1619B and "Deemed SSI eligible" clients

SSI deemed eligible clients (countable income is under the SSI standard after DAC, Pickle/COLA exclusion and SSI closed due to the receipt of DAC, COLA) do not pay toward the cost of personal care. They DO pay room and board if residing in an adult family home, boarding home or DDCS group home. These facilities are also referred to as alternate living facilities or ALFs. ALFs are not medical institutions.

1619(b) clients are considered the same as an "SSI client". SSI payments have stopped due to earnings. SDX indicates continue Medicaid on SDX 1 in the Med Elig field. 1619(b) clients do not pay toward the cost of personal care. (also called participation). They DO pay room and board in an ALF.

"Deemed SSI clients" and 1619(b) status clients can have gross income over the Medicaid SIL (300% of the FBR) and still be eligible for the Waiver. 1619(b) is described in WAC 182-508-0001 (2).