The ticket to work and work incentives improvement act of 1999 implementation
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The Ticket to Work and Work Incentives Improvement Act of 1999 Implementation. TWWIIA--Major Features. Ticket to Work and Self-Sufficiency Work incentive enhancements New work incentive service structure Health insurance improvements Work incentive demonstration authority.

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Twwiia major features
TWWIIA--Major Features 1999

  • Ticket to Work and Self-Sufficiency

  • Work incentive enhancements

  • New work incentive service structure

  • Health insurance improvements

  • Work incentive demonstration authority


Ticket to work and self sufficiency
Ticket to Work and Self-Sufficiency 1999

  • What:

  • SSDI and SSI beneficiaries get Tickets

  • New contract with providers of services--Employment Networks (EN)

  • Contract with Program Manager(s) (PM)

  • New payment system for ENs

  • Outcome payments (over 60 months)

  • Outcome-Milestone payments


Ticket to work and self sufficiency continued
Ticket to Work and Self-Sufficiency, continued 1999

  • What, continued:

  • State VR agencies and alternate providers have special status

  • Phased-in implementation

  • Rigorous evaluation

  • Effective when

  • January 1, 2001, to begin in some sites

  • January 1, 2004, to be national


Ticket to work and self sufficiency continued1
Ticket to Work and Self-Sufficiency, continued 1999

  • SSA Role:

  • Publish regulations on operation of Ticket program

  • Contract with PMs and ENs

  • Improve work incentives outreach and information


Ticket to work and self sufficiency continued2
Ticket to Work and Self-Sufficiency, continued 1999

  • Specific proposals being developed:

  • Selection of sites for initial rollout of Ticket

  • Calculation of Outcome payments to ENs

  • Amount and criteria for earning Milestone payments under the TWWIIA

  • Selection of beneficiaries receiving Tickets

  • Defining what is meant by “using at Ticket

  • Dispute resolution


Work incentive enhancements expedited benefit reinstatement
Work Incentive Enhancements-- 1999Expedited Benefit Reinstatement

  • What--Expedited benefit reinstatement:

  • SSDI--after extended period of eligibility

  • SSI--after 1 year suspension

  • 60 month period to request reinstatement following SSDI/SSI termination for work

  • 6-month provisional benefits (nonrefundable) payable while SSA is deciding on reinstatement request


Work incentive enhancements expedited benefit reinstatement continued
Work Incentive Enhancements-- 1999Expedited Benefit Reinstatement, continued

  • Effective when--January 1, 2001

  • SSA Role--Make systems and operational changes


Work incentive enhancements changes to continuing disability review cdr process
Work Incentive Enhancements-- 1999Changes to Continuing DisabilityReview (CDR) Process

  • What:

  • Beneficiaries using Ticket will not be scheduled for medical CDRs

  • SSDI beneficiaries for 24 months--no work-triggered medical CDRs; scheduled medical CDRs will still be conducted


Work incentive enhancements changes to continuing disability review cdr process cont d
Work Incentive Enhancements-- 1999Changes to Continuing DisabilityReview (CDR) Process, cont’d

  • Effective when:

  • January 1, 2001--beneficiaries using Tickets

  • January 1, 2002--SSDI beneficiaries for 24 months

  • SSA Role--Publish regulations and make systems and operational changes


New work incentive service structures work incentive specialist corps
New Work Incentive Service Structures-- 1999Work Incentive Specialist Corps

  • What--SSA must develop corps of “work incentive specialists”

  • Effective when--upon enactment

  • SSA Role--Put work incentive specialists in place


New work incentive service structures benefits planning
New Work Incentive Service Structures-- 1999Benefits Planning

  • What--Benefits planning grants, contracts, or cooperative agreements

  • Effective when--Upon enactment

  • SSA Role--Define roles for benefits planners, and award grants for these services in all States


New work incentive service structures protection and advocacy
New Work Incentive Service Structures-- 1999Protection and Advocacy

  • What--Make grants to Protection and Advocacy systems in all States to provide services to beneficiaries with disabilities

  • Effective when--Upon enactment

  • SSA Role--Define role of P&A systems in serving beneficiaries, and award grants in all States


New work incentive service structures work incentives advisory panel
New Work Incentive Service Structures-- 1999Work Incentives Advisory Panel

  • What:

  • 12 members to be appointed by the President and Congress

  • To provide advice to the Commissioner of Social Security, Congress, and other agencies on work incentives and the Ticket program

  • Effective when--March 2000


Health insurance improvements medicare
Health Insurance Improvements 1999--Medicare

  • What--extends premium-free Part A Medicare for 4 1/2 years beyond current law for beneficiaries with disabilities who work

  • When effective--October 1, 2000

  • SSA Role--Work with HCFA to identify eligible beneficiaries and send notices to them


Health care medicaid
Health Care 1999--Medicaid

  • What:

  • Permits States more flexibility to cover people with disabilities who work

  • Permits States to allow buy-in for those on SSI/SSDI who have medically improved

  • HHS to provide infrastructure grants to States for workers with disabilities

  • HHS to create demonstration for buy-in for workers with disabilities


Health care medicaid continued
Health Care 1999--Medicaid, continued

  • Effective when--October 1, 2000

  • SSA Role--Work with HCFA on State activities, grants, and policies


Demonstrations
Demonstrations 1999

  • What:

  • SSA’s authority to conduct experiments and demonstration projects on Title II work incentives reinstated for 5 years

  • Specific authority to conduct a demonstration of $1 for $2 earnings offset for SSDI

  • Authorizes other demonstrations or studies of work incentives by SSA and GAO


Demonstrations continued
Demonstrations, continued 1999

  • Effective When--Upon enactment

  • SSA Role:

  • Develop $1 for $2 demonstration project

  • Develop other experiments and demonstrations as appropriate


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