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					TICKET 301: Part I Employment Network

     Hosted/Facilitated by: DJ Diamond
     Presented by Kevin Nickerson
     NDI Technical Assistance Team Members

                                    2011 Training Series
   DEI Projects at the state level and/or local level participating
    LWIBs are required to become Employment Networks under
    Social Security Administration’s Ticket to Work Program.

   Training and Technical Assistance to DEI Projects in attaining
    Employment Network status and implementing effective EN
    operations is provided under U.S. DOLETA contract with NDI
    Consulting, Inc. and the National Disability Institute (NDI).

   Evaluation of the impact of the DEI Projects implementation
    and outcomes as Employment Network will be provided under
    U.S. DOL ODEP contract with Social Dynamics.

    Ticket 301, Part I Learning Objectives

Upon completion of this webinar, DEI Project staff will:

   Understand the basics of Ticket to Work program, including:
     ◦ Who the program serves
     ◦ How ENs are paid
     ◦ Improvements to Ticket program based on 2008 changes

   Have received an overview of upcoming Ticket 301 series training

   Be aware of Future Technical Assistance for ENs

   Have the registration details for Ticket 301, Part II

   Why promote Ticket services in One-Stop Career

   Ticket Basics Review

   Overview of Ticket 301 Series Training Components

   Next Steps
   Partnership Plus
   Developing an EN Business Model
   Staffing & Services
   Marketing & Outreach
   Assessment of Ticket holders
   Ticket assignment
   Billing for EN services
   Tracking Ticket holders
   Resources that can assist your EN
   Individuals with disabilities are accessing One-Stop Career
    Centers for main stream employment supports
   Based on a recent report entitled: “Use of One-Stops by
    Social Security Disability Beneficiaries in Four States
    Implementing Disability Program Navigator Initiatives” up to
    25% of All Work-Oriented SSA Beneficiaries actively pursuing
    employment visited One-Stops in these states*
   Ticket funding can help to support ongoing disability services
    in One-Stop Career Centers
   The One-Stops are already providing many of the necessary
*Produced by Mathematica, May 2010, Gina A. Livermore & Silvie Colman, link to report:
Ticket to Work Basics

       The Ticket to Work and Work Incentives
       Improvement Act was passed in 1999 and
       provided several benefits to SSA Disability
           beneficiaries, and ENs, including:

   Yearly cost of living increases for Ticket Payments to ENs

   Two new work incentives that were introduced:
    ◦ Extended Medicare benefits
    ◦ Expedited Reinstatement of Benefits

   Medicaid Buy In Programs
    ◦ New York: Medicaid Buy-In Program for Working People with Disabilities

   Work Incentive Planning and Assistance projects

   Ticket to Work and Self-Sufficiency employment program

    Who can become an Employment
   Any entity (other than a Federal Department) can become a
    Ticket to Work ‘Employment Network’ and begin receiving
    payments for supporting ‘Ticket Holders’ as they work at
    increasing levels of wages

   ENs must have the necessary experience required to work with
    SSA beneficiaries in providing return to work services

   Social Security has determined that One-Stop Career Centers
    have this necessary experience in assisting SSA disability
    beneficiaries, therefore, they need not provide evidence of this in
    the RFP

◦ Ticket Holders are qualified Social Security Disability
  Beneficiaries ages 18 to 64, receiving Title XVI and/or Title
  II benefits (SSI or SSDI)

◦ Now both Medical Improvement Expected (MIE) and
  Medical Improvement Not Expected (MINE) groups are
  eligible due to changes in TtW regulations from 2008

◦ At the time of Ticket assignment, Ticket holder must be in
  current pay for Social Security benefits
      Basics an EN should understand
                                               Ticket to Work Basics

   This is a voluntary program (Providers choose to get involved,
    however, DEI projects have agreed to become ENs as a part of
    this project)

   Provides additional monetary support to approved providers
    (Employment Networks) who assist Social Security beneficiaries
    with disabilities in obtaining and maintaining employment

   TtW offers long-term funding to ensure Ticket Holders receive
    ongoing return to work support

   Increases choice for Ticket Holders and Employment Networks
    allowing both to choose who they work with under the program

    Basics a Ticket Holder Should Understand
                                                     Ticket to Work Basics

   This is a voluntary program - as a Ticket Holder, I do not have to

   Provides Ticket Holders with CHOICE – as a Ticket Holder, I decide
    who I assign my Ticket to based upon who I feel can best provide the
    services I need

   Ensures continued employment support – as a Ticket Holder, I know
    you will continue to provide me support beyond the time that Vocational
    Rehabilitation or Medicaid funding permits in many cases

   Actively participating in the Ticket to Work program suspends a Ticket
    Holder’s medical Continuing Disability Review – as a Ticket Holder, I
    can return to work without fear that I will medically improve before I am
    gainfully employed

                                       Ticket to Work Basics

The goal of the Ticket to Work program continues
                       to be….


