Evaluation of the Ticket to Work Program Initial Evaluation Report

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80 Figure IV.9: Ticket Participation Rates by State, August 2003 Florida Oregon Massachusetts Colorado Arizona South Carolina Iowa Oklahoma New York Illinois Wisconsin Vermont Delaware New Hampshire New Mexico Indiana North Dakota Kentucky Arkansas Georgia New Jersey Virginia Kansas Missouri Mississippi Alaska Connecticut Tennessee Montana District of Columbia Louisiana Nevada Michigan South Dakota 0.3% 0.3% 0.3% 0.4% 0.4% 0.1% 0.1% 0.1% 0.1% 0.1% 0.1% 0.1% 0.2% 0.2% 0.2% 0.2% 0.2% 0.2% 0.3% 0.4% 0.4% 0.4% 0.4% 0.5% 0.6% Phase 1 States 0.8% 0.8% 0.9% 1.0% Phase 2 States 1.2% 1.2% 1.4% 1.2% 1.9% 0.0% 0.2% 0.4% 0.6% 0.8% 1.0% 1.2% 1.4% 1.6% 1.8% 2.0% IV: Early Participation Patterns
81 Figure IV.10: Ticket Participation Rates by Primary Impairment, August 2003 Respiratory system Circulatory system Musculoskeletal system Neoplasms Digestive system Endocrine/nutritional Skin/subcutaneous tissue Other Missing Other mental disorders Blood/blood-forming diseases Mental retardation Infectious & parasitic diseases HIV/AIDS Major affective disorders Nervous system Injuries Genitourinary system Schizophrenia/psychoses/neur. Severe visual impairment Congenital anomalies Severe speech impairment Severe hearing impairment 0.1% 0.3% 0.1% 0.3% 0.1% 0.4% 0.2% 0.4% 0.2% 0.5% 0.2% 0.5% 0.2% 0.6% 0.2% 0.6% 0.3% 0.7% 0.3% 0.8% 0.5% 0.8% 0.3% 0.9% 0.3% 0.9% 0.3% 0.9% 0.4% 0.9% 0.3% 0.9% 0.4% 1.0% 0.4% 1.0% 0.4% 1.1% 0.5% 1.3% 0.7% 1.3% 0.4% 1.5% 1.3% Phase 2 Phase 1 4.4% Participation rates increase with the length of time a beneficiary has been on the DI or SSI rolls until he or she reaches 24 months on the rolls. After that point, participation rates are relatively constant through month 120 (10 years) and then decline somewhat for those who have been on the rolls for longer (Figure IV.11). The figures suggest that many beneficiaries pass through a lengthy period in which they are adjusting to their new status as a beneficiary and, in many cases, their new medical condition before they are ready to attempt work. The figures could also point to new beneficiaries’ insecurity over benefits, as many will have spent months convincing SSA that they cannot work. Some DI beneficiaries might wait until they obtain Medicare benefits, which start only after beneficiaries have received cash benefits for 24 months. The experience of the program through 18 months shows that the longer a beneficiary has a Ticket, the more likely that he or she will use it (Figure IV.12) up to some point. Over the first 10 months, the experience in Phase 2 states is similar to that in Phase 1 states, reinforcing a point made earlier: participation growth in Phase 2 states seems on track to approximate the experience in Phase 1 states. In the Phase 1 states, the rate in months 10 through 12 is actually higher than in months 13 through 15, although lower than in months 16 through 18. This pattern appears to be attributable, at least in part, to the pattern of TTW rollout in Phase 1 states. In particular, the vast majority of beneficiaries who have had their Tickets from 10 to 12 months in the Phase 1 states reside in New York, which experienced slower rollout; therefore, perhaps the figure for that period represents relatively high participation in that state. IV: Early Participation Patterns
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Contract No.: 0600-03-60130 MPR Ref
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A CKNOWLEDGMENTS This report benefi
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C ONTENTS Chapter Page ACRONYMS ...
