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Ticket to Work Forum

By: Dino Manalis

Summary:
An eSight writer, facilitator Dino Manalis has a bachelor's degree in political science and a master's in international studies. He has optic atrophy and hearing loss. This dialogue board is about the Ticket to Work and Self-sufficiency Program.

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Most Asked Questions

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PASS or Ticket: Which Is Right for You?

Our Mission Statement

The objective of this forum is to continue a discussion about eSight's series of articles entitled, "The Ticket to Work and Self-sufficiency Program," in terms of what Ticket to Work means to job seekers with disabilities. Accordingly, eSight members will have the opportunity to help each other by clarifying the regulations and answering Ticket to Work questions.

Procedure

This forum will grow over time to answer many of the most asked questions. Please post suggestions for additions to this forum by using the "Share your opinions with eSight Careers Network" tool at the bottom of this page.

Most Asked Questions

How long can a beneficiary keep the ticket in inactive status?

What Happens If I Don't Get a Job?

What if I assign my ticket after a continuing disability review (CDR) has already begun?

Can an EN receive payments for milestones or outcome payment months that occur before the beneficiary assigns a ticket to the EN?

How can the Ticket to Work program help me obtain adaptive technology?

Can I use my ticket to hire a career counselor or job coach for myself?

If an alternate participant decides not to become an EN, can it still be paid as an alternate participant?

How can I get more information about the Ticket to Work program?

Is there any other Medicaid eligibility group for working people with disabilities -- besides the Basic Coverage Group and the Medical Improvement Group?

Where can I find an employment network (EN) in my area?

How can I select the right employment network (EN) for me?


Question: How long can a beneficiary keep the ticket in inactive status?

Answer: If you don't assign your ticket, there's no problem. This question, published in the Federal Register on December 28, 2001, refers to beneficiaries who assign their tickets and then decide to keep the tickets inactive.

You have the option to place your assigned ticket in inactive status "only during the initial 24-month period following the assignment of the ticket," the law specifies.

You have to make up for the lost time later, because the unused time period doesn't count as participation in Ticket to Work. In addition, "the beneficiary is subject to continuing disability reviews during this time."

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Question: What Happens If I Don't Get a Job? What will happen to beneficiaries who remain on the disability benefit rolls after fully utilizing their tickets?

Answer: In response to this question from the public, published in the Federal Register on December 28, 2001, Social Security explains that it will pay employment networks for their services to beneficiaries "only if monthly cash benefits are not payable because of the performance of SGA (Significant Gainful Activity) or by reason of earnings from work." So, participants in the Ticket to Work program must make an effort to go to work.

After going to work, most beneficiaries will lose their entitlement to disability benefits because of work or earnings. Social Security continues, but they may qualify to have disability benefits reinstated again in the future and may be eligible to receive another ticket under the Ticket to Work program.

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Question: What if I assign my ticket after a continuing disability review (CDR) has already begun?

Answer: Section 411.175 of the Final Rules and Regulations, published in the Federal Register on December 28, 2001, makes it clear that a CDR begins on the date that is printed on SSA's notice to you regarding its decision to review your case.

If you assign your ticket after a CDR has started, Section 411.175 explains, you may still receive services under the Ticket to Work program, but SSA will complete the CDR.

If it's determined that you are no longer disabled, usually, you will no longer be eligible to receive benefit payments. If you appeal this decision, you may also choose to have your benefits continued until a final decision is made.

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Question: Can an EN receive payments for milestones or outcome payment months that occur before the beneficiary assigns a ticket to the EN?

Answer: Section 411.580 of Ticket to Work's Final Rules and Regulations, published in the Federal Register on December 28, 2001, spells out that an EN may not be paid for milestones or outcome payment months achieved by a beneficiary before assigning the ticket to the EN.

SSA will only pay for milestones and outcome payment months achieved after ticket assignment.

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Question: How can the Ticket to Work program help me obtain adaptive technology?

Answer: According to Marie P. Strahan, executive director of the Ticket to Work and Work Incentive Advisory Panel, the purchase of adaptive technology may be in your Individual Work Plan which you and your Employment Network develop.

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Question: Can I use my ticket to hire a career counselor or job coach for myself?

