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South Dakota • Chronic Illness
If you have fibromyalgia in South Dakota, you may qualify for Social Security Disability Insurance (SSDI), Supplemental Security Income (SSI), Medicaid, and special work incentives. This guide covers eligibility, how to apply, and state-specific programs.
To qualify for Social Security Disability Insurance (SSDI) in South Dakota, you must have a medical condition that prevents you from working and earning more than Substantial Gainful Activity (SGA) for at least 12 months. For 2025, SGA is $1,620 per month for non-blind individuals and $2,700 for blind individuals. You must also have enough work credits, usually 40 total, with 20 earned in the last 10 years before your disability began. For Supplemental Security Income (SSI), you must meet SSA’s disability criteria and have limited income and resources. Fibromyalgia is considered a chronic illness and may qualify if it severely limits your ability to work and meet SSA’s definition of disability[1][4][6].
In South Dakota, people with fibromyalgia may qualify for Medicaid for Workers with Disabilities if they are employed and have a significant disability. This program helps individuals return to or remain in the workforce while keeping Medicaid coverage. South Dakota also offers Home and Community-Based Services (HCBS) waivers for those who need long-term support. If you are approved for SSI, you automatically qualify for Medicaid in South Dakota. The state follows federal SGA limits for work incentives and uses the federal SSI income and resource limits. State-specific programs may offer additional support for those with chronic illnesses like fibromyalgia[5][7].
ABLE accounts let people with disabilities save money for disability-related expenses without losing SSI or Medicaid benefits. South Dakota residents can open an ABLE account through the national ABLE program. Funds can be used for housing, education, transportation, and other qualified expenses. Learn more about ABLE accounts and how to open one[3].
You must report any changes in income, work, or health to the Social Security Administration and South Dakota Department of Social Services. Failing to report changes can lead to overpayments and loss of benefits. If you receive too much, you may have to pay it back. Learn how to avoid overpayments and report changes[3].
Contact the South Dakota Benefits Specialist Network at 1-800-224-5336 for free help with disability benefits and Medicaid applications.
Yes, fibromyalgia can qualify for SSDI or SSI if it severely limits your ability to work and meets SSA’s disability criteria. You must provide medical evidence showing how your symptoms affect your daily life and work[1][4][6].
For 2025, the SGA limit is $1,620 per month for non-blind individuals and $2,700 per month for blind individuals. Earning above these amounts may affect your SSDI benefits[1][4].
You can apply for SSDI or SSI online at SSA.gov, by phone, or at a local Social Security office. For Medicaid, apply through the South Dakota Department of Social Services. Gather medical records and work history before applying[3][5][6].
South Dakota offers work incentives like Plan for Achieving Self-Support (PASS), 1619(b) Medicaid, and Impairment Related Work Expenses. These help you keep benefits while working or training for a job[2][5].
If you receive SSI, you automatically qualify for Medicaid in South Dakota. If you work, you may qualify for Medicaid for Workers with Disabilities. Check with the Department of Social Services for eligibility[5][7].
The 2025 federal SSI benefit rate is $943/month for individuals. Income and resource limits apply. Earnings above certain levels may reduce your SSI payment. Use an SSI income estimator to see how your income affects your benefits[2][4].
Disclaimer: This guide is for informational purposes only and does not constitute legal or financial advice. Always consult with a qualified professional for your specific situation.
There is a 5-month waiting period before SSDI benefits start. Most people must also wait 24 months before receiving Medicare, except for those with ALS or end-stage renal disease[4].
Yes, you can work while receiving disability benefits, but your earnings must be below SGA limits. Work incentives like PASS and 1619(b) Medicaid help you keep benefits while working or training[2][5].
An ABLE account lets you save money for disability-related expenses without losing SSI or Medicaid benefits. Funds can be used for housing, education, transportation, and other qualified expenses[3].
Report any changes in income, work, or health to the Social Security Administration and South Dakota Department of Social Services. Failing to report changes can lead to overpayments and loss of benefits[3].
