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Trial Work Period (TWP) |
Extended Period of Eligibility (EPE) |
Continuation/ Extended Medicare (CM/ExM) |
Purpose
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A period of time for the Title II beneficiary to try work without jeopardizing benefits. The TWP is a time to evaluate work supports and stamina. It is a time to discover work potential above SGA levels. It is NOT an optimal time to do career exploration. Payments are made for nine months no matter how high the earnings are.
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Regardless of earnings, maintains eligibility for the Title II program; beneficiaries have 36 continuous months after the end of the TWP to stabilize employment; cash benefits resume if work drops below SGA.
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Allows Title II beneficiaries to have access to Medicare for at least 93 months after the TWP; Part A is premium free; premiums continue for Part B. Beneficiaries can buy both parts after the 93 months have passed. |
| Impact
on Employment |
Will support work at any level to test ability to work and the need for supports
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A safety net enabling the worker to continue working at any level for three years without losing technical eligibility for Title II
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Medical protection for those who choose to work and may not be offered medical coverage through their employer
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| Program
Criteria |
Title II beneficiaries receiving cash benefits. 9 months within a 60 month rolling time period. Not necessarily consecutive months. A monetary amount is set each year to determine a level of service qualifying as a Trial Work Month. A TWP month can also be determined for self-employment using hours of services preformed.
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For 36 continuous months after TWP no new application is necessary, should earnings drop below SGA levels.
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Beneficiary must continue to be disabled, terminated from cash Title II benefits due to earnings. When premiums are due, they must be paid. |
| Effects on Benefits |
No adverse effects on benefits
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Eligibility is retained for the entire 36 months regardless of earnings. If income drops below SGA, reinstatement of benefits immediately upon notification of the Social Security Administration.
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No adverse effects on benefits. A worker who continues to have a disability can have Medicare indefinitely. |
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PASS |
IRWE |
SUBSIDIES |
| Purpose |
A PASS enables an individual to set aside income/resources towards an employment goal. This might include:
- Getting a job
- Increasing hours on a job, or
- Starting a business
Some types of expenses under a PASS might include: Purchasing job coach services, Job support services, Education, Vocational training, or Transportation |
Under Title XVI, Impairment Related Work Expense enables a person with a disability to recover expenses incurred as a result of their disability by reducing the countable income.
Under Title II and initial SSI claims, It allows the expense to be to be deducted before an SGA determination is made. |
Subsidies allow a part of a person’s wages to be excluded when determining if substantial work is completed by a SSDI applicant or beneficiary, or an SSI applicant (only at initial application). This occurs when the employer pays more in wages then the actual worth of service. The excess is regarded as a subsidy. |
| Impact
on Employment |
Plans for Achieving Self-Support can make it possible for an individual with a disability to pay for expenses to get a job or start a business. For example, one could hire a job coach, pay for support services. This could include job development, job site training, and follow-along support on a time-limited basis. |
An IRWE can be used for a variety of employment allowable expenditures, i.e.: Adaptive equipment, Special devices, Attendant care, Special transportation, or Job coach services |
Employees can qualify for a subsidy if they:
- Receive extra training and support by a job coach, employer, or co-worker;
- Require additional supervision by a job coach, employer, or co-worker; or
- Have documented proof of a production level below company standards
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| Program
Criteria |
Participant must have income or a resource to set aside for the PASS.
Legislatively PASS is a WI for Title XVI recipients. However, a Title II beneficiary can set aside some or all of his benefit for a PASS, resulting in Title XVI eligibility. A PASS is employment goal driven. It must have the following components:
- Individualized obtainable vocational goal,
- Time frame for meeting the goal,
- Identification of sources and the amount of income or resources to be set aside, Explanation of how the money will be spent, and
- A written plan.
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An IRWE must contain the following four components:
- Information indicating that expenses are directly related to work & the disability,
- Documentation that the cost has been paid by the individual with a disability,
- Records that the expenses were paid during months of employment, and
- Indication that the expenses were reasonable.
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In order for employees to receive a subsidy, they must be paid more wages by the employer than is reasonable for the value of services performed.
Only wages that are truly earned are counted.
Employers usually will need to verify that subsidies exist. |
| Effects on Benefits |
Income or resources set aside in a PASS are not counted in determining SSI eligibility or in calculating the amount of the SSI payment. PASS can assist a person, to:
- Qualify for SSI,
- Maintain current SSI payments, or
- Increase SSI payments.
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Deducting the cost of an IRWE from gross monthly earnings can assist an employee to:
- Reduce countable earnings below SGA,
- Meet SSI & SSDI application requirements,
- Increase SSI cash payments, and
- Maintain SSDI cash payments.
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A subsidy may allow an employee to become eligible for SSI payments and SSDI benefits or maintain eligibility for SSDI.
Subsidies are used in determining if an individual is performing SGA. |
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Expedited Reinstatement of Benefits |
Ticket to Work |
Earned Income Exclusion |
| Purpose |
Provides a 5 year “safety net” for people who work their way off benefits, more rapid reentitlement |
To encourage people with disabilities to work by providing new sources of rehabilitation services.. |
Encourages recipient to work. The majority of wages are not counted to reduce the SSI payment. |
| Impact
on Employment |
Permits one to work with the knowledge that if the disability grows worse within 5 years, benefits can begin quickly again |
The Ticket permits the person who wants to work to chose between Employment Networks. |
Social Security does not count the first $65 of gross wages or Net Earnings from Self Employment each month and disregards half the remainder. |
| Program
Criteria |
Must have lost eligibility for disability benefits because of work within the last five years and have quit or reduced work because of an exacerbation of the same disability |
Must be a person with a disability, between the ages of 18 and 65, who is not expected to recover soon. |
Workers who receive Supplemental Security Income |
| Effects on Benefits |
Allows six months’ benefits to be paid, while Social Security determines if the person’s prior disability is still severe enough to be disabling; new TWP after checks paid under Expedited Reinstatement for 24 months. |
The goal of Ticket to Work is to enable the worker to earn enough to become independent of disability benefits. No medical review while the Ticket is in active use. |
Permits workers to earn over FBR amounts and still draw benefits. |
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Student Earned Income Exclusion |
Blind Work Expense |
1619b |
Purpose
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Encourages students to work. |
Encourages people with blindness to work and helps to compensate them for expenses connected to working. |
Encourages people to work by permitting workers who have received SSI to retain Medicaid eligibility when they earn too much to continue receiving SSI checks |
| Impact
on Employment |
Permits students to earn up to $1,550 per month in 2008, with a maximum of $6,240 per year, without suffering any reduction in benefits. |
Permits the worker to exclude the total cost of certain work expenses, such as transportation, lunches, taxes, guide dog expenses. |
Continued Medicaid eligibility makes it unnecessary to limit earnings to continue receiving medical care. |
| Program
Criteria |
Must be a full-time student under the age of 22, drawing SSI, who meets the criteria as a student. |
Must be an Supplemental Security Income recipient, who is working and meets Social Security‘s blindness criteria. |
Must have received at least one regular SSI check because of disability, be working; without wages they would be entitled to an SSI check. They must continue to need Medicaid to pay medical bills. |
| Effects on Benefits |
Permits students to have considerably more money for educational expenses. Students must verify their student status, but need not show how the excluded earnings are spent. |
Permits the worker with blindness to receive higher SSI benefits while working. Funds spent for BWE never reduce Title XVI payments. |
Permits workers with disabilities to continue working and have medical protection. |
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