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South Dakota • Neurodegenerative
Residents with Huntington’s Disease in South Dakota may qualify for federal and state disability benefits, including Social Security Disability Insurance (SSDI), Supplemental Security Income (SSI), Medicaid, and work incentives. This guide explains eligibility rules, application steps, and local program highlights specific to South Dakota for 2025.
To qualify for federal disability benefits with Huntington’s Disease, you must meet the Social Security Administration’s (SSA) strict medical criteria. This means your condition must prevent you from doing the work you did before and from adjusting to other work, and must be expected to last at least one year or result in death[3][5]. For SSDI (Social Security Disability Insurance), you also need to have earned enough work credits—generally, 40 credits, with 20 earned in the last 10 years[5]. SSI (Supplemental Security Income) has no work credit requirement but is based on financial need, with strict limits on income and resources[3]. Both programs are available in South Dakota and have annual cost-of-living adjustments[1]. Work incentives like Continued Medicaid Coverage (1619(b)) let you keep Medicaid even if your earnings exceed SSI limits, up to a state-specific threshold[2].
South Dakota follows federal SSI and SSDI rules for Huntington’s Disease but adds some local flexibility. The state sets its own Medicaid eligibility rules, including special programs for workers with disabilities and home and community-based services (HCBS) waivers[4]. In 2025, the Medicaid income threshold for continued coverage under the 1619(b) work incentive in South Dakota is $53,022 per year—higher than the federal SSI limit[2]. South Dakota also allows you to exclude certain resources essential to self-support when applying for SSI[2]. If specific state waivers or programs are of interest, direct contact with the South Dakota Department of Social Services is recommended, as program details can change and personalized advice may be needed[4].
If you have Huntington’s Disease in South Dakota and need disability benefits, start by gathering your medical records, work history, and financial documents. Choose the right program (SSDI if you have work credits, SSI if you have limited income/resources)[3]. Apply online at ssa.gov, by phone, or in person at your local Social Security office. For Medicaid, contact the South Dakota Department of Social Services. Use the SSI Income Estimator tool if you’re unsure about financial eligibility.
The main federal programs for Huntington’s Disease in South Dakota are SSDI and SSI. SSDI pays monthly benefits if you have enough work credits and meet medical eligibility. SSI provides monthly payments based on financial need, regardless of work history[3]. Both programs have work incentives, including continued Medicaid coverage when someone returns to work but earnings are below the state threshold[2]. In 2025, benefits increase by 2.5% due to the cost-of-living adjustment (COLA)[1]. Special rules apply if you are blind or have impairment-related work expenses. Expedited reinstatement allows you to restart benefits within five years if your condition worsens[2].
South Dakota’s Medicaid program covers many people with Huntington’s Disease, especially if they receive SSI. The state also offers Medicaid for Workers with Disabilities (M-WD), which helps employed individuals with significant disabilities keep health coverage even if their income rises[4]. South Dakota has limited waiver programs for home and community-based services (HCBS), which may help you stay at home instead of moving to a care facility. To explore these options, contact the South Dakota Department of Social Services, as eligibility and services can vary[4]. In 2025, the Medicaid income threshold for continuing coverage while working is $53,022 per year in South Dakota—higher than the federal SSI limit[2]. Some resources, like property essential for self-support, may be excluded when applying for SSI in the state[2].
ABLE accounts let people with disabilities save money without affecting SSI or Medicaid eligibility. Funds can be used for disability-related expenses. South Dakotans can open an ABLE account through any national ABLE program. ABLE accounts have annual contribution limits and other rules—review these carefully before opening[Internal Link: ABLE Accounts].
In 2025, the federal SSI income limit remains strict, but South Dakota allows continuation of Medicaid for workers with disabilities up to $53,022 per year—well above the SSI level[2]. The Substantial Gainful Activity (SGA) limit for SSDI (how much you can earn before benefits are affected) will increase slightly in 2025, tracking inflation[1]. Always report income changes promptly to avoid overpayments.
You must report changes in income, resources, living situation, or medical condition to the SSA and South Dakota Medicaid. Failing to report can lead to overpayments, which you may have to pay back. If you no longer qualify for SSDI/SSI due to work but your condition worsens, you can request expedited reinstatement within 60 months[2]. For help, see our guide on avoiding overpayments and reporting changes[Internal Link: Avoiding Overpayments & Reporting Changes].
If you’re working with Huntington’s Disease in South Dakota, you may qualify for continued Medicaid coverage even if your earnings take you above the SSI limit. The state-specific threshold for 2025 is $53,022 per year—use this advantage if you are able to work but need ongoing health coverage[2][4].
SSDI is for people with sufficient work history, while SSI is for those with limited income/resources, regardless of work credits. Both have medical eligibility rules for Huntington’s Disease, but SSI also has strict financial limits[3][5].
For SSDI, you can earn up to the SGA limit, which is adjusted annually—check current figures on ssa.gov. For SSI, earnings and other income must be below strict limits. South Dakota allows continued Medicaid if you work, with a higher state-specific income limit than SSI ($53,022/year)[1][2].
Apply online at ssa.gov, by phone, or in person. Gather medical and financial records. For Medicaid, contact the South Dakota Department of Social Services. Help is available from local benefits specialists and advocates[4].
Yes, Medicaid for Workers with Disabilities (M-WD) can help employed individuals keep coverage. There are also limited home and community-based waivers for those needing long-term care at home[4].
Yes, ABLE accounts let you save for disability expenses without affecting SSI or Medicaid eligibility. Check annual limits and eligible expenses before opening an account[Internal Link: ABLE Accounts].
Disclaimer: This guide is for educational purposes only, not legal, financial, or medical advice. Details can change without notice. Always check with official agencies and consult a qualified professional for your specific situation.
You have the right to appeal. Start by requesting reconsideration, then a hearing if needed. Consider getting help from a disability advocate or attorney.
Report changes in income, resources, living situation, or health right away to avoid overpayments and benefit interruptions[Internal Link: Avoiding Overpayments & Reporting Changes].
Yes, both SSDI and SSI offer work incentives, including continued Medicaid coverage under 1619(b) and deduction of impairment-related work expenses from earnings[2].
If your SSDI/SSI stops because you work, but your Huntington’s Disease worsens, you can ask for expedited reinstatement within 60 months and receive provisional benefits during review[2].
Contact the South Dakota Benefits Specialist Network (1-800-224-5336) or your local Social Security office for personalized help[2].
