Going To Work: A Guide to Social Security Benefits and Employment for Young People with Disabilities (2011 Edition)
While this booklet is no longer available in print, the online version can be used with the updated supplement.
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.
- The Basics of Social Security Disability Benefits: The Two Social Security Disability Programs - SSI and SSDI
- An Additional Benefit Program: Childhood Disability Benefit (CDB)
- How Earned Income Impacts SSI Benefits and Medical Coverage
- How Earned Income Impacts SSDI Benefits and Medical Coverage
- Methods for Maximizing Benefits
- What Happens When a Young Person Turns 18? The Age 18 Review
- If You Are Helping a Young Person Determine the Impact of Employment on Benefits...
- Tips for Managing Social Security Disability Benefits
- The Ticket to Work and Work Incentives Improvement Act of 1999 (TWWIIA)
- Sample Ticket
- Glossary of Terms
- SSA Consent for Release of Information Form
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.
- Are you the parent of a young person who gets disability benefits?
- Are you a professional working with young people with disabilities and their families?
- Are you a young person with a disability?
- Are you wondering what happens to Social Security or health benefits when a young person goes to work?
- Then this booklet is for you!
This booklet will:
- Provide you with basic information about Social Security disability and health benefit programs
- Tell you what happens to Social Security disability and health benefits when a young person goes to work
- Explain how to maximize a young person's options when he or she goes to work.
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,
Requirements to qualify
Effect of earnings on cash benefits
Effect of earnings on medical benefits
- Some people receive benefits from both programs.
- Contact a legal advocate or benefits specialist for information about citizenship/residency requirements.
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:
- Disabled before age 22
- 18 years of age or older
- Since turning 22, has never earned money at or above the Substantial Gainful Activity (SGA) level. The SGA level for 2011 is $1000 per month ($1640 for blind persons).
- Unmarried (or married to another CDB or SSDI benefits recipient)
- The child of a parent who worked and is now deceased or who gets Social Security retirement or disability benefits
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:
- The first $85 ($65 in earned income and $20 in *unearned income) is not counted.
- After subtracting these amounts from the person�s gross earned income, Social Security divides the remaining earnings by two.
- This amount, called "countable income," is then subtracted from the amount of the original SSI check. The amount left over is the amount of the person's adjusted monthly SSI payment.
* 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
Amount of Original SSI Check minus Countable Income = Adjusted SSI Monthly Payment While Working
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.
- No matter how small the SSI cash benefit gets as earnings increase, recipients are automatically entitled to their full MassHealth coverage, as long as they stay below the SSI resource limit.
- Some people will earn enough money that their SSI payment will be reduced to zero dollars based on the calculations previously described. This is called the Break-Even Point.
- Once someone has reached the break-even point, they will stop receiving SSI cash benefits. The person would then be eligible for MassHealth Standard continuation under 1619(b) [see next page]. Contact a benefits specialist for more information.
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.
- Under the 1619(b) program, MassHealth Standard coverage continues until annual earnings reach $36,391 ($37,240 for blind persons). This is called the �threshold amount�. In addition, their resources must stay below the SSI limit of $2000/single individual or $3000/married couple. Parental income and resources are counted for youth under age 18
- If individuals� gross earned income is above this threshold amount, they may be able to stay on MassHealth Standard by using work incentive programs that allow them to reduce the amount of income that Social Security counts when calculating their SSI check. See the �Methods for Maximizing Benefits� section starting on page 11 to learn more about these work incentives.
- In some situations, individuals whose earnings are above the threshold amount may be able to keep MassHealth Standard by proving that they have �extraordinary medical expenses�. Social Security decides whether medical expenses meet this standard on a case-by-case basis.
- Another option for individuals whose earnings are above the 1619(b) threshold amount or the SSI resource limit is a program called MassHealth CommonHealth, which covers many of the same services as MassHealth Standard. A person cannot be eligible for SSI and receive CommonHealth at the same time.
- Talk to a benefits specialist or advocate for more information.
How Can a Young Person Get Back on SSI Benefits After Working?