Answer: According to Terrence Johnston, a Social Security customer representative, you cannot use a ticket to hire a career counselor or job coach.

A ticket can only be used to access services through an employment network or state vocational rehabilitation agency.

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Question: If an alternate participant decides not to become an EN, can it still be paid as an alternate participant?

Answer: Section 411.720 of Ticket to Work's Rules and Regulations, published in the Federal Register on December 28, 2001, explains that, when Ticket to Work is implemented in a state, the alternate participant payment programs in that state will begin to be phased out.

The Social Security Administration (SSA) will not pay any alternate participant under these programs for services that are provided under an employment plan that is signed on or after the date of Ticket to Work's implementation.

If an employment plan is signed before that date, the regulation indicates, the SSA will pay the alternate participant through an alternate participant payment program for services provided before January 1, 2004.

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Question: How can I get more information about the Ticket to Work program?

Answer: You can contact the Social Security Administration (SSA) on its toll-free number at 1-800-772-1213, contact your local SSA office or visit its web site for more comprehensive information about the program.

Additionally, you may want to visit the web site of MAXIMUS, Inc., which is currently serving as the program manager for the Ticket program.

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Question: Is there any other Medicaid eligibility group for working people with disabilities -- besides the Basic Coverage Group and the Medical Improvement Group?

Answer: Yes, according to the Centers for Medicare & Medicaid Services, formerly the Health Care Financing Administration (HCFA). Similar to the Basic Coverage Group, Section 4733 of the Balanced Budget Act (BBA) of 1997 allows states to provide Medicaid coverage to working individuals with disabilities who, because of their earnings, cannot qualify for Medicaid under other statutory provisions.

Here are the rules for the BBA eligibility group:

  • Net family income must be below 250 percent of the federal poverty level.

  • Earned income is completely disregarded, but you must meet all other SSI eligibility criteria, including:

    1. Unearned income must not exceed the SSI income standard (currently $512 a month for an individual; $769 for a couple).

    2. Resources must not exceed $2,000 for an individual; $3,000 for a couple.

    3. Individual must have a disability as defined by SSI.

    4. SSI income and resource methodologies are used to determine eligibility.

While similar, the Basic Coverage Group, established under the Ticket to Work and Work Incentives Improvement Act of 1999, the HCFA site explains, is different in that there is no family income limit, but there is an age limit (16-64). Moreover, the Basic Coverage Group allows states to either establish their own income and resource limits or have no limitations.

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Question: Where can I find an employment network (EN) in my area?

Answer: You have two options.

  • The first option is to check the Employment Network Directory and search for a service provider by zip code, city, county or state.

  • The second option is to telephone MAXIMUS, Inc., at this toll free number: 1-866-968-7842. Ask to speak with an EN marketing coordinator for assistance. MAXIMUS can refer you to an EN in your area.

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Question: How can I select the right employment network (EN) for me?

Answer: As the Social Security Administration (SSA) web site points out, you can contact and compare the services of any and all ENs in your area to see which one is the best one for you.

The Ticket to Work Advisory Panel explains that some ENs may specialize in working with certain disabilities or job hunting for certain types of positions. It recommends interviewing two or three ENs before choosing one.

See if the EN that you like agrees to work with you. Remember, you are free to talk with as many ENs as you want without having to assign your ticket until you have chosen the one that's right for you.

Also, if you run into problems with your chosen EN, you can stop working with that one and reassign your ticket to another EN or state VR agency.

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Other comments people have made about this topic:

Subject:
Ticket to Work Forum
Username: snakeman
Sent: Wednesday, April 3, 2002

The societal attitudes towards blind and visually impaired people must be overcome by employers because the mere mention of a sight impairment where special equipment must be used most often than not shuts down the employer with respect to hiring the person in question.

The bottom line is always just who is going to pay for the equipment and that is where the buck is passed from one to another. No one wants to pay and, unless the blind or visually impaired person has the resources to answer that question, he/she is usually overlooked.

Why should an employer hire a blind or visually impaired person when a sighted person can be hired for the same position and there is no need to modify equipment in the work place? A shame, true -- but a fact of life. If there is not someone with the expertise who can come in to the work setting to solve a problem with adaptive equipment immediately, the employer is left asking him/herself: "Why did we hire this person when either our programs don't work with the adaptive equipment or no one has the answer, including the person him/herself, with respect to solving the immediate problem -- that is, accomplishing the job at hand?"

