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Evaluation of the Ticket to Work Program Initial Evaluation Report

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eneficiaries. In examining results for Phase 1 states only, where beneficiaries have had <strong>the</strong><br />

most time <strong>to</strong> use <strong>the</strong>ir <strong>Ticket</strong>, we find that <strong>of</strong> <strong>the</strong> approximately 19,600 beneficiaries using<br />

<strong>Ticket</strong>s, 71 percent were in an AOI group; 57 percent in AOI group 1 and 14 percent in<br />

AOI group 2 (Figure VI.2).<br />

125<br />

Figure VI.2: Distribution <strong>of</strong> Assigned <strong>Ticket</strong>s for AOI Groups in Phase 1 States, August<br />

2003<br />

All O<strong>the</strong>rs<br />

29%<br />

AOI Group 2<br />

(Need Accommodations)<br />

14%<br />

AOI Group 1<br />

(Need Ongoing<br />

Support)<br />

57%<br />

We also observed above average participation rates for both <strong>of</strong> <strong>the</strong>se AOI groups<br />

(Table VI.2). Eligible beneficiaries we classified in<strong>to</strong> AOI group 1 participated at a rate just<br />

above <strong>the</strong> average for all beneficiaries ((0.78 percent compared with 0.74 percent overall),<br />

while eligible beneficiaries in AOI group 2 participated at a rate almost twice as high (1.4<br />

percent compared with 0.74 percent). We also computed <strong>the</strong> participation rate looking just<br />

at assignments <strong>to</strong> providers using one <strong>of</strong> <strong>the</strong> two new payment systems, miles<strong>to</strong>ne-outcome<br />

and outcome-only. Those figures suggest that beneficiaries we classified in<strong>to</strong> <strong>the</strong> AOI<br />

groups participated in <strong>the</strong> new payment systems at a rate that was very low, but still greater<br />

than <strong>the</strong> rate at which o<strong>the</strong>r non-AOI beneficiaries participated.<br />

The high participation rate runs counter <strong>to</strong> expectations about AOI beneficiaries who<br />

were predicted <strong>to</strong> have a difficult time locating an EN <strong>to</strong> accept <strong>the</strong>ir <strong>Ticket</strong>s. In part, this<br />

result reflects our preliminary AOI classification system, which uses only information on<br />

disabling conditions and so cannot capture individual differences in work his<strong>to</strong>ry, functional<br />

status, and available work supports. The evaluation will investigate this issue more<br />

thoroughly as we obtain more detailed administrative and survey data. The result may also<br />

reflect <strong>the</strong> fact that our AOI groups contain many beneficiaries, particularly those with<br />

mental illness, mental retardation, several visual impairments, and severe hearing<br />

impairments, for whom <strong>the</strong>re are relatively strong advocacy and service systems designed <strong>to</strong><br />

foster employment. Thus, <strong>the</strong>se beneficiaries may find it easier <strong>to</strong> learn about <strong>the</strong> TTW<br />

program and participate than beneficiaries for whom <strong>the</strong>re are less well developed support<br />

systems (for example, those with low back impairments).<br />

VI: Adequacy <strong>of</strong> Incentives Study

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