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Going To Work: A Guide to Social Security Benefits and Employment for Young People with Disabilities (2011 Edition)

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Going To Work: A Guide to Social Security Benefits and Employment for Young People with Disabilities (2011 Edition)

Contact Michelle Nowers at michelle.nowers@umassmed.edu to request print copies in English or Spanish.

This guide makes Social Security benefits and employment easy to understand. It was developed for Massachusetts, and so some of the content is specific to MA. However, it also includes more general content that is relevant to all SSI and SSDI recipients.

Contents

This publication was funded by the Medicaid Infrastructure and Comprehensive Employment Opportunities Grant, a collaborative project of the Massachusetts Executive Office of Health and Human Services, the Center for Health Policy Research at UMass Medical School, and the Institute for Community Inclusion at UMass Boston. The grant is funded by the Centers for Medicare and Medicaid Services (CFDA #93-768). For more information visit www.mi-ceo.org.

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Introduction

This booklet will:

Knowledge is power. Young people and their families are in the best position to make choices about working when they have good information about the impact of work on benefits. The Social Security and Medicaid/MassHealth programs have work incentives that can help young people give work a try. These incentives provide a "safety net" in case the job does not work out.

The purpose of this booklet is to give families and professionals working with young people some practical, hands-on information about work incentives. We also hope that young people themselves will read this booklet and use the information to help them make the best choices when they go to work.

Note: This guide gives a general overview of the rules for Social Security work incentives for Massachusetts in effect on the date this booklet was published. Depending on circumstances, Social Security uses several different financial limits to make its decisions. These amounts can change from year to year to keep up with the cost of living. The amounts used in this guide are accurate for 2011. You should contact the Social Security Administration (SSA) and/or the local Work Incentives Planning and Assistance (WIPA) program for updates on any changes and for individual information on particular situations. (See contact information in the Resources section of this booklet.)

The Basics of Social Security Disability Benefits for Young People

The table below provides a quick, basic overview of Social Security disability benefits and the impact of income from work on benefits. Some of the terms used in this table are explained in the SIDEBAR on this page. More details are provided in the rest of this guide.

There are two Social Security disability programs*:

SSI-Supplemental Security Income
SSDI-Social Security Disability Insurance,

SSI

SSDI

Requirements to qualify

  • Disabled.
  • Low income.
  • Resource limit of $2000 ($3000 for married couple). Parental resources are counted for youth under 18.
  • Earnings below the Substantial Gainful Activity (SGA) level of $1000/month at the time of application. (Blind persons do not have to meet this requirement.)
  • Disabled.
  • Earnings below the SGA level of $1000 per month ($1640 for blind persons).
  • Previously worked and paid Social Security taxes.

Effect of earnings on cash benefits

  • Gradual reduction.

  • All or nothing.

Medical coverage

  • Medicaid/MassHealth Standard.

  • Medicare.

Effect of earnings on medical benefits

  • Even if SSI cash benefits end, MassHealth Standard coverage continues until earnings are above $36,391 in 2011 ($37,240 for blind persons) or until resources are above the SSI limit.
  • If earnings or resources are above these limits, the person may be eligible for MassHealth CommonHealth.
  • When cash benefits end, Medicare coverage stays in effect for up to 7-1/2 years.
  • MassHealth Standard and MassHealth CommonHealth may also be available for current and former Medicare beneficiaries.

*Notes:

Terms to Know

Another Benefit: Social Security Childhood Disability Benefit

Social Security has an additional benefit for adults with disabilities whose parents have worked enough to qualify. This benefit is called the Childhood Disability Benefit (CDB). To get this benefit, a young person must be:

CDB recipients are like SSDI beneficiaries in many ways. For example, they get Medicare, just like SSDI beneficiaries. They also have the same work incentive programs as SSDI beneficiaries. CDB recipients are different than SSDI beneficiaries because they get benefits based on their parents' work records instead of their own and have to meet other special criteria. In addition, there are different rules for getting back on CDB benefits after they have ended due to work.

Young people under age 18 can also get a Social Security benefit if their parents have worked enough and are now deceased or getting Social Security retirement or disability benefits. This benefit has a similar name: "Child's Benefit." To receive a Child's Benefit, a young person under age 18 does not have to have a disability. A young person with a disability who has been receiving a Child's Benefit will become eligible for the Childhood Disability Benefit after turning 18.

It is possible that someone can get both CDB and SSI benefits. A few people may even get benefits from all three programs: CDB, SSDI, and SSI.

In this booklet, assume that the same rules apply to both SSDI and CDB recipients. If the rules are different in certain cases, this booklet will make that clear.

If you have questions about how CDB benefits work in a particular situation, contact a local SSA representative, benefits specialist, or advocate.

How Earned Income Impacts SSI Benefits

SSI cash benefits go down gradually as earnings from work go up. Social Security uses gross (before taxes) earnings to decide how much to subtract from the SSI check. Here is how the amount is figured:

* Unearned Income � All income that is not earned, such as gifts, lottery winnings, dividends, insurance proceeds, child support, etc.

If the Person Is Working STEP ONE:

(Gross Monthly Earnings from Job minus $65 minus $20) divided by 2 = Countable Income

STEP TWO:

Amount of Original SSI Check minus Countable Income = Adjusted SSI Monthly Payment While Working

Calculating the Impact of Earnings from Employment

In general, young people who get Social Security cash benefits (SSI or SSDI) will be better off financially when they go to work, at least on a part-time basis. Work incentive programs allow people to work without having Social Security count all their income when calculating how much the beneficiary should receive. How earnings and work incentives affect a young person's benefits depends on the benefit type. There are different rules for the SSI and SSDI programs. This section will help you understand how work affects benefits.


