Evaluation of the Ticket to Work Program, Implementation ...

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Mashaw, Jerry L., and Virginia P. Reno, eds. “Balancing Security and Opportunity: TheChallenge of Disability Income Policy—Summary & Overview.” Washington, DC:National Academy of Social Insurance, 1996.Minnesota Work Incentives Connection. “Benefits Planning, Assistance & Outreach: Costsand Staff Time Involved.” Executive Summary, 2003.Newcomb, Chad, Suzanne Payne, and Mikki D. Waid. “What Do We Know AboutDisability Beneficiaries’ Work and Use of Work Incentives Prior to Ticket?: BackgroundInformation and Baseline Data. In Paying for Results in Vocational Rehabilitation: WillProvider Incentives Work for Ticket to Work, edited by Kalman Rupp and Stephen H. Bell.Washington, DC: Urban Institute Press, 2003.Social Security Administration. 2005a. “Amendments to the Ticket to Work and Self-Sufficiency Program.” Federal Register, vol. 70, no. 189, pp. 57222-57237, September 302005.Social Security Administration. 2005b. “Quarterly Update on the Ticket to Work and WorkIncentives Improvement Act.” Presented to the Ticket to Work and Work IncentivesImprovement Act Advisory Panel, February 2005.Social Security Administration, Office of Employment Support Programs. “Recap of VRReimbursements.” Baltimore, MD: Social Security Administration, 2004.Social Security Administration, Office of Employment Support Programs. “VocationalRehabilitation Providers’ Handbook: Transmittal 17.” Baltimore, MD: SSA, 2002.Stapleton, David, and Gina Livermore. “Evaluation Design for the Ticket to WorkProgram: Preliminary Report on Evaluation Design.” Falls Church, VA: The LewinGroup, August 2002.Stafford, Beverly. Presentation to the Ticket to Work and Work Incentives Advisory Panel,Rockville, MD: November 16, 2004.Thornton, Craig, Gina Livermore, David Stapleton, J. Kregel, T. Silva, and B. O'Day.“Evaluation of the Ticket to Work Program.” Initial Evaluation Report. Washington,DC: Mathematica Policy Research, Inc., February 2004.White, Justin S., William E. Black, and Henry T. Ireys. “Explaining Enrollment Trends andParticipant Characteristics of the Medicaid Buy-In Programs, 2002-2003.” Final Report.Washington, DC: Mathematica Policy Research, Inc., January 2005. Available at[www.mathematica-mpr.com/publications/PDFs/explainfull.pdf].Wolfe, Anne M. “Economic Outcomes of the Obese Patient.” Obesity Research, vol. 10,2002, pp. 58S-62S.166References
A PPENDIX AT ICKET TO W ORK T IMELINEAND R OLLOUT P HASETable A.1. Ticket To Work Program Implementation and Evaluation TimelineTime PeriodDecember 17Throughout YearAugust to DecemberSeptember 29November 13December 28Throughout YearFebruary 26April 13October to DecemberFebruaryFebruary 5AprilImplementation Activity or Milestone1999Ticket Act enacted, establishing Ticket to Work Program2000SSA Office of Employment Support Programs (OESP) begins todevelop principal policies and rules in consultation with SSA deputycommissionersDraft Notice of Proposed Rule Making (NPRM) negotiated with theOffice of Management and BudgetThe Program Manager contract was signed with MAXIMUS, Inc.Selection of 13 Phase 1 states announcedNPRM published, starting the 60-day public comment period2001Recommendations for resolving major issues raised by public commenton the NPRM were considered by deputy commissionersNPRM public comment period ended. SSA received comments fromover 400 interested parties, including federal, state, and local agencies;employers; organizations and advocates for people with disabilities,rehabilitation service providers, disability beneficiaries; and others.Request for Proposals on EN contracts were publishedDraft final Ticket to Work regulations published2002Selection of Phase 2 and 3 state announcedTickets were released to 10 percent of the eligible beneficiaries inPhase 1 statesTickets were released to an additional 20 percent of the eligiblebeneficiaries in the Phase 1 states
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A CKNOWLEDGMENTSThe Ticket To Work
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viiiChapterVI(CONTINUED)PageF. SUMM
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xChapterPageAPPENDIX A: TICKET TO W
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xiiTableVIII.3IX.1IX.2IX.3IX.4IX.5I
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xivFigureIII.5III.6III.7III.8III.9P
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xviIX.3EARNINGS OF BENEFICIARIES WI
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xviiiMIENBSNPRMOAGPABSSPSUSGASSASSI
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xxIn Phase 3, which began in Novemb
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xxiigroups of beneficiaries that Co
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xxivimprove TTW, therefore, is to f
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2of disability beneficiaries, and i
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4country. Phase 2 began in November
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Page Is Intentionally Left Blank to
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8Only a few beneficiary characteris
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10Figure II.2.Participation Rate, b
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12Figure II.4.First Assignments at
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14before Ticket, it is perhaps surp
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16was selected for Phase 3. This ma
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18All of the statistics in this sec
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Table II.2. Beneficiary Groups with
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22In all Phase 1 and Phase 2 states
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24Figure II.8. Ticket Participation
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26Adjustments for all other charact
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28In general, provider and payment
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30next report, we will conduct more
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32Figure III.2.Living Arrangements
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34• Less likely to have reported
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36Figure III.7.Prevalence of Diffic
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38are more likely than all benefici
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40Table III.1.Income and Program Pa
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42coverage through their own employ
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44sizable percentage of TTW partici
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46Overall, 9 percent of working-age
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48leave the rolls in the next year,
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50next year and in the next five ye
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52in their characteristics, levels
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54percentage points to 3.7 percent.
