Ticket to Work Program Timely Progress Review Basics 1 Objectives - - PowerPoint PPT Presentation
Ticket to Work Program Timely Progress Review Basics 1 Objectives Discuss Timely Progress Review (TPR) fundamentals Discuss how the Ticket to Work Program impacts Continuing Disability Reviews (CDR) Discuss TPR requirements
1
2
3
4
5
Beneficiary began receiving benefits with CDRs scheduled every 3 years
Ticket assigned to EN/VR
TPR requirements not met; CDR protection lost
CDR conducted
6
7
Review Period: You must achieve at least one of the requirements listed for your particular review period before we find that you have made timely progress for that review period. The review period is at least twelve
months long, and there is usually one review a year. In the list below, the "Trial Work Level Amount" for 2015 is $780. The "Substantial Gainful Activity Amount" for 2015 is $1,090. These amounts can increase slightly each year.
First Review
in a 2-year or 4-year college or a technical, trade, or vocational training program; OR
* of the above work and education requirements;
OR
Second Review
in a 2-year or 4-year college or a technical, trade, or vocational training program; OR
requirements.
Third Review
OR
OR
8
Fourth Review
OR
requirements.
Fifth Review
prevent payment of Social Security Disability Insurance (SSDI) and Federal Supplemental Security Income (SSI) cash benefits; OR
OR
Sixth Review
prevent payment of SSDI and Federal SSI cash benefits; OR
Seventh Review and Any Additional Reviews
prevent payment of SSDI and Federal SSI cash benefits.
* A "combination" means you can complete part of the work and part of the
education requirements. We will count the parts you complete as percentages. Adding the two percentages together must equal 100% or more.
9
10
Earnings Check = Social Security Guidelines TPR Met Earnings Check Social Security Guidelines SSA sends notice to beneficiary Step 1 Step 2
11
12
13
Social Security Administration
Important Information
Ticket to Work
P.O. Box
1433
Alexandria, VA 22313 Date: July 28,
2015
SAMPLE NOTICE 6401 SECURITY BLVD BALTIMORE MD 21235-0001
We are writing to you because It is time for your 1st Timely Progress Review under the Ticket to Work program. Our records show that you are receiving employment support from MARYLAND EMPLOYMENT NETWORK. We must decide If you are making the required progress toward your vocational goals. To do this, we look at whether you are completing educational requirements, and getting and keeping a Job. What You Need To Do Please complete the enclosed Progress Review Form SSA-1375 to tell us about your progress from December
10. 2014
through December 31. 2014. Please see the enclosed Timely Progress Review Chart for the requirements for the
1st progress review. You must return the form within 30 days from the date of
this letter. Your reply is Important.
You may use the enclosed postage-paid envelope or fax the form to
1-703 893-4020.
Our return address Is the first address at the top of this notice. We will review your answers to see If you have met the progress requirements for the 1st progress review. We will not send you another letter if you have made the required progress. We will send you another letter if we find that you are not making timely progress. If you are not making the required progress, we will no longer excuse you from scheduled medical reviews on your disability case. We encourage you to continue working with MARYLAND EMPLOYMENT NETWORK toward your vocational goals. If You Have Questions We are here to help you. If you have any questions about your progress review or the Ticket to Work program, call the Ticket Help Line, toll-free, at
1-866-968-7842 (TTY 1-866-833-2967). Or, you can visit our website, http://wvvw.socialsecurity.gov/work. You
also may fax us at 703-893-4020, or write to us at the address at the beginning of this notice. See Next Page
Page
2
9
For general questions about Social Security benefits, please visit Social Security's website at http://www.socialsecurity.gov. You also may call Social Security toll-free at 1-800-772-1213 (TTY
1-800-325-0778).
may write or visit any Social Security office. They also can give you information about
supports that help people with disabilities go to work. If you visit a Social Security office, please take this letter with you.
Suspect Social Security Fraud?
If you suspect Social Security fraud, please visit http://0ig.ssa.gov/r or call the Inspector General s Fraud Hotline at
1-800-269-0271 (TTY 1-866-501-2101).
Social Security administration
Enclosures: - Timely Progress Review Chart - Privacy Act and Paperwork Reduction Act - Progress Review Form SSA-1375 - BRM Envelope ICN 588913 -
14
Page
3
9
Timely Progress Review Chart
Review Period: You must achieve at least one of the requirements listed for your particular review period before we find that you have made timely progress for that review period. The review period
is at
least twelve months long, and there is usually one review a year. In the list below, the
’’Trial Work Level Amount"
for 2015 Is $780. The "Substantial Gainful Activity Amount" for 2015 Is $1.090. These amounts can Increase slightly each year. First Review
months of work at or above the trial work level amount: OR
for an academic year In a 2-year or 4-year college or a technical, trade, or vocational training program: OR
OR
Second Review
months of work at or above the trial work level amount: OR
for an academic year In a 2-year or 4-year college or a technical, trade, or vocational training program: OR
requirements. Third Review
months of work at or above the substantial gainful activity amount; OR
requirements:
OR
Fourth Review
months of work at or above the substantial gainful activity amount; OR
requirements. Page
4
9
Fifth Review
months of work and have earnings In each of those 6 months that prevent payment of Social Security Disability Insurance (SSDI) and Federal Supplemental Security Income (SSI, cash benefits; OR
requirements: OR
Sixth Review
months of work and have earnings In each of those 6 months that prevent payment of SSDI and Federal SSI cash benefits; OR
Seventh Review and Any Additional Reviews
months of work and have earnings In each of those 6 months that prevent payment of SSDI and Federal SSI cash benefits.
