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Note Medicaid eligibility is also protected for “Section 1619” participants (see SECTION 25.5 SECTION 1619 GROUP). IM workers do not determine Medicaid eligibility for Section 1619 participants, who are automatically enrolled in SSI Medicaid. 25.1.2 Special Status Medicaid Income and Asset Limits Special Status Medicaid has the same income and asset limits as SSI-Related Medicaid: • The assistance group must have countable income at or below 100% FPL after “special status” Social Security disregards. • The assistance group must have countable assets at or below $2,000 for an unmarried person or $3,000 for a married couple. Note DAC and 503 groups who are eligible for Special Status Medicaid are categorically eligible for QMB (see SECTION 32.2 QMB) if they receive Medicare. Section 1619 groups who receive Medicare receive QMB benefits as part of their SSI Medicaid benefit package. This page last updated in Release Number: 24-03 Release Date: 12/18/2024 Effective Date: 12/18/2024 25.2 Disabled Adult Child (DAC) Group 25.2.1 Introduction Section 1634(c) of the Social Security Act requires states to consider disabled adult children who lose SSI eligibility as if they were still SSI recipients for Medicaid purposes so long as they would have remained otherwise eligible for SSI benefits but for their entitlement to (or increase in) Social Security disabled child (SSDC) benefits. SSDC is a Social Security benefit for adults aged 18 and older who have a disability that began before they reached the age of 22. It is called a “child” benefit because it is based on the Social Security earnings record of the recipient’s parent (or grandparent, in some cases) who is disabled, retired, or deceased. Note Some people who receive SSDC and qualify for the DAC disregard may also receive Social Security benefits (such as SSDI) based on their own earnings record. If that Social Security benefit was received concurrently with SSI, then the person also qualifies as a 503 group. The portion of that Social Security payment that is attributable to COLA increases since SSI was lost must be disregarded in accordance with 503 policies (seeSECTION 25.3 503 GROUP). 25.2.2 Identifying a DAC Group Someone qualifies as a DAC for Medicaid purposes if they meet the following criteria: 1. They currently receive a Social Security disabled child (SSDC) payment. 2. They previously received SSI (or they were a 1619 participant), but they became ineligible for SSI/1619 due to excess income when they started receiving the SSDC benefit (or increase). 25.2.3 Determining the Income Disregard for DAC Group When eligibility is determined for someone who meets DAC criteria, the disregard amount depends on whether it was the initial SSDC payment or an increase to the SSDC payment that caused the loss of SSI.