Helpful Hint: When Social Security Counts Earnings for SSI

Social Security counts earnings for SSI by the date the pay was issued, not earned. For example, a paycheck issued on May 5 for the week ending April 28 counts for May.

The 1619(a) Program: Keeping the SSI Cash Benefit and MassHealth Standard When Working

Social Security has a program that allows SSI recipients who earn over SGA to keep part or all of their cash benefit and their MassHealth. This is called the 1619(a) program.

Example: Effect of Working on SSI

Casey is a 19 year-old high school graduate who lives independently in her own apartment. She receives $788.39 per month in SSI. She began working 28 hours per week in the mailroom at a large law firm and now earns $10 per hour. Her gross earnings are $1120/month.

Her SSI check is reduced in proportion to her earnings. The first $85 she earns has no impact on her SSI check. After that, her check is reduced $1 for every $2 she earns.

Monthly income prior to working

SSI benefit 788.39

Work earnings + 0.00

Total income $788.39

Monthly income when Casey works

STEP ONE:

Work earnings 1120.00

Income exclusions - 85.00

Remaining 1035.00

Divide by two � 2

Total countable income $517.50

STEP TWO:

SSI Benefit 788.39

Total countable income - 517.50

Adjusted SSI payment $270.89

STEP THREE:

Adjusted SSI payment 270.89

Work earnings + 1120.00

Total income $1390.89

As you can see, Casey's overall income is significantly higher when she is working. Although her SSI check has been reduced, she is now getting $1120 from her job plus $270.89 from SSI for a total of $1390.89 each month. This represents an income increase of $602.50 per month. Because she continues to receive an SSI cash benefit, Casey also keeps full MassHealth coverage.

The 1619(b) Program: Keeping MassHealth Standard Beyond the Break-Even Point

Social Security has a program that allows SSI recipients to keep their MassHealth Coverage, even if they have reached the Break�Even Point and earn too much money to continue to get SSI cash benefits. This is called the 1619(b) program.

MassHealth for Young People with Disabilities Who Work

Two types of MassHealth benefits may be available to young people with disabilities who get SSI or SSDI and who want to work: MassHealth Standard and MassHealth CommonHealth.

MassHealth Standard
This program automatically gives health coverage to SSI recipients. Other young people who are not on SSI may apply separately for MassHealth Standard. To be eligible for MassHealth Standard, a person must have a low income. However, there is no asset (resources) limit for MassHealth Standard benefits that are requested separately from SSI benefits.

MassHealth CommonHealth for Working Adults
This program covers adults age 18 through 64 who are over the income limit for MassHealth Standard but meet the same disability standards and work at least 40 hours per month. CommonHealth covers most of the same benefits as the MassHealth Standard program. CommonHealth Working members pay a monthly premium that increases as their income goes up. There are NO income or asset limits for the CommonHealth Working program. There is also a MassHealth CommonHealth program for people who are not working. People in the CommonHealth Non-Working program pay a substantial one-time deductible, in addition to a premium if they are over age 18.

MassHealth CommonHealth for Children
The MassHealth CommonHealth program covers children under age 18 who meet the SSI disability standards but whose family income is too high to qualify for SSI or MassHealth Standard. Similar to the adult program, families pay a monthly premium based on their income. There are NO income or asset limits for the CommonHealth for Children program.

How Can a Young Person Get Back on SSI Benefits After Working?

It is important to report any changes in the amount a person earns to Social Security as soon as those changes happen.

How Earned Income Impacts SSDI Benefits

SSDI benefits work differently from SSI. The SSDI program does not include an option for reductions in benefits. A person receiving SSDI either gets the full cash benefit or no benefit at all. SSDI work incentive features have helped many people return to work.

The Trial Work Period (TWP)

SSDI beneficiaries can test their ability to work while still getting their full cash benefit and Medicare by using the Trial Work Period. The Trial Work Period is a period of nine months during which individuals can work and still get their full SSDI check and Medicare, regardless of how much money they earn. During the TWP, beneficiaries can test their ability to work and still get their benefits.

SSDI Extended Period of Eligibility (EPE)

Many people worry about going to work because they are concerned that their health may get worse or that they may lose their job at a later date and then have a hard time getting back on benefits. For this reason, SSA has created the Extended Period of Eligibility. The EPE makes it easier for people to get back on cash benefits during a certain period of time after they start working.

Note: Under very limited circumstances, it may be possible to prove individuals who worked for six months or less had an Unsuccessful Work Attempt if they stopped working for disability-related reasons. For example, if someone quit because a disability got worse when he or she went back to work, then this may be considered an Unsuccessful Work Attempt. In some cases, proving that individuals had an Unsuccessful Work Attempt may help them stay on SSDI and even get benefits for the months that they worked. Social Security will not make this determination automatically. Individuals must take steps to prove that their work activity qualifies as an Unsuccessful Work Attempt.

Example: Effect of Working on SSDI

Jose is 21 years old and receives an SSDI check of $685 per month. He has started working 32 hours per week as a data entry clerk in a local bank. He earns $9.50 per hour and has a monthly gross income of $1216.

During the first nine months that he works, Jose uses his Trial Work Period (TWP), so his SSDI check is not affected. He receives both his paycheck and his full SSDI check. After his nine-month Trial Work Period ends, Jose enters his 36-month Extended Period of Eligibility (EPE).

Because Jose continues to earn over the 2011 SGA amount of $1000/month, the first month of his EPE is his cessation month. He receives full SSDI benefits for his cessation month and the following two months, regardless of how high his earnings are. These three months are called the grace period. After this point, he stops getting SSDI checks.

