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Thornton, C., Livermore, G., Stapleton, D., Kregel, J., Silva, T., O'Day, B., et. al. (2004). Evaluation of the Ticket to Work program: Initial evaluation report. Washington, D.C.: Mathematica Policy Research, Inc.
Abstract
This evaluation of the Ticket to Work and Self Sufficiency (TTW) program identifies problems in the program's early implementation and offers suggestions for improvement. As of August 2003, when this report was completed, the Social Security Administration had rolled out TTW in 33 states and the District of Columbia
The study found that SSA had implemented all aspects of the TTW program, including mailing Tickets to over 5 million SSDI/SSI beneficiaries and making payments to some of the providers as early participants met milestones or left the SSDI/SSI rolls. However, beneficiary enrollment remained very low, relatively few employer networks (ENs) had been recruited, and several had terminated their EN status or simply stopped accepting Tickets. EN Ticket assignments were concentrated among a few providers, with most assignments going to state vocational rehabilitation agencies. ENs reported losing money on their TTW operations, felt that SSA needed to market the program more effectively. and were concerned that the TTW payment scheme favored state vocational rehabilitation agencies and exposed other ENs to too much financial risk.
The report notes that SSA had started to address these problems by streamlining the payment process for ENs and developing a national marketing campaign, and was considering other measures to increase financial incentives for ENs and develop a more diverse base of ENs.
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