- If young persons starts working and earning money above the 1619(b) threshold amount, their SSI eligibility will be "suspended." This means that they will be considered temporarily ineligible for SSI cash benefits. (They may be able to keep MassHealth Standard as described on page 6.)
- Many people's earnings go up and down. If their earnings go back down below the 1619(b) threshold amount within the first 12 months after their eligibility is suspended, they may be able to get MassHealth Standard benefits again without having to reapply.
- If their earnings go below the 1619(b) break-even point, they may also be able to get SSI cash benefits again.
It is important to report any changes in the amount a person earns to Social Security as soon as those changes happen.
- If the person�s SSI remains suspended for 12 consecutive months due to earnings over the threshold amount or because they are above the resource limit, their eligibility is "terminated."
- Even after eligibility has terminated because of earnings over the threshold, it may be possible to get back on SSI benefits by contacting Social Security and asking for Expedited Reinstatement (EXR). This depends upon whether the disability is the same as or related to the disability that originally qualified the person for SSI and other circumstances. If a person asks for Expedited Reinstatement within five years from the month when cash benefits ended, he or she can get six months of provisional benefits while waiting for a decision.
- It may also be possible to start over with a new application, although this does not include provisional benefits. A Social Security claims representative should be able to explain the pros and cons of each process.
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.
- The nine months of the TWP can be consecutive (one after the other) or can be spread out over a 60-month period (five years).Any month in which a person earns more than $720 (2011 amount adjusted annually for inflation) counts as a TWP month.
- A month in which an individual earns less than $720 (in 2011) does not count as a TWP month.
- After working and using up the nine TWP months (months in which earnings were over $720/month) over a 60-month period (five years), a person automatically enters the Extended Period of Eligibility (EPE).
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.
- The EPE starts right after the nine-month Trial Work Period and lasts for 36 months (three years).
- During the EPE, a different earnings limit applies. The earnings limit that applies during the EPE is the Substantial Gainful Activity (SGA) level. In 2011, the SGA level is $1000 per month ($1640 for blind persons).
- The first time individuals earn more than SGA after the TWP ends, they will receive their check for three additional months. This three-month period is called the "grace period."
- If earnings stay above the SGA level after the grace period ends, benefits will be "suspended" and the person will not receive a check.
- During the EPE, the person will get a check for any month that their earnings drop below the SGA level. They must report this change to Social Security to get a check.
- After the EPE ends, if a person's earnings remain above the SGA level, cash benefits will stop and are considered "terminated."
- On the other hand, if earnings stay below the $1000 SGA level, month after month, without ever going higher, then benefits continue with no time limit, even after the EPE ends.
- A work incentive program known as Impairment-Related Work Expenses (IRWE) can be used to stay below the SGA level; information on IRWE is included later in this publication.
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.
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.
- First, if individuals stop working during the EPE (the first 36 months after the TWP), then their benefits will restart automatically after they report the change to Social Security.
- Once benefits have terminated because of work after the EPE, Expedited Reinstatement (EXR) is a faster reapplication option if disability benefits are again needed. If a person asks for Expedited Reinstatement within five years from the month when cash benefits ended, he or she can get six months of provisional benefits while waiting for a decision. To qualify for EXR, a person's disability must be the same as or related to the disability that originally made him or her eligible for benefits.
- The third option is to reapply, which means starting from scratch and filing a new application. (This does not include provisional benefits.) A Social Security claims representative should be able to explain the pros and cons of each process.
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.
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: .
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.
- The items and services must be needed because of the person's disability. Examples of items that may qualify as an IRWE include attendant care services, transportation costs, job coaching, medical devices, adaptive equipment, medication, psychological evaluations, and therapy.
- The local Social Security office determines whether a particular expense is deductible as an IRWE.
- The expense must be paid for by the individual and not covered by insurance or otherwise paid for by another source or a family member.
- The cost of the expense is deducted from the amount of earnings that Social Security counts, only if over SGA. For instance, if a person earns $1200 but spends $250 on job coaching, Social Security would only count $950 of earnings ($1200 minus $250 = $950).