His SSDI benefits can be reinstated within the 36-month EPE if his earnings stop or drop below the SGA level during that period. If Jose's earnings are above the SGA level when the EPE ends, his eligibility for SSDI benefits will terminate.

Monthly income during first 12 months

SSDI benefit 685.00

Work earnings + 1216.00

Total income $1901.00

Monthly income after 12 months (TWP + grace period)

SSDI benefit 0.00

Work earnings + 1216.00

Total income $1216.00

Because Jose is losing his SSDI due to earnings above the SGA level, if his earnings fall below the SGA level again within five years he can file for Expedited Reinstatement of benefits without having to reapply.

As you can see, for the first 12 months that he works, Jose will take home $1216 more than he made on SSDI benefits alone. Once his SSDI check stops after the first 12 months of work, he will still be making $531 more per month than he received in SSDI benefits. With or without his SSDI cash benefits, Jose comes out ahead when he works. He will also be able to keep his Medicare for 93 months (about seven and a half years) after the end of his TWP.

Helpful Hint: When Social Security Counts Earnings for SSDI

The rules for counting earnings for SSDI are different than the rules for SSI. For SSDI, Social Security counts by the date the pay was earned, not issued. So, income earned in June but paid in July counts as earned income for June and, if over $720 (in 2011), would make June count as a TWP month.

How Can a Young Person Get Back on SSDI Benefits After Working?

After SSDI benefits end because a person's earnings are above the SGA level, he or she may have three options, depending on the situation, to get back on benefits if necessary.

Note: The rules for reinstatement and reapplication are different for Childhood Disability Benefits (CDB). Individuals who receive CDB benefits should consult with a local Social Security representative, legal advocate, or benefits specialist about how the rules for each process apply to them.

Medicare Eligibility

SSDI beneficiaries can keep their Medicare coverage for up to 93 months (about seven and a half years) after the end of the TWP unless Social Security decides that they are not disabled. Persons must pay the same Medicare Part B and Part D premiums that they paid while receiving cash benefits. Medicare Part A, which covers hospital services, continues to be free of charge during this time period. After free Medicare Part A benefits end individuals can buy Medicare Part A, in addition to Part B and Part D, by paying a premium.

Methods for Maximizing Benefits

Social Security has several additional programs that reduce the impact of work on disability benefits. These work incentives allow individuals to subtract certain work-related expenses from their income in order to maintain SSI/SSDI eligibility and/or reduce the amount of money taken out of their benefit check. For further information on any of these programs, contact the local Work Incentives Planning and Assistance (WIPA) program (see the Resources section) or check the Social Security website: www.ssa.gov/work/ResourcesToolkit/workincentives.html.

1. Impairment-Related Work Expenses (IRWEs)

IRWEs are expenses for items and services a person with a disability needs in order to work. Social Security gives its recipients an incentive to work by excluding these costs from the gross earned income that it counts for both the SSI and SSDI programs.

These expenses must be documented and reported to SSA to qualify for the exclusion.

Example: IRWE and SSDI

Mai receives $650 per month in SSDI benefits. In 2011, she begins a new job and earns $1100 per month before taxes. Because her wages are higher than the 2011 SGA level of $1000, without an IRWE Mai will stop getting her Social Security benefits following the end of her TWP and grace period.

Mai uses the services of a job coach to help her with job-related functions. Part of the cost of the job coach is paid for by the state vocational rehabilitation agency, but Mai needs a few more hours of coaching, which she pays for out-of-pocket. These services cost her $200 per month. By deducting an IRWE from her gross monthly wages, Mai's countable income would be below SGA, allowing her to keep her SSDI benefits.

STEP ONE:

Work earnings 1100.00

IRWE -200.00

Remaining earnings $900.00 (Below SGA)

STEP TWO:

Remaining earnings 900.00

SSDI check + 650.00

Total income $1550.00

As you can see, the IRWE helped Mai to keep her SSDI benefits and more than double her usable income!

2. Plan for Achieving Self-Support (PASS)

A PASS plan is a work incentive that allows an SSI recipient to set aside (save) money, including SSDI and other Social Security benefits, for expenses to achieve a vocational goal. These set-aside funds will not be counted when determining a person's eligibility or the amount of their SSI cash benefit. By using a PASS, a young person may:

  1. Qualify for SSI
  2. Keep SSI, even if they make too much money to qualify otherwise
  3. Increase monthly SSI benefits by setting aside income or resources.

IRWE AND PASS: What's the Difference?

IRWE

PASS

No time limit - can be ongoing but its evaluated annually

Time-limited, based on approved time period

Based on current work needs

Based on a future work goal

Items or services necessary to continue working (medication, transportation, personal care, accommodations)

Items or services necessary to reach work goal (training, education, car, self-employment equipment)

Item is needed because of any disability-related impairment

Item is not necessarily related to disability

Available to people on SSI or SSDI

Available to people on SSI (using a PASS may allow SSDI recipients to qualify for SSI)

Requires written request approved by SSA and proof such as invoices or receipts

Requires an application that must be approved by SSA

3. Blind Work Expenses (BWEs)

If a person receives SSI and is blind, they can exclude expenses needed to work (not necessarily related to the disability) from their gross earned income when Social Security decides on the amount of their SSI check. These expenses are called Blind Work Expenses (BWEs). Examples include transportation to and from work, federal and state income taxes, Social Security taxes, union dues, translation of materials into Braille, guide dog expenses, childcare, and costs of meals consumed at work. These expenses must be documented and reported to SSA to qualify for the exclusion.

