If you have a traumatic brain injury (TBI) in South Dakota, you may qualify for federal disability benefits like SSDI and SSI, as well as state-specific programs and Medicaid. This guide explains eligibility, how to apply, and key resources for TBI survivors.
To qualify for Social Security Disability Insurance (SSDI), you must have a severe disability like traumatic brain injury that prevents you from working for at least 12 months. You also need enough work credits from jobs where you paid Social Security taxes. For Supplemental Security Income (SSI), you must meet SSA’s disability criteria and have limited income and resources. Both programs require medical proof that your TBI stops you from doing substantial work. The SSA uses a list of impairments, and TBI is included under neurological disorders. If your TBI matches or equals a listing, you may qualify faster. If not, SSA will review your medical records and work history to decide if you can do any job in the national economy [ssa.gov, 2025-11-06].
In South Dakota, people with traumatic brain injury may qualify for state-specific Medicaid programs and waivers. The South Dakota Medicaid for Workers with Disabilities program helps those who are employed but still have a significant disability. You must meet both federal and state criteria for disability and income. South Dakota also offers Home and Community Based Services (HCBS) waivers for people with TBI who need long-term care. These waivers can help pay for services like personal care, therapy, and support at home. To qualify, you must have a diagnosis of TBI, meet functional need criteria, and have income and resources within state limits. The state may also consider your ability to live independently and your need for support services [dss.sd.gov, 2025-11-06].
An ABLE account lets people with TBI in South Dakota save money without losing SSI or Medicaid benefits. You can use the funds for qualified disability expenses like education, housing, transportation, and personal support. South Dakota residents can open an ABLE account through the state’s program. Contributions are tax-free, and earnings grow tax-free. There are annual and lifetime limits on contributions. ABLE accounts can help you plan for the future while keeping your benefits [sdable.org, 2025-11-06].
If your income or resources change, you must report it to Social Security and the state. Failing to report can lead to overpayments and penalties. Report changes online, by phone, or in person. If you get an overpayment, you can request a waiver if it was not your fault. You can also set up a repayment plan. Always keep records of your reports and any correspondence with agencies [ssa.gov, 2025-11-06].
Contact the South Dakota Benefits Specialist Network at 1-800-224-5336 for free help with disability benefits applications and questions.
Yes, if your TBI prevents you from working for at least 12 months and you have enough work credits. You must provide medical proof of your disability and apply through Social Security.
In 2025, the federal SSI payment is $943 per month for an individual. The income limit is based on countable income, which excludes some items like the first $20 of most income and some work expenses.
You can apply for Medicaid through the South Dakota Department of Social Services. If you get SSI, you may automatically qualify. Otherwise, you must meet state income and resource limits and provide proof of your disability.
Yes, South Dakota offers work incentives like the Medicaid for Workers with Disabilities program and 1619(b) Medicaid continuation. These help you keep benefits while working or training.
An ABLE account lets you save money for disability expenses without losing SSI or Medicaid. You can use it for education, housing, transportation, and more. South Dakota residents can open an account through the state program.
Yes, you may qualify for SSDI or SSI if your earnings are below the SGA limit. Work incentives like IRWE and PASS can help you keep benefits while working part-time.
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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It can take 3 to 6 months to get a decision on your SSDI or SSI application. If more information is needed, it may take longer. You can check your application status online or by phone.
If your application is denied, you can appeal within 60 days. You can request a reconsideration, a hearing, or review by the Appeals Council. It helps to get help from a disability advocate or attorney.
Yes, some family members may be eligible for dependent benefits if you get SSDI. This includes spouses and children under certain conditions.
Medicaid waivers can pay for personal care, therapy, assistive devices, and support at home. You must meet functional need criteria and income/resource limits to qualify.
