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ADHD, Benefits, and Some Tough Questions

Were you aware that ADHD can be considered a disability under Social Security guidelines? But do you think of your child as being “disabled”?
ADHD Parenting Blog | Monday November 2nd - 10:41am | More November 2009 Blogs
 

Do I want the word “disabled” attached to my daughter, even if it’s kept confidential in some Social Security Administration computer?

Kay Marner, ADHD Parenting blogger

Did you know that it is possible for some ADHD children to be determined disabled by Social Security standards, thus qualifying them for monthly benefits, and in most states, for Medicaid? A friend of mine recently took her ADHD child for an evaluation at a well-respected specialized school. She’d like to enroll him for a six week stint in their program, but the tuition is hefty, and, with the school being in another state, they’d have significant living expenses for an extended stay away from home. Although they could come up with the money -- once -- if they absolutely had to, choosing to spend it on this school program would be a pretty radical decision, with far-reaching financial implications, for any middle or even upper-middle class household.

So, my friend asked a school representative how other families manage to pay for their services. One answer was that they do so by going to court. Some families argue successfully that their school system is required to fund the tuition under IDEA. Others apply for Supplemental Security Income (SSI) benefits for their child, and then use the benefits to pay for any number of special services and treatments that aren’t covered by medical insurance, the school system, and so on.

While I’ve been extremely thankful for the government assistance (Medicaid funds through a Children’s Mental Health Waiver) we’ve received to help pay for Natalie’s services, I’ve always felt a little guilty about accepting the help. We aren’t rich, but we also aren’t destitute. Intellectually, I believe that if a program exists, and experts determine that Natalie qualifies for it, we should take advantage of it. But I still sometimes wonder: By accepting help, are we taking services away from children who need the help more than we do?

Now, I have this new dilemma. Given Natalie's ADHD and co-existing conditions, and her school performance, I think it’s possible she would qualify for SSI benefits. But is applying for the benefits the right thing to do? Do I want to take more government money? Does our family “deserve” to? And, do I want the word “disabled” attached to my daughter, even if it’s kept confidential in some Social Security Administration computer?

I’m not going to make a decision about applying for this benefit yet. In two weeks, I have an appointment to learn the results of Natalie’s psychological testing. That will give me more information to guide my choice. And, I haven’t even mentioned the topic to my husband. He’ll need time to mull it over, get more information, and maybe even talk it over with another good friend who has a disabled child. Besides, Natalie is only nine. We can always start the application process later, if we decide to do so.

Were you aware that ADHD can be considered a disability under Social Security guidelines? Have you applied for benefits for your ADHD child? Will you look into doing so, now that you read this? Are you conflicted about whether or not you “deserve” help, or are you simply grateful when your child qualifies for assistance? Do you think of your child as being “disabled”?

It’s a lot to think about, isn’t it?

9 Comments:

  • Posted by Kay Marner - Nov 6 2009 @ 2:52 PM
    Remedial Services
    Can you tell kids haven't had school this week--I'm only on computer a few minutes at a time! Here's one more link--to explain Iowa's remedial services. Again, probably differs by state. Looks like kids have to be on Medicaid in order to qualify (possibly via the Children's Mental Health Waiver). http://www.ime.state.ia.us/Providers/RemedialServices.html
  • Posted by Kay Marner - Nov 5 2009 @ 8:27 PM
    Childrens Mental Health Waiver
    Here is a link to CMS, Centers for Medicare and Medicaid Servies, explaining what waivers are, and listing those available in each state. http://www.cms.hhs.gov/MedicaidStWaivProgDemoPGI/MWDL/list.asp And, here is an explanation of Iowa's Children's Mental Health Waiver, as an example. http://www.dhs.iowa.gov/rts/wCMH.htm Kay
  • Posted by 3medinakids - Nov 5 2009 @ 5:58 PM
    SSI FOR MY 2 BOYS.
    DOES ANYONE LIVE IN CALIFORNIA THAT DIDNT GET HELP ONCE THEY APPLY BECAUSE OF FINANCIAL REASON LET ME KNOW IF A LAWYER IS NEED FOR THAT SO I CAN GET ONE NOW MY INCOME HAS CHANGE I WILL REAPPLY AGAIN. WHATS A MENTAL HEALTH WAIVER?
  • Posted by Kay Marner - Nov 5 2009 @ 10:15 AM
    Childrens Mental Health Waiver
    I believe that states differ on this, but in Iowa, you pick up an application at your nearest Department of Human Services office. I'd start there. It's a wonderful program that I'm very thankful for. Pays for respite, skill building, in-home therapy--and the child receives Medicaid along with it, which pays for nearly all medical bills. There's also something called Remedial Services that is a separate program. It pays for "catching up" on learning life skills. When we applied for Remedial Services some time ago, our then-in-home therapist assisted, so I'm not sure...but I would ask at Department of Human Services about that also. As for further info about Social Security--I looked online again, and the rest of the info I found was on non-government sites, so I hesitate to recommend them--can't vouch for their accuracy. Google at your own risk, I guess! Or go straight to the experts--Social Security Administration.
  • Posted by ASpicer - Nov 4 2009 @ 11:56 PM
    Childrens mental health waiver
    How do you go about getting the childrens mental health waiver?
  • Posted by Kay Marner - Nov 4 2009 @ 3:28 PM
    link
    Here's a link to where ADHD is listed as a condition that could be considered a disability. http://www.socialsecurity.gov/disability/professionals/bluebook/112.00-MentalDisorders-Childhood.htm I'll look for more links--I know I read a more general description somewhere.
  • Posted by 1boy1girlmom - Nov 4 2009 @ 2:10 PM
    Did not know the information
    My son has ADHD and he is getting a full speech and language eval finally this month but I did not know about SSI, Medicaid and a Children's Mental Health Waiver. I looked on the SSI website but had no clue what part to start with. As far as the other two; I do not even know where to start, please steer me in the right direction. Thanks so much.
  • Posted by Kay Marner - Nov 4 2009 @ 11:34 AM
    the SSI decision
    I'll definitely let you know. Last night's school conference was a nudge toward deciding to apply. Grieving today. Sigh.
  • Posted by M Merrell - Nov 4 2009 @ 11:18 AM
    ADHD Benefits and Tough Questions
    Wow - great information. I am in the same place with my ADHD children. Also on Children's Mental Health Waiver. I'd be interested to know what you decide to do.
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