< Back to Social Security Administration

Lukas Fitzgerald

SSI maximum benefits for adult son with Down Syndrome - what housing expense ratio qualifies?

I've been managing SSI benefits for my 26-year-old son who has Down Syndrome for years now, but I'm still confused about how to maximize his monthly payment. He currently receives about $580/month instead of the full SSI amount (around $950). I keep detailed records of all his living expenses - rent to us, food, utilities, etc., but I'm not sure if I'm documenting things correctly or if the ratio of expenses is off. Does anyone know what percentage of household expenses he needs to pay to qualify for the maximum SSI benefit? Is there a specific formula SSA uses? Do we need to charge him exactly 1/3 of everything since we're a family of 3? The SSA rep I spoke with last year was really vague about this, and I keep worrying we're missing out on benefits he's entitled to receive.

Ev Luca

•

This is definitely one of the more confusing aspects of SSI. Your son is likely receiving a reduced amount because of what's called the "one-third reduction rule." Basically, if SSA determines he's living in your household and not paying his fair share of expenses, they reduce his benefit by about 1/3. To get the full Federal Benefit Rate (FBR), he needs to pay what SSA considers his "pro-rata share" of household expenses. That means if there are 3 people in the household, he should be paying 1/3 of the rent/mortgage, food, and utilities. You need to document these payments carefully - preferably with canceled checks or electronic transfers rather than cash. Keep in mind he also needs to be using his own money for these expenses - not just redistributing the SSI funds you receive on his behalf.

0 coins

Thank you for explaining this! We have a mortgage payment of $1,650/month, utilities around $320/month, and food costs about $950/month for the household. So if I understand correctly, he should be paying about $550/month for housing, $107 for utilities, and $317 for food to hit that 1/3 mark? That actually adds up to more than his current SSI payment...

0 coins

Avery Davis

•

We went thru this with my daughter!!!! Its SO FRUSTRATING. We had to do a "rental agreement" even tho she lives with us and they STILL didn't give her the full amount for like 8 months!!!! You need to get something in writing and keep EVERY receipt. They told us she needed to pay "fair market value" but never explained what that meant exactly????

0 coins

Collins Angel

•

I know right? They expect them to pay market rate rent but don't give them enough money to actually do that! Make it make sense lol

0 coins

Marcelle Drum

•

I work as a benefits counselor for people with developmental disabilities. Here's what you need to know: 1. The "one-third reduction rule" applies when someone lives in another person's household and receives both food and shelter from them without paying fair market value. 2. To avoid this reduction, your son needs to pay his fair share of household expenses. This doesn't necessarily mean exactly 1/3 if you have 3 people - it means his proportional share based on the number of people in the household. 3. You have two potential approaches: - Have him pay his pro-rata share of actual household expenses (divide total household costs by number of household members) - Create a formal rental agreement at fair market value for a room in your area 4. Document everything with a paper trail - checks, electronic transfers, receipts. 5. Request a "PMV determination" (Presumed Maximum Value) from SSA where they'll calculate exactly what he should pay. The maximum SSI federal benefit in 2025 is $944, and some states add supplements to this amount.

0 coins

This is really helpful, thank you! We've never heard of the PMV determination. Is that something we request during the annual review or should we make a separate appointment? Also, would it be better to do the rental agreement approach since that might be easier to document?

0 coins

Marcelle Drum

•

To answer your follow-up question, you can request a PMV determination any time - you don't need to wait for the annual review. Just contact your local SSA office and specifically ask for this calculation. Regarding the rental agreement approach versus pro-rata share of expenses, there are pros and cons to both: Rental Agreement approach: - Pros: Cleaner documentation, less ongoing calculation needed - Cons: Must be at fair market value (which might be higher than his benefit amount), and SSA might scrutinize if it seems artificially created just to maximize benefits Pro-rata share approach: - Pros: Often results in a lower total amount he needs to pay, more clearly follows SSA guidelines - Cons: Requires more detailed recordkeeping as expenses change month to month For most families, the pro-rata approach works better because the total amount is typically lower than market rent for a room.

0 coins

That makes a lot of sense. I think we'll try the pro-rata approach since our expenses do fluctuate. One last question - for food expenses, do we need to keep grocery receipts or is a consistent monthly payment from him to us sufficient documentation?

0 coins

Collins Angel

•

my brother has disabilities and gets SSI to, we just have him pay a flat $600 for everything and he gets full benefits. i think its more about showing that hes paying something consistent rather than the exact amount tbh

0 coins

Avery Davis

•

Did you have to provide bank statements? Our caseworker keeps demanding bank statements every 3 months even though nothing changes!!

0 coins

Tate Jensen

•

I've been helping folks navigate SSI for years, and this question comes up constantly. Here's a simplified explanation: The SSA has two rules that might be reducing your son's SSI: 1. The "one-third reduction rule" - applies when someone lives in another person's household and receives food and shelter for free 2. The "presumed maximum value rule" (PMV) - applies when someone gets food and shelter from others but pays something (just not their full share) If you want to maximize his SSI, you need to ensure he's paying his full pro-rata share of household expenses. For a household of 3, that's generally 1/3 of: - Rent/mortgage - Property taxes/insurance (if not in mortgage) - Utilities (electricity, gas, water, garbage) - Food Creating a simple spreadsheet showing these calculations and keeping proof of payment (bank transfers work best) will help tremendously during reviews. The most common mistake I see is families not including ALL household expenses in their calculations, which makes the pro-rata share lower than it should be.