In the example on the right, if Marcus were legally blind, then he could deduct any expenses that he paid in order to work. Unlike Impairment-Related Work Expenses, Blind Work Expenses do not have to be related to the person's disability. For example, Marcus could deduct the cost of transportation to work regardless of whether his blindness required any specialized arrangement. He could also deduct expenses such as income taxes and union dues. Of course, costs related to blindness are also included, so he could deduct expenses for items such as adaptive computer software or guide dog services. This could result in Marcus preserving much of his SSI cash benefit.

Example: IRWE and SSI

Marcus is 22 years old and lives in his own apartment. He receives $788.39 per month in SSI. Then he begins a new job that pays him gross monthly earnings of $1000.

Marcus has a physical disability. He cannot use available public transportation and cannot drive himself. Therefore, he pays a driver to transport him to his job as well as a personal care attendant to assist him with getting bathed and dressed for work. These services cost Marcus $300 per month and qualify as Impairment-Related Work Expenses. Marcus can reduce the impact of his earnings on his countable income by deducting IRWEs from his gross monthly wages.

Monthly income prior to working

SSI benefit 788.39

Work earnings + 0.00

Total income $788.39

Monthly income while working

STEP ONE:

Work earnings 1000.00

Income exclusions - 85.00

IRWES - 300.00

Remaining earnings $615.00

STEP TWO:

Remaining earnings 615.00

Divide by two � 2

Total countable income $307.50

STEP THREE:

SSI benefit 788.39

Total countable income - 307.50

Adjusted SSI payment $480.89

STEP FOUR:

Adjusted SSI payment 480.89

Work earnings + 1000.00

Total income $1480.89

As you can see, the IRWE helped Marcus to nearly double his usable income!

4. Student Earned Income Exclusion (SEIE)

The Student Earned Income Exclusion is a work incentive that allows qualified young people who are in school to keep some or all of their earnings without losing money from their SSI checks. If an SSI recipient is a student under the age of 22, Social Security can exclude up to $1640 of earnings in a month from his or her countable earnings for SSI purposes. The maximum annual exclusion is $6600 (2011 figures). These amounts can change annually to keep up with inflation. To qualify for this exclusion, the student must be:

Students may be eligible for the SEIE if they are in school for less time than indicated above due to reasons beyond their control, such as illness. In addition, a homebound student may be eligible for this exclusion in some circumstances. Contact a local Social Security representative, benefits specialist, or legal advocate for more information.

Example: SEIE and SSI

Marta is a 15-year-old high school student who lives with her parents. Because some of her parents' income is deemed to be available to her, she receives a monthly SSI check of 385.25. As part of her Individualized Education Plan (IEP), Marta has a part-time job in the school's canteen. She works ten hours per week and earns $8.50 per hour. Her total monthly income is $340. Because she is a student, Marta can use the Student Earned Income Exclusion, which allows her to exclude her earnings up to $1640 per month (up to a total of $6600 per year) from her countable income for SSI.

Monthly income prior to working

SSI benefit 385.25

Work earnings + 0.00

Total income $385.25

Monthly income while working

STEP ONE:

Work earnings $340.00

SEIE -340.00 (same amount, because under the maximum allowed)

Total countable earnings $0.00

STEP TWO:

SSI benefit 385.25

Work earnings + 340.00

725.25

Total SSI deduction -0.00 (nothing deducted, because all earnings are excluded)

Total income $725.25

In Marta's case, all of her work earnings are excluded, and there is no impact on her benefits.

What Happens When a Young Person Turns 18? The Age 18 Review

When a young person who gets SSI turns 18, the Social Security Administration reevaluates his or her eligibility under new medical standards designed for adults. This review is called an Age 18 Review.

The adult disability standards are different than the disability standards for children. In some cases, Social Security will decide that the young person is disabled under the adult standard and he or she will continue to receive SSI and MassHealth Standard benefits. In other cases, Social Security will decide that the young person is not disabled, and therefore not eligible for SSI under the adult standard. Typically, this would result in a termination of SSI benefits and possibly MassHealth Standard.

If SSA decides that a young person is not disabled during the Age 18 Review, he or she may keep receiving SSI benefits by filing an appeal within 10 days along with a request that benefits be continued.

Things to Think About When a Young Person Turns 18

There are several things that young people and their families may want to think about to help them prepare for the future, starting about a year before the young person turns 18. Considerations include:

This checklist is adapted from a more detailed version developed by Virginia Commonwealth University called "Age 18 Benefits Check-Up for Youth Transition Demonstration Participants." It can help other young people and their families prepare for benefit changes that may occur at age 18. The checklist is available at www.worksupport.com/documents/transitiontool2.pdf

Virginia Commonwealth University also has other helpful information for transition-age youth under the heading "Resources" on its website, www.worksupport.com.

Another Option for Keeping Benefits: The Section 301 Continuation Period for People Turning 18

Social Security has a special program that allows people who are actively pursuing work-related goals to keep their SSI and MassHealth Standard benefits, even when Social Security has decided that they are "not disabled" under the adult standard. This program is called the Section 301 Continuation benefit. To decide whether a particular person is eligible, Social Security reviews each case individually and decides whether someone's activities are likely to prevent him or her from needing disability benefits in the future. Young persons will automatically meet this requirement if they are between the ages of 18 and 21 and have an Individualized Education Plan (IEP) in place that meets certain standards.

