Down Syndrome Benefits in Wyoming: 2025 Guide

To qualify for federal disability benefits in Wyoming, you must have a medical condition that meets the Social Security Administration’s (SSA) definition of disability. For Down Syndrome, this is generally automatic because it is listed as a qualifying condition. You must also meet work history requirements for SSDI or income and asset limits for SSI. Most people with Down Syndrome qualify for SSI, especially if they are under age 18 or have limited income. Adults with work history may also qualify for SSDI. Both programs require U.S. citizenship or lawful residency and proof of disability through medical records [7].

Wyoming does not have a state disability program, but people with Down Syndrome can get Medicaid if they meet income and disability requirements. The Employed Individuals with Disabilities (EID) program lets working adults with disabilities get Medicaid by paying a monthly premium. To qualify, you must be a Wyoming resident, U.S. citizen or lawful permanent resident, employed, disabled (verified by SSA or Wyoming Department of Health), age 16–64, and have income at or below 300% of the Federal Benefit Rate. Earned income is not counted for eligibility, but the premium is based on total income [1].

• Gather medical records and proof of income.
• Apply for SSI/SSDI online, by phone, or at a Social Security office.
• If eligible, apply for Wyoming Medicaid or the EID program.
• Submit all required documents and follow up on your application status.

• Step 1: Get medical records that show your Down Syndrome diagnosis and any related health issues.
• Step 2: Apply for SSI or SSDI through the SSA website, by phone (1-800-772-1213), or at a local Social Security office. You can also apply in person at one of Wyoming’s five field offices [3].
• Step 3: If you are approved for SSI or SSDI, you may automatically qualify for Medicaid. If not, apply for Medicaid or the EID program through the Wyoming Department of Health [1].
• Step 4: Submit all required documents, including proof of income, residency, and disability.
• Step 5: Follow up on your application status and respond to any requests for more information.
• Step 6: If your application is denied, you can appeal the decision. Most people need to appeal at least once before getting approved [2].

• SSI (Supplemental Security Income): Monthly payments for people with low income and limited assets. Most people with Down Syndrome qualify for SSI, especially if they are under age 18 or have limited income.
• SSDI (Social Security Disability Insurance): Monthly payments for people who have worked and paid Social Security taxes. Adults with Down Syndrome who have a work history may qualify for SSDI.
• Medicare: Health insurance for people who get SSDI after a 24-month waiting period.
• Medicaid: Health coverage for people with low income, including those with Down Syndrome who get SSI [7].

• Wyoming Medicaid: Health coverage for low-income individuals with disabilities, including those with Down Syndrome. You can apply if you meet income and disability requirements.
• Employed Individuals with Disabilities (EID) Program: Lets working adults with disabilities get Medicaid by paying a monthly premium. You must be employed, disabled, and meet income limits. The premium is based on your total income.
• Medicaid Waivers (HCBS): Wyoming offers Medicaid waivers for home and community-based services, which can help people with Down Syndrome live independently. These waivers may cover services like personal care, therapy, and support coordination [1].

ABLE accounts let people with Down Syndrome save money without losing SSI or Medicaid benefits. You can use the funds for qualified disability expenses like education, housing, and transportation. Wyoming residents can open an ABLE account through the national ABLE program. Learn more about ABLE accounts and how to apply [ABLE Accounts].

For SSI, the income limit in 2025 is $943 per month for an individual and $1,415 for a couple. For SSDI, there is no strict income limit, but you cannot earn more than the Substantial Gainful Activity (SGA) limit, which is $1,470 per month in 2024 and will likely increase in 2025. For Wyoming Medicaid, income must be at or below 300% of the Federal Benefit Rate [4].

If your income or living situation changes, you must report it to the SSA and Medicaid. Failing to report changes can result in overpayments and penalties. Learn how to avoid overpayments and report changes [Avoiding Overpayments & Reporting Changes].

• Wyoming Department of Workforce Services – Disability Determination Service Center
  Phone: (307) 777-7341

  Website

  For questions about disability determination and Medicaid eligibility.

• Can a child with Down Syndrome get SSI in Wyoming?

  Yes, children with Down Syndrome can get SSI if their family meets income and asset limits. You must apply through the SSA and provide medical proof of the disability. SSI can help pay for medical care, therapy, and other needs.

• Does Wyoming have a state disability program for Down Syndrome?

  No, Wyoming does not have a state disability program. People with Down Syndrome can get federal benefits like SSI and SSDI, as well as state Medicaid if they meet eligibility requirements.

• How do I apply for Medicaid in Wyoming for someone with Down Syndrome?

  You can apply for Medicaid through the Wyoming Department of Health. You will need to provide proof of income, residency, and disability. If you get SSI, you may automatically qualify for Medicaid.

• What is the EID program in Wyoming?

  The Employed Individuals with Disabilities (EID) program lets working adults with disabilities get Medicaid by paying a monthly premium. You must be employed, disabled, and meet income limits. The premium is based on your total income.

• Can adults with Down Syndrome work and still get benefits?

  Yes, adults with Down Syndrome can work and still get SSI or SSDI, but there are limits on how much you can earn. The SGA limit is $1,470 per month in 2024, and will likely increase in 2025. You can also use work incentives to keep your benefits while working.

• What is the average SSI payment in Wyoming?

  The average SSI payment in Wyoming is $548.06 per month. The actual amount depends on your income and living situation. The maximum federal SSI payment in 2025 is $943 per month for an individual.