of the update through a task. Blind or disabled SSI recipients who are in SSI 1619(a) or 1619(b) status are eligible for continued Medicaid coverage if they were on Medicaid in the month immediately preceding the month in which an individual's 1619 status last began. The only non-financial requirement that must be met is state residency. If 1619 status is subsequently lost because the individual is no longer considered disabled, a progress report must be submitted immediately to the MRT to see if the individual qualifies for MEDWorks. If a re-examination of eyesight is required for a blind recipient in 1619 status, notification to the MRT is unnecessary. However, an eye report is required immediately upon termination of 1619 status.

Refer to Section 3475.00.00 for additional information about Medicaid eligibility for persons in 1619 status.

2414.10.10 DISABLED ADULT CHILDREN A Disabled Adult Child (DAC, sometimes known as CDB’s or childhood disability beneficiaries) is an individual who meets the following criteria: • Over the age of 18; and