Young persons may also meet this requirement if they are participating in an "appropriate" vocational rehabilitation (VR) program prior to the date that Social Security decided that they were not disabled under the adult disability standards and for at least two months afterwards. Social Security looks at each vocational program individually to decide whether it is "appropriate" and to determine whether it is likely to prevent a person from seeking disability benefits in the future. Note that benefits will stop once the vocational rehabilitation program is completed.

A few examples of vocational plans and programs that might be included in this category are:

Work Incentives and the IEP

Under the Individuals with Disabilities in Education Act (IDEA) of 2004, youth receiving special education services are entitled to transition planning starting at age 14, or sooner if the Individualized Education Planning team determines it appropriate. The transition planning process provides a unique opportunity to focus on how work incentives can help youth with disabilities plan a future that includes employment. Work incentives can help reassure young people and their families that young people can work and take steps toward future education and employment and still have a "safety net" in place.

Ways that work incentives can facilitate transition planning include:

If You Are Helping a Young Person Determine the Impact of Employment on Benefits

You need to know:

If unsure, you can request this information in writing from Social Security, with a signed release from the parent or guardian if the youth is under age 18. Persons over age 18 can sign for themselves unless they have a guardian or a representative payee, in which case that person signs the release instead. A representative payee receives checks in a beneficiary's name. Social Security has a form titled "Consent for Release of Information" (form SSA-3288), which is included at the end of this publication. The form is also available at www.ssa.gov/online.

What Happens to Benefits If a Young Person Gets Funding for College or Other Education/Training Beyond High School?

Social Security does not count as income any federal student financial aid received under the Higher Education Act, such as Pell grants and work-study funds. There is no time limit on this exclusion. Specific examples include funds from the following federal educational assistance programs:

Some other forms of financial aid for education may be subject to special rules. Check with a Social Security representative, legal advocate, or benefits specialist for more information.

Note: It is often a good idea to put any education-related funds into a separate account. This arrangement can help show Social Security that these funds are intended only for educational expenses and should not be counted in the same way as other income or resources. A separate account can help prevent any misunderstanding about these funds that might otherwise cause an interruption in benefits.

Tips for Managing Social Security Benefits

If a young person goes into the hospital, and will be in for at least a month, the SSA should be notified immediately to help preserve benefits.

  • An individual has the right to appeal any decision that the SSA makes.
  • Housing Benefits: Rent Freeze Work Incentives

    People who live in public or subsidized housing have yet another concern related to going to work. They face the potential for a rent increase when their income goes up due to starting a new job. There are regulations in place that allow eligible tenants to have their new work earnings not count for up to two years. These policies vary depending upon the type of housing subsidy involved. For more information, contact the Massachusetts Law Reform Institute at 617-357-0700 or Greater Boston Legal Services Housing Unit at 617-371-1234 or 800-323-3205. If a person is a recipient of Federal Public Housing or a Section 8 Housing Choice Voucher, ask about the "Self-Sufficiency Incentive." If a person is a recipient of State Public Housing and/or has vouchers from the MRVP (Massachusetts Rental Voucher Program) or AHVP (Alternative Housing Voucher Program), ask about the "Earned Income Exclusion." The Institute for Community Inclusion offers a publication called Massachusetts Public and Subsidized Housing Tenants: Know Your Rights! Get a Rent Freeze When You Go to Work, which can be found at www.communityinclusion.org/article.php?article_id=194.

    The Ticket to Work and Work Incentives Improvement Act of 1999

    On December 17, 1999, President Clinton signed the Ticket to Work and Work Incentives Improvement Act of 1999 (TWWIIA). This law was designed to assist people with disabilities in going to work while addressing concerns over benefit loss. It includes several important opportunities for people who receive Social Security disability benefits. The Ticket to Work allows people receiving Social Security disability benefits to obtain assistance in finding employment at a vendor/service of their choice.

    What Is the Ticket to Work Program?

    The Ticket program is an employment initiative of the Social Security Administration. The program offers Social Security disability beneficiaries age 18 to 64 greater choices in obtaining the services they need to help them go to work.

    Participation in the Ticket program does not automatically affect the person's Social Security cash benefit. Should earning increase as a result of getting a job through the Ticket's assistance, then cash benefits may be changed accordingly.

    When Did the Ticket Program Begin?

    The Ticket program began in 2002 and was phased in nationally over a two-year period. Massachusetts has participated since the beginning phase of this process.

    What Does a Ticket Look Like?

    The Ticket is a paper document that has some personal information and some general information about the Ticket program. See the sample Ticket on page 23 or go to www.ssa.gov/work/Ticket/newTicketImage.html.

    How Does a Person with a Disability Get a Ticket?

    SSA is working with an organization named Maximus, Inc., in McLean, Virginia which is helping to manage the Ticket program. When a young SSI or SSDI recipient turns 18, Social Security will review the individual's disability status and Maximus will automatically send the Ticket in the mail with a letter explaining the program to those individuals determined eligible to receive one.

    If a Person Gets a Ticket, Does He or She Have to Use It?

    No. The Ticket program is voluntary.

    Where Does a Person Take His or Her Ticket to Get Services?

    The person takes the Ticket to what the law calls an Employment Network. Employment Networks are private organizations or public agencies (such as the Massachusetts Rehabilitation Commission/MRC) that have agreed to work with Social Security to provide services under this program. In some situations, schools can apply to become Employment Networks for students 18 to 21 years of age who receive SSI or SSDI.

    How Does a Person Find Out About Employment Networks?

    The program manager, Maximus, sends people with disabilities a list of the approved Employment Networks in their local area along with the Ticket. Employment Networks may also directly contact people with disabilities to offer their services. This information is available on the Social Security website at www.socialsecurity.gov/work/whocanhelp.html#EN.

