The Ticket To Work Employment Network EN Payment Overview

1
The Ticket To WorkEmployment Network (EN)
Payment Overview
Ticket Training Tuesdays
Oct-09
2
Agenda

• Part I
• Payment Methods
• Process for Requesting EN Payment
• Part II
• Milestone Exclusions

3
Part I

• Employment Network (EN)
• Payment Methods

4
How Do ENs Get Paid under the Ticket Program ?

• Two Payment Methods for ENs
• Milestone/Outcome
• Outcome

5
Whats the Difference?

• Milestone / Outcome Method
• ENs can receive payments for Ticket-Holder work
  while they are still receiving benefits
  (Milestones) AND after their benefits stop
  (Outcomes).
• Outcome Method
• ENs receive payments only after the
  Ticket-holders benefits have stopped.

6
How Much Can AN EN Receive ?

• Maximum Ticket Value
• SSDI SSI
• Milestone / Outcome
• Phase 1 Milestones 4,844 4,844
• Phase 2 Milestones 3,993 3,726
• Outcomes 13,068 12,420
• Total 21,905 20,990
• Outcome 24,336 23,160

7
Which Payment System Is Best for Me ?

• Depends on EN Business Model.
• For beneficiaries with low probability of
  sustained Substantial Gainful Activity
  (SGA)-level earnings
• gt Milestone / Outcome Method
• For beneficiaries with a higher probability of
  sustained SGA-level earnings
• gt Outcome Method

8
What If I Change My Mind ?

• ENs can change their Payment Method once each
  calendar year.
• Changes affect only new Ticket assignments.

9
Phase 1 Milestones

• Consists of four possible Milestone payments
• Earnings are based on Trial Work Levels (TWL) of
  700 and not SGA
• Milestones must be paid in sequence, e.g.
  available Phase 1 Milestones before Phase 2
  Milestones even if work attained for Phase 1
  Milestones is over SGA

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Phase 1 Milestones (continued)

• The first Milestone is attained once the
  beneficiary has worked one calendar month at 50
  of the Trial Work Level amount
• The second Milestone is attained once the
  beneficiary has worked 3 months within a 6 month
  period at Trial Work Level amounts

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Phase 1 Milestones (continued)

• The third Milestone is attained once the
  beneficiary has worked 6 months within a 12 month
  period at Trial Work Level amounts
• The fourth Milestone is attained once the
  beneficiary has worked 9 months within a 18 month
  period at Trial Work Level amounts
• Certification of Services Needed
• http//www.yourtickettowork.com/selftraining/CertS
  tatement060109.doc

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Phase 2 Milestones

• Begins once all eligible Phase 1 Milestones are
  paid
• Any month after all Phase 1 payments have been
  made in which the beneficiary demonstrates SGA
  and is receiving cash benefits
• There are 11 possible Phase 2 Milestones for
  Social Security Disability Insurance (SSDI) and
  Concurrent beneficiaries
• There are 18 possible Phase 2 Milestones for
  Supplemental Security Income (SSI) beneficiaries

13
Outcome Payments

• Payments to an EN or State VR Agency (acting as
  an EN) when the beneficiary has earnings equal to
  or greater than SGA and is no longer receiving
  cash benefits.
• ENs and State VR Agencies (acting as ENs)
  servicing SSDI and Concurrent beneficiaries may
  receive up to 36 Outcome payments.
• ENs and State VR Agencies (acting as ENs)
  servicing SSI beneficiaries may receive up to 60
  Outcome payments.
• Outcome payments can be made to ENs or State VR
  Agencies (acting as an EN) even if a cost
  reimbursement payment has been made for a
  previous timeframe

14
Outcome Payment Method

• SSI Up to 60 monthly payments of 386 23,160
• SSDI Up to 36 outcome payments of 676 24,336

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• Requesting EN Payments
• The Basics

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Requesting EN Payment

• Before you Submit
• http//www.yourtickettowork.com/payment_options
• When to Submit
• TWL or SGA
• http//www.yourtickettowork.com/training_2
• What to Submit
• http//www.yourtickettowork.com/selftraining/ENPay
  mentRequestForm060109.doc

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Payment Request Options

• Evidentiary Payment Request
• Monthly or quarterly submission of Evidentiary
  Payment Request (EPR) including primary evidence
  of earnings
• Certification Payment Request
• When primary evidence of earnings is not readily
  available, the EN may submit a Certification
  Payment Request (CPR) using secondary evidence of
  earnings information and a signed repayment
  agreement

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EvidentiaryPayment Request Process

• At the end of each month or quarter, submit
  primary evidence of a Ticket-holders earnings
  along with the EN Payment Request form.