*
A "combination" means you can complete part of the work and part of the
education requirements. We will count the parts you complete as percentages. Adding the two percentages together must equal
100% or more.
15
NMLKJIHGFEDCBA
9
P a g e - 5
9
P r iv a c y A c t S ta te m e n t C o lle c tio n a n d U s e o f P e r s o n a l I n f o r m a tio n P u b lic L a w
1 0 6 1 7 0 a n d S e c tio n 1 1 4 8 o f th e S o c ia l S e c u r ity A c t,
a s a m e n d e d , a u th o riz e u s to c o lle c t th is in f o r m a tio n . W e w ill u s e th e in f o r m a tio n y o u p r o v id e to d e te rm in e if y o u h a v e m e t th e p r o g re s s r e v ie w r e q u ir e m e n ts f o r th e T ic k e t to W o rk p r o g r a m . F u r n is h in g u s th is in f o r m a tio n I s v o lu n ta r y . H o w e v e r , f a ilin g to p r o v id e u s w ith a ll o r p a rt o f th e in f o r m a tio n m a y p r e v e n t r e v ie w o f y o u r p r o g r e s s . I n
r e v ie w , y o u s h o u ld a n s w e r th e q u e s tio n s o n th is f o rm . W e r a re ly u s e th e I n f o rm a tio n y o u s u p p ly f o r a n y p u r p o s e o th e r th a n y o u r p r o g re s s r e v ie w r e q u ir e m e n ts u n d e r th e T ic k e t to W o rk p r o g ra m . H o w e v e r, w e m a y u s e th e in f o r m a tio n f o r th e a d m in is tr a tio n o f o u r p r o g r a m s in c lu d in g s h a r in g in f o r m a tio n : 1 . - T o e n a b le a th ird p a r ty o r a n a g e n c y to a s s is t S o c ia l S e c u r ity I n e s ta b lis h in g r ig h ts to S o c ia l S e c u r ity b e n e f its a n d /o r c o v e ra g e :
2 . - T o c o m p ly w ith F e d e r a l la w s r e q u irin g th e r e le a s e o f in f o r m a tio n f ro m o u r r e c o r d s ( e .g .. to th e G o v e rn m e n t A c c o u n ta b ility O f fic e a n d
D e p a rtm e n t o f V e te ra n s A f fa irs ) :
3 . - T o m a k e d e te rm in a tio n s f o r e lig ib ility I n s im ila r h e a lth a n d in c o m e
m a in te n a n c e p r o g r a m s a t th e F e d e ra l, S ta te , a n d lo c a l le v e l: a n d
4 . -
T o f a c ilita te s ta tis tic a l r e s e a r c h , a u d it, o r in v e s tig a tiv e a c tiv itie s n e c e s s a r y to a s s u re th e in te g r ity a n d I m p ro v e m e n t o f o u r p r o g ra m s ( e .g ., to th e B u r e a u o f th e C e n s u s a n d to p r iv a te e n titie s u n d e r c o n tr a c t w ith u s ) . W e m a y s h a r e th e in f o r m a tio n y o u p r o v id e w ith o th e r h e a lth a g e n c ie s th ro u g h c o m p u te r m a tc h in g p r o g r a m s . M a tc h in g p r o g r a m s c o m p a re o u r r e c o r d s w ith r e c o r d s k e p t b y o th e r F e d e ra l, S ta te , o r lo c a l g o v e r n m e n t a g e n c ie s . W e u s e th e in f o r m a tio n f r o m th e s e p r o g ra m s to e s ta b lis h o r v e r ify a p e r s o n 's e lig ib ility f o r F e d e ra lly f u n d e d o r a d m in is te re d b e n e fit p r o g r a m s a n d f o r r e p a y m e n t o f I n c o r re c t p a y m e n ts o r d e lin q u e n t d e b ts u n d e r th e s e p r o g ra m s . A c o m p le te lis t o f w h e n w e m a y s h a re y o u r I n f o rm a tio n w ith o th e rs , c a lle d r o u tin e u s e s , is a v a ila b le in o u r P r iv a c y A c t S y s te m s o f R e c o rd s N o tic e s e n title d E le c tr o n ic D is a b ility ( e D lb ) C la im F ile (6 0 -0 3 2 0 ); T ic k e t-to - W o r k a n d S e lf- S u ff ic ie n c y P r o g ra m P a y m e n t D a ta b a s e (6 0 -0 2 9 5 ): a n d T ic k e t- to - W o rk P r o g ra m M a n a g e r ( P M ) M a n a g e m e n t I n f o rm a tio n S y s te m (6 0 -0 3 0 0 ). A d d itio n a l I n f o rm a tio n a b o u t th e s e a n d o th e r s y s te m s o f r e c o r d s n o tic e s a n d o u r p r o g r a m s I s a v a ila b le f ro m o u r I n te r n e t w e b s ite a t w w w .s o c ia ls e c u rity .g o v o r a t y o u r lo c a l S o c ia l S e c u r ity o f fic e . P a g e 6 o f
P a p e rw o r k R e d u c tio n A c t N o tic e T h is in f o r m a tio n c o lle c tio n m e e ts th e r e q u ir e m e n ts o f 4 4 U .S .C . s e c tio n 3 5 0 7 , a s a m e n d e d b y s e c tio n
2
P a p e r w o r k R e d u c tio n A c t o f 1 9 9 5 . Y o u d o n o t n e e d to a n s w e r th e s e q u e s tio n s u n le s s w e d is p la y a v a lid O ff ic e o f M a n a g e m e n t a n d B u d g e t c o n tr o l n u m b e r . W e e s tim a te th a t I t w ill ta k e a b o u t