These expenses must be documented and reported to SSA to qualify for the exclusion.
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:
- Qualify for SSI
- Keep SSI, even if they make too much money to qualify otherwise
- Increase monthly SSI benefits by setting aside income or resources.
- Money set aside does not count as income and also does not count towards the $2000 limit on resources ($3000 for couples) for the SSI program. This is how using a PASS may help someone qualify for SSI.
- The types of things that a PASS plan can cover include education and training classes, job coaching, transportation, initial costs for purchasing a car or van, clothes for a job, items to start a business, and equipment to do a job.
- The Social Security Administration must approve a PASS plan. There is a PASS application form, which is available from the Social Security website and offices. PASS plan applications are submitted to the local office, which forwards them on to the regional office for review.
- A PASS plan is time-limited, based upon the time frame that is outlined in the approved plan. Typically, they are approved in 18-month blocks of time.
- Teams of Social Security specialists, called "PASS Cadres," are available for advice. WIPA specialists can help prepare applications. See the Resources section of this booklet for contact information.
- It is possible to have a PASS plan for one or more expenses and at the same time have an IRWE for other work-related expenses not covered by the PASS.
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.
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:
- In college or university for at least eight hours a week, or
- In grades 7-12 for at least 12 hours a week, or
- In a training course to prepare for employment for at least 12 hours a week (15 hours a week in a course involving shop practice)
- SEIE requires a formal request, along with submission of documentation
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.
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.
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:
- A PASS Plan
- An Individual Plan for Employment (IPE) with the Massachusetts Rehabilitation Commission (MRC), the state vocational rehabilitation agency in Massachusetts
- An Individual Work Plan (IWP) with a Ticket to Work Employment Network (see information about Ticket To Work on page 20)
- A program of vocational rehabilitation, employment, or other support services under a similar Individualized Written Employment Plan with a federal agency, One-Stop Center/delivery system, or other provider approved by SSA (such as a public, private, or parochial school).
If You Are Helping a Young Person Determine the Impact of Employment on Benefits
You need to know:
- The person's age
- The benefits the person gets (SSI, SSDI, CDB, or a combination)
- The amount of the monthly payment
- Inform the young person about work incentives (IRWE, PASS, etc.) and make suggestions on how to use them.
- Remind the young person that income and job changes (employment starts and stops, a new job, a job loss) must be reported to Social Security as soon as they happen.
- If the young person is on SSI and will stay on it when he or she starts working, remind him or her that resources must stay below the $2000 limit ($3000 for a married couple). For youth under age 18, parental resources must remain below $2000 (if a child lives with one parent) or under $3000 (if the child lives with two parents). Otherwise the person can lose SSI and possibly MassHealth Standard coverage. Note: Young people in this situation may be eligible for MassHealth CommonHealth and should contact the MassHealth program as soon as possible to prevent an interruption in coverage.
Tips for Managing Social Security Benefits
- Refer young persons for further information and/or benefits counseling (see the Resources section in this booklet).
- Develop a good relationship with the local Social Security office.
- Arm yourself with information: Learn about the different programs and learn as much as you can about the impact of employment on benefits.
- Do not rely solely on what the Social Security representatives tell you verbally. Some representatives deal mainly with retiree benefits and only occasionally with disability benefits. Therefore their knowledge may be limited.
- Additional help is available locally to directly assist youth and families with managing benefits, including legal and advocacy organizations. The SSA sponsors a network of Work Incentives Planning and Assistance (WIPA) programs throughout the country. In Massachusetts, the two WIPA programs are run by the Massachusetts Rehabilitation Commission and the Center for Health Policy and Research at the University of Massachusetts Medical School, and are responsible for different parts of the state. (See the Resources section for contact information.)
- Discuss the best method for reporting earnings with the local Social Security office. This is particularly important if a recipient's earnings vary from month to month. SSI and SSDI beneficiaries should keep good records concerning work history, wages (pay stubs), and benefits received.
