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From: Jay.Steinhardt@p3.f230.n231.z1.fidonet.org (Jay Steinhardt)
Newsgroups: misc.handicap
Subject: Employment Issues
Message-ID: <13860@bunker.UUCP>
Date: 4 Sep 90 18:33:08 GMT
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Index Number: 10120

 GZ> SSA has a trial work period I can take advantage of for 9 months. 
 GZ> They look at a number of things to see if you are able to perform
 GZ> "gainful and substantial work."  Part of that is your income.  For me
 GZ> that amount is $500.00 a month, for a blind person  it is $750.00.

 GZ> Yes, I can work at a place like Pizza Hut part-time and probably keep
 GZ> my benefits, but I think I'd rather "go for the banana" and try to use

 GZ> my talents better than that.  I do not mean to belittle that type of
 GZ> work, but I just think that it is not for me.  I may just be too
 GZ> stubborn!

Hi Gene,

I know that I am comming into your conversation in the middle but
I'd like to add some information to your note.  You do with it as
you will.

There are some more variables that may increase the ammount you can
earn:  If in VR or if you need medical services for life support
you can look into the IRWI or PASS plan.  These are pland drawn up
w/ the SSA that allow you to add in cost of medical maintnance
services before cutting into the amount figured for substancial
gainfull employment.

Another option for those who qualify is the 1619 option.  The 1619
program is available to some SSA recipiants who are on SSI.  The
Client who qualifies will be on both MEDICAID and SSI.  The client
will be on SSI and MEDICAID for at least the month before applying
for 1619 status.  If the client qualifies s/he may work & be
gailfully emploied but keep the MEDICAID bennifits w/out spenddown
or w/ modified spendown.

" Section 1619 of the Social Security Act Provides as incentive to
continue work when earned income of blind or disabled SSI
recipiants reaches levels that would otherwise jepordize
eligibelity.  Whebn 1619(a) status is entered SSI cash payments are
reduced but continue.  Under 1619(b) status SSI Cash payments
stop."  {Other bennifits continue} "SSI clients can move in and out
of 1619 status or between 1619(a) & 1619(b) status"

The medical need determines the continuation of MEDICAID in these
situations. Need is demonstrated in this past case I recently
resolved:  A client w/ a BSW was working as a social worker.  She
wanted to work full time but was afraid that she would loose her
medical protection.  She was affected in all 4 limbs and needed
attendent support no BSW could afford an attendedt.  MEDICAID
reviewed the case and w/the 1619(b) status her checks stopped, she
worked full time, she maintained MEDICAID and support for the
attendent care.  Today this client lives in an appartment by
herself and the attendent is still covered by MEDICAID.

I have a CP client who recived a job as a BSW social worker.  She
has a need for attendent care

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