    How Does a Person Choose an Employment Network?

    People with disabilities can contact all Employment Networks in their local area to see which is the right one for them. Both the individual with a disability and the Employment Network have to agree to work together.

    Can a Person Change Employment Networks?

    Yes. People with disabilities have the right to stop working with one Employment Network and begin working with another one. Before individuals make this decision, however, they should make sure they fully understand how the new Employment Network plans to help meet their employment goals.

    If a Person Throws a Ticket Away by Mistake, Can He or She Still Participate in the Program?

    Yes. You can contact Maximus if you have lost your Ticket or you have questions about Ticket eligibility. However, you do not need your actual paper Ticket to participate. Any Employment Network can electronically check your eligibility for Ticket Services.

    How Can I Get More Information about the Ticket Program?

    Contact the program manager:

    Maximus Corporation

    Voice: 866-968-7842
    TTY: 866-833-2967
    Website: www.maximus.com/corporate/pages/youthdisabperssvs.asp

    You can also contact the Social Security Administration:

    Voice: 800-772-1213
    TTY: 800-325-0778
    Email: ttwwiia@ssa.gov
    Website: www.ssa.gov/work/Ticket/ticket_info.html

    Pamphlets and other written materials are available at local Social Security offices. Information about the Ticket program is also available from many other private and government organizations that help people with disabilities.

    RESOURCES

    The organizations described in this resources section can help individuals with their Social Security work incentives and benefits questions. They may also be available to provide assistance to parent and professional groups that work with young people. Consider inviting one of these resources to provide periodic benefits information and training to young people, their families, and interested professionals as a regular activity at your organization or school.

    Social Security Administration (SSA)

    National

    Mailing Address
    Social Security Administration�Office of Public Inquiries
    6701 Security Blvd.
    Room 4-C-5 Annex
    Baltimore, MD 21235
    Social Security Toll-Free Number
    Voice: 800-772-1213
    TTY: 800-325-0778
    Call between 7:00 AM to 7:00 PM any business day.

    Social Security has local offices throughout the United States. Addresses for regional and local offices are located in the "Blue Pages" section of the phone book or under "U.S. Government." Regional and local offices can also be found through the Social Security Administration website.

    Website

    The Social Security Administration has a very comprehensive and user-friendly web site with extensive information, publications, and forms available. In addition to the main website, specific sections are dedicated to disability issues:

    These and many other publications are available free of charge through the website (www.ssa.gov/pubs/englist.html#ssi), at local Social Security offices, or by calling the toll-free number. Most are also available in Spanish and alternative formats.

    Work Incentives Planning and Assistance (WIPA) Programs

    SSA has funded a national network of Work Incentives Planning and Assistance programs. WIPA programs provide counseling to help individuals understand the impact of work on their benefits. Persons who receive SSI, SSDI, and/or CDB benefits can get these services free of charge from the Massachusetts programs listed below.

    Project Impact
    Statewide Employment Services
    Massachusetts Rehabilitation Commission
    Voice: 617-204-3854/800-734-7475
    TTY: 617-204-3834
    Fax: 617-204-3847
    Website: www.mass.gov/mrc (then click "Benefit Programs")
    Serves the counties of Barnstable, Bristol, Dukes, Nantucket, Plymouth, Suffolk, Essex, and Norfolk.

    BenePLAN
    Center for Health Policy and Research, University of Massachusetts Medical School
    Voice: 508-856-2659/877-937-9675 (877-YES-WORK)
    Website: www.beneplan.org
    Serves the counties of Berkshire, Franklin, Hampden,
    Hampshire, Middlesex, and Worcester.

    Plan for Achieving Self-Support (PASS)
    Boston Regional PASS Cadre (for all of Massachusetts)
    Voice: 781-585-2301/800-297-4291
    Fax: 781-581-1702
    Ticket to Work (TTW) Program Manager
    Maximus Corporation
    Voice: 866-968-7842
    TTY: 866-833-2967
    Website: www.maximus.com/corporate/pages/youthdisabperssvs.asp

    Benefits Management Software

    WorkWORLD �Software developed by the Employment Support Institute to help individuals with disabilities calculate how employment will affect Social Security and other benefits. Contact this organization for information about how to use and purchase this software:

    Employment Support Institute
    Attention: WorkWORLD Support
    Virginia Commonwealth University School of Business
    1015 Floyd Avenue
    P.O. Box 844000
    Richmond, VA 23284-4000
    Voice: 804-828-2665
    Email: WorkWORLD@vcu.edu
    Website: www.workworld.org

    Massachusetts Rehabilitation Commission (MRC)

    Charles Carr, Commissioner
    27 Wormwood Street, Suite 600
    Boston, MA 02110
    Voice: 617-204-3600
    Fax: 617-727-1354
    Website: www.mass.gov/mrc

    MRC is the state Vocational Rehabilitation agency that directly provides, funds, and contracts for a variety of services focused on employment and independence for people with disabilities. For a listing of local area MRC offices, go to www.mass.gov/mrc and click on "Vocational Rehabilitation area offices."

    The Transition to Adulthood Program (TAP)

    Massachusetts Rehabilitation Commission (MRC)
    Contact: Jim Durant, Turning 22 Program
    Voice: 617-204-3626
    TTY: 617-204-3815
    Website: www.mass.gov/mrc

    The TAP program at MRC is designed to serve the needs of transition-age young people with disabilities through services available at four independent living centers throughout the state.

