Social Security denied my Child-in-Care claim because my disabled daughter attends day program - is this correct?
I'm so frustrated with Social Security right now! I had my phone appointment yesterday to apply for Child-in-Care benefits since I care for my adult daughter who has autism, intellectual disabilities and seizures. The claims rep shut me down almost immediately when I mentioned my income (I make about $84K per year). I understand there's an earnings limit, but after pushing for more explanation, I realized I might actually qualify next year when I reach my FRA since the earnings test works differently then. But here's what really bothers me: When I explained that my daughter needs substantial care (I help her with medications, appointments, daily living tasks, etc.), the rep said I couldn't qualify because my daughter attends a day program 3 days a week. The rep literally said I would need to be with her "24/7" and that "the person has to practically be an invalid" to qualify! That can't be right? My daughter needs continuous supervision and substantial assistance even though she can do some basic tasks. She can't be left alone safely due to her seizures. The day program actually has medical staff on site for her seizure management. I've looked at some POMS guidelines online and they don't seem to require 24/7 care to qualify. Has anyone successfully gotten Child-in-Care benefits while their disabled adult child attended a day program or school? Am I misunderstanding the rules here? I feel like the rep was just looking for quick reasons to deny me without fully understanding my situation.
16 comments
Keisha Robinson
That SSA rep was WRONG! I've been receiving child-in-care benefits for 3 years while my son attends a vocational program 20 hours weekly. The requirement isn't 24/7 physical presence - it's about providing REGULAR CARE AND SUPERVISION. The POMS section is GN 00304.260 if you want to look it up. The key factors are: 1) Your child must have a disability that requires personal care and supervision 2) You must be exercising parental control and responsibility 3) You must be providing (or making arrangements for) that care Attending a day program doesn't disqualify you! In fact, SSA specifically mentions schooling or institutional care doesn't automatically mean you're not providing care. Print out the POMS and request a different representative or supervisor.
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Yara Haddad
•Thank you so much for that POMS reference! I'm going to look it up right away. Did you have to fight with them to get approved initially, or did you get a rep who understood the rules? I'm wondering if I should try reapplying with a different rep or go straight to requesting a supervisor.
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Paolo Conti
My sister went through something similar last year. The first rep told her no way because her son goes to a special needs program during weekdays. She called back, got a different person, and was approved! Sometimes it depends who answers the phone. Good luck!
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Amina Sow
•This is SO common with SSA! I worked there for 22 years before retiring, and the training on Child-in-Care benefits is surprisingly minimal for many claims reps. The 24/7 care requirement mentioned by the rep is completely incorrect. The actual requirement is that you exercise parental control and responsibility and provide (or arrange for) personal services, supervision, and care for the child. Day programs are fully compatible with receiving benefits. The income limit for 2025 is approximately $63,600 for those under FRA. You're correct that once you reach FRA (Full Retirement Age), the earnings test works differently for the months after you reach FRA. I'd recommend calling back and specifically requesting someone who specializes in Child-in-Care benefits, or ask to speak with a Technical Expert or supervisor. If you're denied again, request the denial in writing so you can appeal. The appeals process often brings your case to more knowledgeable staff who better understand these nuanced rules.
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GalaxyGazer
what does FRA mean? im confused about all these terms... is that like full retirement? does that mean u have to be retirement age to get benefits for taking care of ur disabled kid?? seems weird. sorry if dumb question
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Keisha Robinson
•FRA = Full Retirement Age (between 66-67 depending on birth year). You don't have to be retirement age to get child-in-care benefits, but you do need to be caring for a child who receives Social Security benefits on your record. It gets complicated because there are earnings limits that change once you reach FRA.
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Oliver Wagner
I've been through this EXACT situation with my son who has Down syndrome. The first rep told me I was ineligible because my son attends a sheltered workshop program. I hung up and called back a week later, got a different rep, and was approved without any issues. The rule is NOT that your child has to be literally helpless or that you must provide every moment of care personally. That's ridiculous and not what the law says at all. If your daughter can't safely be left alone due to her condition and you're responsible for arranging and managing her care (which includes appropriate day programs!), you should qualify. I'd suggest trying again. Social Security is a huge agency and knowledge varies tremendously from one worker to another.
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Yara Haddad
•That's really encouraging to hear! You're right, my daughter absolutely cannot be left alone because of her seizure disorder and cognitive limitations. I'm going to try calling again. Did you happen to mention the previous denial when you called back the second time? I'm wondering if I should bring it up or just start fresh.
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Natasha Kuznetsova
If you're having trouble getting through to a knowledgeable rep at Social Security, I'd recommend using Claimyr. I was in a similar situation trying to resolve a child-in-care benefit issue and kept getting disconnected or waiting for hours. I found this service at claimyr.com that got me connected to an actual SSA agent in about 15 minutes instead of spending hours on hold. They have a video showing how it works: https://youtu.be/Z-BRbJw3puU When I finally got through, I asked specifically for someone who specializes in child-in-care situations or a technical expert. That made all the difference because I got someone who actually knew the rules. The first several reps I spoke with gave me completely wrong information.
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Paolo Conti
•Thanks for sharing this! I spent 3 hours on hold last month trying to ask about my husband's SSI application. Definitely gonna check this out for next time
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Javier Mendoza
wait are we talking about SSI here or something else? my cousin gets SSI for her disabled kid and she works full time and the kid goes to special ed classes
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Amina Sow
•This is about Child-in-Care benefits, which is different from SSI. Child-in-Care benefits are available to a person who is caring for a child (under 16 or disabled) who receives Social Security benefits on that person's record. It allows someone to receive their own retirement benefits early without reduction. SSI is a needs-based disability program with its own separate rules and requirements. They're often confused because both are administered by SSA.
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Yara Haddad
Thank you all for the incredibly helpful responses! I'm feeling much more confident now. I'm going to try calling again next week and specifically ask for someone who specializes in Child-in-Care benefits. If that doesn't work, I'll ask for a supervisor. It's frustrating that there's such inconsistency in how these rules are applied. My daughter definitely cannot be left alone safely due to her seizures and cognitive limitations, and while the day program is wonderful for her, I'm still responsible for all her care, medical decisions, transportation, etc. I appreciate the POMS reference - I looked it up and you're right, it specifically mentions that school attendance doesn't disqualify someone! I'm going to print that out and have it ready for my next call.
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Oliver Wagner
One more thing I forgot to mention - when you call back, try to use their exact terminology. Instead of just saying your daughter "needs care" or "has disabilities," be specific about the "exercise of parental control and responsibility" and that you "provide personal services, supervision and direction" - those are the exact phrases from their policy manual that they're trained to look for.
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Yara Haddad
•That's incredibly helpful! I'll make sure to use those specific phrases. I wasn't prepared for how technical the conversation would be last time.
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GalaxyGazer
good luck!! update us after u call again! my aunt might be in same situation soon
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