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New Mexico • Neurological/Developmental
People with epilepsy in New Mexico may qualify for federal disability benefits like SSI and SSDI, as well as state programs for healthcare, food, and support services. This guide explains eligibility, how to apply, and what benefits are available.
To qualify for federal disability benefits with epilepsy, you must meet Social Security Administration (SSA) requirements. Epilepsy is listed in the SSA’s Blue Book under neurological disorders (Section 11.02). You must have frequent seizures despite medication, and your condition must last or be expected to last at least one year or result in death. You must also be unable to perform substantial gainful activity (SGA). For SSDI, you need enough work credits (usually 40, half in the last 20 years). For SSI, your income and resources must be below set limits. In 2025, the SGA limit for non-blind individuals is $1,620 per month, and for statutorily blind individuals, it is $2,700 per month[5].
In New Mexico, people with epilepsy may qualify for additional state programs. Medicaid covers healthcare for eligible individuals, including those with disabilities. Children with epilepsy may qualify for Children’s Medical Services, which provides coordinated care and support. New Mexico also offers food assistance through SNAP, and state-funded food benefits may be available if federal SNAP is suspended. Medicaid eligibility can continue for up to two months after losing SSI, giving time to apply under another category. The state also provides support for families and children with chronic illness or disability[3].
ABLE accounts allow people with disabilities to save money for expenses without losing SSI or Medicaid benefits. In New Mexico, you can open an ABLE account if you became disabled before age 26. Funds can be used for housing, education, transportation, and other qualified expenses. Contributions are limited, and there are annual and lifetime caps[3].
For SSI in 2025, the federal income limit is $943 per month for an individual and $1,415 for a couple. For SSDI, there is no income limit, but you must not earn more than the SGA limit ($1,620 for non-blind, $2,700 for blind in 2025)[5]. For Medicaid, income limits vary by program and household size. For SNAP, income limits are based on household size and expenses[3].
It is important to report any changes in income, resources, or health to SSA and NM agencies to avoid overpayments. Overpayments can result in repayment or benefit suspension. Report changes as soon as possible and keep records of all communications. If you receive an overpayment notice, you can request a waiver or appeal the decision[3].
Contact a disability attorney or advocate for help with your application. Many offer free consultations and can help you gather evidence and appeal denials.
Yes, epilepsy can qualify for SSI and SSDI if it meets SSA criteria, such as frequent seizures despite medication and inability to work. You must also meet income and work credit requirements for each program[5].
You can apply for SSI/SSDI online at SSA.gov, by phone, or in person. For Medicaid and SNAP, apply through Yes.NM.Gov. Gather medical records and work history before applying[3].
You need medical records showing seizure frequency, medication, and doctor’s notes. Documentation must show your epilepsy meets SSA criteria and affects your ability to work[5].
Yes, Children’s Medical Services provides coordinated care for children under 21 with chronic illness or disability, including epilepsy. Apply through the NM Department of Health[3].
If you earn more than the SGA limit ($1,620 for non-blind, $2,700 for blind in 2025), you may lose SSDI or SSI benefits. Work incentives allow some earnings without losing benefits[5].
Yes, SNAP provides food benefits for low-income individuals and families. State-funded food benefits may be available if federal SNAP is suspended[2].
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.
The SGA limit for non-blind individuals is $1,620 per month, and for statutorily blind individuals, it is $2,700 per month in 2025. Earning above these limits may affect your benefits[5].
Medicaid covers healthcare for eligible New Mexicans with disabilities, including epilepsy. You can apply through Yes.NM.Gov. Medicaid may continue for up to two months after losing SSI[3].
An ABLE account allows people with disabilities to save money for expenses without losing SSI or Medicaid benefits. Funds can be used for housing, education, transportation, and other qualified expenses[3].
If denied, you can appeal the decision within 60 days. Gather additional medical evidence and consider seeking help from a disability attorney or advocate[5].