     Decrease the Ticket Holder’s dependence
     on their cash benefits by increasing their
     work effort to substantial gainful activity
                 level and beyond.

         2008 Improvements of Importance
                                              Ticket to Work Basics
   Ticket payments have increased and allow for payments
    before the Ticket Holder works at SGA level (Phase 1

   Ticket payment structure encourages the use of available
    work incentives with new Phase 2 Milestone payments

   Tickets are now available to all beneficiaries with disabilities,
    ages 18 through 64 (with a few exceptions)

   Timely progress reviews are now one time per year

   Partnership with Vocational Rehabilitation is more clearly
    defined, now called Partnership Plus

             The Ticket Program at a Glance
                                                                      Ticket to Work Basics

 EN & Ticket Holder Connect

    EN & Ticket Holder discuss
needs/services & Ticket Holder gets
        benefits planning.

 EN & Ticket Holder Negotiate the
    Individual Work Plan (IWP)

  IWP is sent to Maximus – once
 approved, Ticket is assigned to EN
             (7 days +/-)
                                                      EN submits                EN continues to
                                                   Payment Request            provides services &
                             Ticket Holder Goes     to Maximus &                  supports in
  EN provides                     to Work
  agreed upon                                       receives Ticket            accordance with
                                & EN Collects          Payment                Ticket Holder’s IWP
  services and              Evidence of Earnings
    supports                                          (30 days +/-)
   Milestones – paid to ENs when Ticket holders achieve
    earnings of $720/month for specified periods of time,
    assuming these payments are available *

   Phase 2 Payments – require Ticket holder to be at SGA level
    earnings ($1,000/month for 2011), even if they are still in
    receipt of SSA cash benefits

   Outcome Payments – require Ticket holder to be at SGA level
    earnings, and no longer be in receipt of SSA cash benefits
    (although not necessarily terminated from either SSI or SSDI)

     * State VR history and previous earnings history can impact the
          number of Milestone payments available in each case
   Partnership Plus
   Developing an EN Business Model
   Staffing & Services
   Marketing & Outreach
   Assessment of Ticket holders
   Ticket assignment
   Billing for EN services
   Tracking Ticket holders
   Resources that can assist your EN
   Based on the July, 2008 changes to the Ticket to Work
    program, a more clearly defined interaction between State VR
    programs, and ENs was developed, called Partnership Plus

   What is Partnership Plus and how does that impact Ticket
    holders and EN operations?

   How do you produce revenue as an Employment Network?

   What questions should be considered in developing a model
    that works for a One-Stop?
   Have staff been identified that will carry out necessary
    Employment Network administration and service delivery

   What are the services your One-Stop/EN will provide
    Ticket holders?

   How do you reach your target audience, including Ticket
    holders, service providers and other referral sources?
   Understanding how to properly assess Ticket holders that you can
    effectively serve, and that will yield some measure of success based
    on Milestone and Outcome benchmarks, is critical to your success
    as an EN

   How do we know which beneficiaries we should work with through
    the Ticket program?

   Should we assign every Ticket holder we serve, or narrow down
    who we work with through this program?

   What is an Individual Work Plan (IWP), and how do we develop one
    with a Ticket holder?
   Once you have established a functional EN, you will be helping SSA
    beneficiaries in the return to work, which leads you to the next step
    in developing your EN, billing for the work you’ve done

   How do we bill for the work we’ve done as an EN, and when do we
    qualify for payments?

   How should we keep track of necessary data for Ticket holders we

   What are the resources I should be aware of that will support our
    efforts as an EN?
   As Pilot sites more fully develop their EN operations, NDI will
    provide more informal “EN Team” workgroups via
    teleconference and/or webinar to identify promising practices
    and address challenges that arise in moving your EN forward

   Questions can be submitted via email as they arise regarding
    EN operations

   One-on-One phone conferences can be arranged as needed
    to address EN development
This webinar will begin to lay the groundwork for your Employment Network
operation and will focus in detail on: 1) Partnership Plus model between One-
Stop Career Centers and Vocational Rehabilitation, 2) How payments to an EN
can be impacted if Ticket holders are served by State VR programs, and 3)
How Partnership Plus can provide an opportunity to work closely with your
State VR programs. Additionally, this webinar will explore questions that
Disability Resource Coordinators, DEI Project Staff and One-Stop Career
Centers will need to address in order to establish a solid foundation for future
EN operations.

Note that all NDI hosted webinars are based on Eastern Time (ET).
Thursday, April 21st (3:00pm – 4:30pm EST)
Registration: In order to register go to:
If you would like to review the Ticket 101 Training, you
can access the web and audio archived version of this
training along with the accompanying materials /
resources by visiting and login using
your User ID and Password and select the "Training" Tab
from the main menu. From there, select "Webinar
Training Archives"
                  Contact Information
Kevin Nickerson
Program Associate
NDI Technical Assistance Team
*For Ticket to Work Technical Assistance needs, please email questions, or
requests to schedule a call. Email requests will be reviewed through out the


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