    Massachusetts Commission for the Blind (MCB)

    Janet LaBreck, Commissioner
    48 Boylston Street
    Boston, MA 02116
    Voice: 800-392-6450/617-727-5550
    TTY: 800-392-6556
    Fax: 617-727-5960
    Email: phil.oliver@state.ma.us
    Website: www.mass.gov/mcb

    MCB provides services to citizens of Massachusetts who are blind. MCB offers vocational rehabilitation, independent living social services, home care and respite assistance, radio reading programs, resource information, community systems advocacy, and residential and day services.

    Legal and Advocacy Organizations

    Disability Law Center (DLC)

    11 Beacon Street, Suite 925
    Boston, MA 02108
    Voice: 800-872-9992/617-723-8455
    TTY: 800-381-0577/617-227-9464
    Fax: 617-723-9125
    Email: dlc@gbls.org
    Website: www.dlc-ma.org

    DLC provides information, referral, advice, and counsel regarding legal rights and services for people with disabilities. The agency also provides legal services, including Social Security representation, to eligible people and groups whose cases meet DLC priorities. The organization operates a speaker's bureau with experienced lawyers and paralegals who discuss their areas of expertise, including Social Security issues, with community groups, public and private agencies, and other advocacy organizations. DLC produces publications on a variety of disability law issues.

    Greater Boston Legal Services (GBLS)

    197 Friend Street
    Boston, MA 02114
    Voice: 800-323-3205/617-371-1228
    TTY: 617-371-1228; Fax: 617-371-1222
    Website: www.gbls.org

    GBLS provides free civil (non-criminal) legal assistance to low-income people in Boston and 31 additional cities and towns. Help offered ranges from legal advice to full case representation, depending on client need.

    Massachusetts Law Reform Institute (MLRI)

    99 Chauncy Street, 5th Floor
    Boston, MA 02111
    Voice: 617-357-0700
    Fax: 617-357-0777
    Website: www.mlri.org

    MLRI is a nonprofit statewide legal services support center. The organization's mission is to represent low-income people, elders, and people with disabilities in their struggles for basic human needs; to defend against measures that harm people living in poverty; to advocate for systemic reforms that achieve social justice; and to provide support that will enable others to carry out these objectives.

    Federation for Children with Special Needs (FCSN)

    1135 Tremont Street, Suite 420
    Boston, MA 02120
    Voice: 800-331-0688 (in MA)
    Website: www.fcsn.org

    The Federation is a parent advocacy organization that can assist families with transition issues.

    Massachusetts Office on Disability (MOD)

    One Ashburton Place, #1305
    Boston, MA 02108
    Voice: 617-727-7440
    Voice/TTY: 800-322-2020
    Fax: 617-727-0965
    Website: www.mass.gov/mod

    MOD is a state agency whose purpose is to bring about full and equal participation of people with disabilities in all aspects of life. Services include helping people to learn about the rights of and services available to people with disabilities. Information, referral, and advocacy are available in areas such as vocational rehabilitation, independent living, accessible housing, transportation, architectural and communications access, education, employment and the ADA, and civil rights.

    Independent Living Centers (ILCs)

    ILCs are a national network of private, nonprofit, consumer-controlled, community-based organizations that provide services and advocacy by and for persons with all types of disabilities. Core services at all centers include information and referral, independent living skills training, peer counseling, and individual and systems advocacy. ILCs may also provide a variety of other services, such as personal assistance services and housing advocacy. For more information, and to locate ILCs in your local area, see these websites:

    Massachusetts Rehabilitation Commission:
    www.mass.gov/mrc (click "Independent Living")

    Massachusetts Statewide Independent Living Council:
    www.masilc.org

    GLOSSARY OF TERMS

    Blind Work Expenses�BWE
    A work incentive involving funds that people who are blind spend in order to work (not necessarily related to the disability). Social Security does not count these expenses when it calculates countable income for SSI purposes. Examples of these expenses: transportation to and from work, federal and state income taxes, Social Security taxes, union dues, translation of materials into Braille, guide dog expenses, childcare, and costs of meals consumed at work.

    Childhood Disability Benefit�CDB
    A benefit for people considered disabled whose parents have worked enough to qualify for benefits and who are now deceased or getting Social Security retirement or disability benefits.

    Earnings or Earned Income
    Money from working; for example, the amount in a paycheck.

    Expedited Reinstatement�EXR
    A process for getting back on benefits that a person can request without having to start over with a new application. People who ask for EXR can receive up to six months of provisional benefits.

    Extended Period of Eligibility�EPE
    A 36-month (three-year) period of time during which a person can still receive an SSDI check if earnings drop below the substantial gainful activity (SGA) level.

    Impairment-Related Work Expense�IRWE
    A work incentive that can be used to help reduce the impact of earnings on Social Security disability benefits (SSI and SSDI). IRWEs include the reasonable cost of items and services (e.g., attendant care, medical or prosthetic devices, drugs and medical services, residential modifications, special transportation) that, because of a disability, a person needs and uses in order to work. The expense must be paid for by the individual, not covered by insurance or otherwise reimbursed from another source. The cost of these items and services is deducted from the earnings that Social Security uses to figure out if someone is making SGA.

    Income Exclusion
    An amount of money that is not counted when Social Security decides how much it will pay in a benefit check. Social Security has several income exclusions for things like earned income, certain work expenses, and other items.

    Medicaid
    The joint federal-state health benefits program for people with disabilities and others who qualify. In Massachusetts, Medicaid is called "MassHealth." MassHealth Standard is for people with low incomes, including people with disabilities. In Massachusetts, SSI recipients automatically get MassHealth Standard benefits. MassHealth CommonHealth is a program for people with disabilities at any income level above the cutoff for MassHealth Standard. There are CommonHealth programs for workers and also for non-workers with disabilities.

