1. pHase 1 payments Changes from SSA 12/2018 Mary Lynn ReVoir
Kevin starts
Mary Lynn ReVoir
National Disability Institute

2. Phase 1 payments Focus today on Phase 1 Payments
Recent Changes made by SSA
Proof of services
It has always been proof of earnings (SSA can collect or EN can submit)
Today’s training skims the surface on the complexity of payment eligibility and processing
FAQ on Payments under Member Resources

3. How does aden get paid? Outcomes based pay structure (Pay for Success)
80% to Member/ 20% retained by ADEN
Criteria for each payment must be met.
Level of earnings
For a specific time period (a month or multiple months) Gross Wages for a calendar month – not always lined up with pay periods
Anything else that prevents Phase 1 payments? YES
If the Participant has successful VR case closure none of Phase 1 payments are available.
If the Participant worked during the 18 months prior to Ticket assignment, some or all of the Phase 1 payments may not be available. KN

4. Let’s take a look
Starting 1/1/19 the TWL is $880

5. SSA changes to Phase 1 payments
Changes made by SSA
Oversight from Congress, SSA has become very strict on issuing payments.
ADEN Members best practice in order to be paid for Phase 1 Payments
When a Participant is working above Trial Work level ($880/month starting 1/1/2019), the Member will need to collect paystubs and post to the Participant portal record under Notes for the initial 12 months of working.
Keeping you informed
Any update or information about a possible payment, ML is posting updates in Participants Portal record under Notes
If action is needed by Member, ML will the Member
If you post information regarding payments (responding to or paystubs, etc.) you need to ML otherwise, we do not know it has been posted.

6. What if I don’t get paystubs?
First, collecting paystubs only applies to Phase 1 payments.
If an EN doesn’t have paystubs or can’t get them, then:
The EN (you) will need to wait until SSA has the evidence of earnings in their system which will delay eligible payments.
The EN will need to prove dates and services provided
For you this is being sure monthly contact is made and documentation of services is posted under Participant Services. The ADEN Director will submit to SSA on your behalf. If no Participant Services for the month posted, then no request for payment will be made.
What if I can’t get the paystubs from the Participant?
Same as the answer above.

7. Paystubs
SSA requires the paystub needs to contain: name, gross wages for the pay period, pay date, pay period start date and pay period end date. They will reject if missing these elements; they will not accept an employer prepared payroll report. (needs to show FICA tax held)
Add the scan of the paystub under NOTE for the Participant record. In the subject of the Note it helps to enter month/year, i.e. Oct.2018 Pay Stubs. You can attach up to 3 paystubs if needed.
Do not scan all of the paystubs in one scan. If possible, please upload each one separately.
If you can label the name of the paystub scan with some information, i.e _Paystub
Once you upload, look at the scan to be sure you can see everything. If I can’t see, SSA will not be able to see it – so I will not be able to submit.

8. When does the Member get paid
Around the 20th of the month following the receipt of the payment
Direct deposit into your bank account. Prior to your first payment you will be sent forms to complete.
How do I know if I will be getting a payment?
Look at the Member Org record in the ADEN Portal under “Contributions”
How do I know when I got paid?
When payment has been made the name provided on the Payment Authorization Form will receive notice.
Look at the Member Org record in the ADEN Portal under “Grants” ML

9. What can I do to help get paid?
If Participant is employed, be sure you have entered a relationship with an employer
If Participant is employed, be sure you keep pay information (wages and hours, dates) current
Discuss with Participant before assigning the Ticket, during the IWP development, at the time signing the IWP, when starting job – you need them to send ( if they are comfortable with this, fax, mail) you a copy of all paystubs for the 12 months of employment.
Post paystubs under Notes in Participant portal record and Mary Lynn you did
Payments are very complex; they will be delayed; be patient and trust we are keeping an eye on them.