Why is SGA important for SSI related medicaid programs?
SGA criteria is waived for the HWD program. SGA criteria is not waived other SSI related medicaid programs. If a client has income at or above the SGA amount and is not in 1619B status for continued SSI eligibility, HWD is the only SSI related program that can be considered. The client no longer fits the SSI related disability criteria for eligibility except the HWD program. (SGA note: there is a special consideration such as IRWE, work modification, productivity percentage of like work that is deducted before reaching the countable SGA by Social Security, consult the Social Security office if there are questions regarding the SGA criteria and disability). In other words, the client would still be considered disabled for the purposes of HWD when income is over the SGA amount, but not considered disabled for any other SSI related medicaid program. It is important to consider SGA when closing the HWD program and considering another SSI related Medicaid program including rules under the C
