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Delaware • Mental Health
If you have Post-Traumatic Stress Disorder (PTSD) and live in Delaware, you may qualify for federal and state benefits, including Social Security Disability Insurance (SSDI), Supplemental Security Income (SSI), and Delaware Medicaid programs. This guide explains eligibility, how to apply, and what supports are available for mental health in Delaware.
To qualify for federal disability benefits (SSDI or SSI) with Post-Traumatic Stress Disorder (PTSD), you must have a diagnosis from a licensed provider and medical evidence showing the condition severely limits your ability to work for at least 12 months or is expected to result in death. SSDI depends on your work history and how much you have paid into Social Security; SSI is based on financial need and has strict income and asset limits. If you are under 24, different work history rules may apply.
Delaware does not have a state-run short-term disability insurance program like some other states. For long-term support, you must rely on federal programs (SSI/SSDI) and Medicaid. Delaware Medicaid may cover therapy, medications, and other mental health services for people with PTSD. Medicaid waivers (like the Adult Brain Injury Waiver or the Diamond State Health Plan) can provide additional in-home supports, but eligibility is strict and requires meeting both medical and financial criteria. Always check with the Delaware Department of Health and Social Services for the latest requirements and available programs.
If you have PTSD and need disability benefits in Delaware, start by gathering your medical records, work history, and financial information. Apply online for SSI or SSDI through the Social Security Administration. For Medicaid, contact the Delaware Department of Health and Social Services. Be prepared for a waiting period and possible appeal if you are initially denied.
SSDI (Social Security Disability Insurance): Provides monthly cash benefits if you have a sufficient work history and paid into Social Security. PTSD must prevent you from working for at least 12 months to qualify. SSI (Supplemental Security Income): Offers cash assistance if you have limited income and resources, regardless of work history. Both programs require medical proof of disability, and SSI has strict income and asset limits. SSI recipients in Delaware are automatically eligible for Medicaid.
Delaware Medicaid: Covers mental health services, including therapy and medication for PTSD. Apply through the Delaware Department of Health and Social Services. Medicaid Waivers: Programs like the Adult Brain Injury Waiver (ABIW) and others may offer in-home supports for eligible individuals with severe mental health conditions, but waivers have waiting lists and strict medical and financial criteria. Delaware does not have a state short-term disability program—instead, look to federal options and Medicaid for coverage of mental health needs.
ABLE accounts let people with disabilities, including PTSD, save money without affecting SSI or Medicaid eligibility. Delaware participates in the National ABLE Alliance. Funds can be used for qualified disability expenses. To open an account, visit the ABLE National Resource Center or your local bank.
SSI has strict income and asset limits—in 2023, the federal benefit rate is $914/month for an individual. Countable resources must be under $2,000 (individual) or $3,000 (couple). Delaware Medicaid also has income limits, but exact thresholds depend on your household size and which program you apply for. Always check current guidelines.
Overpayments happen if you get more benefits than you’re eligible for, often due to unreported changes in income or living situation. Always report changes promptly. If you receive an overpayment notice, you can appeal or set up a repayment plan. See our internal guide for more on reporting requirements.
Delaware does not have a state short-term disability insurance program. For temporary income support, you must look to federal SSI, SSDI, or private insurance. Long-term support comes from SSI, SSDI, and Delaware Medicaid programs.
Many initial disability applications are denied. If this happens to you, appeal. Most people who appeal eventually get benefits, especially with help from a lawyer or advocate.
Yes, PTSD is recognized as a mental health disability if it severely limits your ability to work for at least 12 months or is expected to result in death. You need medical proof and documentation to apply.
Delaware Medicaid covers therapy, counseling, psychiatric care, and medications for PTSD. Coverage depends on your specific plan and provider. Contact the Delaware Department of Health and Social Services for details.
For SSI and SSDI, you can sometimes work part-time and still qualify, thanks to work incentives. However, earnings must stay below set limits. Report all work to Social Security to avoid overpayments.
You can apply online, by mail, or in person through the Delaware Department of Health and Social Services. You’ll need proof of income, residency, and medical documentation of your PTSD.
Medicaid waivers may offer in-home supports, but these have strict eligibility rules and often have waiting lists. Ask your case manager about available waiver programs in Delaware.
ABLE accounts let people with disabilities save money without affecting benefit eligibility. Funds can pay for qualified expenses, including housing, education, and healthcare. Delaware residents can join the National ABLE Alliance.
Disclaimer: This information is for general guidance only and does not constitute legal advice. Eligibility and benefits may change. Always verify details with official agencies.
Many people are denied at first. You can appeal the decision. Consider getting help from a legal aid organization or disability advocate when appealing.
You don’t need a lawyer to apply, but legal help can be valuable, especially if your claim is denied and you need to appeal.
The process can take several months to over a year, especially if you need to appeal. Start early and be patient.
If you receive overpayments, you may need to repay the agency. You can appeal or set up a repayment plan. Always report changes to avoid overpayments.
