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Washington • Chronic Illness
People with Chronic Fatigue Syndrome in Washington can qualify for federal disability programs like SSI and SSDI, as well as state-specific cash and medical assistance. Eligibility depends on medical severity, income, and work history. Washington also offers extra support through its State Supplement Program and Medicaid waivers.
To qualify for federal disability benefits in Washington, you must have a medical condition that prevents substantial work and is expected to last at least 12 months or result in death. The Social Security Administration (SSA) runs two main programs: Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI). SSDI is for people with a work history and enough Social Security credits. SSI is for those with limited income and resources, regardless of work history. Both programs use the same medical definition of disability, but eligibility rules differ. Chronic Fatigue Syndrome can qualify if it meets SSA’s criteria for severity and duration [^1].
In Washington, people with Chronic Fatigue Syndrome may also qualify for state programs like the Aged, Blind, or Disabled (ABD) cash assistance program. ABD is for low-income individuals who are likely to meet SSI disability criteria. The program offers a monthly cash grant, help applying for SSI, and referrals to other services. To qualify, you must be at least 18, have a health condition that stops you from working for at least 12 months, and meet income and resource requirements. You cannot get ABD if you are already receiving SSI benefits. Washington also offers a State Supplement Program (SSP) that adds to SSI payments for eligible residents [^2][^3][^4].
ABLE accounts let people with disabilities save money without losing SSI or Medicaid benefits. Washington residents can open an ABLE account through the state’s ABLE program. Funds can be used for qualified disability expenses like education, housing, and transportation. Contributions are limited each year, and there are tax benefits [^10].
For SSI in 2025, the federal income limit is $967 per month for an individual and $1,450 for a couple. Washington’s ABD program has its own income and resource limits, which are stricter. The State Supplement Program (SSP) may add to SSI payments, but total income must still be below certain thresholds to qualify for benefits [^4][^5].
It is important to report any changes in income, resources, or health status to SSA and DSHS. Failing to report changes can lead to overpayments, which you may have to repay. If you receive an overpayment notice, contact the agency right away to discuss repayment options. Washington is ending the requirement for some low-income people to pay back ABD benefits, but this change does not take effect until October 2025 [^1].
Contact your local DSHS office or a disability benefits counselor for help with your application. They can guide you through the process and answer your questions.
Yes, Chronic Fatigue Syndrome can qualify for disability if it severely limits your ability to work and is expected to last at least 12 months. You must meet SSA’s medical criteria and apply for SSI or SSDI.
SSI is for people with limited income and resources, regardless of work history. SSDI is for those with a work history and enough Social Security credits. Both programs use the same medical definition of disability.
SSI payments are $967 per month for an individual in 2025. Washington adds a State Supplement to SSI payments. ABD cash grants are up to $450 per month for a single person.
Yes, you should apply for federal programs like SSI or SSDI first. If you qualify, you may also be eligible for state programs like the State Supplement Program or ABD cash assistance.
You need medical records that show your Chronic Fatigue Syndrome diagnosis, how it limits your ability to work, and that it is expected to last at least 12 months. SSA may request additional exams.
Yes, you can work during a trial work period without losing benefits. After that, your benefits may be reduced if you earn above certain limits. Washington also offers work incentives for people with disabilities.
Disclaimer: This guide is for informational purposes only and does not constitute legal or financial advice. Always consult with a qualified professional for your specific situation.
You can apply for Medicaid through Washington’s Healthplanfinder website or at a local DSHS office. Medicaid is available to low-income people with disabilities who qualify for SSI or other programs.
The State Supplement Program (SSP) adds to SSI payments for eligible Washington residents. The amount varies based on living situation and income.
Yes, ABD recipients may be referred to the Housing and Essential Needs (HEN) program for help with rent, utilities, and other basic needs.
If your claim is denied, you can appeal the decision. You have 60 days to file an appeal. You may want to seek help from a disability lawyer or advocate.
