Sensory Processing Disorder Benefits in Texas

• To qualify for Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI), your Sensory Processing Disorder must be medically documented and expected to last at least 12 months or result in death.
• Your condition must significantly limit your ability to work or do daily activities.
• You must not earn more than the Substantial Gainful Activity (SGA) limit: $1,620/month for non-blind people and $2,700/month for blind people in 2025.
• The Social Security Administration (SSA) uses a 5-step process to decide if you are disabled, including checking if your condition is on the SSA’s Blue Book list or if you can do past or other work.
• For SSDI, you need enough work credits; for SSI, you must have limited income and resources.
• Children with Sensory Processing Disorder may qualify if their condition causes marked and severe functional limitations.

Citations: [1], [2], [4], [5], [6]

• Texas follows federal rules for SSI and SSDI eligibility, so Sensory Processing Disorder must meet the SSA’s definition of disability.
• The Texas Disability Determination Services (DDS) reviews medical records and decides if your condition is severe enough to qualify.
• If your Sensory Processing Disorder is not listed in the SSA Blue Book, DDS will assess your Residual Functional Capacity (RFC) to see if you can do past work or adjust to other jobs.
• State-specific Medicaid waivers may help with therapy, equipment, or home care, but eligibility depends on your needs and income.
• Texas does not have a separate state disability program for adults; federal programs are the main source of support.
• Children with Sensory Processing Disorder may qualify for SSI if their condition causes marked and severe functional limitations and family income is low.

Citations: [1], [2], [4], [5], [6]

• Gather medical records that show your Sensory Processing Disorder diagnosis and how it affects your daily life.
• Check if you meet the SGA income limit ($1,620/month for non-blind people in 2025).
• Apply online at SSA.gov, by phone, or in person at a Social Security office.
• If you have a child with Sensory Processing Disorder, apply for SSI and include school and therapy records.
• For Medicaid waivers, contact Texas Health and Human Services.

Citations: [1], [2], [4], [5], [6]

• Step 1: Get medical documentation from doctors, therapists, or schools that details your Sensory Processing Disorder and how it limits your activities.
• Step 2: Review the SSA’s Blue Book to see if your condition is listed or if you meet the criteria for marked and severe functional limitations.
• Step 3: Check your work history and income to see if you qualify for SSDI or SSI.
• Step 4: Apply online at SSA.gov, call 1-800-772-1213, or visit a local Social Security office. For children, apply for SSI and include family income and resources.
• Step 5: If denied, you can appeal within 60 days. Include more medical evidence or ask for a hearing.
• Step 6: For Medicaid waivers, contact Texas Health and Human Services and ask about Home and Community-Based Services (HCBS) waivers.
• Step 7: If approved, report any changes in income, work, or living situation to avoid overpayments.

Citations: [1], [2], [4], [5], [6]

• Social Security Disability Insurance (SSDI): Monthly payments for disabled workers who have paid Social Security taxes. Amounts vary based on work history.
• Supplemental Security Income (SSI): Needs-based payments for people with limited income and resources. In 2025, the federal benefit rate is $967/month for individuals and $1,450/month for couples.
• Medicaid: Health coverage for low-income people with disabilities. Eligibility often comes with SSI.
• Medicare: Health coverage for SSDI recipients after 24 months of receiving benefits.
• ABLE Accounts: Tax-advantaged savings accounts for people with disabilities.

Citations: [2], [4], [6]

• Texas Medicaid Waivers (HCBS): Programs that help people with disabilities live at home or in the community. Waivers may cover therapy, respite care, and equipment for Sensory Processing Disorder.
• Texas Health and Human Services (HHS): Administers Medicaid, SNAP, and other support programs. You can apply for waivers and other benefits through HHS.
• Texas Workforce Commission (TWC): Offers vocational rehab and job training for people with disabilities.
• Texas Education Agency (TEA): Provides special education services for children with Sensory Processing Disorder in public schools.
• Texas Department of Assistive and Rehabilitative Services (DARS): Helps with assistive technology and independent living services.

Citations: [1], [2], [4], [5], [6]

• ABLE accounts let people with disabilities save money without losing SSI or Medicaid benefits. In Texas, you can open an ABLE account through the Texas ABLE Program. Contributions are tax-free, and funds can be used for disability-related expenses like therapy, equipment, or education.
• To qualify, you must have a disability that started before age 26 and meet SSA criteria.
• The annual contribution limit is $18,000 in 2025.

Citations: [2], [6]

• SSDI: No strict income limit, but you must not earn more than the SGA limit ($1,620/month for non-blind people in 2025).
• SSI: Resource limits are $2,000 for individuals and $3,000 for couples. Income limits vary based on countable income.
• Medicaid: Income and resource limits depend on the program and household size.
• ABLE Accounts: Annual contribution limit is $18,000 in 2025.

Citations: [2], [4], [6]

• Report any changes in income, work, living situation, or medical condition to the SSA or Texas HHS to avoid overpayments.
• Overpayments can happen if you don’t report changes or if your situation changes after approval.
• If you get an overpayment notice, you can request a waiver or set up a repayment plan.

Citations: [2], [6]

• Social Security Administration
  Phone: 1-800-772-1213

  TTY: 1-800-325-0778

  Hours: 8:00 AM - 7:00 PM, Monday-Friday

  Website

  For disability benefits questions and applications.
• Texas Health and Human Services
  Phone: 2-1-1

  Hours: 24/7

  Website

  For Medicaid, SNAP, and other state benefits.

• Can Sensory Processing Disorder qualify for disability benefits in Texas?

  Yes, if your Sensory Processing Disorder is medically documented, expected to last at least 12 months, and severely limits your ability to work or do daily activities, you may qualify for SSI or SSDI in Texas.

• What is the income limit for SSI in Texas in 2025?

  In 2025, the federal SSI benefit rate is $967/month for individuals and $1,450/month for couples. Resource limits are $2,000 for individuals and $3,000 for couples.

• How do I apply for disability benefits for Sensory Processing Disorder in Texas?

  Gather medical records, check income limits, and apply online at SSA.gov, by phone, or in person. For children, include school and therapy records. For Medicaid waivers, contact Texas HHS.

• What is the SGA limit for disability benefits in Texas in 2025?

  In 2025, the SGA limit is $1,620/month for non-blind individuals and $2,700/month for blind individuals. Earning above this may affect your benefits.

• Are there state-specific disability programs for Sensory Processing Disorder in Texas?

  Texas follows federal rules for SSI and SSDI. Medicaid waivers and vocational rehab programs may offer extra support, but there is no separate state disability program for adults.

• Can children with Sensory Processing Disorder get SSI in Texas?

  Yes, if their condition causes marked and severe functional limitations and family income is low, children with Sensory Processing Disorder may qualify for SSI in Texas.