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Ticket To Work And Work Incentives Advisory Panel
Quarterly Meeting

Embassy Suites Hotel at Chevy Chase Pavilion
Washington DC
May 19-21, 2003


Monday, May 19, 2003 – Day 1

Carol Brenner, Designated Federal Officer, called the meeting to order at approximately 10:00 a.m. and turned the meeting over to Chair, Sarah Wiggins Mitchell.

Presiding: Sarah Wiggins Mitchell, Chair
Welcome, Introductions and Review of Agenda

Attendees

Advisory Panel Members

Sarah Wiggins Mitchell, Chair, Bryon MacDonald, Stephen Start, Katie Beckett, Libby Child, Jerome Kleckley, David Miller, and Berthy De La Rosa-Aponte.

Note: Berthy De La Rosa-Aponte was sworn in as an official Panel member on May 21, 2003.

Advisory Panel Staff Present

Marie Strahan, Executive Director, Bernard Wixon, Lisa Ekman, Kristen Breland, Gordon Richmond, and Shirletta Banks.

Designated Federal Officer

Carol Brenner

Presenters

Linda McMahon, Pam Mazerski, Ken McGill and Martin Gerry, Social Security Administration; Mary Satterfield, Maximus, Inc.; Joe Razes, Center for Medicare and Medicaid Services; Paul Wehman and John Kregel, Virginia Commonwealth University; Robert Pasternack, U.S. Department of Education; Gina Livermore, Cornell Center for Policy Research; Monroe Berkowitz and Debra Brucker, Rutgers University; and Joshua Wiener, The Urban Institute

Members of the Public

Cheryl Bates-Harris, Jade Baumel, Christin Claussen, Joyanne Cobb, Judi Drew, Harriett Einschlag, Timothy Finegan, Marty Ford, David Forgosh, Nanette Goodman, Neil Hardman, Rebecca Hare, Andrea Harles, Ryan Hess, Joe Hickman, Nitin Jagdish, Balchander Jayaraman, Marissa Johnson, Peter Kierpiec, Patricia Leahy, Tracy Lynge, Rita Martin, Chen Masi, Jennifer McCuiston, Valerie Melberg, Elaine Mitchell, Anthony Murray, Roger Naoroji, Ann Osborn, Hassan Rasheed, Enrique Ruffat, Sand Smith, Paul Seifter, Andrew Sperling, Sara Thompson, Brad Turner, Kata Vehar, and Melissa Weiss

Social Security Administration Implementation Updates

Presenter: Linda McMahon, Deputy Commissioner, Operations, Social Security Administration
Topic: Area Work Incentive Coordinator Position

Presenter: Pam Mazerski, Associate Commissioner, Program Development and Research, Social Security Administration
Topic: Adequacy of Incentives Panel, Youth Demonstration Projects, Mental Health Study, One for Two Demonstration Project, and other SSA activities

Presenter: Ken McGill, Associate Commissioner, Employment Support Programs
Topic: Progress on Agency regulations, current Ticket statistics, payments to ENs and other administrative issues

Center for Medicare and Medicaid Services Implementation Update

Presenter: Joe Razes, Senior Project Manager, TWWIIA Implementation
Topic: Update on Medicaid Infrastructure Grants and Medicaid Buy-In Programs

Lunch Break

Urban Institute Briefing Papers

Presenters: Paul Wehman and W. Grant Revell, Rehabilitation Research and Training Center, Virginia Commonwealth University
Topic: Marketing strategies and techniques to enhance implementation

Presenter: John Kregel, Rehabilitation Research and Training Center, Virginia Commonwealth University
Topic: An evolving partnership, role of the State VR agencies in the implementation of the Ticket to Work Program

Public Comment

Presenter: Harriet Einschlag, National Council of SSA Field Operations Locals
Topic: Dedicated employees to provide work incentives information, DOL navigator position, resources for implementation in field offices

Presenter: Dr. Valerie Melberg, Director, New York Works
Topic: Enhancement of marketing and implementation of TWWIIA

Presenter: Paul Seifert, Director of Governmental Affairs, International Association of Psycho-Social Rehabilitation Programs (IAPSRS)
Topic: Nature of cooperative agreements between VR and ENs

Break

Break for Committee Meetings

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Tuesday, May 20, 2003 – Day 2

The meeting reconvened at approximately 9:00 a.m. with Sarah Wiggins Mitchell, Chair presiding.

