20 C.F.R. PART 411--THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM
TITLE 20--Employees' Benefits
CHAPTER III--SOCIAL SECURITY ADMINISTRATION
PART 411--THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM
Subpart A--INTRODUCTION
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| What is the purpose of the Ticket to Work program?
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| How is the Ticket to Work program implemented?
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| Definitions of terms used in this part.
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Subpart B--TICKETS UNDER THE TICKET TO WORK PROGRAM
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| What is a ticket under the Ticket to Work program?
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| Who is eligible to receive a ticket under the Ticket to Work program?
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| How will SSA distribute tickets under the Ticket to Work program?
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| What do I do when I receive a ticket?
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| When can I assign my ticket and how?
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| Once my ticket has been assigned to an EN or State VR agency, can it be taken out of assignment?
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| Can I reassign my ticket to a different EN or the State VR agency?
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| When does my ticket terminate?
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Subpart C--SUSPENSION OF CONTINUING DISABILITY REVIEWS FOR BENEFICIARIES WHO ARE USING A TICKET
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| What does this subpart do?
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| How does being in the Ticket to Work program affect my continuing disability reviews?
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| Glossary of terms used in this subpart.
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| When does the period of using a ticket begin?
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| When does the period of using a ticket end?
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| What if I assign my ticket after a continuing disability review has begun?
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| What is timely progress toward self-supporting employment?
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| How much do I need to earn to be considered to be working?
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| How is it determined if I am meeting the timely progress guidelines?
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| Table summarizing the guidelines for timely progress toward self-supporting employment.
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| How will the PM conduct my 24-month progress review?
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| How will the PM conduct my 12-month progress reviews?
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| What if I disagree with the PM's decision about whether I am making timely progress toward self-supporting employment?
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| What happens if I do not make timely progress toward self-supporting employment?
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| What if my ticket is no longer assigned to an EN or State VR agency?
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| What if I reassign my ticket after the end of the extension period?
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Subpart D--USE OF ONE OR MORE PROGRAM MANAGERS TO ASSIST IN ADMINISTRATION OF THE TICKET TO WORK PROGRAM
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| What qualifications are required of a PM?
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| What limitations are placed on a PM?
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| What are a PM's responsibilities under the Ticket to Work program?
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| How will SSA evaluate a PM?
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Subpart E--EMPLOYMENT NETWORKS
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| Who is eligible to be an EN?
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| How does an entity other than a State VR agency apply to be an EN and who will determine whether an entity qualifies as an EN?
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| What are the minimum qualifications necessary to be an EN?
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| What are an EN's responsibilities as a participant in the Ticket to Work program?
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| Under what conditions will SSA terminate an agreement with an EN due to inadequate performance?
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| What reporting requirements are placed on an EN as a participant in the Ticket to Work program?
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| How will SSA evaluate an EN's performance?
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Subpart F--STATE VOCATIONAL REHABILITATION AGENCIES' PARTICIPATION
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| Must a State VR agency participate in the Ticket to Work program?
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| What payment options does a State VR agency have under the Ticket to Work program?
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| How does a State VR agency become an EN?
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| How does a State VR agency notify SSA about its choice of a payment system for use when functioning as an EN?
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| Does a State VR agency ever have to function as an EN?
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| Does a State VR agency continue to provide services under the requirements of the State plan approved under title I of the Rehabilitation Act of 1973, as amended (29 U.S.C. 720 ), when functioning as an EN?
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| What does a State VR agency do if the State VR agency wants to determine whether a person seeking services has a ticket?
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| What does a State VR agency do if a beneficiary who is eligible for VR services has a ticket that is available for assignment or reassignment?
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| What does a State VR agency do if a beneficiary to whom it is already providing services has a ticket that is available for assignment?
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| Is a State VR agency required to provide periodic reports?
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| Can an EN to which a beneficiary's ticket is assigned refer the beneficiary to a State VR agency for services?
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| When does an agreement between an EN and the State VR agency have to be in place?
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| Does each referral from an EN to a State VR agency require its own agreement?
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| Who will verify the establishment of agreements between ENs and State VR agencies?
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| What information should be included in an agreement between an EN and a State VR agency?
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| What should a State VR agency do if it gets an attempted referral from an EN and no agreement has been established between the EN and the State VR agency?
