If you have substance use in your medical record, SSA runs a separate six-step analysis on top of the regular five-step sequential evaluation. Here's how SSR 13-2p, 20 CFR 404.1535, and POMS DI 90070.050 actually work in 2026, the irreversible damage carve-out, what counts as a period of abstinence, and worked examples for depression, cirrhosis, and Wernicke-Korsakoff.

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If you get SSDI plus Medicaid, you're a dual eligible, and a D-SNP can wrap both programs into one card with $0 premiums, dental, vision, transportation, and a flex card for groceries or utilities. Here's how the four tiers (FIDE, HIDE, AIP, Coordination-Only) compare in 2026, the CY2026 Final Rule changes, integrated ID card rules, and a state-by-state look at Illinois, California, and Tennessee.

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BWE comes off countable earned income after the $65 plus half exclusion under POMS SI 00820.535. That makes it a near dollar-for-dollar boost to your SSI check. Here's the full walkthrough: who qualifies, what counts (taxes, FICA, guide dog, transportation, meals at work), why BWE beats IRWE, and a worked 2026 example for a blind worker earning $27,420 a year.

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The four MSPs cover Part B premiums and, for QMB, all Medicare cost sharing. 2026 limits: $1,350, $1,616, $1,816, and $5,405 monthly income, with $9,950 in countable resources. Annual value runs from $6,500 (QDWI) to $17,800 (QMB plus auto-deemed Extra Help). Here's who qualifies, what each tier pays, and how to apply through your state Medicaid office.

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Not Sure If You Qualify for Disability Benefits?

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