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How Much Does a Child With Autism Get From SSI?

The maximum SSI benefit amount for a child with autism in 2021 is $794 per month.

steven zauderer
Steven Zauderer
September 20, 2023
5
min read

What Is SSI?

The Social Security Administration (SSA) provides financial assistance to children with disabilities, including autism, through the Supplemental Security Income (SSI) program.

SSI is a needs-based program that provides monthly payments to eligible individuals who have limited income and resources.

How Much Does a Child With Autism Get From SSI?

The maximum SSI benefit amount for a child with autism in 2021 is $794 per month. However, the actual benefit amount a child receives may be less than this if their income or resources exceed the limits set by the SSA.

In addition to the monthly benefit amount, children with autism who receive SSI may also be eligible for Medicaid, which provides health insurance coverage for medical and mental health services.

To qualify for SSI benefits, a child with autism must meet the SSA's definition of disability and have limited income and resources.

The SSA considers income to be any money a child receives from any source, including wages, Social Security benefits, and gifts. Resources include any assets a child owns, such as cash, bank accounts, and property.

For 2021, the SSA considers a child's income to be limited if it is $794 or less per month.

The SSA also limits the amount of resources a child can have to $2,000 or less. If a child's income or resources exceed these limits, they may not be eligible for SSI benefits.

Living Arrangements

The amount of SSI benefits a child with autism can receive also depends on their living arrangements. If a child lives with their parents or another relative, the SSA will consider a portion of the household's income and resources when determining the child's eligibility and benefit amount.

If a child lives in their own household, the SSA will consider their income and resources only. However, the SSA may reduce the child's benefit amount if they receive free food or shelter from someone else.

What is the SSA Benefits Program?

The Social Security Administration (SSA) provides financial assistance to individuals with disabilities through several programs, including SSI. The SSA Benefits program is designed to provide income support to people who are unable to work due to their disability. This program helps individuals and families meet their basic needs by providing monthly cash payments.

In addition to SSI, the SSA offers other programs such as Social Security Disability Insurance (SSDI), which provides benefits to people who have worked and paid Social Security taxes but are now unable to work due to a disability. Unlike SSI, SSDI benefits are not based on financial need but on the individual's work history.

It's important to note that applying for and receiving benefits from these programs can be a complex and lengthy process. It's recommended that individuals seek help from an experienced attorney or advocate who can guide them through the process and ensure they receive all of the benefits they're entitled to.

How To Qualify for the SSI Benefits Program

To qualify for the SSI Benefits program, an individual must meet certain eligibility criteria. First, they must be disabled, blind, or over 65 years old. Disability is defined as a physical or mental impairment that prevents an individual from engaging in substantial gainful activity and is expected to last for at least 12 months or result in death.

Second, applicants must have limited income and resources. For 2021, the income limit is set at $794 per month for individuals and $1,191 per month for couples. The resource limit is set at $2,000 for individuals and $3,000 for couples.

Third, applicants must be U.S. citizens or legal residents who have lived in the country continuously for at least five years.

Finally, applicants must apply for other benefits they may be eligible for before applying for SSI. This includes Social Security Disability Insurance (SSDI) if they have worked in the past and paid into Social Security.

It's important to note that meeting these eligibility criteria does not guarantee approval of SSI benefits. The application process can be complex and lengthy, requiring extensive documentation of disability and financial status. It's recommended that applicants seek help from an experienced attorney or advocate who can guide them through the process and ensure they receive all of the benefits they're entitled to.

Financial Requirements To Qualify for Benefits

To qualify for SSI benefits, financial requirements are crucial. As mentioned previously, the SSA considers income and resources to determine eligibility.

In addition to the income and resource limits already discussed, the SSA also takes into account an applicant's living expenses, such as rent or mortgage payments, utilities, and food expenses. These living expenses can impact the amount of SSI benefits a child with autism can receive.

The SSA may also reduce a child's SSI benefits if they receive financial support from other sources. For example, if a child receives child support payments from a non-custodial parent or has access to a trust fund or inheritance, these funds may be considered when determining SSI eligibility and benefit amounts.

It's important to note that while having limited income and resources is necessary to qualify for SSI benefits, it does not guarantee approval. The SSA will consider all aspects of an applicant's financial situation when making their determination.

Therefore, it's essential that applicants provide accurate and detailed information about their income, resources, and living expenses when applying for SSI benefits. Seeking assistance from an experienced attorney or advocate can help ensure that all necessary documentation is provided and increase the likelihood of receiving approval for SSI benefits.

Common Challenges Families May Face When Applying for SSI Benefits for a Child with Autism

Applying for SSI benefits can be a daunting process, and families of children with autism may face unique challenges. Here are some common challenges families may encounter when applying for SSI benefits:

Difficulty Proving Disability

One of the biggest challenges families may face is proving that their child meets the SSA's definition of disability. To qualify for SSI benefits, a child must have a physical or mental impairment that prevents them from engaging in substantial gainful activity and is expected to last at least 12 months or result in death.

For children with autism, it can be difficult to demonstrate the severity and impact of their condition on daily functioning. Families may need to provide extensive documentation from medical professionals, including doctors, therapists, and psychologists, to prove that their child meets the eligibility criteria.

Lack of Access to Resources

Families who live in rural areas or who have limited access to healthcare services may struggle to obtain the necessary documentation and support needed to apply for SSI benefits. This lack of access can create additional barriers to obtaining financial assistance for their child's care.

Financial Burden During Application Process

The application process for SSI benefits can be lengthy and complex. Families may experience financial strain while waiting for approval or during the appeals process if their initial application is denied.

Additionally, families may need to pay out-of-pocket expenses for medical evaluations, legal fees, and other costs associated with the application process.

Limited Funds Available

Even if a child is approved for SSI benefits, the monthly payment amount may not be enough to cover all of their necessary expenses. Families may need to find additional sources of financial support or make difficult choices about which services or treatments they can afford.

It's important for families applying for SSI benefits for a child with autism to understand these potential challenges and seek assistance from experienced attorneys or advocates who can guide them through the process. With proper support and preparation, families can increase their chances of obtaining much-needed financial assistance for their child's care.

Conclusion

In conclusion, the amount of SSI benefits a child with autism can receive depends on several factors, including their income, resources, and living arrangements. The maximum SSI benefit amount for a child with autism in 2021 is $794 per month, but the actual benefit amount may be less depending on the child's circumstances. If you have any questions about SSI benefits for children with autism, you can contact your local SSA office for more information.

steven zauderer

CEO of CrossRiverTherapy - a national ABA therapy company based in the USA.

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