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Purpose and Overview. Overview of the Ticket Program Impact on Systems, Agencies and Individuals Answer Questions Provide Resources and Contact Information. Goals of Ticket to Work and Work Incentives Improvement Act Legislation. Lower the barriers to employment for people who receive

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purpose and overview
Purpose and Overview
  • Overview of the Ticket Program
  • Impact on Systems, Agencies and Individuals
  • Answer Questions
  • Provide Resources and Contact Information
goals of ticket to work and work incentives improvement act legislation
Goals of Ticket to Work and Work Incentives Improvement Act Legislation
  • Lower the barriers to

employment for

people who receive


  • Encourage

beneficiaries to

access vocational

services to assist

them to work and achieve self-sufficiency

goals of ticket to work continued
Goals of Ticket to Work (continued)
  • Provide more vocational

options for


  • Create a


set of supports

for employing

people with disabilities

what are the basics
What are the Basics?
  • Expansion of Health Care
    • Expanded Medicaid
    • Extended Medicare
  • Ticket to Work & Self Sufficiency
  • New Support Structure
expanded medicaid
  • 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
extended medicare
  • Medicare (premium-free hospital insurance) coverage is extended for people who receive Social Security Disability benefits and work.
  • This is an additional 4 and 1/2 years beyond the old law
who gets a ticket
Who Gets A Ticket?
  • 13 pilot states
  • Everyone 18 - 64 receiving SSI and SSDI except those expected to make a “medical recovery”
  • Ticket use is voluntary
  • Recipient will be able to take the ticket to an EN or State VR agency
  • Approx. 85,000 in Colorado
  • Will be sent out over several months
what is the ticket
What is the TICKET ?

New Support Structure

  • Program Manager
  • Employment


  • Benefit Planning

Assistance and

Outreach Grantees

  • Protection & Advocacy Grantees
  • Work Incentives Advisory Panel
the ticket
  • Program Manager (WWW.Maximus.com)
    • Recruit, monitor and maintain a list of qualified EN participants
    • Conduct reviews on the individual progress of recipients
    • Resolve disputes between the EN and the recipient
    • Facilitate payments to EN
the ticket10
  • Employment Network
    • Provide employment services
    • Provide vocational rehabilitation services
    • Provide other supportive service as determined under the IWPs
    • Must have contract with the Program Manager in order to be identified as an EN under the Ticket Program
what is an employment network
What is an Employment Network?
  • An EN is “an agency or instrumentality of a state or private entity” that assumes responsibility for delivering services to individuals who assign them Tickets.
  • ENs are a single provider or an association of providers organized to combine their resources into a single entity.
what is an employment network continued
What is an Employment Network (continued)?
  • May provide services directly or through contracts or other arrangements.
  • An EN must have qualifications, serve a prescribed area, and must do an individual work plan with each consumer served.
how is an en paid
How is an EN paid?
  • EN paid if consumer is successful in employment at or above SGA level
  • EN must choose one of two systems: Outcome or Outcome-Milestone
  • Public VR can additionally choose traditional reimbursement on a case by case basis
tickets and consumers
Tickets and Consumers
  • Consumer is exempt

from continuing disability

reviews while using a

Ticket (using = must

make progress towards

employment after 2 years).

  • Again, the Ticket has no cash value for consumers.
what does the consumer do with the ticket
What Does The Consumer Do With The Ticket?
  • Not required to use the Ticket
  • If seeking vocational services, can give it to any “registered” employment network (EN)
  • Can move the Ticket between ENs
employment support representatives
Employment Support Representatives
  • SSA pilot project
  • Denver and Pueblo offices
  • In-office work incentive specialist
  • Community outreach
  • Staff training on work issues
  • Case management
benefits planning and outreach grants
Benefits Planning and Outreach Grants
  • Provide work incentive planning and assistance to beneficiaries and their families
  • Conduct outreach efforts to provide customers with information on SSA provisions
  • Targeted for SSI/SSDI recipients
protection advocacy
Protection & Advocacy
  • Non-competitive grants to mandated systems
  • Provided to all states to provide services to beneficiaries with disabilities
  • In Colorado - Legal Center for People with Disabilities & Older People
  • Cannot assist with SSA appeals
colorado impact
Colorado Impact
  • 85,000 Tickets in Colorado
  • 50% of SSA recipients are DD/MH
  • 30% of DVR clients are SSA recipients
  • Four month roll out
colorado challenges
Colorado Challenges
  • One of 13 pilot states
  • No final regulations
  • No up front money
  • Educating and informing a number of audiences
  • Volume of questions
  • Many unknowns
colorado challenges21
Colorado Challenges
  • Changes in service delivery
  • The impact on resources and reimbursement revenue
  • Creation and partnership of ENs
  • External pressures to form alliances and composition of those alliances
  • Internal and external training
  • Preparation for consumer response
positive outcomes
Positive Outcomes
  • Federal focus on employment of persons with disabilities
  • Long term follow up
  • Partnerships
  • Comprehensive work incentive systems
  • Increased choice and service options
useful web sites
Useful Web Sites
  • www.ssa.gov/work
  • www.state.co.us/ticket
  • www.employmentworks.org
  • www.cdhs.state.co.us/ods/dvr/index.html
  • www.thelegalcenter.org
  • www.projectwin.org
contact information
Contact Information
  • 1-866-968-7842 (V) Maximus
  • 1-866-833-2967 (TDD) Maximus
  • 1-800-772-1213 SSA
  • 1-877-772-2982 BPAO/CP of CO
  • 1-800-288-1376 Legal Center
  • Frequently asked questions will be maintained on web-site:
    • www.state.co.us/ticket