Ticket to Work Program Payment Processes

Course Objectives Identify the three criteria needed for standard payment Describe the split payment process Identify the rules for submitting Payment Requests with self-employment earnings Describe the inclusion of the self-employment income form with a payment request Identify when a reconciliation payment is needed 2

Standard Split PaymentSelf EmployedReconciliation Most common Least complex Criteria o Completed forms o Accurate forms o Evidentiary or certified earnings There must not be any other circumstances around the payment 3

Split Payment StandardSplit PaymentSelf EmployedReconciliation Beneficiary Worked with More than One EN or VREN Split Payment Employment Network A Employment Network B Payment amounts do not increase but are shared Note: EN must be eligible for payment. State VR agency must act as an EN. 4

Split Payment II StandardSplit PaymentSelf EmployedReconciliation How is a Split Payment Generated? Case is determined Split payment notice and SSA 1401 form Payment Request Form considerations Service Records 5

Split Payment III StandardSplit PaymentSelf EmployedReconciliation SSA 1401 and 1391 EN Split Payment Request and EN Payment Request Form o Service records reviewed for all ENs involved - o Determination of Allocation OSM o Split Payment Allocation letter Self and other ENs involved 6

Progress Check 1 The purpose of the Split Payment Process is: A.To compensate all ENs for working with a Ticket Holder. B.To determine the allocation procedure for ENs who worked with a Ticket Holder. C.Both A and B 7

Self Employed StandardSplit PaymentSelf Employed Reconciliation Beneficiary is self-employed if: o No tax withholdings from regular wages o Pays Social Security/Medicare Self-Employment taxes o Sole owner of business or trade o Independent contractors Social Security will verify all Self-Employment Income (SEI) 8

Self Employed II StandardSplit PaymentSelf EmployedReconciliation Rules Beneficiary needs to be partnered with a service provider Self-employed beneficiaries cannot receive Ticket compensation Payment requests must be submitted as Certification Payment Requests and require a repayment agreement 9

Self Employed III Phases and Outcome requests – SEI form not necessary o All information must be submitted Submit either SEI form or annotate SEI on the payment request form One month of earnings required 10 StandardSplit PaymentSelf Employed Reconciliation

Progress Check 2 When does Social Security verify Self-Employment Income earnings? A. When the SEI form is included with the Payment Request Form B. After an account specialist reviews the case C. After net earnings are posted when the Ticket Holder files their income taxes D. When submitting for a certification payment request 11

Reconciliation Standard Split Payment Self EmployedReconciliation Payment automatically identified by Social Security’s system ENs who did not receive all available Milestone payments Milestone/Outcome payment method only Skipped Phase 1 or Phase 2 Milestone payments Payment rate for the year of suspended benefits 12

Reconciliation II Rules Only eligible Milestones After 12th outcome payment. Excluded from receiving reconciliation payments o Outcome – Only Payment Method o Received outcome payments prior to July 21, 2008 No multiple payments for a single Ticket 13 Standard Split Payment Self EmployedReconciliation

Progress Check 3 Social Security will automatically identify a reconciliation payment for an eligible EN when: A.The Ticket Holder quickly moves to suspended pay status skipping over an EN’s available Phase 1 or Phase 2 milestone payments. B. An EN is entitled to a reconciliation payment under the Outcome payment system. C.The EN has received 12 outcome payments and available Phase 1 and Phase 2 payments have been skipped because the Ticket Holder quickly moved to a suspended pay status due to work and earnings. 14

All EN Payments Call Last Tuesday of every month at 3 p.m. (EST) Webinar: 15

This completes the Ticket to Work Payment Processes training 16