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

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viiiChapterVI(CONTINUED)PageF. SUMMARY AND CONCLUSION..............................................................................109VIIRECENT PROGRAM IMPLEMENTATION......................................................................111A. ROLLOUT SCHEDULE............................................................................................111B. RULES, REGULATIONS, AND OTHER GUIDANCE.............................................112C. THE TTW CALL CENTER ....................................................................................113D. MARKETING AND OUTREACH ............................................................................1141. Outreach to ENs..........................................................................................1142. Outreach to Beneficiaries ...........................................................................1163. Outreach to Employers...............................................................................117E. EN ENROLLMENT ................................................................................................118F. TRAINING AND TECHNICAL ASSISTANCE ACTIVITIES ....................................118G. SYSTEMS ENHANCEMENTS .................................................................................119H. PAYMENTS..............................................................................................................120I. TIMELY PROGRESS................................................................................................123J. OTHER SSA INITIATIVES TO SUPPORT TTW....................................................124K. SUMMARY AND CONCLUSION..............................................................................125VIIIEN COST AND REVENUE.............................................................................................127A. FRAMEWORK FOR ASSESSING EN COSTS AND REVENUES.............................128B. ENS’ EARLY NET REVENUE EXPERIENCE .......................................................1311. EN Costs.......................................................................................................1312. EN Revenues for an Early Participant Cohort........................................1333. EN Net Revenue for an Early Cohort......................................................135C. FACTORS NECESSARY FOR ENS TO BECOME FINANCIALLY VIABLE............137D. CONCLUSIONS AND IMPLICATIONS ....................................................................139Contents
ixChapterPageIX ADEQUACY OF INCENTIVES ........................................................................................141A. INDIVIDUALS WHO NEED ONGOING SUPPORT AND SERVICESOR HIGH-COST ACCOMMODATIONS (AOI GROUPS 1 AND 2)......................142B. INDIVIDUALS WHO EARN A SUBMINIMUM WAGE OR WHO WORKAND RECEIVE PARTIAL CASH BENEFITS (AOI GROUPS 3 AND 4) ...............1471. Individuals with Very Low Earnings ........................................................1472. Individuals who Work and Receive Partial Cash Benefits.....................149C. PLANS FOR FUTURE ANALYSES...........................................................................152X CONCLUSIONS AND IMPLICATIONS ............................................................................155A. THE INITIAL TTW ROLLOUT HAS BEEN COMPLETED;EFFORTS NOW FOCUS ON ONGOING OPERATIONS.......................................156B. BENEFICIARY PARTICIPATION CONTINUES TO GROWBUT REMAINS VERY LOW....................................................................................156C. SVRA PARTICIPATION REMAINS STRONG BUT APPEARS TOHAVE FALLEN OFF SOMEWHAT IN MORE RECENT MONTHS .......................158D. PROVIDER INTEREST IN TTW IS ON THE WANE.............................................158E. THERE IS LITTLE EVIDENCE THAT TTW HAS LED TO ASUBSTANTIAL CHANGE IN THE DELIVERY OF SERVICES TOBENEFICIARIES .....................................................................................................159F. INITIAL SURVEY FINDINGS SUGGEST THAT TTW MAYHAVE UNREALIZED POTENTIAL .......................................................................160G. OBSERVED TRENDS IN BENEFICIARY OUTCOMES ARE CONSISTENTWITH TTW HAVING A SMALL EFFECT ON BENEFICIARY BEHAVIOR..........161H. THE NEW FINDINGS REINFORCE THE PRESSING NEED FOR CHANGEIF THE PROGRAM IS TO REALIZE ITS POTENTIAL............................................162REFERENCES..................................................................................................................165Contents
Page 3 and 4: A CKNOWLEDGMENTSThe Ticket To Work
Page 10 and 11: xChapterPageAPPENDIX A: TICKET TO W
Page 12 and 13: xiiTableVIII.3IX.1IX.2IX.3IX.4IX.5I
Page 14 and 15: xivFigureIII.5III.6III.7III.8III.9P
Page 16 and 17: xviIX.3EARNINGS OF BENEFICIARIES WI
Page 18 and 19: xviiiMIENBSNPRMOAGPABSSPSUSGASSASSI
Page 20 and 21: xxIn Phase 3, which began in Novemb
Page 22 and 23: xxiigroups of beneficiaries that Co
Page 24 and 25: xxivimprove TTW, therefore, is to f
Page 26 and 27: 2of disability beneficiaries, and i
Page 28 and 29: 4country. Phase 2 began in November
Page 30 and 31: Page Is Intentionally Left Blank to
Page 32 and 33: 8Only a few beneficiary characteris
Page 34 and 35: 10Figure II.2.Participation Rate, b
Page 36 and 37: 12Figure II.4.First Assignments at
Page 38 and 39: 14before Ticket, it is perhaps surp
Page 40 and 41: 16was selected for Phase 3. This ma
Page 42 and 43: 18All of the statistics in this sec
Page 44 and 45: Table II.2. Beneficiary Groups with
Page 46 and 47: 22In all Phase 1 and Phase 2 states
Page 48 and 49: 24Figure II.8. Ticket Participation
Page 50 and 51: 26Adjustments for all other charact
Page 52 and 53: 28In general, provider and payment
Page 54 and 55: 30next report, we will conduct more
Page 56 and 57:
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
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114about submitting virtually ident
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116To make EN recruiting efforts mo
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118E. EN ENROLLMENTThe Program Mana
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120beneficiaries who have achieved
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122quarterly basis if they have rec
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124SSA’s approval of systems spec
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128have accepted. But even at that
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130For beneficiaries who express an
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132rehabilitation counselors (Burea
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134generated a payment to an EN gen
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136the milestone-outcome payment ge
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138system is used so infrequently t
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140One option is for ENs to try to
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142approximations. Our planned anal
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144Figure IX.1. Ticket-Eligible Ben
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146Table IX.2.TTW Participation Rat
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148Figure IX.3. Earnings of Benefic
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150Compared with other beneficiarie
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152Like all other beneficiaries who
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This kind of mixed success in the e
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C. SVRA PARTICIPATION REMAINS STRON
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serving beneficiaries who are simil
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observe changes in their employment
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Mashaw, Jerry L., and Virginia P. R
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A-2Table A.1 (continued)Time Period
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Table B.1. DefinitionsB-2Variable D
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Table B.1 (continued)B-4Variable De
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Table B.1 (continued)Variable Defin
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B-8Table B.3. Participation Rate by
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B-10C. PARTICIPATION RATES BY BENEF
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Table B.6. Participation Rates by C
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Table B.6 (continued)Group Definiti
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Table B.6 (continued)B-16Group Defi
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C-2survey. Whenever possible, the i
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C-4given the large number of benefi
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C-6• Young SSI recipients who are
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C-8beneficiary may have had with EN
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C-10Table C.2. Overview of the Nati
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C-12Sample completes (n=1,178) and
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C.14Table C.3 (continued)AllIntervi
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C.16Table C.5. Final Weighted and U
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C.18Table C.7. Sociodemographic Cha
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C.20Table C.9. Health Status (Figur
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C.22Table C.11. Program Participati
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C.24Table C.14. Awareness of TTW (F
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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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