People with Autism Spectrum Disorder in North Carolina can access federal and state benefits, including SSI, SSDI, Medicaid, and state-specific programs. This guide explains eligibility, how to apply, and key resources.
To qualify for federal disability benefits like SSI or SSDI, you must meet Social Security's definition of disability. For adults, this means a condition that prevents substantial work for at least 12 months. For children, the condition must severely limit activities and last at least 12 months. Autism Spectrum Disorder can qualify if it meets these criteria. Adults must have a qualifying work history for SSDI, while SSI is based on financial need. Children may qualify for SSI if their family meets income and asset limits. Disabled Adult Child (DAC) benefits are available for adults whose disability began before age 22 and whose parent is receiving Social Security benefits[4].
In North Carolina, eligibility for state disability benefits depends on employment status and service history. State employees in the Teachers’ and State Employees’ Retirement System (TSERS) may qualify for the Disability Income Plan of North Carolina (DIP-NC). This plan offers short-term and long-term disability benefits after a 60-day waiting period. Eligibility requires at least one year of contributing membership service in TSERS within the 36 months before disability. The short-term plan pays 50% of monthly salary, up to $3,000 per month, for up to 365 days. Long-term benefits may follow if the disability continues[1]. North Carolina also offers Medicaid waivers for home and community-based services, which can be crucial for individuals with Autism Spectrum Disorder[8].
ABLE accounts allow people with disabilities to save money without losing eligibility for SSI and Medicaid. North Carolina offers ABLE accounts through the NC ABLE Program. Contributions are tax-free, and funds can be used for qualified disability expenses. Contact the NC ABLE Program for more information[6].
Income limits for SSI and Medicaid vary based on household size and state rules. For SSI, the federal limit is $943 per month for an individual in 2025. Medicaid limits are higher and vary by program. Use the DB101 North Carolina tool to estimate your eligibility[3].
If you receive too much in benefits, you may have to repay the overpayment. Report changes in income, resources, or living situation to avoid overpayments. Use the SSI & SSDI Work Incentives guide for more information[4].
Contact your local Department of Social Services or the Employment and Independence for People with Disabilities (EIPD) for support with applications and benefits planning.
Federal benefits include SSI, SSDI, Medicare, Medicaid, and Disabled Adult Child (DAC) benefits. These programs provide cash payments, health insurance, and support for people with disabilities.
Apply online at ssa.gov or by calling 1-800-772-1213. You will need medical records and proof of income. Children may need additional documentation from schools or doctors.
State employees may qualify for the Disability Income Plan of North Carolina (DIP-NC). This plan offers short-term and long-term disability benefits after a 60-day waiting period.
North Carolina offers Medicaid waivers for home and community-based services, such as the Community Alternatives Program for Disabled Adults (CAP/DA). These waivers provide support for individuals to live in the community.
Apply through your local Department of Social Services or online at nc.gov. You will need proof of income, resources, and medical records.
An ABLE account allows people with disabilities to save money without losing eligibility for SSI and Medicaid. North Carolina offers ABLE accounts through the NC ABLE Program.
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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SSI is based on financial need and is available to people with disabilities who have limited income and resources. SSDI is based on work history and is available to people with disabilities who have a qualifying work history.
Report changes in income, resources, or living situation to the Social Security Administration or your local Department of Social Services. Use the SSI & SSDI Work Incentives guide for more information.
The Employment and Independence for People with Disabilities (EIPD) program helps people with disabilities prepare for and find work. Contact EIPD for support and resources.
Attend public input sessions hosted by the North Carolina Council on Developmental Disabilities (NCCDD). These sessions provide opportunities to provide feedback and stay updated on policy changes.
