The Pickle Amendment, named after its congressional sponsor and enacted in 1977, requires that an individual is to be deemed a Supplemental Security Income (SSI) recipient (which in most states means automatic Medicaid eligibility) if the individual1
- was simultaneously entitled to receive both social security (Old Age, Survivors, or Disability Insurance (OASDI)) and SSI in some month after April 1977;2
- receives income that would qualify the individual for SSI after deducting all OASDI cost-of-living adjustments (COLA) received since the last month in which the individual was eligible for both OASDI and SSI;
- is currently ineligible for SSI; and
- is currently eligible for and receiving OASDI.
A screening tool to determine eligibility for Medicaid under the Pickle amendment for 2020 is attached.