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Special Session at the 7th NYAPRS Executive Seminar:
Making the Ticket Work for Your Program
Our Program for This Evening• Brief Ticket-to-Work overview: Joel Middleton, Ticket-to-Work
• Developing a business model and making good business decisions - Oscar Jimenez, MPH, NYAPRS
• Implementation experiences:– Federations of Organizations – Tracy Falkner, LMSW, CPRP– Clubhouse of Suffolk – Josh Carpenter, M.Ed., CRC
• Implementation TA Opportunities: – Ticket-to-Work Technical Assistance Support Center (TASC) –
Michael Yozzi, Sr. Account Manager & Joel Middleton, Account Manager
– Columbia Univ. Center for Practice Innovations (CPI) – Raymond Gregory, IPS Trainer
– NYAPRS – Oscar Jimenez, MPH• Q&A– All panelists
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2010 OUTCOME PAYMENT METHOD
Payment Type Beneficiary Earnings Required After Ticket Assignment
SSI Ticket-Holder SSDI Ticket-Holder
Outcome Earnings sufficient for “zero” cash benefits status Up to 60 payments of $409/month
Up to 36 payments of $711/month
Total of Outcome Payments Available $24,540. $25,596.
2010 MILESTONE-OUTCOME PAYMENT METHOD
Payment Type Beneficiary Earnings Required After Ticket Assignment SSI Ticket-Holder SSDI Ticket-Holder
Milestone 1Milestone 2Milestone 3Milestone 4
$360/ month x 1 month$720/ month x 3 months within 6 months$720/ month x 6 months within 12 months$720/ month x 9 months within 18 months
$1275$1275$1275$1275
$1275$1275$1275$1275
Total for Phase 1 $5,100 $5,100
Outcome Earnings sufficient for “zero cash benefit” status
Up to 60 payments of $220/ month
Up to 36 payments of $382/ month
Total of Outcome Payments Available $13,200 $13,752
Total of Milestones + Outcome Payments $22,260 $23,054
Phase 2
Phase 1
Milestones Gross earnings at or over $1,000(non-blind)/month (SGA)Gross earnings at or over $1,640 (blind)/month (SGA)
Up to 18 payments of $220/ month
Up to 11 payments of $382/ month
Total for Phase 2 $3,960 $4,202
Total Phase 1 + 2 Milestones Payments $9,060 $9,302
2010 Payments At A Glance
Type Ticket Holder Earnings EN Payment for SSDI
EN Payment for SSI
Phase 1
Milestone 1 $360/ two weeks within 1 month
$1,275 $1,275
Milestone 2 $720/mo for 3 months within 6 months (cumulative)
$1,275 $1,275
Milestone 3 $720/mo for 6 months within 12 months (cumulative)
$1,275 $1,275
Milestone 4 $720/mo for 9 months within 18 months (cumulative)
$1,275 $1,275
Total Potential Phase I Milestone Payments $5,100 $5,100
2010 Rates
Milestone-Outcome Payment System: Phase 1 Milestones
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Type Ticket Holder Earnings
EN Payment for SSDI
EN Payment for SSI
Phase 2 Gross > SGA($1000/non-blind; $1,640 for blind)
$382/mo. (up to 11 mos.)
$220/mo. (up to 18 mos.)
Total Phase 2 Payments
$4,202 $3,960
Total Potential Ticket Payments Phases 1 and 2
$9,302 $9,060
2010 Rates
Milestone-Outcome Payment System: Phase 2 Payments
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Milestone-Outcome Payment System: Outcome Payments
Type Ticket Holder Earnings
EN Payment for SSDI
EN Payment for SSI
Outcome Phase Net > SGA ($1000/non-blind;
$1,640 /blind) AND 0 cash benefit
$382/mo. for up to 36 months
$220/mo. for up to 60
months
Total Outcome Phase Payments
$13,752 $13,200
Total Potential Ticket Payments
$23,054 $22,260
2010 Rates 6
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Does s/he receive SSI or SSDI?
NO - Refer to other services
(If PROS, serve thru PROS)YES - Assess earnings interest (i.e., Trial Work
Level or greater?)
NO-Refer to other services (If PROS, serve thru PROS)
Does s/he have a previous VESID case?
YES - Was the
case closed
successfully?
YES - Desire to work at or above SGA?
NO - Refer to other services (if PROS, serve thru PROS
YES
NO
NO - Provide informa
tion about
the TTW progra
m
Verify with MAXIMUS if the Ticket can be
assigned
NOT ASSIGNABLE- Can this be changed?
YES
NO - Refer to other servicesIf PROS, serve thru PROS
ASSIGNABLE
Has s/he worked in the last 18 months at Trial Work level or above?
Yes - Fill out '18 Month Prior Earnings Worksheet'
Some of Phase 1 available
None of phase 1 available - Desire to work at or above SGA?
NO - Refer to other services(If PROS, serve thru PROS)
YES
NO - Entire Ticket left
Benefits Assessment
Assess readiness to work NOW
READY - Assign Ticket Develop IWP
NOT READY - Refer to other services (If PROS, serve thru PROS)
START HEREDecision Tree for Assigning Tickets
Case example # 1: Michael Michael is a 30-year old male that started receiving services
at Inspirations in 2008. Michael has little work experience and has been unemployed for the last 6 years. Michael currently receives SSI benefits along with Medicaid insurance. Michael has been receiving Community Rehabilitation and Support (CRS) services from Inspirations’ PROS program for the past two years. Until recently he had not considered work because he thought he would lose all his benefits, but a month ago he heard that this is not true. So now he is very motivated to become employed again. One of Michael’s goals is to live independently and he would like to find a job to help him accomplish this goal. As Michael does not have much work experience, his current goal is to work part-time in a job where he can make between $800-$900/month. He has never received ACESS-VR services and is not interested in applying for ACESS-VR right now. He has begun submitting applications at local retail stores and has an interview for a job at a grocery store next week.
