Tuesday, July 16, 2024

Can You Get Ssi For Autism

Don't Miss

How Do I Apply For Ssi

Can your Child get Disability Benefits Based on the Autism Disorder.

Try to schedule your interview with Social Security to take place immediately after your child turns 18. You may want to call before the childs birthday, however the interview will not be able to take place until the child is 18. A person may not have more than $2000 in assets to be eligible for SSI. Adjustments may have to be made five years prior to age 18. Be sure to alert other family members not to give large gifts of money or stocks directly to your young adult directly or in their wills.

It may also be appropriate to collect monthly room and board from your young adult who will receive SSI and continue to live with you at home because this will establish a pattern of their paying a portion of their benefits towards monthly rent in preparation for them moving into their own housing.

Special Needs Financial Planning Tool Kit

Mapping out the financial future of your child can seem like a daunting task, but having a plan in place can help ease your fears. The Autism Speaks Special Needs Financial Planning Tool Kit was created to provide you with all the information that you need to develop that plan.;

The information in the Financial Planning Tool Kit comes from top experts in the field with many years of both personal and professional experience with special needs financial planning. We have also included some personal stories from other parents or caregivers like you.

Learn more and download the Financial Planning Tool Kit;free of charge.

If You Get Married Or Divorced

If you get married or divorced, your Social Security benefits may be affected, depending on the kind of benefits you receive.

If your benefits are stopped because of marriage or remarriage, they may be started again if the marriage ends.

If you get your own disability benefits then your benefits will continue.

If you get your spouses benefits then your benefits will continue if you get divorced and you are age 62 or over unless you were married less than 10 years.

If you get disabled widows or widowers benefits then your benefits will continue if you remarry when you are age 50 or older.

If you get any other kind of benefits then generally your benefits will stop when you get married. Your benefits may be started again if the marriage ends.

Don’t Miss: What Is The Difference Between High And Low Functioning Autism

How To Apply For Benefits

The Social Security Administration is a federal entity, but benefits flow from the states to people in need. In some cases, you’ll start the conversation online. It pays to know where your state’s benefits office is located, so you can get added help as needed.

To apply for benefits for kids:

  • Make an appointment. Meet with a professional in the SSA in your state.
  • Gather paperwork. You’ll need medical records, doctors notes, test results, notes from teachers, income data, and anything else that can help you prove your child’s disability.
  • Complete an application. You’ll get the forms you need during your meeting, and you might fill them out before your appointment ends.

To apply for benefits for adults:

  • Gather paperwork. Pull together medical records, employment records, notes from bosses, test results, and anything else that helps to prove a disability.
  • Hop online. Apply for disability benefits through the SSA website. Save your work and return to an open application if you can’t complete the form in one day.

Prepare to wait several weeks before you hear back, experts say. The team must assess all the data you sent, and that takes time.

Medical Qualifications And Autism

Information About Autism & More

The SSA uses its own medical guide, known colloquially as the Blue Book, when determining if an applicant is eligible for Social Security benefits. The Blue Book lists all test results or symptoms needed to be approved for disability benefits. Autism is listed as a qualifying condition in the Childhood Blue Book. To be eligible for SSI, your child must have medical documentation of both of the following:

  • Measurable deficits in verbal and non verbal communication, as well as deficits in social interactions, AND
  • Restricted or repetitive patterns of behavior, interests, or activities

Additionally, a child with autism must have extreme limitation in one, or noticeable limitations in any two of the following criteria:

  • Understanding, remembering, or applying information
  • Interacting with others
  • Concentrating and completing tasks
  • Adapting oneself, which means controlling emotions

The entire Blue Book is accessible online, so you can review the childhood autism listing with your childs doctor to help determine if he or she has the medical evidence needed to qualify.

Read Also: Can You Get Rid Of Autism

The Six Domains Of Functioning

When a childs autism disorder doesnt meet the requirements listed above, the child may still qualify if their disorder is equivalent to the listing through the domains of functioning. There are six domains of functioning the SSA evaluates when determining if a childs condition is equal to the listings. For a child to be considered disabled, there must be medical evidence showing that the child has severe limitations in two domains or an extreme limitation in one domain.

The six domains include:

  • Ability to acquire and use information
  • Ability to attend and complete tasks
  • Ability to interact and relate to others
  • Ability to move around and manipulate objects
  • Ability to care for ones self
  • Childs health and physical well-being

The SSA will determine how a child functions in each domain by reviewing all medical evidence and opinions provided by medical professionals. A marked limitation means the childs condition is severe enough to interfere with their ability to function properly within the given domain. An extreme limitation means the childs condition is so severe that they have a complete loss of the ability to function within the given domain.

Benefits For Autistic Adults

Social security benefits are financial payments. Some benefits are paid to meet basic living costs, some are paid for specific expenses such as rent, other benefits are paid if you meet certain criteria such as being in full-time work.

There are dozens of different benefits and many have complex rules. This is an introduction to help you start to find out which of those benefits might be relevant to you. It does not cover all the benefits or all the rules.

