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Bell, H.S. (2003). Creating financial incentives to serve partial benefit recipients in the Ticket to Work program. Washington, D.C.: Urban Institute.
Abstract
This paper examines the rationale for expanding reimbursement to employment networks (ENs) that deliver or coordinate employment, rehabilitation, and support services for SSDI or SSI recipients who hold "tickets" issued by the Social Security Administration. ENs cannot receive reimbursement for such services from SSA until the recipients they serve have earnings high enough to end their receipt of cash benefits. However, it is consistent with the overall policy goals of the Ticket To Work and Work Incentives Improvement Act (TWWIIA) to reimburse providers who serve less-employable recipients who can work, but cannot achieve sustained earnings that result in termination of their cash benefits.
The main challenges of implementing such a change in the payment system would be to set reimbursement terms that would be sufficiently profitable for ENs, and making the plan administratively feasible to SSA and understandable to providers, advocates, and recipients. The paper presents various options for designing and implementing an expanded provider reimbursement policy.
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