Autism Spectrum Disorder (ASD) can significantly impact daily life, making it challenging for some individuals to sustain employment. Social Security disability benefits can provide financial assistance to those whose autism prevents them from working. However, getting disability for autism is a complex process.
In this guide, we’ll cover everything you need to know about qualifying for disability benefits for autism. Our Social Security disability lawyers at Ascend Disability can evaluate your case for free and help you navigate the claims process.
What is Autism Spectrum Disorder (ASD)?
Autism Spectrum Disorder (ASD) is a neurological and developmental condition that affects how individuals communicate, interact socially, and behave. It is called a “spectrum” because the symptoms and their severity can vary widely. Some individuals with autism may have mild challenges in communication or social settings, while others experience more significant impairments, requiring lifelong support.
Common characteristics of ASD include:
- Difficulties with communication (both verbal and non-verbal)
- Challenges in forming relationships and understanding social cues
- Restricted or repetitive behaviors, such as routines or fixations on certain interests
- Sensory sensitivities, including heightened reactions to sounds, textures, or lights
ASD is typically diagnosed in early childhood and can impact individuals throughout their lives.
Is Autism a Disability?
Autism Spectrum Disorder (ASD) is recognized by the Social Security Administration (SSA) as a developmental disorder that affects communication, social interaction, and behavior. According to the SSA’s Blue Book listing for mental disorders (12.10), individuals with autism must demonstrate:
- Deficits in communication: Difficulties in both verbal and non-verbal communication.
- Impaired social interaction: Challenges in forming and maintaining relationships.
- Repetitive behaviors or interests: Restricted and repetitive activities, often accompanied by resistance to change.
The SSA also requires that these symptoms cause marked or extreme limitations in at least two functional areas, such as the ability to interact with others, focus on tasks, understand information, or manage emotions.
Can You Get Disability for Autism as an Adult?
Yes, adults with autism may qualify for disability benefits if their symptoms prevent them from working. There are two primary Social Security programs available to individuals with autism:
- Social Security Disability Insurance (SSDI): Available to individuals who have worked and contributed to the Social Security system.
- Supplemental Security Income (SSI): A needs-based program for individuals with limited income and resources, including those who have never worked.
Adults with autism can qualify in two ways:
- Meeting the SSA’s Blue Book criteria: Medical documentation must show significant impairments in communication, social functioning, and repetitive behaviors.
- Medical-Vocational Allowance: If the autism diagnosis does not fully meet the SSA criteria, applicants may still qualify by proving they cannot perform any job due to their limitations.
For those with high-functioning autism, proving a disability can be challenging since their symptoms may not seem severe enough to prevent employment. However, with strong medical evidence and assistance from a disability lawyer, individuals can improve their chances of approval.
How to Apply for Social Security Disability Benefits for Autism
Applying for disability benefits involves multiple steps. Whether applying for SSDI or SSI, individuals or their representatives need to provide comprehensive documentation of the disability. Below is a breakdown of the steps involved:
Gather Medical Documentation
- Include medical records showing autism diagnosis, treatments, and therapy sessions.
- Obtain reports from doctors, therapists, and psychologists detailing the impact of autism on daily functioning.
- School records (for younger applicants) and Individualized Education Plans (IEPs) can provide additional evidence.
Submit an Application
Apply for SSDI through the SSA’s website. Our disability attorneys can guide you through the Social Security disability application process.
The Social Security Administration may ask for follow-up medical evaluations or require you to see their designated physician. Be prepared to provide further evidence, such as psychological test results.
Await a Decision
Initial applications often take several months to review. If denied, applicants can file an appeal and request a hearing before an administrative law judge.
SSI Benefits for Autistic Children
Children with autism can qualify for SSI benefits if they meet both medical and financial requirements. Unlike adults, children’s eligibility focuses on how autism impacts their developmental milestones and daily functioning rather than work limitations.
Medical Requirements
The SSA evaluates children under Blue Book listing 112.10, which mirrors the adult listing for autism but considers whether the child’s behaviors and abilities are age-appropriate.
Key evidence includes reports from doctors, school records, and standardized test results showing deficits in communication, social interaction, and repetitive behaviors.
Children must show marked or extreme limitations in two or more developmental areas, such as social interactions or completing tasks.
Financial Requirements
SSI is means-tested, meaning parents’ income and assets may affect the child’s eligibility. If family resources exceed the SSA’s thresholds, SSI benefits could be denied. Once the child turns 18, only their income is considered, which may make it easier to qualify.
How a Social Security Disability Lawyer Can Help
Navigating the application process for autism-related disability benefits can be overwhelming. Having an experienced Social Security disability lawyer can greatly improve the chances of success. Here are some ways Ascend Disability can assist:
Case Evaluation
Whether you are seeking benefits for yourself or a child, understanding the SSA’s definitions and eligibility requirements is key to securing the financial support you need. A lawyer will review your case to determine whether you qualify for disability benefits.
Documentation
Our legal team can help gather and organize all necessary medical records, school reports, and other supporting documents. Disability lawyers understand how to demonstrate the severity of your autism and any co-occurring conditions (such as anxiety or ADHD) to increase your chance of approval.
Application Assistance
A Social Security disability lawyer can assist with filing the initial application to reduce the chance of errors.
Appealing a Denied Claim
If your Social Security disability claim is denied, an attorney will represent you through the appeal process, including hearings before an administrative law judge.
No Upfront Fees
At Ascend Disability, legal fees are typically contingent on winning your case, meaning you don’t pay unless you receive benefits.
Contact Ascend Disability for a Free Consultation
Applying for disability benefits for autism can be complex, but individuals and families don’t have to navigate the process alone. Whether you are seeking benefits for yourself or a child, Ascend Disability is here to help. We serve clients across Texas, Louisiana, Oklahoma, and beyond, ensuring every client receives personalized support throughout the disability process.
Call Ascend Disability today at (855) 445-9787 or use our contact form to schedule a free consultation and take the first step toward securing the benefits you deserve.
