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Frequently Asked Questions

Q1: What is the Ticket to Work and Self-Sufficiency (Ticket) program?
A: The Ticket to Work Program provides most people receiving Social Security disability benefits (beneficiaries) more choices for receiving employment services. Under this program, most beneficiaries become eligible for the Ticket to Work Program when they start to receive SSDI or SSI benefits based on disability. Beneficiaries may choose to assign their tickets to an Employment Network (EN) of their choice to obtain employment services, vocational rehabilitation services, or other support services necessary to achieve a vocational (work) goal. The EN, if they accept the ticket, will coordinate and provide appropriate services to help the beneficiary find and maintain employment.
Q2: What is the goal of the Ticket program?
A: The ultimate goal of the Ticket to Work program is to assist people receiving Social Security disability benefits in reducing their reliance on disability benefits. The Ticket program also seeks to promote increased self-sufficiency and greater independence for people receiving Social Security disability benefits through work.
Q3: Do I qualify for the Ticket Program?
A: Everyone age 18 through 64 who receives Social Security Disability Insurance (SSDI) and/or Supplemental Security Income (SSI) benefits because of his or her disability is eligible to participate in the Ticket to Work program.
Q4: Do I need to pay anything to participate in the Ticket Program?
A: No. The Ticket Program is free (and voluntary) for people receiving Social Security disability benefits. The Ticket Program allows you to receive vocation services and supports at no cost to you to help you obtain employment and work towards greater independence and increased self-sufficiency.
Q5: How does the Ticket program help people receiving disability benefits go to work?
A: People with disabilities receiving benefits from SSA can use the Ticket issued to them by SSA to obtain services and supports to assist them in preparing for work and entering and maintaining employment. SSA pays approved providers of services, referred to as "Employment Networks" (ENs), when the Ticket Holders they are serving go to work and achieve designated levels of work and earnings. Rather than being a fee for services, these payments are compensation for assisting beneficiaries to achieve employment-related Milestones and Outcomes as they move towards self-supporting employment.
Q6: Will I lose my Medicare eligibility if I participate in the Ticket program?
A: No. As long as you continue to receive Social Security Disability Insurance (SSDI) benefit payments, you will continue to remain eligible for the same medical coverage. There are also Work Incentives that allow you to continue your medical coverage once you begin earning enough that you stop receiving SSDI payments. If you currently receive medical coverage through Medicare, you can continue to be eligible for coverage for at least 93 months after the last month of your Trial Work Period.
Q7: Will I lose my Medicaid eligibility if I participate in the Ticket program?
A: No. As long as you continue to receive Supplemental Security Income (SSI) benefits, you will continue to remain eligible for the same medical coverage.

If you currently receive Medicaid, you might be eligible to continue to receive Medicaid even after you stop receiving SSI benefits due to work. Your coverage might be extended in two ways. First, you might be eligible through a Work Incentives created by Section 1619(b) of the Social Security Act. You need to meet certain other requirements to qualify for this Work Incentives. You can find more information regarding this program at www.ssa.gov/disabilityresearch/wi/1619b.htm.

Your state might also have a program called the Medicaid Buy-In Program, which allows you to keep your Medicaid coverage by paying a monthly premium, provided you meet the other eligibility requirements established by your state. To see whether your state has a Medicaid Buy-In Program and whether you might be eligible, contact your State Medicaid agency. A link to the web site for the Medicaid agency in your state can be found at www.nasmd.org/links/state_medicaid_links.asp.

