Tourette Syndrome Benefits in Idaho: How to Apply & What You Qualify For

To qualify for Social Security Disability Insurance (SSDI), you must have a medical condition that prevents you from working for at least 12 months and have enough work credits (usually 20 in the last 10 years). For Supplemental Security Income (SSI), you must have limited income and resources, and meet the Social Security Administration’s definition of disability.

Tourette Syndrome may qualify if symptoms are severe enough to stop you from working. The Social Security Administration looks at how your symptoms affect your ability to do basic work tasks, like concentrating, following instructions, and interacting with others.

In 2025, the Substantial Gainful Activity (SGA) limit is $1,620 per month for non-blind individuals. Earning more than this may affect your eligibility for SSDI or SSI.

Children with Tourette Syndrome may qualify for SSI if their family meets income limits and their symptoms are severe.

[Source: ssa.gov, 2025-11-05]

In Idaho, adults with Tourette Syndrome may qualify for Medicaid if they meet financial eligibility and have a developmental disability that started before age 22 and causes significant functional limitations. The disability must be chronic and substantially limit at least three major life activities, such as self-care, learning, or mobility.

Idaho’s Medicaid program offers services for adults with developmental disabilities, including support for independent living and access to specialized care. To apply, you must first complete a Medicaid application and then an assessment for developmental disability services.

If Tourette Syndrome is diagnosed after age 22, you may still qualify for Medicaid based on other criteria, such as low income and disability status.

[Source: healthandwelfare.idaho.gov, 2025-11-05]

• Check if you meet federal SSDI or SSI eligibility.
• Apply for SSDI or SSI online at ssa.gov or at your local Social Security office.
• If you need Medicaid, apply through Idaho Health and Welfare.
• Complete a developmental disability assessment if applying for Medicaid services.
• Keep records of all medical and financial documents.
• Report any changes in income or health to avoid overpayments.

• Step 1: Review eligibility for SSDI or SSI on the Social Security Administration website. Gather medical records, work history, and financial information.
• Step 2: Apply for SSDI or SSI online at ssa.gov, by phone, or in person at a local Social Security office. The application will ask for details about your condition, work history, and income.
• Step 3: If you need Medicaid, apply through Idaho Health and Welfare. You can apply online, by mail, or in person. You must meet financial eligibility and may need to complete a developmental disability assessment.
• Step 4: If you are applying for developmental disability services, complete the Medicaid application first. Then, request an assessment for developmental disability services. This will determine if you qualify for additional support.
• Step 5: Keep copies of all applications, medical records, and correspondence. Report any changes in income, work, or health to Social Security and Idaho Health and Welfare.
• Step 6: If your application is denied, you can appeal. Contact Idaho’s Disability Determinations Service for help with the medical review process.

[Source: ssa.gov, healthandwelfare.idaho.gov, 2025-11-05]

• Social Security Disability Insurance (SSDI): Provides monthly payments to people who have worked and paid Social Security taxes, and are unable to work due to disability.
• Supplemental Security Income (SSI): Provides monthly payments to people with limited income and resources who are disabled, blind, or age 65 or older.
• Medicare: Available after 24 months of SSDI eligibility.
• Medicaid: Available to SSI recipients and others who meet income and disability criteria.
• Work Incentives: Programs like the Ticket to Work help you keep benefits while working.

[Source: ssa.gov, 2025-11-05]

• Idaho Medicaid: Covers medical and support services for adults with developmental disabilities, including those with Tourette Syndrome if diagnosed before age 22 and with significant functional limitations.
• Medicaid Waivers (HCBS): Idaho offers Home and Community-Based Services waivers for people with developmental disabilities, providing support for independent living, respite care, and more.
• Disability Determinations Service: Reviews medical evidence for Social Security disability claims in Idaho.
• ABLE Accounts: Idaho’s ABLE program allows people with disabilities to save money without losing benefits.

[Source: healthandwelfare.idaho.gov, labor.idaho.gov, 2025-11-05]

Idaho’s ABLE program lets people with disabilities save money for disability-related expenses without losing SSI or Medicaid benefits. You can contribute up to $18,000 per year (2025 limit). Funds can be used for education, housing, transportation, and more.

[Source: ipulidaho.org, 2025-11-05]

• SSI: In 2025, the federal SSI payment is $943/month for an individual. Countable income must be below this amount.
• SSDI: No strict income limit, but earnings above the SGA limit ($1,620/month in 2025) may stop payments.
• Medicaid: Income limits vary based on household size and program. For adults with disabilities, limits are generally at or below 100% of the Federal Poverty Level.

[Source: ssa.gov, healthandwelfare.idaho.gov, 2025-11-05]

You must report changes in income, work, or health to Social Security and Idaho Health and Welfare. Failing to report can lead to overpayments and penalties. If you receive an overpayment, you may be able to request a waiver or set up a repayment plan.

[Source: ssa.gov, 2025-11-05]

• Idaho Disability Determinations Service
  Phone: 208-334-3611

  Hours: 8:00 AM - 5:00 PM, Mon-Fri

  Website

  Handles medical review for SSDI/SSI claims in Idaho.
• Idaho Health and Welfare
  Phone: 208-334-3100

  Hours: 8:00 AM - 5:00 PM, Mon-Fri

  Website

  Handles Medicaid and developmental disability services.
• Social Security Administration
  Phone: 1-800-772-1213

  TTY: 1-800-325-0778

  Hours: 7:00 AM - 7:00 PM, Mon-Fri

  Website

  Federal agency for SSDI/SSI benefits.

• Can Tourette Syndrome qualify for SSDI or SSI in Idaho?

  Yes, if your symptoms are severe enough to prevent you from working for at least 12 months. You must meet the Social Security Administration’s definition of disability and, for SSDI, have enough work credits.

• What is the SGA limit for 2025?

  The Substantial Gainful Activity (SGA) limit in 2025 is $1,620 per month for non-blind individuals. Earning more than this may affect your SSDI or SSI eligibility.

• Can adults with Tourette Syndrome get Medicaid in Idaho?

  Yes, if you meet financial eligibility and have a developmental disability that started before age 22 and causes significant functional limitations. You may also qualify based on low income and disability status.

• How do I apply for Medicaid for developmental disabilities in Idaho?

  First, apply for Medicaid through Idaho Health and Welfare. If you meet financial eligibility, you will need to complete an assessment for developmental disability services to determine if you qualify for additional support.

• What are Idaho’s ABLE account rules?

  Idaho’s ABLE program allows people with disabilities to save up to $18,000 per year (2025) for disability-related expenses without losing SSI or Medicaid benefits. Funds can be used for education, housing, transportation, and more.

• Do I need to report changes in income or work?

  Yes, you must report changes in income, work, or health to Social Security and Idaho Health and Welfare. Failing to report can lead to overpayments and penalties.