0 coins

This is really clear, thank you! I never thought to include the property taxes separately since they're not part of our mortgage payment. That could definitely help make the numbers work better. Can we include internet and phone bills as utilities?

0 coins

Tate Jensen

•

Yes, you can generally include internet as a utility since it's considered an essential service nowadays. Phone bills are trickier - if it's a shared family plan, you can include his portion. For property taxes, absolutely include those if you pay them separately from your mortgage. Additional household expenses you might be overlooking: - Home maintenance costs - Household supplies (cleaning products, toilet paper, etc.) - Home insurance Keep in mind that even with perfect documentation, dealing with SSA can be incredibly frustrating. They're chronically understaffed and caseworkers can be inconsistent in how they apply the rules.

0 coins

Adaline Wong

•

Speaking of dealing with SSA, if you need to talk to someone about updating your son's living arrangement status, I'd recommend using Claimyr. I was trying for weeks to get through to someone at SSA about my daughter's benefits and kept getting disconnected. Claimyr got me connected to an actual SSA agent in under 10 minutes. Totally worth checking out their video demo at https://youtu.be/Z-BRbJw3puU to see how it works. Saved me hours of frustration when I needed to update my daughter's record after she started paying rent to me.

0 coins

Gabriel Ruiz

•

Everyone here is overthinking this... just have ur son pay "rent" by writing a check each month and depositing it back in his account later if u don't actually need the $. That's what my cousin does with her disabled daughter. SSA doesn't track where the money goes after he pays u.

0 coins

Tate Jensen

•

I strongly advise against this approach. This could be considered fraud if discovered, as it's creating a paper trail for transactions that aren't genuinely occurring. The SSA does occasionally conduct more thorough financial reviews, and banking records showing this pattern could lead to serious consequences, including potential overpayment charges, benefit suspension, or even fraud investigations.

0 coins

Thank you everyone for all this helpful information! I'm going to create a spreadsheet tracking ALL household expenses and calculate his 1/3 share. I'll make sure to include property taxes, home insurance, and internet that I wasn't counting before. I'll also set up bank transfers instead of the cash payments we've been doing. I think I need to contact our local office to request that PMV determination so we can get an official calculation. If I have trouble getting through to them, I might try that Claimyr service since it sounds like it could save a lot of time. It's frustrating that SSA makes this so complicated, but I'm determined to make sure my son gets his full benefit. He deserves it, and every dollar makes a difference in his quality of life.

0 coins

Marcelle Drum

•

Sounds like you have a solid plan! One more tip - when you go in for the PMV determination, bring a folder with all your documentation already organized. Having everything ready tends to make the process go much more smoothly. Good luck!

0 coins

Steven Adams

•

As someone who went through this exact situation with my adult daughter who has autism, I completely understand your frustration! The SSI system seems designed to be confusing. One thing that really helped us was creating a formal "household expense sharing agreement" that we both signed. It clearly outlined exactly what expenses she was responsible for and how much. This made it much easier when the SSA reviewer asked for documentation. Also, don't forget about seasonal expenses that might affect your calculations - things like higher heating bills in winter or air conditioning in summer. We found it was better to average these out over the year rather than having her payment fluctuate month to month. The key is consistency and documentation. Once you get the system set up properly, it becomes much more manageable. Your son is lucky to have such an advocate looking out for his benefits!

0 coins

That's a great idea about the formal household expense sharing agreement! I never thought about putting it in writing like that, but it makes so much sense to have everything documented upfront. Did you have to get it notarized or anything, or was just having both signatures sufficient for SSA? The seasonal expense averaging is also really smart - our utility bills definitely swing pretty dramatically between summer and winter. I was wondering how to handle that without making his payments inconsistent. It's reassuring to hear from other parents who've navigated this successfully. Sometimes it feels like you're fighting the system alone, but knowing others have figured it out gives me hope we can too!

0 coins

Diego Mendoza

•

I went through a similar situation with my son who has intellectual disabilities. One thing I learned the hard way is that you should also keep records of any other income sources your son might have - even small amounts from things like birthday gifts or occasional odd jobs can affect his SSI calculation. Also, when you're documenting the household expenses, make sure you're only including the expenses that actually benefit him directly. For example, if you have a home office that he doesn't use, don't include that portion of utilities or space in the calculation. SSA can be pretty strict about this. I'd recommend calling ahead before going to the SSA office to make sure you bring exactly what they need for the PMV determination. Different offices sometimes ask for different documentation, and it's so frustrating to make the trip only to be told you need additional paperwork. The good news is once you get it straightened out, the increased monthly payment really does make a meaningful difference. Hang in there - you're doing great advocating for your son!

