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Massachusetts • Neurological/Developmental
People with epilepsy in Massachusetts may qualify for federal and state disability benefits, including SSDI, SSI, Medicaid waivers, and work incentives. This guide explains eligibility, how to apply, and what to expect in 2025.
To qualify for Social Security Disability Insurance (SSDI), you generally need 40 work credits, with 20 earned in the last 10 years before your disability began[6]. SSDI is for people who have worked and paid Social Security taxes. Supplemental Security Income (SSI) is for people with limited income and resources, regardless of work history[4]. Both programs require a medical condition that prevents substantial work for at least 12 months or is expected to result in death[6].
For epilepsy, the Social Security Administration (SSA) looks at seizure frequency, severity, and how seizures affect daily life and work ability[6]. Medical records, doctor statements, and detailed job history are key parts of the review[3].
In Massachusetts, MassAbility Disability Determination Services (DDS) reviews all SSDI and SSI claims[3]. DDS uses medical professionals and consultants to decide if your epilepsy meets federal standards. They consider your medical records, job history, education, and input from doctors and family[3].
Massachusetts also offers Medicaid waivers for people with epilepsy who need extra support, such as home care or therapy[5]. These waivers help cover services not paid by regular Medicaid. To qualify, you must meet both federal disability rules and state financial limits[5].
ABLE accounts let people with epilepsy save money without losing SSI or Medicaid benefits. You can use funds for education, housing, transportation, and more. Massachusetts offers ABLE accounts through the state’s ABLE program[5].
Report any changes in income, living situation, or health to avoid overpayments. If you get too much money, you may have to pay it back. Always keep records of what you report and when[4].
Contact MassAbility DDS for free help with your SSDI or SSI application. They can answer questions and guide you through the process[3].
If you need extra support, ask about Medicaid waivers for home care, therapy, or other services[5].
Yes, if your epilepsy prevents you from working and you have enough work credits. You must show medical proof and a detailed job history to MassAbility DDS[3][6].
The SGA limit is $1,620/month for non-blind SSDI recipients and $2,700 for blind recipients in 2025. Earnings above this may stop your benefits[2].
The maximum federal SSI payment in 2025 is $967/month for individuals and $1,450/month for couples. Massachusetts adds a small state supplement[4].
Yes, always report changes in income, living situation, or health to avoid overpayments. If you don’t, you may have to pay back benefits[4].
Medicaid waivers help people with epilepsy get extra support, like home care or therapy. You must meet federal and state rules to qualify[5].
Yes, but there are limits. SSDI has a trial work period and extended eligibility. SSI treats work income more favorably than other income[2][4].
You can apply for an ABLE account through the state’s ABLE program. These accounts let you save money without losing SSI or Medicaid benefits[5].
Disclaimer: This guide is for informational purposes only. Always check with official agencies for the most current rules and eligibility.
You need records from doctors, hospitals, and clinics that show your epilepsy diagnosis, seizure frequency, and how it affects your daily life[3].
Yes, children with epilepsy may qualify for SSI or Childhood Disability Benefits. Parents should apply through MassAbility DDS[5].
If your epilepsy improves and you can work, your benefits may stop. Always report changes in your health to avoid overpayments[4].
