Evaluation of the Ticket to Work Program Initial Evaluation Report

B. IDENTIFYING INDIVIDUALS WITH A NEED FOR HIGH-COST
ACCOMMODATIONS (AOI GROUP 2)
High-cost accommodations include supports such as assistive technologies, workplace
modifications, job coaching, personal assistance services, and interpreter or reader services.
The evaluation design proposes to identify individuals in this subcategory in the same way
beneficiaries with ongoing support needs are identified, by making a priori assumptions of
subgroup membership based on primary impairment code. These impairment codes are
included in Table C.2 and attempt to include conditions that result in the inability to use two
or more limbs, severe neurological impairments (e.g., spinal cord injuries), deafness, and
severe auditory impairments, and blindness and severe vision impairments.
C.3
Table C.2: SSA Listing of Impairments Codes for Individuals with a Need for High-Cost
Accommodations
Impairment Category and Underlying Conditions
Listing Section
SSA Impairment
Code
Require Interpreter or Reader Services
Deafness and severe hearing impairments
Meniere's disease and other disturbances of labyrinthinevestibular
2.07 386
function
Hearing impairments 2.08 389
Blindness and severe sight impairments
Impairment of central visual acuity 2.02 361/365/366/369
Contraction of peripheral visual fields 2.03 368
Loss of visual efficiency 2.04 368
Complete homonymous hemianopsia 2.05 --
Total bilateral opthalmoplegia 2.06 378
Loss of speech 2.09 784
Require Assistive Technologies, Major Workplace Modification, Job Coaching,
or Personal Assistance
Inability to use two or more limbs due to amputation or
1.09 905
anatomical deformity
Severe neurological impairments
Central nervous system vascular accident 11.04 438
Parkinsonian syndrome 11.06 332
Spinal cord or nerve root lesions 11.08 806
Amyotrophic lateral sclerosis 11.10 335
Anterior poliomyelitis 11.11 138
Muscular dystrophy 11.13 359
Peripheral neuropathies 11.14 357
Tabes dorsalis 11.15 094
Subacute cord degeneration 11.16 --
Other degenerative disease (e.g., Huntington’s chorea, spinocerebellar
11.17 331
degeneration)
Syringomyelia 11.19 336
SOURCES: Stapleton and Livermore (2002), with supplemental information from RAND (2000) and
Khan et al. (2002).
Appendix C: Defining the Four Adequacy of Incentive Groups