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Massachusetts • Neurological/Developmental
People with Down Syndrome in Massachusetts may qualify for federal and state disability benefits, including SSDI, SSI, Medicaid waivers, and ABLE accounts. Eligibility depends on medical, financial, and work history factors. This guide covers how to apply, what benefits are available, and important 2025 updates.
To qualify for Social Security Disability Insurance (SSDI), you must have a disability that prevents substantial work for at least 12 months and meet work credit requirements based on your age and employment history. For Supplemental Security Income (SSI), eligibility is based on limited income and resources, regardless of work history. Both programs require a medical determination that your condition meets Social Security’s definition of disability. For Down Syndrome, the Social Security Administration (SSA) recognizes it as a qualifying condition under certain criteria, often requiring documentation of intellectual or physical limitations [ssa.gov, 2025-11-06].
In Massachusetts, eligibility for disability benefits is determined by MassAbility Disability Determination Services (DDS). DDS reviews medical records, job history, education, and information from healthcare providers to decide if you meet federal and state criteria. For Down Syndrome, DDS may consider the impact on daily living, cognitive function, and ability to work. Massachusetts also offers additional supports through Medicaid waivers and state-funded programs for those who qualify. DDS uses a panel of medical and mental health professionals to make decisions, and may request additional exams if needed [mass.gov, 2025-11-06].
ABLE accounts allow individuals with disabilities to save money without losing eligibility for means-tested benefits like SSI and Medicaid. In Massachusetts, you can open an ABLE account to save for disability-related expenses, such as education, housing, and transportation. Contributions are tax-free, and withdrawals for qualified expenses are also tax-free. Learn more about ABLE accounts and how to apply [mass.gov, 2025-11-06].
It is important to report any changes in income, living situation, or medical status to the SSA and MassAbility DDS. Failure to report changes can result in overpayments, which must be repaid. Keep records of all communications and updates. For more information on avoiding overpayments and reporting changes, see the SSA’s guidelines [ssa.gov, 2025-11-06; mass.gov, 2025-11-06].
People with Down Syndrome in Massachusetts may qualify for SSDI, SSI, Medicaid waivers, and ABLE accounts. These programs provide monthly income, health coverage, and support for independent living. Eligibility depends on medical, financial, and work history factors.
To apply, gather medical records and job history, contact MassAbility DDS for a disability determination, and apply for SSDI or SSI through the SSA website, by phone, or in person. You can also apply at a DDS office.
In 2025, SSDI benefits increased by 2.5% due to COLA. The SGA limit is $1,620/month for non-blind and $2,700/month for blind beneficiaries. SSI federal maximums are $967/month for individuals and $1,450/month for couples.
Yes, you can work, but earnings above the SGA limit may affect your benefits. The SSA offers work incentives and trial work periods to help you test your ability to work without losing benefits.
SSDI is based on work history and requires work credits. SSI is based on limited income and resources, regardless of work history. Both programs provide monthly payments for people with disabilities.
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.
Medicaid waivers provide home and community-based services, such as personal care, respite care, and supported employment, for people with disabilities who meet eligibility criteria. These services help individuals live independently.
An ABLE account is a tax-advantaged savings account for people with disabilities. It allows you to save for disability-related expenses without losing eligibility for means-tested benefits like SSI and Medicaid.
Report any changes in income, living situation, or medical status to the SSA and MassAbility DDS. Keep records of all communications and updates to avoid overpayments, which must be repaid.
You can get help from MassAbility DDS, local nonprofits, and disability advocacy organizations. They can assist with gathering documents, completing applications, and understanding eligibility requirements.
Families can access support through Medicaid waivers, ABLE accounts, educational programs, and local nonprofits. These resources provide financial, medical, and social support for individuals with Down Syndrome and their families.