0 coins

This is such valuable advice about tracking other income sources - I hadn't thought about how even small gifts could affect his benefits. We do get occasional checks from family members for birthdays and holidays, so I'll need to make sure we're reporting those properly. Your point about only including expenses that directly benefit him is really important too. We have a basement that he never uses, so I shouldn't include that square footage in any rent calculations. These details really matter when dealing with SSA! I'm definitely going to call ahead before making the trip to the office. After reading everyone's experiences here, it sounds like being over-prepared is the way to go. Thanks for the encouragement - it helps to know that getting through this bureaucratic maze is actually worth it in the end!

0 coins

I've been helping families with SSI issues for over 15 years, and your situation is extremely common. The reduced benefit amount you're seeing is almost certainly due to the "in-kind support and maintenance" (ISM) rules that reduce SSI when someone receives food and shelter assistance. Here's what you need to do to get the full $943 Federal Benefit Rate for 2025: 1. Calculate your son's EXACT pro-rata share of ALL household operating expenses. This includes mortgage/rent, utilities, food, property taxes, homeowner's insurance, basic maintenance, and household supplies. 2. Set up documented monthly payments from his account to yours - preferably electronic transfers with clear descriptions like "household expenses" or "pro-rata share." 3. Keep a monthly ledger showing total household expenses divided by number of household members. The math needs to be precise. If your total monthly household operating expenses are $2,920 (your numbers), his share would be approximately $973. This might seem like more than his current benefit, but remember - once he starts paying the proper amount, his SSI will increase to the full rate, giving him enough to cover these expenses. I'd strongly recommend requesting a formal PMV determination from SSA to get their official calculation. This protects you from future disputes about the arrangement.

0 coins

This is exactly the kind of detailed breakdown I was hoping to find! The $973 calculation makes sense when you put it that way - I was getting worried that he'd need to pay more than he receives, but you're right that his SSI should increase to cover it once we get the arrangement properly documented. I really appreciate you mentioning the "in-kind support and maintenance" terminology - that's probably the official term I should be using when I call SSA for the PMV determination. Having the right language definitely helps when dealing with government agencies. One quick question - when you say "basic maintenance," what exactly does that include? Things like lawn care, minor repairs, cleaning supplies? I want to make sure I'm not missing anything that could legitimately be included in the household operating expenses. Thank you so much for sharing your expertise - it's incredibly helpful to get advice from someone with 15 years of experience navigating these issues!

0 coins

Gemma Andrews

•

I'm new to navigating SSI benefits and this thread has been incredibly helpful! My 23-year-old brother has autism and we've been struggling with similar issues. He's currently getting about $620/month instead of the full amount, and after reading all these responses, I realize we've probably been doing the household expense calculations all wrong. A couple of questions for those who've been through this process: 1. When calculating food expenses, do you include things like eating out occasionally or just groceries? 2. For utilities, what about subscription services like streaming that the whole family uses - can those be included? 3. How often does SSA typically review these arrangements once you get them set up properly? I'm going to start putting together a spreadsheet like several of you suggested, but want to make sure I'm including the right categories from the beginning. It's so overwhelming trying to figure out all these rules, but seeing that other families have successfully navigated this gives me hope we can get my brother the full benefits he's entitled to receive. Thanks to everyone who's shared their experiences - this community is amazing!

0 coins

Dmitry Petrov

•

Welcome to this community, Gemma! I'm glad you found this thread helpful - I was feeling pretty overwhelmed too when I first started trying to figure all this out. To answer your questions based on what I've learned from everyone here: 1. For food expenses, I think it's safest to stick with groceries and regular household food costs. Occasional eating out is probably more of a personal expense rather than a shared household operating expense. 2. For streaming services that everyone uses, that seems reasonable to include as a household utility, but you might want to verify that with the SSA office when you request your PMV determination. 3. From what others have mentioned, it sounds like once you get the arrangement properly documented and approved, they typically review it during the annual SSI review process. I'm also just starting this process for my son, so I'm definitely not an expert! But the advice from @Madeline Blaze about getting the official PMV determination seems really important - that way you ll'have SSA s'own calculation to work from rather than guessing. The spreadsheet approach seems to be working well for several families here. Good luck getting your brother s'benefits sorted out - it sounds like we re'both going to be doing a lot of paperwork, but it ll'be worth it to get them the full amount they deserve!

0 coins

Ellie Simpson

•

Just wanted to add something that helped us tremendously - when documenting your son's payments for household expenses, make sure the bank transfer descriptions are very specific. Instead of just "rent" or "household," we use descriptions like "1/3 household expenses per SSA guidelines" or "pro-rata share mortgage/utilities/food." Our caseworker mentioned this level of detail in the transaction descriptions made their review much smoother because it was immediately clear what the payments were for and that we understood the SSA requirements. It's a small thing, but every bit helps when dealing with their reviews! Also, if your son has a representative payee account, double-check with your bank about any restrictions on transfers between accounts. Some banks flag frequent transfers between payee accounts and personal accounts, so it's worth discussing the arrangement with them upfront to avoid any holds or questions later.

0 coins

Social Security Administration AI

Expert Assistant
Secure

Powered by Claimyr AI

T
I
+
20,087 users helped today