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Authors - Connie Ferrell, Valerie Brooke, John Kregel, & Elizabeth
Getzel
This booklet explains what happens when a person who has been receiving
SSI and Medicaid goes to work. The following employment supports in the
SSI system that help a person to continue receiving SSI and/or Medicaid
while they work are explained: 1619 A&B, Earned Income Exclusion,
Impairment Related Work Expense, Blind Work Expense, Plan for Achieving
Self Support, Expedited Reinstatement (Easy Back On).
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One of the Social Security Administration's (SSA) highest priorities
is to assist individuals with disabilities achieve independence by helping
them to take advantage of employment opportunities. The following link
will take you to the 2004 Redbook, which is a general reference source
about the employment-related provisions of Social Security Disability
Insurance (SSDI) and the Supplemental Security Income (SSI) programs.
Social Security
2004 Redbook For additional information, visit Social Security's Website
related to work and disability, http://www.socialsecurity.gov/work.
Author - Grant Revell
Assuring that consumers are linked to effective benefits planning is a
critically important initial step for organizations focusing on competitive
employment outcomes. Individuals with significant disabilities who have
a clear understanding of the impact of income through employment on cash
and medical disability benefits can make informed choices in considering
competitive employment.
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Editor - Lucy Miller
Author - Debby Murray
A PASS is an SSI work incentive that allows a person with a disability
to set aside income and/or resources for a specified period of time to
achieve a work goal. Any person on SSI (with other income/resources)
or SSDI and could qualify for SSI can have a PASS plan. This document
will offer guidance on this 'dream-making' work incentive.
PASS-PDF |
PASS-Word | PASS-Text
Editor - Lucy Miller
Authors - Debby Murray & Lucy Miller
Section 1619(b) of the Social Security Act provides one of the most powerful
work incentives currently available for SSI recipients. 1619(b) offers
continued Medicaid to those eligible working individuals whose earned
income is too high to qualify for SSI cash payments, but not high enough
to offset the loss of Medicaid. This document will assist Benefit Specialists
to understand the eligibility and process of utilizing Section 1619(b).
1619(b)-PDF | 1619(b)-Word | 1619(b)-Text
Editor - Lucy Miller
Authors- Debby Murray, Terri Uttermohlen & Lucy Miller
SSI is a means-tested program intended for people with disabilities who
have little income and few resources. Because of this, income and resources
affect whether individuals are eligible, and how much in SSI payment they
are due. Income is what people receive in a month and resources are cash
and items a person owns that can be converted to cash.
Resources-PDF | Resources-Word
| Resources-Text
The Social Security Administration defines an eligible couple as two SSI
eligible individuals who are legally married under the laws of the State where
they have a permanent home, living together in the same household and holding
themselves out as husband and wife to the community in which they live, or
determined by SSA to be entitled to either husband’s or wife’s
Social Security benefits as the spouse of the other. It is important to understand
that eligible couples only exist when both members of the couple are SSI eligible,
not when an eligible individual is married to an ineligible spouse.
Eligible
Couples-PDF | Eligible
Couples-Word | Eligible Couples-Text
Calculation Sheet
The above briefing paper refers to an "Eligible Couple Calculation Chart" for
Benefits Specialists to use when helping
recipients understand the effect of earned income on cash and medical
benefits. Here it is:
Eligible
Couple 2004-HTML | Eligible
Couple 2004-Word | Eligible
Couple 2004-Rich Text
Medicare is our country’s health insurance program for people age 65
or older, certain people with disabilities who are under age 65 and people
of any age who have permanent kidney failure. It provides basic protection
against the cost of health care, but it doesn’t cover all medical expenses
or the cost of most long-term care.
Understanding
Medicare-PDF | Understanding
Medicare-Word | Understanding Medicare-Text
Beneficiaries of the Title II disability programs often believe that Medicare
entitlement stops when cash payments stop. In fact, this is not necessarily the
case. The Extended Period of Medicare Coverage (EPMC) provision allows most beneficiaries
who meet the Social Security disability standard to continue Medicare coverage
for at least 93-months after the Trial Work Period ends, even if cash benefits
ceased due to Substantial Gainful Activity (SGA) level employment.
Extended Medicare-PDF | Extended
Medicare-Word | Extended Medicare-Text
For the purposes of this paper, a “special Medicaid beneficiary” is
someone who lost SSI payments due to receipt of or increases in Title II benefits
(SSDI, CDB, DWB), but who is allowed to retain Medicaid coverage. This paper
will not cover the extended Medicaid provisions for persons who lose SSI payments
due to earned income, otherwise known as the 1619(b) provisions. For more information
about 1619(B) refer to the VCU BARC briefing paper entitled “Understanding
1619 (b)".
Special
Medicaid-PDF | Special
Medicaid-Word | Special Medicaid-Text
The successful transition of students with disabilities from school to work and
full community participation is a major policy initiative within several federal
agencies including the U.S. Department of Education and the U.S. Department
of Labor. In recent years, school to work transition has also become a growing
emphasis for the Social Security Administration (SSA). Since many students
with disabilities are receiving Social Security disability benefits such as
SSI or Title II Childhood Disability Benefits (CDB), and so few become employed
at substantial levels after completing school, it makes sense for the SSA to
be an active partner in these initiatives.
Transition-PDF | Transition-Word | Transition-Text
Available to SSDI beneficiaries and SSI recipients, Expedited Reinstatement (EXR)
is an easy way to return more easily to Social Security disability benefits
when work is significantly reduced or stopped because of an individual‘s
original disabling condition. EXR permits up to 6-months of provisional benefits
while the request is processed. This document offers insight into the eligibility
and program process.
EXR-PDF | EXR-Word | EXR-Text
When applying for or receiving SSI, the eligibility and amount of payment for
a child SSI recipient below the age of 18, is determined by considering the
income and resources of parent(s) responsible for the child SSI recipient’s
welfare. This document will explore the deeming process and the information
Benefits Specialists need to know.
Parent to Child
Deeming-PDF | Parent
to Child Deeming-Word | Parent to Child-Text
Deeming is a term SSA uses to describe the process of considering another person’s
income and/or resources to be available for meeting an SSI claimant’s (recipients)
basic need for food, shelter, and clothing. The concept of deeming is based on
that notion that, in some situations, those who have a responsibility for others
share their income and resources for the benefit of these persons. This document
will address the various deeming situations identified by SSA.
Deeming-PDF | Deeming-Word | Deeming-Text
An SSDI work incentive, where subsidy and special conditions takes into consideration
the need for extra assistance, a reduced production rate, frequent breaks,
or fewer job duties than co-workers without disabilities in a similar job.
SSA uses a subsidy and/or special condition in assessing earnings that can
be attributed directly to the individual and the earnings potential if those
supports were not in place. SSA adjusts the value of the income by deducting
the cost attributed to the extra help or special condition that each person
experiences when determining the SGA.
Subsidy-PDF | Subsidy-Word | Subsidy-Text
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