    Medicare
    A federal health insurance program typically connected with SSDI and CDB benefits. Part A covers hospital insurance while Part B provides supplemental medical insurance. Beneficiaries receive Medicare after 24 continuous months on SSDI, and must pay certain deductibles and co-insurance fees. Part B also requires payment of a monthly premium that is usually deducted from the SSDI benefit check. Part D prescription drug coverage is a new program that became available as of January 2006. Toll-free Medicare hotline: 800-633-4227.

    Overpayment
    It is not uncommon for recipients to receive a letter from SSA stating that they have been paid too much and must return the excess funds. SSA will negotiate gradual repayment of the debt, or the recipient can file an appeal or a waiver form within 60 days of receipt of the overpayment notice.

    Plan for Achieving Self-Support�PASS
    A Social Security work incentive that allows a person with a disability to set aside income and/or resources towards a work goal for a specified period of time (e.g., a person could set aside money for education, vocational training, or business start-up expenses). A PASS can be used to help reduce the amount that SSA deducts from an SSI check because of a person's earned income. SSA must approve PASS plans.

    Resources
    The term that Social Security uses for what most people call "assets." It includes anything you own, for example, cash, a bank account, cars, stocks, business assets, or other property that you can use to support or maintain yourself. Social Security does not count all your resources when deciding SSI eligibility. The SSI resource limit is $2000 for an individual ($3000 for married couple) in 2011. If the resource limit is exceeded, eligibility may be reestablished once the excess resources have been "spent down" below the limit.

    Social Security Administration�SSA
    SSA provides monthly cash benefits to approximately ten million individuals with disabilities in the United States under the SSDI and SSI programs. SSA is also responsible for administering the Ticket to Work program.

    Social Security Disability Insurance�SSDI
    A program of federal disability insurance benefits for workers who have contributed to the Social Security trust fund and become disabled or blind before retirement age. The SSDI program also covers spouses with disabilities and dependent children of fully insured workers upon the retirement, disability, or death of a primary beneficiary. SSDI pays monthly cash benefits directly to eligible persons with disabilities throughout the period of eligibility. Individuals on SSDI typically are also eligible for Medicare, after a 24-month waiting period starting on the date that the individual becomes entitled to an SSDI benefit check.

    Substantial Gainful Activity�SGA
    For purposes of determining initial eligibility for SSDI and SSI, "disability" is defined as the inability to engage in any "Substantial Gainful Activity" by reason of a medically determinable physical or mental impairment that is expected to last for a specified period. For calendar year 2011, the SGA limit is $1000 per month in work earnings ($1640 for individuals who are blind). SGA is adjusted on an annual basis for inflation.

    Supplemental Security Income�SSI
    A Social Security program providing monthly cash income to persons with disabilities or blindness who have low income and resources. The SSI program is funded out of the general revenues of the Treasury. In most states, people who get SSI also automatically get Medicaid.

    Ticket to Work and Work Incentives Improvement Act-TWWIIA
    Legislation that became effective in the year 2000, TWWIIA offers Social Security disability beneficiaries age 18 to 64 more choice in obtaining the services they need to help them go to work.

    Trial Work Period-TWP
    A period of nine months during which an SSDI beneficiary can work and still get their full SSDI check and Medicare, regardless of how much money they earn. The nine months of the Trial Work Period can be consecutive (one after the other) or can be spread out over a 60-month period (five years).

    Work Incentives Planning and Assistance�WIPA
    WIPA programs are funded by the Social Security Administration and are based at a variety of community and public agencies across the country. WIPA staff members are trained to help individuals understand the impact of income from employment on the full range of public benefits, including SSI, SSDI, Medicare, Medicaid, public housing, TANF, and food stamps.

    Going to Work: A Guide to Social Security Benefits and Employment for Young People with Disabilities

    2011 edition

    Acknowledgements

    The authors would like to thank Melissa Cook, Barbara Donati, Danielle Dreilinger, Linda Freeman, Mary Ann Gallagher, Maureen Gallagher, Nellie Goron, Gail Havelick, Rick Kugler, Susan Murray, Teri O'Shea, Mary Philbin, Joseph Reale, Amelia Robbins-Cureau, Jason Savageau, Judith Savageau, Cindy Thomas, Elena Varney, and Karen Zimbrich for their editorial contributions to this guide.

    Production of Going to Work: A Guide to Social Security Benefits and Employment for Young People with Disabilities was supported by Work Without Limits, a Massachusetts Disability Employment Initiative funded by the Centers for Medicare and Medicaid Services (CFDA No. 93.768) and managed through a partnership by UMass Medical School Center for Health Policy and Research, Institute for Community Inclusion at UMass Boston, and Massachusetts Executive Office of Health and Human Services.

    The opinions contained in this publication are those of the grantees and do not necessarily reflect those of the Centers for Medicaid and Medicare Services.

    For more information, contact:

    Publications Office
    Institute for Community Inclusion
    UMass Boston
    100 Morrissey Blvd.
    Boston, Massachusetts 02125
    617.287.4300 (voice)
    617.287.4350 (TTY)

    Form Approved
    OMB No. 0960-0566


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    Date of Birth:
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    be punished by a fine or imprisonment or both.

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    Consent for Release of Information Form

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    How To Complete this Form

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    TIME IT TAKES TO COMPLETE THIS FORM--We estimate that it will take you about 3 minutes to complete this form. This includes the time it will take to read the instructions, gather the necessary facts and fill out the form.

    ICI: promoting inclusion for people with disabilities