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56Figure IV.2. Phase 1 Ticket Recip
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58situation described in the preced
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60the end of the follow-up period w
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62Figure IV.6. Average Monthly Bene
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Page Is Intentionally Left Blank to
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66ENs were reluctant to expand serv
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68As of July 2004, there were about
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70But most EN representatives saw T
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72Figure V.2. Number of EN Terminat
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74received a total of just about $2
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76Relatively few ENs have received
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78According to their representative
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80Five EN officials recognized that
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82This was particularly true for so
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84• Another EN representative fou
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86• A third EN received 50 calls
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88resolve administrative issues suc
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90• Raise payments for SSI benefi
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92Finally, the real and perceived w
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94efforts to obtain Ticket assignme
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96SSA payments to SVRAs under the T
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98Figure VI.3. Total SSA Payments t
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100assigning their Tickets to ENs (
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102Table VI.1. SVRA Ticket Assignme
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104case, the counselor selects the
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106• Most of the agreements requi
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108needs of SSA beneficiaries and,
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110to the SVRA under the traditiona
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112Tickets each month from November
Page 138 and 139: 114about submitting virtually ident
Page 140 and 141: 116To make EN recruiting efforts mo
Page 142 and 143: 118E. EN ENROLLMENTThe Program Mana
Page 144 and 145: 120beneficiaries who have achieved
Page 146 and 147: 122quarterly basis if they have rec
Page 148 and 149: 124SSA’s approval of systems spec
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Page 152 and 153: 128have accepted. But even at that
Page 154 and 155: 130For beneficiaries who express an
Page 156 and 157: 132rehabilitation counselors (Burea
Page 158 and 159: 134generated a payment to an EN gen
Page 160 and 161: 136the milestone-outcome payment ge
Page 162 and 163: 138system is used so infrequently t
Page 164 and 165: 140One option is for ENs to try to
Page 166 and 167: 142approximations. Our planned anal
Page 168 and 169: 144Figure IX.1. Ticket-Eligible Ben
Page 170 and 171: 146Table IX.2.TTW Participation Rat
Page 172 and 173: 148Figure IX.3. Earnings of Benefic
Page 174 and 175: 150Compared with other beneficiarie
Page 176 and 177: 152Like all other beneficiaries who
Page 178 and 179: This kind of mixed success in the e
Page 180 and 181: C. SVRA PARTICIPATION REMAINS STRON
Page 182 and 183: serving beneficiaries who are simil
Page 184 and 185: observe changes in their employment
Page 190 and 191: A-2Table A.1 (continued)Time Period
Page 194 and 195: Table B.1. DefinitionsB-2Variable D
Page 196 and 197: Table B.1 (continued)B-4Variable De
Page 198 and 199: Table B.1 (continued)Variable Defin
Page 200 and 201: B-8Table B.3. Participation Rate by
Page 202 and 203: B-10C. PARTICIPATION RATES BY BENEF
Page 204 and 205: Table B.6. Participation Rates by C
Page 206 and 207: Table B.6 (continued)Group Definiti
Page 208 and 209: Table B.6 (continued)B-16Group Defi
Page 212 and 213: C-2survey. Whenever possible, the i
Page 214 and 215: C-4given the large number of benefi
Page 216 and 217: C-6• Young SSI recipients who are
Page 218 and 219: C-8beneficiary may have had with EN
Page 220 and 221: C-10Table C.2. Overview of the Nati
Page 222 and 223: C-12Sample completes (n=1,178) and
Page 224 and 225: C.14Table C.3 (continued)AllIntervi
Page 226 and 227: C.16Table C.5. Final Weighted and U
Page 228 and 229: C.18Table C.7. Sociodemographic Cha
Page 230 and 231: C.20Table C.9. Health Status (Figur
Page 232 and 233: C.22Table C.11. Program Participati
Page 234 and 235: C.24Table C.14. Awareness of TTW (F
Page 236 and 237: C.26Table C.16. Employment Expectat
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D-2Table D.1. Selected Characterist
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D-4information from two pretest int
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