PART 411—THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM
Table of Contents
Subpart A—Introduction | |
| 411.100 | Scope. |
| 411.105 | What is the purpose of the Ticket to Work program? |
| 411.115 | Definitions of terms used in this part. |
Subpart B—Tickets Under the Ticket to Work Program | |
| 411.120 | What is a ticket under the Ticket to Work program? |
| 411.125 | Who is eligible to receive a ticket under the Ticket to Work program? |
| 411.130 | How will we distribute tickets under the Ticket to Work program? |
| 411.135 | What do I do when I receive a ticket? |
| 411.140 | When may I assign my ticket and how? |
| 411.145 | When can my ticket be taken out of assignment? |
| 411.150 | Can I reassign my ticket? |
| 411.155 | When does my ticket terminate? |
Subpart C—Suspension of Continuing Disability Reviews for Beneficiaries Who are Using a Ticket | |
Introduction | |
| 411.160 | What does this subpart do? |
| 411.165 | How does using a ticket under the Ticket to Work program affect my continuing disability reviews? |
| 411.166 | Glossary of terms used in this subpart. |
| 411.167 | What is an educational institution or a technical, trade or vocational school? |
| 411.170 | When does the period of using a ticket begin? |
| 411.171 | When does the period of using a ticket end? |
| 411.175 | What if a continuing disability review is begun before my ticket is in use? |
| 411.180 | What is timely progress toward self-supporting employment? |
| 411.192 | What choices do I have if I am unable to make timely progress toward self-supporting employment? |
| 411.200 | How will the PM conduct my progress reviews? |
| 411.205 | What if I disagree with the PM's decision about whether I am making timely progress toward self-supporting employment? |
Failure To Make Timely Progress | |
| 411.210 | What happens if I do not make timely progress toward self-supporting employment? |
The Extension Period | |
| 411.220 | What if my ticket is no longer assigned to an EN or State VR agency? |
| 411.225 | What if I reassign my ticket after the end of the extension period? |
| 411.226 | How will SSA determine if I am meeting the timely progress guidelines if I assign my ticket prior to July 21, 2008? |
Subpart D—Use of One or More Program Managers To Assist in Administration of the Ticket to Work Program | |
| 411.230 | What is a PM? |
| 411.235 | What qualifications are required of a PM? |
| 411.240 | What limitations are placed on a PM? |
| 411.245 | What are a PM's responsibilities under the Ticket to Work program? |
Evaluation of Program Manager Performance | |
| 411.250 | How will SSA evaluate a PM? |
Subpart E—Employment Networks | |
| 411.300 | What is an EN? |
| 411.305 | Who is eligible to be an EN? |
| 411.310 | How does an entity other than a State VR agency apply to be an EN and who will determine whether an entity qualifies as an EN? |
| 411.315 | What are the minimum qualifications necessary to be an EN? |
| 411.320 | What are an EN's responsibilities as a participant in the Ticket to Work program? |
| 411.321 | Under what conditions will SSA terminate an agreement with an EN due to inadequate performance? |
| 411.325 | What reporting requirements are placed on an EN as a participant in the Ticket to Work program? |
| 411.330 | How will SSA evaluate an EN's performance? |
Subpart F—State Vocational Rehabilitation Agencies' Participation | |
Participation in the Ticket to Work Program | |
| 411.350 | Must a State VR agency participate in the Ticket to Work program? |
| 411.355 | What payment options does a State VR agency have? |
| 411.365 | How does a State VR agency notify us about its choice of a payment system for use when functioning as an EN? |
| 411.375 | Does a State VR agency continue to provide services under the requirements of the State plan approved under title I of the Rehabilitation Act of 1973, as amended (29 U.S.C. 720 et seq. ), when functioning as an EN? |
Ticket Status | |
| 411.380 | What does a State VR agency do if the State VR agency wants to determine whether a person seeking services has a ticket? |
| 411.385 | What does a State VR agency do if a beneficiary who is eligible for VR services has a ticket that is available for assignment or reassignment? |
| 411.390 | What does a State VR agency do if a beneficiary to whom it is already providing services has a ticket that is available for assignment? |
| 411.395 | Is a State VR agency required to provide periodic reports? |
Referrals by Employment Networks to State VR Agencies | |
| 411.400 | Can an EN to which a beneficiary's ticket is assigned refer the beneficiary to a State VR agency for services? |
Agreements Between Employment Networks and State VR Agencies | |
| 411.405 | When does an agreement between an EN and the State VR agency have to be in place? |
| 411.410 | Does each referral from an EN to a State VR agency require its own agreement? |
| 411.415 | Who will verify the establishment of agreements between ENs and State VR agencies? |
| 411.420 | What information should be included in an agreement between an EN and a State VR agency? |
| 411.425 | What should a State VR agency do if it gets an attempted referral from an EN and no agreement has been established between the EN and the State VR agency? |
