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California • Neurological/Developmental
California offers a range of benefits for individuals with Autism Spectrum Disorder, including state disability insurance, Medicaid waivers, and federal programs. Eligibility and application processes vary, but resources are available to help families access support.
Individuals with Autism Spectrum Disorder may qualify for federal disability benefits such as Supplemental Security Income (SSI) or Social Security Disability Insurance (SSDI). SSI is for those with limited income and resources, while SSDI is for those who have worked and paid into Social Security. Both programs require a medical determination of disability, which for Autism Spectrum Disorder involves documentation of significant functional limitations. Eligibility is determined by the Social Security Administration (SSA) based on medical evidence and financial criteria[1].
In California, individuals with Autism Spectrum Disorder may be eligible for State Disability Insurance (SDI) and Paid Family Leave (PFL) if they meet wage and employment requirements. SDI provides short-term wage replacement for non-work-related illness or injury, including conditions related to Autism Spectrum Disorder. PFL allows eligible workers to take time off to care for a seriously ill family member, which can include a child with Autism Spectrum Disorder. The state also offers Medicaid waivers for additional support services. Eligibility for these programs is based on income, employment history, and medical documentation[2][3][4].
ABLE accounts allow individuals with disabilities to save money in a tax-advantaged account without losing eligibility for means-tested benefits like SSI and Medicaid. Funds can be used for qualified disability expenses, such as education, housing, transportation, and personal support services. California offers ABLE accounts through the CalABLE program[5].
Income limits for federal programs like SSI are set by the Social Security Administration and can change annually. For SSI, the federal benefit rate in 2025 is $943 per month for an individual and $1,415 for a couple. California may have additional state supplements. Income limits for Medicaid and other state programs vary and are based on household size and income[1][6].
It is important to report any changes in income, resources, or living situation to the Social Security Administration and other benefit programs to avoid overpayments. Overpayments can result in repayment requirements and may affect future eligibility. Keep detailed records of all changes and communications with benefit agencies[7].
California SDI and PFL benefits will increase to 70%-90% of wages starting January 1, 2025, with a maximum weekly benefit of $1,681. The payroll contribution rate will also increase to 1.2% of earnings with no cap[2][3][4].
State Disability Insurance (SDI) in California provides short-term wage replacement for workers who are unable to work due to non-work-related illness or injury, including conditions related to Autism Spectrum Disorder. Benefits are based on a percentage of wages and are capped at a maximum weekly amount[2][3][4].
To apply for Paid Family Leave (PFL) in California, file a claim through the Employment Development Department (EDD) website. You can file up to 30 days in advance of your expected first day of leave. The EDD will issue payment within 14 days of receiving your claim or the date your claim begins, whichever is later[2][3][4].
Medicaid waivers in California provide additional support services for children and adults with Autism Spectrum Disorder, such as therapy, respite care, and support for daily living. These waivers are administered through local regional centers and can help families access needed services[6].
An ABLE account allows individuals with disabilities to save money in a tax-advantaged account without losing eligibility for means-tested benefits like SSI and Medicaid. Funds can be used for qualified disability expenses, such as education, housing, transportation, and personal support services[5].
To qualify for SSI or SSDI, you must meet medical and financial criteria set by the Social Security Administration. Medical evidence of disability and proof of income and resources are required. Contact the SSA for a detailed determination of eligibility[1].
Disclaimer: This guide is for informational purposes only and does not constitute legal or financial advice. Always consult with a qualified professional for personalized guidance.
Starting January 1, 2025, California SDI and PFL benefits will increase to 70%-90% of wages, up to a maximum of $1,681 per week. The payroll contribution rate will also increase to 1.2% of earnings with no cap[2][3][4].
Yes, you can receive both SSI and California SDI benefits if you meet the eligibility requirements for each program. However, your SDI benefits may affect your SSI payments, so it is important to report all income to the Social Security Administration[1].
Report any changes in income, resources, or living situation to the Social Security Administration and other benefit programs to avoid overpayments. Keep detailed records of all changes and communications with benefit agencies[7].
Families of individuals with Autism Spectrum Disorder can access support services through local regional centers, Medicaid waivers, and advocacy groups. These services may include therapy, respite care, and support for daily living[6].
You can find your local regional center in California by visiting the Department of Developmental Services website or contacting the California Department of Health Care Services for assistance[6].
