Comparison of Roles When VR Serves Beneficiaries under
CR or As an EN under the Ticket Program
The following chart summarizes the roles a State VR agency and a partnering
EN would assume when the State VR agency is serving beneficiaries under Cost
Reimbursement versus when the State VR agency is functioning as an EN under
the Ticket program.
VR agency role |
VR Agency Roles |
EN/Partner Roles |
Cost Reimbursement |
- Eligibility for VR
- Providing Consumers with tickets with information about the ticket
program and their options
- Development of the IPE
- Provision of necessary information to SSA to enable beneficiaries to
access the Ticket In use status.
- Provision of VR services based upon the IPE
- Planning for follow up and support services after completion of the
VR program.
- Assisting the consumer to make the decision regarding who they choose
to assign their Ticket to before VR closes the case.
- Provide access to Post – Employment services
- Coordination and sharing of necessary information with the EN of the
beneficiary’s choice.
- Participate with partners in joint training regarding the Ticket program
and SSA work incentives.
- Coordination of benefits counseling during VR process.
- Sharing of employment and earnings information with EN partner(s).
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- Determine the Ticket status of beneficiaries who choose VR as their
EN.
- Assignment of the Ticket through the development of an IWP.
- Provision/coordination of services in the IWP.
- Continued support services so that the Ticket Holder continues to maintain
employment and increase his/her wages.
- Coordination and information sharing with VR agency regarding Ticket
Holder’s earnings so VR can monitor progress towards a Cost Reimbursement
claim.
- Coordination of continued access to benefits counseling.
- Coordination with VR if post-employment services or opening of a
new VR case is required.
Payment Options:
Outcome-Milestone:
- If the Ticket Holder exits VR in employment, Phase 2 Milestone and
Outcome payments are available to the EN as the beneficiary attains
the required levels of work and earnings.
- If the Ticket Holder exits VR not in employment, then all Milestone
(both Phase 1 and Phase 2) and Outcome payments are available to the
EN as the beneficiary attains the required levels of work and earnings.
Outcome Payments;
- All Outcome payments are available to the EN as the beneficiary’s
net earnings exceed SGA and the beneficiary reaches the zero cash benefit
status regardless of the beneficiary’s employment status at the time
of VR case closure.
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VR as EN |
- The State VR agency elects to function as an EN under the TTW program
for some beneficiaries and notifies SSA in writing, including selecting
the EN payment method the State VR agency will utilize.
- Provides beneficiaries with Tickets with information about the Ticket
program and their options for using their Tickets.
- The State VR agency identifies eligible Ticket Holders and works with
them to develop their IPEs, including any information necessary for the
IPE to serve as the IWP.
- A State VR agency determines on a case by case basis which beneficiaries
will be served as an EN under the TTW program.
- A Ste VR agency provides services and supports based upon the IPE/IWP.
- A State VR agency and the beneficiary determine at point of a successful
VR employment outcome if VR will continue as the EN or un-assign the
Ticket.
- When VR un-assigns the Ticket, VR informs the Ticket Holder of his/her
option to assign the Ticket to another EN.
- A State VR agency may have agreements with EN’s regarding the sharing
of Ticket payments when a Ticket Holder chooses to assign his/her Ticket
to another EN.
- If the State VR agency continues as the EN following the completion
of the VR case, then VR may have agreements with other EN’s and/or providers
to share Ticket payments.
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EN’s may offer services to Ticket Holders
following the un-assignment of Tickets to VR.
- Determine the Ticket status of beneficiaries following the completion
of VR.
- Assignment of the Ticket through the development of an IWP and submitting
it to MAXIMUS.
- Provision/coordination of services in the IWP.
Agreement with VR and EN
VR and EN’s can develop agreements that will spell out each parties
rolls and the sharing of Ticket payments.
Payment options:
Outcome – Milestone
- All payments that have not been made to a previous EN, including
VR functioning as an EN, are available as the beneficiary reaches the
required levels of work and earnings.
Outcome:
- All payments that have not been made to a previous EN, including
VR functioning as an EN, are available as the beneficiary reaches the
required levels of work and earnings.
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