| 411.430 | What should the PM do when it is informed that an EN has attempted to make a referral to a State VR agency without an agreement being in place? |
Resolving Disputes Arising Under Agreements Between Employment Networks and State VR Agencies | |
| 411.435 | How will disputes arising under the agreements between ENs and State VR agencies be resolved? |
Subpart G—Requirements for Individual Work Plans | |
| 411.450 | What is an Individual Work Plan? |
| 411.455 | What is the purpose of an IWP? |
| 411.460 | Who is responsible for determining what information is contained in the IWP? |
| 411.465 | What are the minimum requirements for an IWP? |
| 411.470 | When does an IWP become effective? |
Subpart H—Employment Network Payment Systems | |
| 411.500 | Definitions of terms used in this subpart. |
| 411.505 | How is an EN paid? |
| 411.510 | How is the State VR agency paid under the Ticket to Work program? |
| 411.515 | Can the EN change its elected payment system? |
| 411.520 | How are beneficiaries whose tickets are assigned to an EN affected by a change in that EN's elected payment system? |
| 411.525 | What payments are available under each of the EN payment systems? |
| 411.535 | Under what circumstances will milestones be paid? |
| 411.536 | Under what circumstances can we make a reconciliation payment under the outcome-milestone payment system? |
| 411.540 | How are the payment amounts calculated for each of the milestones? |
| 411.545 | How are the outcome payments calculated under the outcome-milestone payment system? |
| 411.550 | How are the outcome payments calculated under the outcome payment system? |
| 411.551 | How are EN payments calculated for transition cases pending on July 21, 2008? |
| 411.552 | What effect will the subsequent entitlement to title II benefits have on EN payments for title XVI beneficiaries after they assign their ticket? |
| 411.555 | Can the EN keep the milestone and outcome payments even if the beneficiary does not achieve all outcome months? |
| 411.560 | Is it possible to pay a milestone or outcome payment to more than one EN? |
| 411.565 | What happens if two or more ENs qualify for payment on the same ticket but have elected different EN payment systems? |
| 411.566 | May an EN use outcome or milestone payments to make payments to the beneficiary? |
| 411.570 | Can an EN request payment from the beneficiary who assigned a ticket to the EN? |
| 411.575 | How does the EN request payment for milestones or outcome payment months achieved by a beneficiary who assigned a ticket to the EN? |
| 411.580 | Can an EN receive payments for milestones or outcome payment months that occur before the beneficiary assigns a ticket to the EN? |
| 411.581 | Can an EN receive milestone and outcome payments for months after a beneficiary takes his or her ticket out of assignment? |
| 411.582 | Can a State VR agency receive payment under the cost reimbursement payment system if a continuous 9-month period of substantial gainful activity is completed after the ticket is assigned to an EN? |
| 411.585 | Can a State VR agency and an EN both receive payment for serving the same beneficiary? |
| 411.590 | What can an EN do if the EN disagrees with our decision on a payment request? |
| 411.595 | What oversight procedures are planned for the EN payment systems? |
| 411.597 | Will SSA periodically review the outcome payment system and the outcome-milestone payment system for possible modifications? |
Subpart I—Ticket to Work Program Dispute Resolution | |
Disputes Between Beneficiaries and Employment Networks | |
| 411.600 | Is there a process for resolving disputes between beneficiaries and ENs that are not State VR agencies? |
| 411.605 | What are the responsibilities of the EN that is not a State VR agency regarding the dispute resolution process? |
| 411.610 | When should a beneficiary receive information on the procedures for resolving disputes? |
| 411.615 | How will a disputed issue be referred to the PM? |
| 411.620 | How long does the PM have to recommend a resolution to the dispute? |
| 411.625 | Can the beneficiary or the EN that is not a State VR agency request a review of the PM's recommendation? |
| 411.630 | Is SSA's decision final? |
| 411.635 | Can a beneficiary be represented in the dispute resolution process under the Ticket to Work program? |
Disputes Between Beneficiaries and State VR Agencies | |
| 411.640 | Do the dispute resolution procedures of the Rehabilitation Act of 1973, as amended (29 U.S.C. 720 et seq. ), apply to beneficiaries seeking services from the State VR agency? |
Disputes Between Employment Networks and Program Managers | |
| 411.650 | Is there a process for resolving disputes between ENs that are not State VR agencies and PMs, other than disputes on a payment request? |
| 411.655 | How will the PM refer the dispute to us? |
| 411.660 | Is SSA's decision final? |
Authority: Secs. 702(a)(5) and 1148 of the Social Security Act (42 U.S.C. 902(a)(5) and 1320b–19); sec. 101(b)–(e), Public Law 106–170, 113 Stat. 1860, 1873 (42 U.S.C. 1320b–19 note).
Source: 66 FR 67420, Dec. 28, 2001, unless otherwise noted.