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Case Example # 2: Mollie Mollie is a 45-year old female that came to Inspirations
to see if she can receive help returning to work. Mollie currently receives $950/month in SSDI benefits along with Medicare insurance. She has never received services from ACESS-VR. Mollie has an associate’s degree in paralegal studies and worked for several years in a variety of legal service jobs. She was approved for SSDI benefits in 2005 due to her mental health disability and had been out of work for the last six years until recently. Mollie found a job working for a local law office. She was employed from June through August in 2010, but lost the job due to conflicts with her supervisor. This was her first job since going onto SSDI benefits. Mollie believes, along with her therapist, that working can help her in her process of recovery and that she can be a successful paralegal again. Mollie is very interested in searching for a part-time job (10-15 hrs/wk) in local law office (at $20/hour).
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1. When an individual has an ACESS-VR case OPEN, the Ticket is considered “in use” and it cannot be assigned to an EN
2. After VR case is formally closed, then the beneficiary can assign Ticket to an EN
3. If the VR case is closed successfully, then Phase One payments are NOT available
4. If the VR case is NOT closed successfully, then ALL Ticket payments may still be available
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Partnership Plus at a Glance
Case example # 3: Cody Cody is a 40-year old that was referred to
Inspirations for continuing employment support. Cody currently receives SSI benefits and Medicaid insurance. Cody has worked with ACESS-VR over the last three years and received vocational training to become an auto mechanic. Four months ago Cody got a job working at a body shop part-time where he earns $800 per/month and his case was successfully closed with ACESS-VR. Cody, however, would still like additional support because he has trouble getting along with his coworkers and sometimes feels overwhelmed with his job responsibilities. Additionally, Cody would like to work full-time in the future so that he can save to buy a car.
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Interested in Pursing Employment?
NO
Refer to PROS services for non-employment goals
(e.g., CRS, IR, Clinical)
YES
PROS eligible? Interested in PROS?
If not, can we serve them?
YES
Assess readiness for work NOW
READY NOW - Refer to IR and See: 'Decision-
Tree Tool for Assigning Tickets'
NOT READY NOW-
Refer to CRS to develop
readiness
NO
See: 'Decision -Tree Tool for Assigning
Tickets' or
Refer to other services
Ticket-to-Work Decision-Tree for NEW PROS participants
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What PROS services does s/he recieve?
CRS
Interested in employment
?
YES - Assess
readiness for work NOW
READY NOW- Enter: IR and 'Decision-Tree
Tool for Assigning
Tickets'
NOT READY NOW-
Stay in CRS
NO - Stay in CRS
IR
Interested in pursuing
employment goals now?
NO - Stay in IR YES
'
ORS
Currently working or interested in working at Trial Work Level or
greater?
NO - Stay in ORS YES
Enter: 'Decision-Tree Tool for Assigning Tickets'
Clinical
Ticket to Work Decision-Tree for CURRENT PROS participants
Challenge Ticket Tracker
What it Does
• Organizes all Ticket Holder Demographics at a glance
• Provides key contact information for Maximus
• Manually allows tracking of all payments, including Phase 1, 2 & Outcomes
• Provides automatic tracking of total revenue
• Includes charts which show total revenue, and break-down of Phase 1, 2 & Outcome payment totals
How it Works
• The Ticket Tracker tool is an excel based database that links data and adds inputs to provide an ongoing picture of revenue your EN has earned
• Information entered in the Demographics Worksheet will populate key data to all other payment tracking Worksheets
• Notes through out the Worksheets help to guide your decisions about payment requests
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Enter EN & Key Maximus contact information here
Enter Ticket Holder information here
Check boxes for benefits type
Job Placement informationIndustry/Sector Drop-down menu: Matches Annual Periodic Outcome Report (APOR)
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Data in these fields populates from Demographics Worksheet
Phase 1 Milestones Worksheet: Payment Code indicates billing request type submitted, Wages for period is for tracking total wage data for request period you have collected from Ticket Holder
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Populated Data in these cells
Phase 2 Payments Worksheet: Note the red tabs in upper corners for comments that will assist you in making billing decisions
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Populated data in these cellsOutcome Payments are tracked in multiple Worksheets, 10/Worksheet. Note the comments again for assistance in billing.
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Management Reports help you to see progress as an EN, and identify revenue trends that can guide your EN service delivery methods. Scrolling down on this page will reveal Phase 2 and Outcome Payment Charts.
Coming Soon…
• Maximus is currently working on an EN portal management tool that will assist you in your efforts which should be released early in 2011.
• SSA is also working with a contractor on another Case Management tool that will be even more sophisticated, release date unkown.
Questions about future trainings and technical assistance?
Questions or requests for individualized TTW TA for PROS programs?
Oscar Jimenez, MPHNYAPRS Director of Community and Economic [email protected]
Questions about the Challenge Ticket Tracker?
Kevin NickersonDisability Program Navigator/CWICTompkins Workforce New YorkIthaca, New York(607) 272-7570 Ext. [email protected]
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New York Makes Work Pay is a Comprehensive Employment System Medicaid Infrastructure Grant (Contract No. #1QACMS030318) from the U.S. Department of Health and Human Services, Center for Medicare and Medicaid Services to the Office of Mental Health on behalf of New York State. It is a joint effort of the Burton Blatt Institute at Syracuse University and the Employment and Disability Institute at Cornell University with the collaborative support of the Employment Committee of the New York State Most Integrated Setting Coordinating Council to develop pathways and remove obstacles to employment for New Yorkers with disabilities.
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New York Makes Work Pay
Partnering Organizations
