People in Idaho with a traumatic brain injury (TBI) may qualify for federal disability benefits like SSDI and SSI, as well as state-specific Medicaid waivers and support programs. This guide explains eligibility, how to apply, and what benefits are available.
To qualify for federal disability benefits in Idaho, you must meet the Social Security Administration’s (SSA) definition of disability. For SSDI, you need a qualifying work history and enough Social Security credits. For SSI, you must meet strict income and resource limits. Both programs require a medical condition that prevents substantial work and is expected to last at least 12 months or result in death. Traumatic brain injury (TBI) can qualify if it severely limits your ability to work and perform daily activities. The SSA reviews medical records, work history, and functional limitations to make a decision. [^1]
In Idaho, adults with traumatic brain injury may qualify for Medicaid waivers if they meet the level of care criteria for developmental disabilities. This includes having a chronic condition that appeared before age 22 and causes significant functional limitations in areas like self-care, learning, mobility, and independent living. TBI may qualify if it meets these criteria. Financial eligibility for Medicaid is also required. Idaho’s Medicaid program offers services such as case management, residential support, and therapy. [^2]
ABLE accounts allow people with disabilities to save money without losing eligibility for SSI, Medicaid, and other benefits. In Idaho, you can open an ABLE account through the state’s ABLE program. Funds can be used for qualified disability expenses like education, housing, and transportation. [^4]
If your income or resources change, you must report it to the SSA and Idaho Health and Welfare Department. Failing to report changes can result in overpayments and penalties. Report changes promptly to avoid issues. [^1][^2]
Contact your local Social Security office or Idaho Health and Welfare Department for help with your application. Disability advocates and legal aid organizations can also assist.
Yes, if your TBI meets the SSA’s definition of disability and you meet the work history or income requirements. Medical evidence must show your condition prevents substantial work and is expected to last at least 12 months or result in death. [^1]
SSDI has no strict income limit, but you cannot earn more than the SGA limit. In 2025, SGA is $1,620 per month for non-blind individuals. SSI has strict income and resource limits. In 2025, the SSI federal benefit rate is $943 per month for an individual. [^1]
First, apply for Medicaid and be determined financially eligible. Then, complete a separate application and assessment for the Adult with Developmental Disabilities program. You must meet the level of care criteria for developmental disabilities. [^2]
Services may include case management, residential support, therapy, and more. You must meet the level of care criteria for developmental disabilities and be financially eligible for Medicaid. [^2]
Yes, there are work incentives that allow you to work while keeping benefits. You cannot earn more than the SGA limit. In 2025, SGA is $1,620 per month for non-blind individuals. [^1]
This guide is for informational purposes only and is not legal or financial advice. Always consult with a qualified professional for personalized guidance.
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An ABLE account is a tax-advantaged savings account for people with disabilities. In Idaho, you can open an ABLE account to save for qualified disability expenses without losing eligibility for SSI, Medicaid, and other benefits. [^4]
Yes, you must report changes to the SSA and Idaho Health and Welfare Department. Failing to report changes can result in overpayments and penalties. Report changes promptly to avoid issues. [^1][^2]
The time varies, but it can take several months. The Idaho Disability Determinations Service reviews medical evidence and makes a decision. You may be asked to provide additional information. [^3]
Yes, children with TBI may qualify for SSI if they meet the SSA’s definition of disability and their family meets income and resource limits. Benefits may continue into adulthood if the disability began before age 22. [^1]
You can appeal the decision. The appeals process includes reconsideration, a hearing, and review by the Appeals Council. You may want to seek help from a disability advocate or attorney. [^1]