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Payment Request Formhttp//www.yourtickettowork.c
om/selftraining/EN_Payment_Request_Form020108.doc

• I. Employment Network Information
• 1. EN Organization Name
• 2. EIN Number (Tax ID Number)
• 3. Is the financial institution and bank account
  information provided to the Ticket to Work
  Operations Support Manager on the Automated
  Clearinghouse Payment Enrollment Form (ACH Form)
  current?
• Yes ___ No ___ (if No, please contact MAXIMUS _at_
  1-866-949-3687 before submitting this request)
• Incorrect or outdated information may delay or
  prevent payment issuance to your Employment
  Network.

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Payment Request Form

• II. Ticket-holder Information
• 4. Ticket-holders Name
• 5. Ticket Number/Social Security Number
• 6. Name of Ticket-holders Employer
• 7. Employers Address (if available)
• 8. Payment Method for this Ticket Assignment
• A. Outcome Payment Method
• B. Milestone-Outcome Payment Method

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Payment Request Form

• III. Phase 1 Milestone 1 Earnings Info
• Please choose one of the following options by
  placing an X next to your selection
• ___ A. The beneficiary achieved TWL level
  earnings during the calendar claim month.
• ___ B. The beneficiary achieved less than TWL
  earnings because he/she started work in the
  middle of the month.
• ___ C. The beneficiary achieved less than TWL
  earnings because they are transitioning to a
  higher earnings level.

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Payment Request Form

• IV. Payment Request Details
• 9. Payment Request Type
• _____ A. Evidentiary Payment Request (Complete
  Section IV)
• _____ B. Certification Payment Request
  (Complete Sections V and VI)
• 10. Claim month (s) and year (s) for this
  payment request

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Payment Request Form

• V. Evidentiary Earnings Information
• 11. Type of earnings documentation submitted
  (these items must be included with this form)
• ___ Pay slips
• ___ Employer prepared and signed employee
  earnings statement
• ___ Records from Third Party Source containing
  monthly wage information
• ____The Work Number ____Other

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Payment Request Form

• VI. Certification Payment Request Details
• 12. Type of Certification Information (Choose
  one)
• ____ Recent contact with
  beneficiary/employer (please circle beneficiary
  or employer)
• ____ Attached Earnings Inquiry Request (EIR)
  response received from MAXIMUS
• ____ Attached information containing data from
  the National Directory of New Hires (NDNH)
• ____ Attached Self Employment Income (SEI) Form
  (if beneficiary is self-employed)

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Payment Request Form

• VI. Certification Payment Request Details (cont.)
• 13. Recent Contact Details (complete only if you
  selected recent contact on item 12)
• Type of contact (phone call, email, etc)
  ________________________________
• Date of contact ______________________
• Description of information you learned from
  contact regarding level of earnings

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Payment Request Form

• VII. Repayment Agreement
• (signature required)
• By signing below, you as the EN agree to repay
  any payments received (or allow the amount to be
  deducted from future payments) if it is
  determined at a later date that you were not
  entitled to payment.
• _________________________________________________
  __________________
• Signature Date

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Payment Request Form

• VIII. Contact Information for the Employment
  Network Representative Submitting this Request
• Print Name _______________________
• Phone Number ____________________
• FAX ____________________________
• Email ___________________________

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Primary Evidence of Earnings

• Pay stubs
• Earnings statement prepared and signed by
  employer
• Records from third-party source that gives
  monthly earnings breakdown (i.e. The Work
  Number)
• NOTE All payment requests for self-employed
  Ticket-holders must be submitted as Certification
  Payment Requests

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Self-Employment

• Quarterly Payment Request
• Self Employment Income (SEI) form
• Repayment Agreement
• Quarterly tax reporting forms with receipt of
  tax payment (e.g. cancelled check)
• Annual Payment Request
• Annual Self Employment Income Request form
• Repayment Agreement
• Annual Tax Reporting Forms with receipt of tax
  payment (e.g. cancelled check)

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Certification Payment Request Process

• If primary evidence of earnings is not readily
  available, an EN can make a Certification Payment
  Request by selecting the CPR option on the EN
  Payment Request Form and including an accepted
  source of secondary earnings information, such as
  an Earnings Inquiry Request (EIR) response.
  These CPR requests can now be made for both
  Outcome and Milestone payment requests.

