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Electronic Code of Federal Regulations

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e-CFR Data is current as of October 23, 2014

Title 20Chapter IIIPart 411


TITLE 20—Employees' Benefits

CHAPTER III—SOCIAL SECURITY ADMINISTRATION

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

rule

Subpart A—INTRODUCTION

§411.100
Scope.
§411.105
What is the purpose of the Ticket to Work program?
§411.115
Definitions of terms used in this part.
rule

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?
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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?
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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?
rule

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?
rule

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?
rule

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?
rule

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?
rule

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?
rule

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?


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