If you have Attention-Deficit/Hyperactivity Disorder (ADHD) in Utah, you may qualify for federal disability benefits like SSI or SSDI, and state programs such as Medicaid. This guide explains eligibility, how to apply, and what benefits are available in 2025.
To get Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) for ADHD, your condition must seriously limit your ability to work or do daily activities. For SSDI, you need a work history and enough Social Security credits. For SSI, your income and resources must be low. Both programs require medical proof that ADHD causes major problems in areas like understanding, social interaction, concentration, or self-care. The Social Security Administration (SSA) reviews your medical records and work history to decide if you qualify.
In 2025, the Substantial Gainful Activity (SGA) limit is $1,620 per month for most people, or $2,700 for those who are statutorily blind. If you earn more than this, you may not qualify for SSDI or SSI cash benefits. However, there are work incentives and trial periods that let you test your ability to work without losing benefits right away.
Children with ADHD may also qualify for benefits if their condition meets SSA’s childhood disability rules. Adults with ADHD that started before age 22 may be eligible for Disabled Adult Child (DAC) benefits if a parent is getting Social Security retirement or disability benefits.
Source: SSA Disability Qualification [Accessed: 2025-11-06]
In Utah, people with ADHD who receive SSI or Social Security Disability benefits automatically qualify for Medicaid. If you do not get SSI or SSDI, the State Medicaid Medical Review Board can still decide if you are disabled based on medical evidence, even if you are working. Utah Medicaid covers doctor visits, therapy, medications, and other services for people with disabilities.
Utah also offers Medicaid waivers (HCBS) for people with disabilities who need extra support at home or in the community. These waivers can help with things like personal care, therapy, and respite care. To qualify, you must meet both medical and financial requirements.
If you are working, Utah’s Medicaid Work Incentive (MWI) may let you keep Medicaid even if your income is higher than usual, as long as you pay a monthly premium based on your income.
Source: Utah Medicaid Aged, Blind or Disabled Programs [Accessed: 2025-11-06]
Source: SSA Disability Qualification [Accessed: 2025-11-06] Source: Utah Medicaid Aged, Blind or Disabled Programs [Accessed: 2025-11-06]
Source: SSA Disability Programs [Accessed: 2025-11-06]
Source: Utah Medicaid Aged, Blind or Disabled Programs [Accessed: 2025-11-06]
ABLE accounts let people with disabilities save money without losing SSI or Medicaid. In Utah, you can open an ABLE account through the state program. You can save up to $19,000 per year (or $34,650 if you work and your employer doesn’t contribute to your retirement account). The money can be used for things like housing, education, transportation, and personal support.
Source: Disability Law Center Utah [Accessed: 2025-11-06]
Source: Disability Law Center Utah [Accessed: 2025-11-06]
If your income, work, or health changes, you must report it to Social Security and Medicaid right away. Not reporting changes can lead to overpayments, which you may have to pay back. Use the SSA’s online portal or call your local office to report changes. For Medicaid, report changes through ApplyUTAH.gov or by phone.
Source: Disability Law Center Utah [Accessed: 2025-11-06]
Contact the Disability Law Center Utah for free help with applications and appeals. They can also help you understand work incentives and Medicaid rules.
Yes, ADHD can qualify for SSI or SSDI if it severely limits your ability to work or do daily activities. You need medical proof and must meet federal and state rules. Children and adults with ADHD may qualify.
Gather medical records, review SSA rules, and apply online at SSA.gov or in person. You can also apply for Utah Medicaid at ApplyUTAH.gov. Report changes to avoid overpayments.
To get SSI, you must have less than $2,000 in countable resources. Income limits depend on your living situation and other benefits. Report changes to avoid overpayments.
Yes, you can work and keep benefits if your earnings are below the SGA limit ($1,620/month in 2025). Work incentives let you test your ability to work without losing benefits right away.
The SGA limit is $1,620 per month for most people, or $2,700 for those who are statutorily blind. Earning more than this may stop cash benefits, but work incentives can help.
Yes, Utah Medicaid covers doctor visits, therapy, medications, and other services for people with disabilities, including ADHD. You may qualify if you get SSI or SSDI or meet other rules.
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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Medicaid waivers (HCBS) provide extra support for people with disabilities who need help at home or in the community. Services may include personal care, therapy, and respite care.
Yes, Utah ABLE accounts let you save up to $19,000 per year (or $34,650 if you work and your employer doesn’t contribute to your retirement account) without losing SSI or Medicaid.
If your earnings are above the SGA limit, your SSI cash benefits may stop. However, work incentives and Medicaid Work Incentive may let you keep some benefits.
Report changes to Social Security through their online portal or by phone. For Medicaid, report changes through ApplyUTAH.gov or by phone. Not reporting changes can lead to overpayments.
