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a. Have been eligible for an SSI cash payment for at least one (1) month before the month when § 1619(b) is established; b. Continue to have a disabling impairment and, except for earnings, meet all other non-disability requirements; c. Need Medicaid benefits to continue to work; and d. Have gross earnings after excluding all work-related impairment expenses, blind work expenses, and earnings used to achieve an approved plan for self-support that are insufficient to replace SSI, Medicaid, and publicly funded attendant care services. (1) SSA uses a threshold amount to measure whether a person’s earnings are high enough to replace their SSI and Medicaid benefits. This threshold is based on the amount of earnings which would cause SSI cash payments to stop in the person’s State and average Medicaid expenses for persons who are blind or living with a disability in the State. The amount is recalculated annually and is published by the SSA. (2) If an SSI beneficiary has gross earnings higher than the threshold amount, SSA calculates an individual threshold amount, taking into account: (AA) Impairment-related work expenses; (BB) Blind work expenses; (CC) A plan to achieve self-support; or (DD) The value of any personal attendant services that are publicly funded through the DHS Office of Rehabilitative Services; and (EE) Medical expenses above the average State amount or, if higher, the person’s actual medical expenses. C. The respective roles and responsibilities of the State and beneficiaries eligible for continuing Medicaid coverage through § 1619(a) or § 1619(b) are as follows: 1. State a. Benefits. The State must ensure that all required primary care essential benefits and any necessary work supports covered under the Medicaid State Plan or Section 1115 Waiver are available to members of these coverage groups on a timely basis.