When an individual residing in a section 1634 State has a Medicaid trust, SSA determines
if the trust is countable for SSI purposes. The existence of a Medicaid trust results
in a referral to the Medicaid State agency for a Medicaid eligibility decision. See
SI 01730.048 for the definition of Medicaid trusts and procedures to determine if a trust is countable
for SSI purposes.
In the Boston Region, the section 1634 States are Maine, Massachusetts, Rhode Island,
and Vermont.