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CPR Earnings Information Sources

• Recent Dated Contact The EN has had recent
  contact with either the beneficiary or the
  employer and confirmed that the beneficiary has
  earnings that qualify for Milestone or Outcome
  payment
• Earnings Inquiry Response (EIR) The EN has
  received an EIR response from MAXIMUS that the
  beneficiary has earnings over 3 times SGA for the
  quarter in question
• National Directory of New Hires (NDNH) If the
  EN has access to the NDNH they may submit a
  print-out of the appropriate information
• Self-Employment Income (SEI) Form If the
  Ticket-holder is self-employed, the SEI form must
  be completed and signed by the Ticket-holder

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Earnings Inquiry Request (EIR)

• Earnings information available prior to
  submitting payment requests
• Receive written response indicating whether
  beneficiary is over 3 x SGA for a given calendar
  quarter
• Only last two years of earnings information is
  available

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Earnings Inquiry Request (EIR) How to Submit

• Directly through website with online submission
  form www.yourtickettowork.com/earningsinquiry
• EIR Form Will receive by email or download from
  website
• Email or fax in form with accompanying data sheet

34
EIR Website Screenshot
35
Earnings Inquiry Request (EIR) Restrictions

• Only written EIR requests will be accepted
• Email submission must be sent from authorized
  person
• Earnings are generally available eight months
  after the close of a quarter
• Not available for time periods before or after
  Ticket assignment
• Earnings info generally not available for
  self-employed or employees of the Federal
  government

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To Summarize

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Auto-Pay

• Auto-Pay
• ENs will have the option of putting individual
  Tickets under Auto-Pay. This option will allow
  ENs to receive automatic monthly Outcome Payments
  for any Ticket-holder for which Outcomes 1-12
  have already been paid.

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Auto-Pay

• Once a Ticket is enrolled in Auto-Pay, the EN
  does not have to submit any further payment
  requests or evidence.
• All Milestones and Outcomes 1-12 will be paid
  when qualifying earnings are posted to SSA
  records (Auto-Pay Phase 2 currently not in
  place).
• Outcomes 13 gt will be paid monthly without
  waiting for earnings verification (Auto-Pay Phase
  1 currently in place).

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Checking Payment Status

• EN Payment Status Report (weekly)
• To follow up on outstanding EN payment request
• If more than 30 days have passed since the
  payment request was sent to SSA for payment
  consideration send an Email to your Account
  Representative
• Include
• Beneficiarys SSN only (not name)
• Specific payment request (for Milestones the MS
  number for Outcome the claim month and year)
• Date of request submitted to SSA, available from
  MAXIMUS

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IPP-PAID system

• Developed by the U.S. Department of the
  Treasury's Financial Management Service
• Provides participating Federal agencies
  (including SSA) a method of making remittance
  information available to their vendors through
  the Internet.
• Match recently deposited EN payments to your
  records prior to receiving statements from the
  Social Security Administration.
• Free of charge to registered vendors with
  Internet access, and is free of charge to
  participating Federal agencies.
• Visit the web site at https//www.ipp.gov/

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Part II

• Milestone Exclusions

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Important Reminders

• Achievement of Milestones must occur after Ticket
  assignment and before start of the outcome
  payment period.
• Actual EN payments may be different for each
  beneficiary.

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Phase 1 Exclusions

• Partnership Plus Exclusion
• If the beneficiary chooses services from a State
  VR Agency that has selected cost reimbursement
  and the beneficiary is working when the State VR
  Agency closes the case, then Phase 1 Milestone
  payments are not payable to an EN or other State
  VR Agency (acting as an EN) under the same ticket

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Phase 1 Milestone Exclusions(continued)

• Recent Work Rule
• Work at or above Trial Work level (700 in 2009)
  within 18 months prior to Ticket assignment can
  impact ENs access to Phase 1 Milestones
• gt Patterned after criteria used for Phase 1
  Milestone payments
• gt Beneficiary CD mailed to ENs includes recent
  work history
• gt Rule does not apply to Tickets assigned prior
  to July 21, 2008

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Recent Work Rule

• Apply each rule independently to determine which
  Milestones are available
• Milestone 1 not available if earnings TWL in
  month prior to Ticket assignment
• Milestone 2 not available if earnings TWL in 3
  of 6 months prior to Ticket assignment
• Milestone 3 not available if earnings TWL in 6
  of 12 months prior to Ticket assignment
• Milestone 4 not available if earnings at TWL in 9
  of 18 months prior to Ticket assignment

46
18 Month Prior Earnings Toolhttp//www.yourticket
towork.com/selftraining/IWP_Look-Back_Tool_041309.
xls
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For More Information

• Where to Go for More Information
• For more information on the Ticket to Work
  Program
• gt Visit the Maximus web site at
  www.yourtickettowork.com
• or call 1-866-949-3687
• gt Visit SSAs Work Site at www.socialsecurity.g
  ov/work

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• Questions?
• MAXIMUS Ticket to Work
• 1-866-949-3687 Toll Free
• 1-866-833-2967 TDD
• www.yourtickettowork.com
• ENOperations_at_yourtickettowork.com

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