Presenter: Sarah Wiggins Mitchell
Topic: Introduction of Berthy De La Rosa-Aponte, New Panel Member and other Panel Members and attendees

Executive Policy Discussion: Title I Vocational Rehabilitation and the Ticket Program

Presenter: Martin Gerry, Deputy Commissioner, Office of Disability and Income Security Programs, Social Security Administration
Topic: Relationship between vocational rehabilitation agencies and the Ticket Program

Presenter: Robert Pasternack, Assistant Secretary, Office of Special Education and Rehabilitative Services, U.S. Department of Education
Topic: New Freedom Initiative, employment of people with disabilities,

Business Meeting

Presenter: Sarah Wiggins Mitchell
Topic: Approval of Minutes

Motion: The Panel moved, seconded, and approved the minutes for the January 14 teleconference and the February 10-12 Quarterly Meeting.

Presenter: Marie Strahan
Topic: Administrative update on Panel activities, including staffing, administration and budget

Presenter: Susan Webb, Chairperson
Topic: Program and Legal Policy Committee Report

Presenter: Bryon MacDonald, Chairperson
Topic: Design, Evaluation, and Implementation Committee Report

Presenter: Susan Webb
Topic: EN Summit Issues Working Group

Presenter: Stephen Start, Chairperson
Topic: Program Planning and Operations Committee

Old Business

Presenter: Sarah Wiggins Mitchell
Topic: February Congressional Briefing Summary

Presenter: Sarah Wiggins Mitchell
Topic: August Meeting (August 26-28: Detroit MI)

New Business

Presenter: Sarah Wiggins Mitchell
Topic: May Congressional Briefing

Presenter: Susan Webb
Topic: Earnings Reporting for ENs

Presenter: Susan Webb
Topic: Work Opportunity Tax Credit

Motion: The Panel moved, seconded, and passed a motion encouraging the U.S. Senate to pass HR 743, the Work Opportunity Tax Credit.

Presenter: Sarah Wiggins Mitchell
Topic: Dates for November and February Quarterly Meetings—November 5-7 in Washington DC and February 10-12 in Tampa

Lunch Break

Presenter: Gina Livermore, Cornell Center for Policy Research
Topic: Wage reporting and earnings-related overpayments in the Social Security Disability Programs: Implications and suggestions for improvement

Presenter: Monroe Berkowitz and Debra Brucker, Rutgers University
Topic: Early Intervention Demonstration Project

Presenter: Joshua M. Weiner, Principal Research Associate, The Urban Institute
Topic: Medicaid and work incentives for people with disabilities: background and issues

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Wednesday, May 21 – Day 3

The meeting reconvened at approximately 9:00 a.m. with Sarah Wiggins Mitchell, Chair presiding.

Public Comment

Presenter: Cheryl Bates Harris, CCD Work Incentives Task Force
Topic: Consortium for Citizens with Disabilities (CCD) response to formal briefing papers, particularly RSA involvement in the Ticket Program

Panel Discussions and Deliberations

Presenter: Sarah Wiggins Mitchell
Facilitator: Jim Weigel
Topic: Marketing strategies and techniques to enhance implementation

Action: The working committee will develop four or five action recommendations based upon the briefing paper and Panel discussions for the Panel’s consideration.

Topic: Medicaid and work incentives for people with disabilities: background and issues

Action: The Medicaid subcommittee of the PLP Committee will address the interpretation of the definition of work and communicate concerns to the Administration and Congress.

Action: All papers will be placed in a separate place on the website, making it clear that the Panel does not endorse the recommendations in the papers.

Topic: An evolving partnership, role of the State VR agencies in the implementation of the Ticket to Work Program

Action: The Panel will share Panel comments with the authors and await the final paper.

Action: The Panel will write a letter in response to issues raised in Dr. Pasternack’s presentation and ask for his response. This will be referred to the PDIE Committee.

Topic: Overpayments

Action: The PDIE Committee will continue to work on these issues.

Break

Topic: Response to Demonstration Project presented by Monroe Berkowitz

Action: The Policy Committee will draft a response

Topic: RSA involvement in implementing the Ticket Program

Action: The Panel will request a meeting with Commissioner Wilson to resolve issues related to Ticket implementation between State VR agencies and ENs.

Presenter: Susan Webb
Topic: Milestone and Outcome Payments

Motion: The panel moved, seconded and passed a motion to send a letter to the SSA Commissioner saying that we have a crisis; the issue of collecting pay stubs from beneficiaries is very problematic. The Panel requests that SSA stop requiring that ENs collect pay stubs or other equally valid documentation after the first determination by SSA indicating that the beneficiary is achieving SGA and has left the rolls.

Presenter: Stephen Start
Topic: Analysis of milestone and outcome payments

Topic: February meeting

Action: The Panel will meet in Miami in February

Presenter: Sarah Wiggins Mitchell
Topic: Congressional Briefing

Action: At the briefing, the Panel will discuss the Annual Report, post entitlement workload, EN Summit, presentation of research papers, RSA collaboration on the Ticket Program, Medicaid issues., and the Area Work Incentive Coordinators.

The meeting adjourned at approximately 1:10 p.m.

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