MAXIMUS

Working Together, Working Together, That’s the TicketThat’s the Ticket

Navigator Training Navigator TrainingNovember, 2003November, 2003

Presented by Mary SatterfieldPresented by Mary Satterfield

MAXIMUS

Topics

Ticket to Work Overview Of Legislation Overview of Program Ticket-Holders Employment Networks EN Payments EN Capitalization Project

MAXIMUS

Ticket to Work Basics… Provides healthcare incentives and employment service choices to promote work and independence

Expanded Medicare CoverageState Medicaid Buy-in Option

Establishes Ticket to Work and Self- Sufficiency Program

MAXIMUS

…The Program Voluntary employment Program for people with

disabilities

Creates new service structures (Employment Networks)

Rewards work and employment outcomes Protection from Medical Continuing Disability

Reviews

“We must continue to break down barriers to equality.”George W. Bush, Message to Congress

February 27, 2001

MAXIMUS

Who’s Who Social Security Administration MAXIMUS – the Program Manager Community Resources

Benefits Planning Assistance & Outreach (BPAO)

Protection & Advocacy (PABSS) One-Stop Center Navigators

Employment Networks “ENs” (Supply) Employers Ticket-holders (Demand)

MAXIMUS

The Demand: Ticket-Holders

9 million people nationwide (6 million now eligible)

Who’s eligible Generally: People ages 18 through age

65… In current SSA disability benefits cash

benefits payments Social Security Disability Insurance (SSDI) Supplemental Security Income (SSI) or Concurrent status

MAXIMUS

Who’s not eligible Beneficiaries whose disabling

conditions are expected to medically improve prior to their first medical review

SSI childhood disability beneficiaries who have not yet passed their age –18 redetermination using the adult disability standard

The Demand: Ticket-Holders

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SSI vs. SSDI: All Ticket-Holders

SSA Beneficiary Data

SSI30%

SSDI59%

Concurrent

11%

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SSI vs. SSDI: Participating Now…

SSI30%

SSDI53%

Concurrent17%

SSA Beneficiary Data

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Age Range: All Ticket -Holders

Average Age: 48SSA Beneficiary Data

18-223%

23-3512%

36-5447%

55-6438%

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Age Range:Participating

Now

Average Age: 40SSA Beneficiary Data

18-228%

23-3526%

36-5455%

55-6411%

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*National Snapshot: Top 3 SSA Impairment Codes for

Ticket-Holders

* Phase 1 and 2 states only; codes are set and defined by SSA and are based on impairment as determined at the time of eligibility

SSA Impairment Code*Number of

Tickets Percent

Phase I & IIPsychiatric Disorders (Incl. eating disorders) 1,497,641 26.3%Musculoskelatal Injuries 1,188,715 20.9%Developmental Disabilities 750,622 13.2%

www.yourtickettowork.com (Beneficiary Distribution)

MAXIMUS

The Supply: Employment Networks (ENs)

Any public or private agency (including State Vocational Rehabilitation agencies), organization, business or entity, or

combination of, that can provide or arrange for the delivery of employment-related services or

jobs.

MAXIMUS

Ticket Packet

Ticket

Letter from SSA

Booklet

EN Lists From MAXIMUS/Website – upon request

How the Program Works

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Satisfy the Demand…Get Involved!

Options for Providers:

Do Both!

•Be an Employment Network

and •Partner

With other Employment Networks, VR

Become an Employment

Network

Participate as a Partner with

other Employment

Networks

MAXIMUS

Types of Employment Networks

(www.yourtickettowork.com/endir) Disability/Rehabilitation

Workforce/Economic Development Employers Education and Training State & Local Government

Agencies/Programs Community-Based Groups

MAXIMUS

Snapshot: Current ENs*Non-

Traditional Providers

29%

Traditional71%

Total Number of Approved ENs: 900

Additional “Pending”: 130

*does not include state VRs

MAXIMUS

Examples: Traditional ENs

Goodwill Industries 55

ARCs 41

Independent Living Centers

20

Easter Seals 20

“General” Rehabilitation

500+

MAXIMUS

Examples: Non-Traditional ENs

WIA One-Stop Centers & WIBs

42

Education / Training 41Multicultural & Faith-based

28

State & Local Government

29

Employment Agencies 18Native American Tribes 5

MAXIMUS

Services Offered: National SnapshotExamples of EN Services Offered* % of Employment

Networks

Job placement/employment services 93%

Career strategies 83%

Referral to services or support from local MH or DD providers

76%

Case management 69%

Job training 69%

Situational assessment 63%

School to work transition 58%

Job accommodations 53%

*Per Employment Network RFP

MAXIMUS

Impairment Groups Served: National

SnapshotExamples of Impairment Groups Served*

% of

Employment Networks

Developmental 80%

Psychiatric 79%

Non-traumatic neurological 64%

Deaf/Loss of Voice 56%

Blind/Visually Impaired 56%

Musculoskeletal 50%

Immune System 39%

*Per Employment Network RFP

MAXIMUS

Benefits for Employment Networks Revenue $$$ Builds capacity Access to list of “unassigned” Ticket-holders Employer/Job Matching Services (Ticket to Hire) EN Capitalization Project Training Customized MAXIMUS Resources & Training National Visibility & Recognition

MAXIMUS

Payments Made to Date

Total Payments Made: 780Total Payments: > $240,000

by Type of Payment

Milestone42%

Outcome58%

MAXIMUS

Making Work Pay…for Ticket-Holders EN:Arizona Bridge to Independent Living

EN has nearly 150 Tickets assigned

For example, Bob Quinn Paralyzed by a stroke;

worked part-time Works from AZ home for

ExpressCopy.com in Portland, Oregon

Ticket Program allowed Bob to secure full-time employment and still keep his healthcare coverage

MAXIMUS

Making Work Pay…for Ticket-Holders EN: Employment and Employer Services

EN has nearly 200 Tickets assigned

For example, Joe Nixon Visually impaired; hadn’t worked

in several years Services included interview and

resume training Works now for Loews Theatres Received performance review

with a raise and increased hours

MAXIMUS

Training:

MAXIMUS

EN Capitalization

MAXIMUS

Be a Part of the Solution!

Employer

Resources

Ticket

Holder

You!

MAXIMUS

Contact MAXIMUS

Toll Free 1-866-968-7842

1-866-833-2967 (TDD)

Visit our website www.yourtickettowork.com