This information is for people aged between 16 and state retirement age. We also have information about benefits for older people, children and people aged 16-20.;

Recommended Reading: Is Autism A Neurodevelopmental Disorder

How Much Does Ssi Pay For Autism

4.2/5about it here

Children with autism may be eligible for SSI disability benefits if their family’s income and assets aren’t above the SSI limits. An adult with autism syndrome can apply for SSI or SSDI. However, SSDI is available only to those with a work history from jobs that paid Social Security taxes.

Secondly, how much money do you get for having an autistic child? The lifetime cost for a person with autism averages between $1.4 million and $2.4 million, depending on if the person has an intellectual disability. According to the CDC, in addition to medical costs, intensive behavioral interventions for children with autism cost $40,000 to $60,000 per child per year.

Furthermore, is autism a disability for SSI?

Conditions like autism are recognized by the Social Security Administration as potentially disabling and may be able to qualify you or your child for Social Security Disability benefits through one of both of the SSA’s disability programs.

How much can a parent make with a child on SSI?


Gross monthly income BELOW the dollar amounts shown means a disabled child may be eligible for SSI benefits. Amounts given are general guidelines only.
Number of ineligible children in household One parent in household

Your Autism Disability Case

Can an adult with autism receive social security disability benefits?

If you are disabled because of Autism or a related autistic disability that prevents you from working, you may well be entitled to Social Security Disability benefits. Although total disability based on childhood Autism can be met by meeting the conditions of the SSA listing for that condition, total disability for adult-diagnosed Autism can be somewhat more difficult to prove.

It is therefore very important that you work closely with medical professionals and a qualified Social Security Disability attorney or advocate to collect to present the most appropriate and complete documentation possible in front of the Disability Determination Services to help to ensure that your Autism disability case will have the highest possible chance of success.

You May Like: Do Autistic Babies Have Trouble Eating

Who Is Eligible And How To Apply For Social Security

Apply for these benefits at your local Social Security Office. To find it, use the Social Security Office Locator.

Eligibility may be based on the severity of your childs disability and on your family income.Get more details about Social Security eligibility.

Having the right information when you apply will make things easier.

  • Be ready to supply information about the doctors, therapists, hospitals, and clinics that have treated your child in the last year
  • Be ready to supply your childs medical records and a list of medications your child is taking
  • to help gather all the information you will need in the application process
  • ;

How Is Autism Diagnosed

Diagnosing;autism spectrum disorder early can;make life easier for;afflicted children and their families. However, making an ASD diagnosis can be difficult. Because there are no specific tests;for the disorder, doctors rely solely;on observing young childrens behavior and listening to;parental concerns.;

Autism symptoms vary greatly. Some;individuals who fall on the spectrum are;highly intelligent, able to take care of themselves, and live on their own.;Others may have severe mental disabilities. No matter;where they fall on the spectrum, your childs diagnosis will require a two-step process.;The;first is making sure your child sees their pediatrician for their 18- and 24-month checkups.;The doctor will talk to and watch your child as well as;ask you questions about their behavior and development and your familys medical history.;

If your childs pediatrician suspects your child has ASD, theyll;refer you to a team of specialists. This may include a neurologist, developmental pediatrician, occupational therapist, speech-language pathologist, and/or a child psychologist.;Theyll evaluate further your childs;life skills like going to the bathroom, dressing himself, and eating;as well as their language abilities;and cognitive level. Your child must meet the requirements put forth in the Diagnostic and Statistical Manual of Mental Disorders;of the American Psychiatric Association in order to receive an official diagnosis.;

Also Check: How Much Is Dla For Child With Autism

Understanding Disability Benefits And Autismpart 1 Of 2: Autism In Children

Social Securitys Supplemental Security Income program can provide financial assistance for families with a disabled child. The criteria Social Security will apply when making a disability determination can be complicated; however, parents considering seeking SSI benefits for a child can ask themselves this simple question: Has my ability to work full-time been compromised because of the care I need to provide my child? While this is not necessarily the question Social Security will ask in evaluating the claim, it can be a good rule of thumb if you are considering applying.

Social Security Disability Insurance Program

Everything We Know About Disability

The SSDI program will pay benefits to adults who have a disability that began before they turned 22 years-old. This is considered a childs benefit because its paid on a parents Social Security earnings record. To receive this benefit, the child must have a parent who is receiving Social Security retirement or disability benefits, or must have died and worked enough to qualify for Social Security. Children who receive SSDI as a minor will continue to receive benefits as a disabled adult child as long as they meed the disability rules for adults.

Recommended Reading: What Was Your Autistic Child Like As A Baby

Social Security Disability Filing

With childhood autism, the Social Security Administration has a listing in the Impairment Listing Manual under Section 112.10. Under this listing, there are requirements for the child to meet to be eligible for benefits.; Examples of things that Social Security will consider are if your child had difficulty making friends and understanding social cues from others; these are considered delays in reciprocal social interactions.; Children on the Spectrum may have difficulties with changes to their schedules and knowing how to appropriately express emotions, such as disappointment or anger.;; Information from doctors, teachers, daycare providers, and family members can be very useful in helping Social Security determine your childs disability and eligibility for benefits.

