People with Autism Spectrum Disorder in South Dakota can access federal disability benefits like SSI and SSDI, plus state-specific programs such as Medicaid waivers and work incentives. This guide covers eligibility, how to apply, and key resources.
To qualify for Social Security Disability Insurance (SSDI), you must have a medical condition that meets Social Security’s definition of disability and enough work credits. For Autism Spectrum Disorder, this means the condition must be severe enough to prevent substantial work and is expected to last at least one year or result in death. Most adults need 40 credits, with 20 earned in the last 10 years before disability begins. Supplemental Security Income (SSI) is for those with limited income and resources, regardless of work history. Both programs require a medical determination of disability from the Social Security Administration (SSA)[^1].
For 2025, the cost-of-living adjustment (COLA) is 2.5%, increasing benefit amounts. The Substantial Gainful Activity (SGA) limit for non-blind individuals is expected to rise slightly, allowing beneficiaries to earn more before benefits are affected[^2].
In South Dakota, individuals with Autism Spectrum Disorder may qualify for Medicaid through the state’s Medicaid for Workers with Disabilities program if they are employed and have a significant disability. This program helps people return to work or remain employed while keeping Medicaid coverage. South Dakota also offers Medicaid waivers, such as the ADLS Waiver, which provides home and community-based services for those with developmental disabilities. Eligibility for these waivers depends on income, resources, and functional needs. The state-specific threshold for continued Medicaid coverage under Section 1619(b) is $53,022 per year in 2025 for those whose SSI cash payment stops due to earnings[^3].
South Dakota’s Department of Social Services administers these programs and can provide details on eligibility and application processes[^4].
ABLE accounts allow individuals with disabilities to save money for disability-related expenses without losing SSI or Medicaid eligibility. South Dakota residents can open an ABLE account through the state’s ABLE program. Contributions are limited to $18,000 per year, and the account can be used for expenses like education, housing, transportation, and personal support services[^8].
For SSI in 2025, the federal income limit is $943 per month for an individual. South Dakota does not have a state supplement, so the limit is the same as the federal limit. The resource limit is $2,000 for an individual and $3,000 for a couple. For Medicaid, income limits vary by program, but the threshold for continued Medicaid coverage under Section 1619(b) is $53,022 per year in 2025 for those whose SSI cash payment stops due to earnings[^9].
It is important to report any changes in income, resources, or living situation to the Social Security Administration and South Dakota Department of Social Services. Failure to report changes can result in overpayments, which must be repaid. Overpayments can be waived if you were not at fault and cannot afford to repay. Reporting changes promptly helps ensure continued eligibility and avoids penalties[^10].
Contact the South Dakota Department of Social Services or the Helpline Center for assistance with applications and questions about eligibility.
Yes, individuals with Autism Spectrum Disorder can qualify for SSI or SSDI if their condition meets Social Security’s disability criteria. SSI is for those with limited income and resources, while SSDI requires enough work credits. Medical documentation is needed for both programs.
The federal SSI income limit in 2025 is $943 per month for an individual. South Dakota does not have a state supplement, so the limit is the same as the federal limit. The resource limit is $2,000 for an individual and $3,000 for a couple.
You can apply for Medicaid through the South Dakota Department of Social Services. Applications can be submitted online, by mail, or in person. You will need to provide proof of income, resources, and disability status. The department will review your application and determine eligibility.
Work incentives like Plan for Achieving Self-Support (PASS) and Impairment Related Work Expenses (IRWE) help people with disabilities work while keeping benefits. These programs allow you to set aside income or deduct work-related expenses from your earnings when determining eligibility.
Yes, South Dakota offers Medicaid for Workers with Disabilities, which allows employed individuals with significant disabilities to keep Medicaid coverage while working. The state-specific threshold for continued Medicaid coverage under Section 1619(b) is $53,022 per year in 2025.
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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An ABLE account allows individuals with disabilities to save money for disability-related expenses without losing SSI or Medicaid eligibility. South Dakota residents can open an ABLE account through the state’s ABLE program. Contributions are limited to $18,000 per year.
You must report any changes in income, resources, or living situation to the Social Security Administration and South Dakota Department of Social Services. Failure to report changes can result in overpayments, which must be repaid. Reporting changes promptly helps ensure continued eligibility.
Yes, South Dakota offers Medicaid waivers like the ADLS Waiver, which provides home and community-based services for those with developmental disabilities, including Autism Spectrum Disorder. Eligibility depends on income, resources, and functional needs.
You can report changes to your disability benefits by contacting the Social Security Administration or the South Dakota Department of Social Services. Changes should be reported promptly to avoid overpayments and ensure continued eligibility.
If your application for disability benefits is denied, you can appeal the decision by requesting a reconsideration, a hearing before an administrative law judge, and further appeals if necessary. The Social Security Administration provides information on the appeals process on their website.
