PART 411—THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM

Subpart A—Introduction
Sec.
411.100	Scope.
411.105	What is the purpose of the Ticket to Work program?
411.115	Definitions of terms used in this part.
Subpart B—Tickets Under the Ticket to Work Program
411.120	What is a ticket under the Ticket to Work program?
411.125	Who is eligible to receive a ticket under the Ticket to Work program?
411.130	How will we distribute tickets under the Ticket to Work program?
411.135	What do I do when I receive a ticket?
411.140	When may I assign my ticket and how?
411.145	When can my ticket be taken out of assignment?
411.150	Can I reassign my ticket?
411.155	When does my ticket terminate?
Subpart C—Suspension of Continuing Disability Reviews for Beneficiaries Who are Using a Ticket
Introduction
411.160	What does this subpart do?
411.165	How does using a ticket under the Ticket to Work program affect my continuing disability reviews?
411.166	Glossary of terms used in this subpart.
411.167	What is an educational institution or a technical, trade or vocational school?
411.170	When does the period of using a ticket begin?
411.171	When does the period of using a ticket end?
411.175	What if a continuing disability review is begun before my ticket is in use?
411.180	What is timely progress toward self-supporting employment?
411.192	What choices do I have if I am unable to make timely progress toward self-supporting employment?
411.200	How will the PM conduct my progress reviews?
411.205	What if I disagree with the PM's decision about whether I am making timely progress toward self-supporting employment?
Failure To Make Timely Progress
411.210	What happens if I do not make timely progress toward self-supporting employment?
The Extension Period
411.220	What if my ticket is no longer assigned to an EN or State VR agency?
411.225	What if I reassign my ticket after the end of the extension period?
411.226	How will SSA determine if I am meeting the timely progress guidelines if I assign my ticket prior to July 21, 2008?
Subpart D—Use of One or More Program Managers To Assist in Administration of the Ticket to Work Program
411.230	What is a PM?
411.235	What qualifications are required of a PM?
411.240	What limitations are placed on a PM?
411.245	What are a PM's responsibilities under the Ticket to Work program?
Evaluation of Program Manager Performance
411.250	How will SSA evaluate a PM?
Subpart E—Employment Networks
411.300	What is an EN?
411.305	Who is eligible to be an EN?
411.310	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?
411.315	What are the minimum qualifications necessary to be an EN?
411.320	What are an EN's responsibilities as a participant in the Ticket to Work program?
411.321	Under what conditions will SSA terminate an agreement with an EN due to inadequate performance?
411.325	What reporting requirements are placed on an EN as a participant in the Ticket to Work program?
411.330	How will SSA evaluate an EN's performance?
Subpart F—State Vocational Rehabilitation Agencies' Participation
Participation in the Ticket to Work Program
411.350	Must a State VR agency participate in the Ticket to Work program?
411.355	What payment options does a State VR agency have?
411.365	How does a State VR agency notify us about its choice of a payment system for use when functioning as an EN?
411.375	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 et seq.), when functioning as an EN?
Ticket Status
411.380	What does a State VR agency do if the State VR agency wants to determine whether a person seeking services has a ticket?
411.385	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?
411.390	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?
411.395	Is a State VR agency required to provide periodic reports?
Referrals by Employment Networks to State VR Agencies
411.400	Can an EN to which a beneficiary's ticket is assigned refer the beneficiary to a State VR agency for services?
Agreements Between Employment Networks and State VR Agencies
411.405	When does an agreement between an EN and the State VR agency have to be in place?
411.410	Does each referral from an EN to a State VR agency require its own agreement?
411.415	Who will verify the establishment of agreements between ENs and State VR agencies?
411.420	What information should be included in an agreement between an EN and a State VR agency?
411.425	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?
411.430	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?
Resolving Disputes Arising Under Agreements Between Employment Networks and State VR Agencies
411.435	How will disputes arising under the agreements between ENs and State VR agencies be resolved?
Subpart G—Requirements for Individual Work Plans
411.450	What is an Individual Work Plan?
411.455	What is the purpose of an IWP?
411.460	Who is responsible for determining what information is contained in the IWP?
411.465	What are the minimum requirements for an IWP?
