Sensory Processing Disorder Benefits in Wisconsin

• To qualify for Social Security Disability Insurance (SSDI), you must have worked in jobs covered by Social Security and have a disability that prevents you from working for at least 12 months. You must also meet the Social Security Administration's work credit requirements (usually 20 credits in the last 10 years) [^1].
• For Supplemental Security Income (SSI), you must have limited income and resources, and your disability must meet Social Security's definition of disability. SSI is for people with low income and assets, regardless of work history [^1].
• Social Security considers Sensory Processing Disorder under its listings for mental disorders or neurological disorders if it causes severe limitations in daily life or work [^1].
• Medicaid eligibility for people with disabilities is based on income, assets, and disability status. Wisconsin uses the Social Security definition of disability for most Medicaid programs [^2].

• In Wisconsin, people with Sensory Processing Disorder may qualify for Medicaid programs like Family Care Partnership, IRIS, and the Medicaid Purchase Plan if they meet income and disability criteria [^2].
• Wisconsin also offers the Wisconsin Retirement System (WRS) disability benefits for state employees who become disabled while working. This provides short-term, long-term, or lifetime annuity benefits [^3].
• The state's Disability Benefits Specialists (DBS) at Aging and Disability Resource Centers (ADRCs) help people ages 18-59 with disabilities understand and access benefits, including Social Security, Medicaid, and Medicare [^4].
• Some state programs may have additional requirements, such as residency or age limits. Always check with your local ADRC or the Wisconsin Department of Health Services for the most current rules [^4].

• Contact your local Aging and Disability Resource Center (ADRC) for help with benefits applications.
• Apply for Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) online at ssa.gov or by phone.
• Apply for Wisconsin Medicaid through the Department of Health Services website or with help from an ADRC.
• Complete all required forms and provide medical evidence of your disability.

• Step 1: Gather medical records and documentation that show how Sensory Processing Disorder affects your daily life and ability to work.
• Step 2: Contact your local Aging and Disability Resource Center (ADRC) for free help with benefits applications and eligibility questions [^4].
• Step 3: Apply for Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) online at ssa.gov, by phone at 1-800-772-1213, or in person at a Social Security office [^5].
• Step 4: Apply for Wisconsin Medicaid through the Department of Health Services website or with help from an ADRC [^2].
• Step 5: Complete all required forms and submit them with your medical evidence.
• Step 6: Follow up on your application and respond to any requests for more information.
• Step 7: If denied, you can appeal the decision. ADRCs and Disability Rights Wisconsin can help with appeals [^4].

• Social Security Disability Insurance (SSDI): Provides monthly payments to people who have worked and paid Social Security taxes and are unable to work due to a disability [^1].
• Supplemental Security Income (SSI): Provides monthly payments to people with disabilities who have limited income and resources [^1].
• Medicaid: Provides health coverage to people with disabilities who meet income and asset limits [^1].
• Medicare: Available to people who receive SSDI after a 24-month waiting period [^1].

• Wisconsin Medicaid Programs: Includes Family Care Partnership, IRIS, Medicaid Purchase Plan, and Qualified Disabled and Working Individual programs for people with disabilities [^2].
• Wisconsin Retirement System (WRS) Disability Benefits: Provides income for state employees who become disabled while working [^3].
• Disability Benefits Specialist Program: ADRCs offer free help with understanding and applying for benefits [^4].
• State Group Health Insurance: Available to state employees and may include disability coverage [^6].
• Income Continuation Insurance (ICI): Replaces up to 75% of salary if unable to work for at least 30 days due to disability [^6].

ABLE accounts allow people with disabilities to save money without losing eligibility for SSI or Medicaid. Wisconsin offers ABLE accounts through the state's ABLE program. Contributions are limited, and funds can be used for qualified disability expenses [^7].

Income limits for SSI and Medicaid vary by program and household size. For SSI, the 2025 federal benefit rate is $943 per month for an individual. Wisconsin may have higher limits for some Medicaid programs. Always check with your local ADRC or the Department of Health Services for current limits [^2].

You must report changes in income, resources, or living situation to avoid overpayments. Failure to report can result in penalties or loss of benefits. Use the SSA website or contact your local Social Security office to report changes [^8].

• Aging and Disability Resource Centers (ADRC)
  Phone: 1-877-898-9101

  Website

  Find your local ADRC for help with benefits applications.
• Social Security Administration
  Phone: 1-800-772-1213

  TTY: 1-800-325-0778

  Hours: Monday–Friday, 8 a.m.–7 p.m.

  Website

  Apply for SSDI or SSI.

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

  Yes, if Sensory Processing Disorder severely limits your ability to work or perform daily activities, you may qualify for SSDI, SSI, or Medicaid. You must meet the Social Security Administration's definition of disability and provide medical evidence [^1].

• How do I apply for disability benefits in Wisconsin?

  Contact your local Aging and Disability Resource Center (ADRC) for help. You can also apply for SSDI or SSI online at ssa.gov, by phone, or in person. Apply for Medicaid through the Department of Health Services website or with ADRC help [^4].

• What is the difference between SSDI and SSI?

  SSDI is based on your work history and Social Security taxes paid. SSI is for people with limited income and resources, regardless of work history. Both require a qualifying disability [^1].

• What Medicaid programs are available in Wisconsin for people with disabilities?

  Wisconsin offers Medicaid programs like Family Care Partnership, IRIS, Medicaid Purchase Plan, and Qualified Disabled and Working Individual programs for people with disabilities who meet income and asset limits [^2].

• Can I work while receiving disability benefits in Wisconsin?

  Yes, but there are limits. If you earn more than the substantial gainful activity limit, your disability benefits may be suspended. Check with Social Security or your benefits provider for current limits [^3].

• What is an ABLE account and how can it help me?