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SSI and Medicaid

POSTED BY Jan Dils . August 9, 2016

In most states if you get approved for Supplemental Security Income you’ll also be approved for Medicaid. This isn’t always the case because Medicaid is a state run program and each state can set their own rules and qualifications.

 

The states that automatically approve SSI recipients for Medicaid are:

 

  • Alabama
  • Arizona
  • Arkansas
  • California
  • Colorado
  • Delaware
  • D.C.
  • Florida
  • Georgia
  • Iowa
  • Indiana
  • Kentucky
  • Louisiana
  • Maine
  • Maryland
  • Massachusetts
  • Michigan
  • Mississippi
  • Montana
  • New Jersey
  • New Mexico
  • New York
  • North Carolina
  • Pennsylvania
  • Rhode Island
  • South Carolina
  • South Dakota
  • Tennessee
  • Texas
  • Vermont
  • Washington
  • West Virginia
  • Wisconsin
  • Wyoming

 

In these states with automatic Medicaid enrollment there is no waiting period, so Medicaid benefits will start as soon as SSI benefits kick in.

 

States that do not automatically enroll SSI recipients in Medicaid set their own criteria for Medicaid enrollment. These different criteria typically has different income levels, asset limits, or disability standards than the national standards for SSI.

 

States with different standards are:

 

  • Connecticut
  • Minnesota
  • North Dakota
  • Virgina
  • Hawaii
  • Missouri
  • Ohio
  • Illinois
  • New Hampshire
  • Oklahoma

 

A few other states use the same set of standards for SSI and Medicaid, but still require a separate application for both programs. The standard and qualifications are exactly the same, but the states want to make an individual decision for each Medicaid application.

 

  • Alaska
  • Nebraska
  • Utah
  • Idaho
  • Nevada
  • Kansas
  • Oregon

 

If you qualify for Social Security Disability Insurance (SSDI) you’ll qualify for Medicare instead of Medicaid. Most states have an automatic dual enrollment for SSDI and Medicare. There is a waiting period for Medicare to start. This waiting period takes two years after the disability began. However, since most SSDI cases take around a year or two to be approved there normally isn’t a huge gap of time between SSDI and Medicare benefits.

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