411.470	When does an IWP become effective?
Subpart H—Employment Network Payment Systems
411.500	Definitions of terms used in this subpart.
411.505	How is an EN paid?
411.510	How is the State VR agency paid under the Ticket to Work program?
411.515	Can the EN change its elected payment system?
411.520	How are beneficiaries whose tickets are assigned to an EN affected by a change in that EN's elected payment system?
411.525	What payments are available under each of the EN payment systems?
411.535	Under what circumstances will milestones be paid?
411.536	Under what circumstances can we make a reconciliation payment under the outcome-milestone payment system?
411.540	How are the payment amounts calculated for each of the milestones?
411.545	How are the outcome payments calculated under the outcome-milestone payment system?
411.550	How are the outcome payments calculated under the outcome payment system?
411.551	How are EN payments calculated for transition cases pending on July 21, 2008?
411.552	What effect will the subsequent entitlement to title II benefits have on EN payments for title XVI beneficiaries after they assign their ticket?
411.555	Can the EN keep the milestone and outcome payments even if the beneficiary does not achieve all outcome months?
411.560	Is it possible to pay a milestone or outcome payment to more than one EN?
411.565	What happens if two or more ENs qualify for payment on the same ticket but have elected different EN payment systems?
411.566	May an EN use outcome or milestone payments to make payments to the beneficiary?
411.570	Can an EN request payment from the beneficiary who assigned a ticket to the EN?
411.575	How does the EN request payment for milestones or outcome payment months achieved by a beneficiary who assigned a ticket to the EN?
411.580	Can an EN receive payments for milestones or outcome payment months that occur before the beneficiary assigns a ticket to the EN?
411.581	Can an EN receive milestone and outcome payments for months after a beneficiary takes his or her ticket out of assignment?
411.582	Can 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?
411.585	Can a State VR agency and an EN both receive payment for serving the same beneficiary?
411.590	What can an EN do if the EN disagrees with our decision on a payment request?
411.595	What oversight procedures are planned for the EN payment systems?
411.597	Will SSA periodically review the outcome payment system and the outcome-milestone payment system for possible modifications?
Subpart I—Ticket to Work Program Dispute Resolution
Disputes Between Beneficiaries and Employment Networks
411.600	Is there a process for resolving disputes between beneficiaries and ENs that are not State VR agencies?
411.605	What are the responsibilities of the EN that is not a State VR agency regarding the dispute resolution process?
411.610	When should a beneficiary receive information on the procedures for resolving disputes?
411.615	How will a disputed issue be referred to the PM?
411.620	How long does the PM have to recommend a resolution to the dispute?
411.625	Can the beneficiary or the EN that is not a State VR agency request a review of the PM's recommendation?
411.630	Is SSA's decision final?
411.635	Can a beneficiary be represented in the dispute resolution process under the Ticket to Work program?
Disputes Between Beneficiaries and State VR Agencies
411.640	Do the dispute resolution procedures of the Rehabilitation Act of 1973, as amended (29 U.S.C. 720 et seq.), apply to beneficiaries seeking services from the State VR agency?
Disputes Between Employment Networks and Program Managers
411.650	Is there a process for resolving disputes between ENs that are not State VR agencies and PMs, other than disputes on a payment request?
411.655	How will the PM refer the dispute to us?
411.660	Is SSA's decision final?
Subpart J—The Ticket to Work Program and Alternate Participants Under the Programs for Payments for Vocational Rehabilitation Services
411.700	What is an alternate participant?
411.705	Can an alternate participant become an EN?
411.710	How will an alternate participant choose to participate as an EN in the Ticket to Work program?
411.715	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?
411.720	If an alternate participant chooses not to become an EN, can it continue to function under the programs for payments for VR services?
411.725	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?
411.730	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?

AUTHORITY: Secs. 702(a)(5) and 1148 of the Social Security Act (42 U.S.C. 902(a)(5) and 1320b-19); sec. 101(b)-(e), Public Law 106-170, 113 Stat. 1860, 1873 (42 U.S.C. 1320b-19 note).

SOURCE: 66 FR 67420, Dec. 28, 2001, unless otherwise noted.

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PART 411—THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM

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