Q8: What is "timely progress"? What does it mean for me if I use my Ticket?
A: The Social Security Administration cannot perform a medical "Continuing Disability Review" to determine whether you continue to have a disability while you are participating in the Ticket Program and progressing towards your employment goal. Every 12 months after you assign your Ticket to Work to an EN, we must decide if you are making the expected progress toward your vocational goal. We look at progress such as completing certain education or getting and keeping a job. We refer to this as a "Timely Progress Review".
Q9: What Happens if I Fail My "Timely Progress Review" While I Have My Ticket Assigned to an Employment Network (EN)?
A: The only thing that changes if you have your Ticket assigned and you do not meet "Timely Progress" requirements is the fact that you will then be subject to a Continuing Disability Review at your next scheduled Disability Review date. Disability review dates are pre-scheduled at the time you are determined eligible for disability benefits and usually occur at, 3, 5, 7, or 10 year intervals depending on your type of disability.
Q10: How long is My Ticket Good For?
A: Most "Tickets" are good for three to five years of follow along services from an Employment Network once employment is achieved. Services received prior to employment are not time limited.
Q11: Do I have to participate in the Ticket Program?
A: No. The goal of the Ticket to Work program is to help people receiving Social Security disability benefits obtain employment and work toward greater independence and increased self-sufficiency. Social Security pays ENs when the people receiving Social Security disability benefits they work with achieve certain Milestones and Outcomes associated with work and earnings. The program is free and voluntary, meaning you do not have to pay for services received under the Ticket program and there is no penalty for not participating.
Q12: Will I lose my Social Security benefits when I participate in the Ticket Program to get coational services and supports?
A: You will continue to receive your benefits until you begin earning wages or self-employment income above the applicable earnings limit for the Supplemental Security Income or Social Security Disability Insurance program. In addition, Social Security cannot perform a medical "Continuing Disability Review" to determine whether you continue to have a disability while you are participating in the Ticket Program, including receiving services from the State Vocational Rehabilitation agency, and progressing towards your employment goal.

How much you can earn before it will affect the amount of your monthly benefit will vary for each individual. This is due in part to the fact that you can subtract certain amounts from your gross earnings by taking advantage of Social Security Work Incentives. For more information on Social Security Work Incentives, check out the Social Security Red Book at www.ssa.gov/redbook.

Q13: Do I need to have the paper Ticket sent to me by Social Security in order to participate in the program?
A: No, you do not need to have the paper Ticket to start working with an approved provider of vocational services and supports called an Employment Network (EN). The EN you select can contact the Ticket Program Manager to verify your eligibility to participate in the program.
Q14: Will I lose my Medicaid Coverage if I participate in the Ticket program?
A: No. As long as you continue to receive Supplemental Security Income (SSI) benefits, you will continue to remain eligible for the same medical coverage.

If you currently receive Medicaid, you might be eligible to continue to receive Medicaid even after you stop receiving SSI benefits due to work. Your coverage might be extended in two ways. First, you might be eligible through a Work Incentives created by Section 1619(b) of the Social Security Act. You need to meet certain other requirements to qualify for this Work Incentives. You can find more information regarding this program at www.ssa.gov/disabilityresearch/wi/1619b.htm.

Your state might also have a program called the Medicaid Buy-In Program, which allows you to keep your Medicaid coverage by paying a monthly premium, provided you meet the other eligibility requirements established by your state. To see whether your state has a Medicaid Buy-In Program and whether you might be eligible, contact your State Medicaid agency. A link to the web site for the Medicaid agency in your state can be found at www.nasmd.org/links/state_medicaid_links.asp.
Q15: What are Work Incentives?
A: Work Incentives are disability program rules that allow you to reduce your countable income so that you can continue to receive a cash benefit while you explore work or look for a job that is right for you. Examples of such Work Incentives include the extension of Medicare and Medicaid coverage while working, Impairment-Related Work Expenses, and Plans for Achieving Self-Support. In addition, if your work attempt is unsuccessful, Social Security has made it easy for you to get back on benefits when and if needed.

To learn more about these and other Social Security Work Incentives, check out the Social Security Red Book at www.ssa.gov/redbook.
Q16: What happens if my benefits stop due to my earnings and then I can no longer work due to my disability? Will I need to file a brand new application for benefits?
A: No. If your benefits ended because you worked and had earnings, you can request that your benefits start again without having to complete a new application. While the Social Security Administration (SSA) determines whether you can get benefits again, Social Security can give you provisional (temporary) benefits for up to 6 months. This is because of a Work Incentives called Expedited Reinstatement. You can ask for your benefits to start again using Expedited Reinstatement for up to five years after you stop receiving benefits. For more information regarding Expedited Reinstatement, visit www.ssa.gov/disabilityresearch/wi/exr.htm.