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Subject: Ticket to Work Username: John-Jay Location: Mississippi State Occupation: Research Scientist, ROTC on Blindness and Low Vision Sent: Thursday, February 21, 2002

I believe the most valuable thing about eSight is the ability it gives for peers -- people who have severe visual impairment -- to share the nitty-gritty, real life experiences that we believe are important and make a difference. It maybe helpful when this can be augmented with the opinions of professionals and experts in the field, but they may not know what it is like to live with severe visual impairment.

For example; a big question with using rehab services was "who owns the stuff they provide you with, if you do not get a job, or if you do?" Thus, with Ticket to Work and SSA, this is an important issue within "what happens if I do not get a job, or do?" Who owns the stuff I got with the Ticket?

What that means is, if I do not know the answer, I should not throw away my old computer, braille writer, etc. -- and they take up a lot of room. I think (hope) that speech programs such as Dragon Naturally Speaking will finally, with a new Pentium 4 computer, work well, but I do not know that for sure. The manufacturers claim miracles, but I was severely disappointed when it first came out. It takes a lot of time and courage to try again. I believe it is worthwhile to try, but it helps to be prepared, to ask questions, beforehand.

I have heard it said that Ticket to Work will only be a benefit to those who can get a job at about $40,000 a year. I do not know why, but that seems to leave a lot of folks out. A person who is blind has to earn about, I think, over $1,200 plus a month to stop receiving SSA benefits and thus fulfill the Ticket requirements. I assume the work must be very desirable in order for someone to agree to just barely get off SSA benefits. A person may only want to work for substantially more. This makes the aim, or goal to begin with, the landing of not just any job but a fairly good and desirable one. The long trial period allows you to see if that is true.

We do not know how this new program will work, but those who have lived with blindness and various other systems have some experience to share in the matter.

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Subject: Two Facts Username: TTWWIA Location: Baltimore, MD Occupation: Executive Director Sent: Wednesday, February 20, 2002

Thank you so much for your e-mail of February 15, 2002, concerning Mr. F.'s perspective of the Ticket to Work Program. The Ticket to Work and Work Incentives Advisory Panel's (Panel) received it with great interest.

In responding to Mr. F.'s viewpoint of the Ticket to Work Program, I will state two facts. First, the main objective of the Ticket to Work Program is to allow Social Security Administration's (SSA) Beneficiaries the option to try to work. The Ticket to Work Program is voluntary. Second, SSA is studying ways to provide additional resources to Employment Networks to assist with beneficiaries who need more support to work.

We encourage you to check the web site to stay informed about upcoming activities of the Panel. We appreciate your continued interest in maximizing the employment potential for Americans with disabilities.

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Subject: Ticket to Work FAQ Username: John-Jay Location: Mississippi State Occupation: Research Scientist, ROTC on Blindness and Low Vision Sent: Thursday, February, 14, 2002

The answer you provide to "what if I use a ticket and do not get a job?" does not answer the question and, in fact, may be quite misleading.

The regulation cited clearly indicates that the provider of services will not be reimbursed if the person who is disabled does not work. This potential for losing $10,000 or so makes it very unlikely that there will be any or many networks other than the state/federal rehab ones that already exist. Thus "choice," the purpose of the new law, may be a fiction -- except that some employment networks may "cream the crop," that is, offer to serve the best and most able SSA recipients if they believe they can be hired. That is a big gamble for anyone but the state/feds to take.

There is nothing in the regs in the answer given about the person who receives the services and does not get a job and get off SSA. This is a very important point as it invites scamming the system two ways. One, rumor has it that a service provider already has offered to pay outright to SSA recipients 75 percent of their ticket in exchange for working for that service provider for the allotted number of months. Two, an SSA recipient can take the services and not work.

While the above points are important considerations, they do not automatically say the program is good or bad or that it will or will not succeed in helping some folks get off SSA and get jobs they want.

Unless a clearer regulation can be cited, it does seem that recipients of SSA benefits should feel free to try to use the ticket and not worry about whether or not anyone will hire them.

Note: all of the above is non-legal opinion; none of it should be treated as fact.

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