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vii Chapter Page V (continued) D. C
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A CRONYMS ABIL AIDS AWICs AOI BPAO
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E XECUTIVE S UMMARY T he Ticket to
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Overall, we found that SSA has impl
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money on their TTW operations. For
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xvii CONCLUDING OBSERVATIONS SSA fa
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C HAPTER I O VERVIEW OF THE T ICKET
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The TTW program and other elements
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A. EVALUATION COMPONENTS: GOALS, SC
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7 ! How many beneficiaries particip
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9 B. PURPOSE AND ORGANIZATION OF TH
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C HAPTER II S TRUCTURE AND B ACKGRO
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In reality, however, the success of
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MAXIMUS to serve as the Program Man
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17 4. Participate in the activities
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N Decision Reversed Request SSA Rev
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21 c. Dispute Resolution In a progr
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Table II.1: Outcome-Only and Milest
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milestone payment is equal to 34 pe
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Unemployment Insurance (UI) wage da
Page 47 and 48: 29 3. Related Initiatives TTW has n
Page 49 and 50: SSA Demonstrations. SSA plans to im
Page 51 and 52: Protection and Advocacy. The SSA-fu
Page 53 and 54: C HAPTER III TTW EARLY I MPLEMENTAT
Page 55 and 56: 37 Table III.1: TTW Implementation
Page 57 and 58: Ticket-eligible beneficiaries were
Page 59 and 60: 41 TTW. In the past, SSA systems ha
Page 61 and 62: information in SSA’s records cont
Page 63 and 64: work period automation and tracking
Page 65 and 66: Systems and Infrastructure. The Pro
Page 67 and 68: 49 asked the Program Manager for a
Page 69 and 70: 51 • The first payment for each b
Page 71 and 72: currently being addressed relate to
Page 73 and 74: payment system. Only one SVRA (Okla
Page 75 and 76: SVRA personnel have consistently ex
Page 77 and 78: 59 • Are SVRAs permitted to requi
Page 79 and 80: Table III.4: ENs and ENs with Ticke
Page 81 and 82: Payment System. Many ENs do not bel
Page 83 and 84: example, reporting lags inherent in
Page 85 and 86: eceived only small amounts thus far
Page 87 and 88: SVRA services for Ticket clients; (
Page 89 and 90: C HAPTER IV E ARLY P ARTICIPATION P
Page 91 and 92: 73 Figure IV.2: Cumulative Number o
Page 93 and 94: point in the Phase 1 rollout. For P
Page 95 and 96: 77 Figure IV.7: First Assignments a
Page 97: 79 Figure IV.8: Ticket Participatio
Page 101 and 102: 83 states. This finding suggests th
Page 103 and 104: There is a strong negative relation
Page 105 and 106: C HAPTER V C ASE S TUDIES OF E IGHT
Page 107 and 108: 89 A. SERVICE MODELS AND TARGETED C
Page 109 and 110: Although the director was initially
Page 111 and 112: Clients who assign their Tickets to
Page 113 and 114: session. Those who miss their appoi
Page 115 and 116: interview. While this is time consu
Page 117 and 118: claim employer tax credits. Through
Page 119 and 120: these individuals, because they typ
Page 121 and 122: 103 F. RELATIONS WITH OTHER ORGANIZ
Page 123 and 124: eneficiaries to meet that standard.
Page 125 and 126: IDR representatives said that to da
Page 127 and 128: substantiate wages, and clients are
Page 129 and 130: services? Unfortunately, for ENs to
Page 131 and 132: Manager. At present, this is only p
Page 133 and 134: stubs: the need for beneficiaries t
Page 135 and 136: C HAPTER VI A DEQUACY OF I NCENTIVE
Page 137 and 138: We have also begun to analyze admin
Page 139 and 140: viewed as lacking the productive ca
Page 141 and 142: assist in the identification of ind
Page 143 and 144: eneficiaries. In examining results
Page 145 and 146: 127 E. CONCLUDING OBSERVATIONS The
Page 147 and 148: C HAPTER VII C ONCLUSIONS AND I MPL
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noticeably low, and, among the very
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Act. At the same time, some ENs hav
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Another change requiring considerat
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C HAPTER VIII N EXT S TEPS FOR THE
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prior to September 2003 and had not
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R EFERENCES Adequacy of Incentives
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A PPENDIX A D ATA T ABLES C ORRESPO
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A-3 Table A.2 Cumulative Number of
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A-5 Table A.4 Percentage of Tickets
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A-7 Table A.6 Percentage of Tickets
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A-9 TABLES SHOWING CHARACTERISTICS
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A-11 Table A.10 Ticket Participatio
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A-13 Table A.12 Ticket Participatio
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A-15 Table A.14 Percentage of In-Us
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A PPENDIX B P ROVIDER-SPECIFIC C AS
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informed beneficiaries that state V
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e considerably more successful if S
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them for employment. It was during
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working but are still receiving SSI
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B.11 client over a four-year period
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B.13 placing SSA beneficiaries than
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B.15 that came in for an initial ap
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B.17 all benefits; therefore, EES d
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B.19 outreach program. As noted pre
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B.21 remained employed. 3 Because o
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B.23 estimate of the financial loss
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B.25 Social Security benefits. IDR
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B.27 have to submit pay stubs twice
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B.29 Bridges still provides the 10-
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B.31 While she used to have a polic
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B.33 8. Oklahoma Department of Reha
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B.35 Beneficiaries interested in as
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B.37 permits agency budgets to be c
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A PPENDIX C D EFINING THE F OUR A D
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B. IDENTIFYING INDIVIDUALS WITH A N
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“work and receive full cash benef
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Evaluation of the Ticket to Work Program Initial Evaluation Report

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