Part 411 — The Ticket to Work and Self-Sufficiency Program
Subpart A — Introduction
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
- § 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?
- § 411.210— What happens if I do not make timely progress toward self-supporting employment?
- § 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
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
- § 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 <em>et seq.</em>), when functioning as an EN?
- § 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?
- § 411.400— Can an EN to which a beneficiary's ticket is assigned refer the beneficiary to a State VR agency for services?
- § 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?
- § 411.435— How will disputes arising under the agreements between ENs and State VR agencies be resolved?
Subpart G — Requirements For Individual Work Plans
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
- § 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?
- § 411.640— Do the dispute resolution procedures of the Rehabilitation Act of 1973, as amended (29 U.S.C. 720 <em>et seq.</em>), apply to beneficiaries seeking services from the State VR agency?
- § 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?