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Iowa • Mental Health
If you have depression that limits your ability to work, you may qualify for federal and Iowa state benefits. These include Social Security Disability Insurance (SSDI), Supplemental Security Income (SSI), Medicaid, and work supports. This guide explains eligibility, how to apply, and where to get help in Iowa.
To qualify for federal disability benefits in Iowa, you must have a medical condition like depression that stops you from working for at least a year. For Social Security Disability Insurance (SSDI), you generally need 40 work credits, with 20 earned in the last 10 years. For Supplemental Security Income (SSI), your income and assets must be below certain limits. Both programs require medical proof that your depression limits your ability to work. The Social Security Administration (SSA) reviews your medical records, work history, and how your depression affects daily life 7 9.
Iowa does not have a state disability insurance program like California’s SDI. Instead, most residents with depression rely on federal programs (SSDI and SSI) and Iowa Medicaid. To qualify for Iowa Medicaid, you must be a resident, meet income limits, and have a qualifying disability. Medicaid can cover mental health services, therapy, and medications. Iowa also offers Medicaid waivers for home and community-based services, which may help people with depression live independently. If you are working, Iowa Vocational Rehabilitation can help you keep or find a job 10 11.
Federal programs for depression in Iowa include:
Iowa offers several programs for people with depression:
Iowa residents with depression may qualify for an ABLE account if their disability started before age 26. ABLE accounts let you save money for disability-related expenses without losing SSI or Medicaid benefits. You can use the funds for housing, education, transportation, and more. Learn more about ABLE accounts and how to open one in Iowa 13.
For SSI in Iowa, the income limit is $943 per month for an individual and $1,415 for a couple in 2025. For Medicaid, the income limit is 138% of the federal poverty level, which is about $20,120 per year for an individual. These limits change each year. Use the SSI Income Estimator to check your eligibility 14 15.
If you get SSI or SSDI, you must report changes in income, living situation, or work status. Not reporting changes can lead to overpayments and penalties. Keep records of all payments and report changes promptly. Learn more about avoiding overpayments and reporting changes in Iowa 16.
Contact Iowa Vocational Rehabilitation or your local Area Agency on Aging for free help with disability applications and job support.
Yes, depression can qualify for SSDI or SSI if it prevents you from working for at least a year. You must have medical proof and meet income or work history requirements. Contact Social Security for details.
Start by seeing a mental health provider for a diagnosis. Then apply for SSDI or SSI online, by phone, or in person. Apply for Iowa Medicaid if you have low income. Contact Iowa Vocational Rehabilitation for job support.
Iowa Medicaid covers therapy, counseling, psychiatric care, medications, and crisis services for people with depression. You may also qualify for home and community-based services through Medicaid waivers.
Yes, you can work while getting SSI or SSDI. Iowa offers work incentives and vocational rehabilitation to help you keep or find a job. Report any changes in income to avoid overpayments.
A Medicaid waiver helps people with depression live in the community instead of institutions. It covers home care, therapy, and support services. Contact your local Area Agency on Aging or Iowa DHS for details.
SSDI payments depend on your work history. SSI payments are about $943 per month for an individual. Medicaid covers health services. Amounts change each year. Use the SSI Income Estimator to check your eligibility.
Disclaimer: This guide is for informational purposes only. Always check official sources for the most current eligibility rules and benefit amounts.
You don’t need a lawyer, but it can help if your claim is denied. Many people appeal and need a hearing. Legal aid and advocacy groups can help you for free or low cost.
Yes, Medicaid waivers and Iowa Vocational Rehabilitation may help with housing. Some community programs offer supported housing for people with mental health conditions. Contact your local mental health center for details.
An ABLE account lets you save money for disability-related expenses without losing SSI or Medicaid benefits. Iowa residents with disabilities can open an ABLE account if their disability started before age 26.
It can take 3–6 months to get an initial decision on SSDI or SSI. Most people are denied at first and need to appeal. The full process can take 1–2 years if you appeal.