1 5
m in u te s to r e a d th e in s tr u c tio n s , g a th e r th e f a c ts , a n d a n s w e r th e q u e s tio n s . Y o u m a y s e n d c o m m e n ts o n
S S A , 6 4 0 1 S e c u r ity B lv d , B a ltim o re , M D 2 1 2 3 5 6 4 0 1 . S e n d o n ly c o m m e n ts r e la tin g to o u r tim e e s tim a te to th is a d d r e s s , n o t th e c o m p le te d f o r m .
Page 7 of 9
Social Security Administration
Form SSA 1375, OMB approved No. 0960-0644 Progress Review Form, 1st Review RETURN THIS PAGE to Social Security, Ticket to Work Beneficiary: JANE DOE Social Security Number: 123-45 6789 TWO1 Provider: MARYLAND EMPLOYMENT NETWORK Date: July 31. 2015 Your Review Period: From December 10, 2014 through December 10. 2034 INSTRUCTIONS: Please inform us of your progress for your review period shown above by completing the Items below on all remaining pages of this form SSA-1375. Check "Yes"
"No" for each Item and where you check "Yes" provide any requested information on progress with work and earnings,
education,
technical training. Then sign, date, and return all pages
form SSA-1375 to Ticket to Work using the enclosed postage-paid envelope
by fax at 1-703-893-4020. It is
important that you respond within
30
days of the date
this form.
You may keep
a copy
this form for your records.
4. I completed a technical, trade, or vocational program during the review
period. _____Yes ______No School Name: ____________________________________________________ Type of Program Completed: _______________________________________ Month and Year of Completion: _______________________________________ Page 8 of 9
5.
I did not complete a technical, trade or vocational program, but I completed some credits/ hours/ courses In a technical, trade, or vocational program during
the review period. _____ Yes ______ No Number of credits/ hours/ courses completed_____ and number of credits/ hours/ courses needed to complete program_____ School Name: ____________________________________________________ Type of Program; _________________________________________________
1.
I worked at least three months of the review period with gross earnings at
_____ Yes ______ No
2.
I completed a two or four year college program during the review period
and earned a degree or certificate. _____ Yes ______ No School Name: _______________________________________________________ Month and Year of Completion: ______________________________________
3.
I did not complete a two or four year college program, but I completed some
credits In a two or four year college program during the review period. _____ Yes ______ No Number of credits completed_____ and number
credits needed to complete program School Name: _______________________________________________________
6. I completed a combination of earnings PLUS two or four year college
credits or In a technical, trade or vocational program during the review period. _____ Yes ______ No
I worked_____
months with gross earnings at or above $693.00 * in each of these months.
I completed_____
credits/ hours/ courses in a two or four year college program or In a technical, trade or vocational program and the number of credits/ hours/ courses needed to complete program_____
.
School Name: ________________________________________________________
7. I obtained a GED or high school diploma during the review period.
_____ Yes ______ No Name of School or Agency Providing GED: _____________________________ Month and Year of Completion: _____________________________________
16
Page 9 of 9
3
H
* Amount represents 90 percent of the Trial Work Level amount. This amount
can Increase slightly each year.
Sign and date this form and mail or fax back to us.
I understand that if I make, or cause to be made, a representation concerning
the requirements of the Ticket to Work and Self-Sufficiency Program which I know is false. I could be punished by fine, or imprisonment, or both. Signature Date Return this form SSA-1375 to Ticket to Work within 30 daysusing the enclosed postage-paid envelope or by fax at 1-703-893-4020. Our return address
is:
Ticket to Work Social Security Administration P.O. Box 1433 Alexandria, VA 22313 Form SSA-1375, Progress Review Form, 1st Review Beneficiary: JANE DOE Social Security Number: 123-45-6789 TW01 RETURN THIS PAGE to Social Security, Ticket to Work
17
18
19
20
21
22
23
24
25
26
27
28
29