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FEDERAL · 20 CFR

Part 411 — The Ticket to Work and Self-Sufficiency Program

98 sections · Title 20: Employees' Benefits

§ 411.100Scope.
§ 411.105What is the purpose of the Ticket to Work program?
§ 411.115Definitions of terms used in this part.
§ 411.120What is a ticket under the Ticket to Work program?
§ 411.125Who is eligible to receive a ticket under the Ticket to Work program?
§ 411.130How will we distribute tickets under the Ticket to Work program?
§ 411.135What do I do when I receive a ticket?
§ 411.140When may I assign my ticket and how?
§ 411.145When can my ticket be taken out of assignment?
§ 411.150Can I reassign my ticket?
§ 411.155When does my ticket terminate?
§ 411.160What does this subpart do?
§ 411.165How does using a ticket under the Ticket to Work program affect my continuing disability reviews?
§ 411.166Glossary of terms used in this subpart.
§ 411.167What is an educational institution or a technical, trade or vocational school?
§ 411.170When does the period of using a ticket begin?
§ 411.171When does the period of using a ticket end?
§ 411.175What if a continuing disability review is begun before my ticket is in use?
§ 411.180What is timely progress toward self-supporting employment?
§ 411.192What choices do I have if I am unable to make timely progress toward self-supporting employment?
§ 411.200How will the PM conduct my progress reviews?
§ 411.205What if I disagree with the PM's decision about whether I am making timely progress toward self-supporting employment?
§ 411.210What happens if I do not make timely progress toward self-supporting employment?
§ 411.220What if my ticket is no longer assigned to an EN or State VR agency?
§ 411.225What if I reassign my ticket after the end of the extension period?
§ 411.226How will SSA determine if I am meeting the timely progress guidelines if I assign my ticket prior to July 21, 2008?
§ 411.230What is a PM?
§ 411.235What qualifications are required of a PM?
§ 411.240What limitations are placed on a PM?
§ 411.245What are a PM's responsibilities under the Ticket to Work program?
§ 411.250How will SSA evaluate a PM?
§ 411.300What is an EN?
§ 411.305Who is eligible to be an EN?
§ 411.310How 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?
§ 411.315What are the minimum qualifications necessary to be an EN?
§ 411.320What are an EN's responsibilities as a participant in the Ticket to Work program?
§ 411.321Under what conditions will SSA terminate an agreement with an EN due to inadequate performance?
§ 411.325What reporting requirements are placed on an EN as a participant in the Ticket to Work program?
§ 411.330How will SSA evaluate an EN's performance?
§ 411.350Must a State VR agency participate in the Ticket to Work program?
§ 411.355What payment options does a State VR agency have?
§ 411.365How does a State VR agency notify us about its choice of a payment system for use when functioning as an EN?
§ 411.375Does 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 <em>et seq.</em>), when functioning as an EN?
§ 411.380What does a State VR agency do if the State VR agency wants to determine whether a person seeking services has a ticket?
§ 411.385What 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?
§ 411.390What does a State VR agency do if a beneficiary to whom it is already providing services has a ticket that is available for assignment?
§ 411.395Is a State VR agency required to provide periodic reports?
§ 411.400Can an EN to which a beneficiary's ticket is assigned refer the beneficiary to a State VR agency for services?
§ 411.405When does an agreement between an EN and the State VR agency have to be in place?
§ 411.410Does each referral from an EN to a State VR agency require its own agreement?
§ 411.415Who will verify the establishment of agreements between ENs and State VR agencies?
§ 411.420What information should be included in an agreement between an EN and a State VR agency?
§ 411.425What 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?
§ 411.430What 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?
§ 411.435How will disputes arising under the agreements between ENs and State VR agencies be resolved?
§ 411.450What is an Individual Work Plan?
§ 411.455What is the purpose of an IWP?
§ 411.460Who is responsible for determining what information is contained in the IWP?
§ 411.465What are the minimum requirements for an IWP?
§ 411.470When does an IWP become effective?
§ 411.500Definitions of terms used in this subpart.
§ 411.505How is an EN paid?
§ 411.510How is the State VR agency paid under the Ticket to Work program?
§ 411.515Can the EN change its elected payment system?
§ 411.520How are beneficiaries whose tickets are assigned to an EN affected by a change in that EN's elected payment system?
§ 411.525What payments are available under each of the EN payment systems?
§ 411.535Under what circumstances will milestones be paid?
§ 411.536Under what circumstances can we make a reconciliation payment under the outcome-milestone payment system?
§ 411.540How are the payment amounts calculated for each of the milestones?
§ 411.545How are the outcome payments calculated under the outcome-milestone payment system?
§ 411.550How are the outcome payments calculated under the outcome payment system?
§ 411.551How are EN payments calculated for transition cases pending on July 21, 2008?
§ 411.552What effect will the subsequent entitlement to title II benefits have on EN payments for title XVI beneficiaries after they assign their ticket?
§ 411.555Can the EN keep the milestone and outcome payments even if the beneficiary does not achieve all outcome months?
§ 411.560Is it possible to pay a milestone or outcome payment to more than one EN?
§ 411.565What happens if two or more ENs qualify for payment on the same ticket but have elected different EN payment systems?
§ 411.566May an EN use outcome or milestone payments to make payments to the beneficiary?
§ 411.570Can an EN request payment from the beneficiary who assigned a ticket to the EN?
§ 411.575How does the EN request payment for milestones or outcome payment months achieved by a beneficiary who assigned a ticket to the EN?
§ 411.580Can an EN receive payments for milestones or outcome payment months that occur before the beneficiary assigns a ticket to the EN?
§ 411.581Can an EN receive milestone and outcome payments for months after a beneficiary takes his or her ticket out of assignment?
§ 411.582Can a State VR agency receive payment under the cost reimbursement payment system if a continuous 9-month period of substantial gainful activity is completed after the ticket is assigned to an EN?
§ 411.585Can a State VR agency and an EN both receive payment for serving the same beneficiary?
§ 411.590What can an EN do if the EN disagrees with our decision on a payment request?
§ 411.595What oversight procedures are planned for the EN payment systems?
§ 411.597Will SSA periodically review the outcome payment system and the outcome-milestone payment system for possible modifications?
§ 411.600Is there a process for resolving disputes between beneficiaries and ENs that are not State VR agencies?
§ 411.605What are the responsibilities of the EN that is not a State VR agency regarding the dispute resolution process?
§ 411.610When should a beneficiary receive information on the procedures for resolving disputes?
§ 411.615How will a disputed issue be referred to the PM?
§ 411.620How long does the PM have to recommend a resolution to the dispute?
§ 411.625Can the beneficiary or the EN that is not a State VR agency request a review of the PM's recommendation?
§ 411.630Is SSA's decision final?
§ 411.635Can a beneficiary be represented in the dispute resolution process under the Ticket to Work program?
§ 411.640Do the dispute resolution procedures of the Rehabilitation Act of 1973, as amended (29 U.S.C. 720 <em>et seq.</em>), apply to beneficiaries seeking services from the State VR agency?
§ 411.650Is there a process for resolving disputes between ENs that are not State VR agencies and PMs, other than disputes on a payment request?
§ 411.655How will the PM refer the dispute to us?
§ 411.660Is SSA's decision final?