A diagnosis of autism does not automatically make a child eligible to receive benefits.; Children with autism are often very high functioning.; In order to determine disability Social Security will look at your childs development and ability to function in comparison to other children their age.; If your childs development is significantly delayed compared to their peers, they may qualify for benefits.; Social Security uses 6 domains to evaluate your childs disability. Having an experienced representative to help you understand what evidence you will need is very important.; Disability Support Services representatives have many years of experience and can help you navigate this maze.

Other Benefits You May Be Able To Get

Supplemental Security Income

If you have limited income and resources, you may be able to get SSI. SSI is a federal program that provides monthly payments to people age 65 or older and to people who are blind or disabled. If you get SSI, you also may be able to get other benefits, such as Medicaid and food stamps.

For more information about SSI, ask for Supplemental Security Income .


After you receive disability benefits for 24 months, you will be eligible for Medicare. You will get information about Medicare several months before your coverage starts. If you have permanent kidney failure requiring regular dialysis or a transplant or you have amyotrophiclateral sclerosis , you may qualify for Medicare almost immediately.

Help for Low-Income Medicare Beneficiaries

If you get Medicare and have low income and few resources, your state may pay your Medicare premiums and, in some cases, other out-of-pocket medical expenses such as deductibles and coinsurance. Only your state can decide if you qualify. To find out if youdo, contact your state or local welfare office or Medicaid agency. Also, more information is available from the Centers for Medicare & Medicaid Services by calling the Medicare, toll-free number, . If you are deaf or hard of hearing, you may call TTY .

Supplemental Nutrition Assistance Program

Recommended Reading: How Do You Get Diagnosed With Autism

If You Get A Pension From Work

If you start receiving a pension from a job for which you did not pay Social Security taxesfor example, from the federal civil service system, some state or local pension systems, nonprofit organizations or a foreign government your Social Security benefit may be reduced. Also, tell Social Security if the amount of your pension changes.

Qualifying For Disability Benefits With Autism

How to Apply for Social Security for Autism

The Social Security Administrations Blue Book, also known as the Disability Evaluation Under Social Security, is a guide that explains the disability programs and lists the requirements necessary for certain disabling conditions to qualify for Social Security Disability benefits. Chapter 12 of the Blue Book deals with mental illnesses and section 12.10 Autistic Disorder and Other Pervasive Developmental Disorders lists the requirements for autism to qualify. An applicant must satisfy both requirements A and B.

Requirement A

1.) For autistic disorder, all of the following:

  • Deficits in social interaction
  • Deficits in verbal and nonverbal communication and in imaginative activity
  • Restricted list of activities and interests

2.) For other pervasive developmental disorders, all of the following:

  • Deficits in social interaction
  • Deficits in verbal and nonverbal communication and in imaginative activity

Requirement B

At least two of the following:

  • Severe difficulties in maintaining social functioning
  • Severe difficulties with focusing or concentrating
  • Significant limitations in the ability to engage in activities of daily living
  • Repeated episodes of decompensation of extended length

Don’t Miss: How To Approach Someone With Autism

Social Security Disability And Ssi Benefits For Autism

Autism;and other disorders that fall on the autism spectrum can;make it difficult for children to reach specific developmental milestones and;function socially.;Adults with autism may be unable to work and earn a living, even with milder forms of the disorder.;

The Social Security Administration ;recognizes conditions like autism;as potentially disabling. They may qualify;you or your child for Social Security Disability benefits through SSI or SSDI.;

Incentives That Help You Go To School Work And Save

SSI and many other government benefits programs have strict limits on how much income and savings you can have. If you go over the limits, you will no longer get benefits. The problem is that sometimes these limits end up preventing people from working and saving.

When the government realized that these limits were actually stopping people from getting jobs, saving money, and living better, they created work incentives like the Student Earned Income Exclusion , Plans to Achieve Self-Support , Individual Development Accounts and ABLE Accounts that help you earn and save money without losing your benefits.

Don’t Miss: Do Autistic People Have Sex

Ssdi Vs Ssi Disability For Adults And Children On The Autism Spectrum

Children with autism may be eligible for SSI disability benefits if their family’s income and assets aren’t above the SSI limits. For more information, see our section on financial eligibility for SSI.

An adult with autism syndrome can apply for SSI or SSDI. However, SSDI is available only to those with a work history from jobs that paid Social Security taxes. For adults, keep in mind that satisfying the requirements of a disability listing is not the only way to be approved for disability benefits. Individuals whose claims are not approved on the basis of meeting a listing may still be approved on the basis of what is known as a medical-vocational allowance.

An “adult child” of a parent receiving Social Security retirement or disability benefits, meaning a child over the age of 18 who has had autism before turning age 22, can get SSDI benefits on the earning record of the parent. For more information, see our article on disability benefits for adult children.

More articles

Popular Articles