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| What should the PM do when it is informed that an EN has attempted to make a referral to a State VR agency without an agreement being in place?
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| How will disputes arising under the agreements between ENs and State VR agencies be resolved?
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Subpart G--REQUIREMENTS FOR INDIVIDUAL WORK PLANS
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| What is an Individual Work Plan?
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| What is the purpose of an IWP?
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| Who is responsible for determining what information is contained in the IWP?
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| What are the minimum requirements for an IWP?
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| When does an IWP become effective?
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Subpart H--EMPLOYMENT NETWORK PAYMENT SYSTEMS
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| Definitions of terms used in this subpart.
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| How is an EN paid by SSA?
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| How is the State VR agency paid under the Ticket to Work program?
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| Can the EN change its elected payment system?
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| How are beneficiaries whose tickets are assigned to an EN affected by a change in that EN's elected payment system?
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| How are the EN payments calculated under each of the two EN payment systems?
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| How will the outcome payments be reduced when paid under the outcome-milestone payment system?
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| What are the milestones for which an EN can be paid?
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| What are the payment amounts for each of the milestones?
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| What are the payment amounts for outcome payment months under the outcome-milestone payment system?
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| What are the payment amounts for outcome payment months under the outcome payment system?
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| Can the EN keep the milestone and outcome payments even if the beneficiary does not achieve all 60 outcome months?
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| Is it possible to pay a milestone or outcome payment to more than one EN?
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| What happens if two or more ENs qualify for payment on the same ticket but have elected different EN payment systems?
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| Can an EN request payment from the beneficiary who assigned a ticket to the EN?
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| How does the EN request payment for milestones or outcome payment months achieved by a beneficiary who assigned a ticket to the EN?
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| Can an EN receive payments for milestones or outcome payment months that occur before the beneficiary assigns a ticket to the EN?
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| Can a State VR agency and an EN both receive payment for serving the same beneficiary?
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| Which provider will SSA pay if, with respect to the same ticket, SSA receives a request for payment from an EN or a State VR agency that elected payment under an EN payment system and a request for payment from a State VR agency that elected payment under the cost reimbursement payment system?
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| What can an EN do if the EN disagrees with our decision on a payment request?
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| What oversight procedures are planned for the EN payment systems?
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| Will SSA periodically review the outcome payment system and the outcome-milestone payment system for possible modifications?
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Subpart I--TICKET TO WORK PROGRAM DISPUTE RESOLUTION
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| Is there a process for resolving disputes between beneficiaries and ENs that are not State VR agencies?
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| What are the responsibilities of the EN that is not a State VR agency regarding the dispute resolution process?
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| When should a beneficiary receive information on the procedures for resolving disputes?
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| How will a disputed issue be referred to the PM?
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| How long does the PM have to recommend a resolution to the dispute?
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| Can the beneficiary or the EN that is not a State VR agency request a review of the PM's recommendation?
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| Can a beneficiary be represented in the dispute resolution process under the Ticket to Work program?
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| Do the dispute resolution procedures of the Rehabilitation Act of 1973, as amended (29 U.S.C. 720 ), apply to beneficiaries seeking services from the State VR agency?
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| Is there a process for resolving disputes between ENs that are not State VR agencies and PMs, other than disputes on a payment request?
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| How will the PM refer the dispute to us?
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Subpart J--THE TICKET TO WORK PROGRAM AND ALTERNATE PARTICIPANTS UNDER THE PROGRAMS FOR PAYMENTS FOR VOCATIONAL REHABILITATION SERVICES
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| What is an alternate participant?
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| Can an alternate participant become an EN?
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| How will an alternate participant choose to participate as an EN in the Ticket to Work program?
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| If an alternate participant becomes an EN, will beneficiaries for whom an employment plan was signed prior to implementation be covered under the Ticket to Work program payment provisions?
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| If an alternate participant chooses not to become an EN, can it continue to function under the programs for payments for VR services?
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| If an alternate participant becomes an EN and it has signed employment plans, both as an alternate participant and an EN, how will SSA pay for services provided under each employment plan?
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| What happens if an alternate participant signed an employment plan with a beneficiary before Ticket to Work program implementation in the State and the required period of substantial gainful activity is not completed by January 1, 2004?
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