People with Myalgic Encephalomyelitis in South Dakota may qualify for federal disability programs like SSI and SSDI, as well as state-specific Medicaid and work incentives. Eligibility depends on income, resources, and medical documentation. This guide explains how to apply and what benefits are available.
To qualify for federal disability benefits in South Dakota, you must meet the Social Security Administration’s (SSA) definition of disability. For Social Security Disability Insurance (SSDI), you need a qualifying medical condition and enough work credits (usually 40, with 20 in the last 10 years)[^1]. For Supplemental Security Income (SSI), you must have limited income and resources, and meet SSA’s disability criteria[^2]. Myalgic Encephalomyelitis is considered a chronic illness and may qualify if it severely limits your ability to work and is expected to last at least one year or result in death[^3].
In South Dakota, people with Myalgic Encephalomyelitis may also qualify for state-specific programs. The South Dakota Medicaid for Workers with Disabilities program helps those who are employed but have a significant disability. Eligibility is based on income, disability status, and employment. South Dakota also offers Medicaid waivers for home and community-based services, which can provide additional support for those with chronic illnesses[^4]. State-specific thresholds for Medicaid continuation under 1619(b) are set annually; for 2025, the threshold is $53,022 per year[^5].
ABLE accounts allow people with disabilities to save money without losing eligibility for SSI or Medicaid. In South Dakota, you can open an ABLE account through the state’s ABLE program. Contributions are tax-free, and funds can be used for qualified disability expenses[^9].
For SSI in 2025, the federal income limit is $943 per month for an individual. South Dakota does not have a state supplement. For Medicaid, the income limit varies by program; for the Medicaid for Workers with Disabilities program, it is based on the state’s threshold, which is $53,022 per year for 2025[^10].
It is important to report any changes in income, resources, or medical status to avoid overpayments. If you receive too much in benefits, you may have to repay the excess. Reporting changes promptly can help prevent overpayments and ensure you receive the correct amount of benefits[^11].
Contact the South Dakota Benefits Specialist Network at 1-800-224-5336 for free help with applications and questions about benefits.
Yes, if your condition meets SSA’s definition of disability and you meet the income and resource requirements for SSI or the work credit requirements for SSDI. Medical documentation is required to prove your disability.
The federal SSI income limit for 2025 is $943 per month for an individual. South Dakota does not add a state supplement to SSI payments.
You can apply for Medicaid through the South Dakota Department of Social Services. If you receive SSI, you may automatically qualify for Medicaid. Otherwise, you can apply online or by phone.
Work incentives include Impairment Related Work Expenses, Plan for Achieving Self-Support, and continued Medicaid coverage under 1619(b). These programs help you work while keeping your benefits.
Yes, if your earnings are below the state threshold of $53,022 per year in 2025, you can continue to receive Medicaid under the 1619(b) program.
An ABLE account is a tax-advantaged savings account for people with disabilities. It allows you to save money without losing eligibility for SSI or Medicaid. Funds can be used for qualified disability expenses.
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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You must report changes in income, resources, or medical status to the Social Security Administration and the South Dakota Department of Social Services. Reporting changes promptly helps avoid overpayments.
If your application is denied, you can appeal the decision within 60 days. You can request a reconsideration, a hearing, or further review.
Yes, if you meet the eligibility requirements for both programs. SSDI is based on work credits, while SSI is based on income and resources.
Medicaid waivers in South Dakota provide home and community-based services, such as personal care, respite care, and supported employment for people with chronic illnesses.