- Be aware that the Social Security Administration (SSA) sometimes will send checks that should not have been issued. The recipient will then get an "overpayment notice" and will be told to pay the money back. This may be because the recipient neglected to report a wage increase, or it may be because the SSA made a mistake. To avoid hardship, the recipient may want to set aside funds not due to them in a separate bank account. If a recipient feels he or she should not have to return the funds, that person has 60 days to file an appeal or a waiver form. If the person does not qualify for an appeal or waiver, it may be possible to work out a payment plan.
- Make and keep copies of everything sent to the SSA. Send important letters (e.g., appeals) by certified letter, return receipt requested.
- Keep a written record of all phone calls to the SSA � whom you spoke to, date and time, information given and received. Always follow up any substantive phone conversations in writing.
- Respond quickly to all letters from the SSA.
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.
- Up to 60 days are allowed to file an appeal. SSI recipients can keep getting their checks during the first appeal if they appeal within ten days of receiving the first decision letter from Social Security and request that benefits continue. This is called the "ten-day rule." SSDI and CDB recipients can use the ten-day rule only when appealing decisions that their disability has ended after a continuing disability review. Check with a local Social Security office, legal advocate, or benefits specialist to find out whether the ten-day rule applies in individual situations.
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 .
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:
You can also contact the Social Security Administration:
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.
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)
Social Security Administration�Office of Public Inquiries
6701 Security Blvd.
Room 4-C-5 Annex
Baltimore, MD 21235
Social Security Toll-Free Number
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.
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:
- Social Security Online: www.ssa.gov
- Employment Support for People with Disabilities: www.ssa.gov/work
- Benefits for People with Disabilities: www.ssa.gov/disability
Social Security Publications
The Social Security Administration has an extensive number of publications on issues related to disability benefits. Some of the publications available include:
- Understanding the Benefits (Publication No. 05-10024)
- Benefits for Children with Disabilities (Publication No. 05-10026)
- Disability Benefits (Publication No. 05-10029)
- Social Security Disability Benefits (Publication No. 05-10153)
- What You Need to Know When You Get SSI (Publication No. 05-11011)
- Supplemental Security Income (Publication No. 05-11000)
- Working While Disabled How We Can Help (Publication No. 05-10095)
- Work Incentives for People with Disabilities�Red Book (Publication No. 64-030)
- Working While Disabled: A Guide to Plans for Achieving Self-Support (Publication No. 05-11017)
- If You Are Blind or Have Low Vision � How We Can Help (Publication No. 05-10052)
- Ticket to Work and Self-Sufficiency Program (Publication No. 05-10061)
- If You Are Self-Employed (Publication No. 05-10922),
- Your Right to Question the Decision to Stop Your Disability Benefits (Publication No. 05-10090)
- How Social Security Can Help with Vocational Rehabilitation (Publication No. 05-10050)
- A Guide for Representative Payees (Publication No. 05-10076)
- Medicare (Publication No. 05-10043)
- Help Available to Pay Costs of Medicare's New Prescription Drug Program (Publication No. 05-10129)
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.
Statewide Employment Services
Massachusetts Rehabilitation Commission
Website: www.mass.gov/mrc (then click "Benefit Programs")
Serves the counties of Barnstable, Bristol, Dukes, Nantucket, Plymouth, Suffolk, Essex, and Norfolk.
Center for Health Policy and Research, University of Massachusetts Medical School
Voice: 508-856-2659/877-937-9675 (877-YES-WORK)
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)
Ticket to Work (TTW) Program Manager
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
Massachusetts Rehabilitation Commission (MRC)
Charles Carr, Commissioner
27 Wormwood Street, Suite 600
Boston, MA 02110
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
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)
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)
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
TTY: 617-371-1228; Fax: 617-371-1222
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
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)
The Federation is a parent advocacy organization that can assist families with transition issues.
Massachusetts Office on Disability (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:
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.
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.
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.
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.
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.
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.
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
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:
Institute for Community Inclusion
100 Morrissey Blvd.
Boston, Massachusetts 02125
OMB No. 0960-0566
Social Security Administration
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Consent for Release of Information Form
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