Person Centered Employment Plan Form Page 25

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• You have fewer or simpler tasks to complete than other workers who are doing the same job
for the same pay.
• Job coach assistance
Examples of special conditions:
• You receive close and continuous supervision
• You receive on the job coaching and the job coach performs part or all of your tasks
Work Incentives for SSI Only:
INCOME EXCLUSION
All SSI recipients receive a $20 general income exclusion. If SSI is the person’s only income prior to
working, he or she also gets an earned income exclusion of $65. After deducting the $85 in exclusions
from your earned income, SSA then only considers half of your remaining earnings.
Example:
John is receiving $721 in SSI each month. He returns to work and earns $500 in gross monthly
earnings. Because John was only receiving SSI prior to working, he receives both income exclusions:
$500 (Earnings) minus $85 (Exclusions) = $415. SSA only counts half of the remaining earnings: $415
(Considered earnings after exclusions) divided by 2 = $207.50. SSA will only count $207.50 of John’s
total earnings. His SSI check will be reduced by $207.50. His new SSI amount will be $513.50 ($721-
$207.50=$513.50). John’s total monthly income now is $500 (earnings) plus $513.50 (SSI benefit) =
$1013.50. John continues to receive Medicaid because his SSI benefit is at least $1.
FEDERAL 1619(B)
Section 1619(b) allows a person who is receiving SSI and working to continue to receive Medicaid at no
cost, even when their earnings reduce their SSI benefit to $0. There are earnings threshold
requirements. In 2014, for Wyoming, the threshold amount is $36,447. A person who meets the
requirements of 1619(b) will receive full medical coverage under Medicaid.
To qualify:
• A person must have been eligible for an SSI cash payment for at least one month prior to
accessing 1619(b).
• SSI benefit must have been reduced because of earnings.
• Must continue to meet SSA disability requirements.
• Continue to meet resource requirements for SSI.
• Need the medical assistance to work.
• Have gross earned income that is insufficient to replace the cost of medical assistance needed.
Person Centered Employment Plan
25
REV 6/2014

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