Transcript Proposed Ticket Changes - 2006

Social Security Disability Benefits and
Supplemental Security Income:
Understanding the
Impact of Work on
Benefits
….Removing the
of WORK!
Why do people
going to
work while
receiving
SSDI/SSI
benefits?
2
•
•
•
•
•
•
•
Loss of Cash Benefits
Loss of Medicare and/or Medicaid
Not Understanding Work Incentives
Reapplying for Benefits
Overpayments
Work=Not Disabled
Not understanding Impact of work on
other programs/benefits
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WHAT IF a Beneficiary…
• Could keep cash benefits
• Could keep Medicare or Medicaid for long
periods
• Wouldn’t have to worry about reapplying
for benefits if the job doesn’t work out
• Had resources to help understand work
incentives and has CHOICE in how work
affects benefits?
• Could purchase needed services?
October, 2008
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October, 2008
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Can you get both?
SSD
Based on
someone's
work – an
Insurance
Program
Medicare
7/21/2015
D
I
S
A
B
I
L
I
T
Y
APD
SSI
Low
income
Low assets
Medicaid
Definition of Disability
 Adult: Inability to
Engage in any
Substantial Gainful
Activity by Reason of
any Medically
Determinable Physical or
Mental Impairment or
Combination of
Impairments which has
lasted or can be
expected to last for a
continuous period of not
less than 12 months or
result in death.
*Age 18 or older
7/21/2015
 Child: Inability to Engage
in any Substantial Gainful
Activity by Reason of any
Medically Determinable
Physical or Mental
Impairment or
Combination of
Impairments which
causes “marked and
severe functional
limitations” and that can
be expected to result in
death or which has lasted
or can be expected to last
for a continuous period of
not less than 12 months.
APD
Maintaining Cash
Benefits
• SSDI:
• TWP/Extended Period of Eligibility
• Any Amount for 9 month ($720 TWP)
• EPE – Under $1000 Gross (in general
w/no exclusions-Blind $1640))
• SSI:
• Earned Income Exclusion: $65
• $20 General Exclusion
• $1 for $2 adjustment
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Fear: Jeopardizing Cash Benefits
Safety Net: Trial Work Period
 Nine service months
 Employee: $720 gross/mo (2011);
Self-employed: $720 net*
 Full SSDI benefits payable
 Medicare continues (if applicable)
 Only one TWP during period of
disability
*After 24 months of benefits (initial or
EXR)
October, 2008
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What Happens After TWP?
 Extended period of Eligibility (EPE)
 36 months after TWP
 Benefits continue if under SGA
 $1000 non blind
 $1640 blind
 Benefit Cessation when earnings over
SGA
 Benefits payable for first SGA months + 2
“grace” months
 Suspension vs. termination
October, 2008
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Impairment Related Work
Expenses (IRWEs)
Related to medically
established impairment
 Necessary to Work
 Reasonable Expense
 Proof of out of pocket
payment

October, 2008
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Examples of IRWE







October, 2008
Medications
Attendant care services
Medical devices
Work-related assistive devices
Modifications to
vehicle/residence
Some transportation costs
Job Coaching
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How Does IRWE Work?
Assume: Wages=$1500 month
SSDI=$1200 month
$1500 (Gross wages *Note- ↑SGA)
- 550 (Beneficiary pays for IRWE-job
coach)
$ 950 (Remainder) = Countable for
SSDI
$1200 (SSDI ck)+1500 wages =
TOTAL INCOME: $2700
Check is payable!
October, 2008
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SUBSIDY & SPECIAL
CONDITIONS
Subsidy = Support provided by
Employer
Special Conditions = Support by
others
• More pay than Value of work
performed
• Dollar value attached to extra help,
supervision, etc.
• Job Coaching
October, 2008
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How Does Subsidy Work?
Assume: Wages=$1000 month
SSDI=$1200 month
$1000 (Gross wages *Note- ↑SGA)
- 150 (Beneficiary pays for IRWE-job
coach)
- 500 (Subsidy=50%)
$ 350 = Countable for SSDI
$1200 (SSDI ck)+1000 wages =
TOTAL INCOME: $2200
Check is payable!
October, 2008
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SSI Calculation
1085 (Gross wages)*
- $20 (General Exclusion)
1065 (Remainder)
- $65 (EIE)
1000 (Remainder)
÷ 2_______
500 (Total countable earned income)
$674(full SSI ck)-500 = $174 (new SSI amt)
TOTAL INCOME: $1259
$174(SSI)+$1085(wages)
Breakeven Point: $1433
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What happens to
Medicare if you receive SSDI and
if you work?
Beginning in October 2000 premium-free
Medicare Part A, along with supplementary
medical insurance (Medicare Part B),
continues for at least 93 months (7 yrs, 9
months) after the end of the TWP.
…Medicare can be purchased
if disability continues AFTER
the end of the 93 month
period.
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But…what happens to
Medicaid???
• If you lose all or part your SSI check
because of your wages you can keep
your Medicaid under 1619(a) or (b)
• If you lose your SSI check for ANY
other reason you also lose Medicaid
• Medicaid may be stopped because
excess resources.
•
*Assuming recipient is eligible for/receives SSI (SSI/Medicaid)
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Section 1619 (B) - Continued
Medicaid
• Have been eligible for SSI Payment for at
least 1 month
• Still disabled
• Meet all other eligibility rules
• Need Medicaid in order to work and
• Have gross income insufficient to replace
SSI, Medicaid and any publicly funded
attendant care (individual threshold) OR
$28,753 per year (2011)
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: Reapplying/Benefit Termination
Safety Net: Expedited Reinstatement
•
•
•
•
•
•
October, 2008
SSDI or SSI
Current work is under SGA
Same or related disabling condition
Prior termination due to work activity
Within 60 months of last entitlement
6 months Provisional Benefits
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Will SSA Review my
Medical Disability if I work?
• Work Reviews
• Medical reviews
• Medical CDR Protection – That’s
the Ticket!
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FEAR: Where Do I Begin?
Safety Net: Ticket to Work Program
Great-- You Got A Ticket!
But-- What Can It Do For You?
October, 2008
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The New Ticket Can:
 Provides CHOICE
 Could help to find a job
 Adds “Employment Networks”
to the choices of who will
assist without cost
 Protects from Continuing Medical
Disability Reviews!
www.yourtickettowork.com
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An SSI Exclusive!
Report Wages By Telephone!
 You, your payee or deemor can call in
wages every month
 Call toll-free from the 1st to the 6 day of
each month to report gross wages paid in
the previous month
 You get a receipt mailed automatically!
CALL 1-866-772-0953
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What/How to Report to SSA
 Report work to SSA
 Name, address and phone number of
employer
 Report to both departments if you receive two
checks
 Be able to estimate future earnings
 Know if and when checks will stop
 Request a Receipt
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Resources
 Social Security Administration
 1-800-772-1213
 AWIC, WIL
 www.socialsecurity.gov/work
 WIPA
 Disability Rights Florida
 1-800-342-0823 or 1-800-346-4127 (TDD)
 Disabilityrightsflorida.
 PASS Cadre
 1-800-254-9489
 Maximus
 1-866-YOURTICKET or 1-866-833-2967
(TDD)
 www.yourtickettowork.com
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$$
If you have
the courage
to begin,
you have the
courage to
succeed.”
David Viscott
Marlene Ulisky
North Florida Area
Work Incentives Coordinator
1-866-296-4879 Ext 16801
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