Can a child with autism be denied SSI?

Answered by Stephen Mosley

A child with autism can be denied Supplemental Security Income (SSI) benefits. There are various reasons why a child with autism may be denied SSI, but financial limitations are often the top reason. SSI benefits are based on financial need, and if the child’s family income or resources exceed the eligibility limits set by the Social Security Administration (SSA), the child may not qualify for SSI.

The SSA has specific income and resource limits that determine eligibility for SSI benefits. These limits are adjusted annually and vary based on the number of people in the household. If the child’s family income or resources exceed these limits, the child may be denied SSI benefits.

It is important to note that SSI benefits are means-tested, meaning they are based on financial need. This means that even if a child meets the medical criteria for autism, they may still be denied SSI if their family’s income or resources are above the SSA’s limits.

However, it is worth mentioning that once a child with autism turns 18, they may qualify for SSI benefits regardless of whether they are still living at home. This is because the SSA considers an individual’s income and resources separately once they reach adulthood. So even if the child’s parents have a higher income, the child may still be eligible for SSI benefits if their own income and resources are within the limits.

In addition to financial limitations, there may be other reasons why a child with autism is denied SSI. These reasons can include not meeting the medical criteria for autism as defined by the SSA, lack of sufficient medical evidence to support the disability claim, or failure to follow the application process correctly.

It is important for parents or guardians of children with autism who are seeking SSI benefits to gather all necessary medical and supporting documentation to prove the child’s disability. This may include medical records, evaluations, school reports, and any other relevant information that demonstrates the child’s impairment and its impact on their daily functioning.

It is also recommended to seek assistance from a qualified attorney or disability advocate who specializes in Social Security benefits. They can guide parents through the application process, help gather the necessary documentation, and represent the child’s case if it comes to an appeal.

While it can be disheartening to have a child with autism denied SSI benefits, it is important to remember that the decision can be appealed. Often, the initial denial is due to a lack of sufficient evidence or a misunderstanding of the disability criteria. By providing more information and supporting documentation, there is a chance of having the denial overturned on appeal.

A child with autism can be denied SSI benefits, primarily due to financial limitations. However, once the child turns 18, they may qualify for SSI benefits regardless of their living situation. It is crucial to gather all necessary medical and supporting documentation and seek assistance from a qualified professional to navigate the application process and potentially appeal a denial.