1. A Good Day Is A Payday: How to get a job and keep your government benefits Mike Hansen, Director Rick Scott, Governor 1

2. Presenter Nancy Boutot Medicaid Infrastructure Grant Employment Coordinator nancy_boutot@apd.state.fl.us 2

3. Acronyms SSA – Social Security Administration SSI – Supplemental Security Income SSDI – Social Security Disability Insurance FBR – Federal Benefit Rate (2011 = $674.00) SGA – Substantial Gainful Activity 3

4. 4 Overview SSDI (Title II) (Soc. Sec. Disability Insurance) FICA Medicare (federal rules) SSI(Title XVI) (Supplemental Security Income) General Revenue Medicaid (state rules) VERSUSVERSUS

5. 5 Work Incentives Comparison Chart Social Security Disability InsuranceSupplemental Security Income Trial Work PeriodContinuation of SSI Extended Period of EligibilityStudent Earned Income Exclusion Continuation of MedicareBlind Work Expense Special Rules for the Blind (SGA) 1619 (a) 1619 (b) Property Essential For Self Support Plan for Achieving Self-Support WORK INCENTIVES FOR BOTH SSDI AND SSI Impairment Related Work Expense (IRWE) Subsidies Section 301 (Not Ticket Rules) Expedited Reinstatement Ticket to Work \

6. SSI Work Incentives (condensed) Student Earned Income Exclusion 1619 (b) Impairment Related Work Expense (IRWE) Plan for Achieving Self-Support

7. Student Earned Income Exclusion Must be under the age of 22 and regularly attending school. Can exclude earned income up to a certain amount (changes annually) Amount earned looked at monthly, with an yearly maximum This exclusion applies before any other exclusion Can carry the balance over to the next month 2011 $1,640.00 per month, $6,600.00 per year

8. Student Earned Income Exclusion Report the following to the SSI claims representative: Proof of regularly attending school at least one month during the current calendar quarter or expectation to attend school at least one month in the next quarter; and Pay stubs showing the amount of earned income while considered a student and under the age of 22.

9. Student Earned Income Exclusion Calculation without SEIE Lets say Herman receives $674.00 in SSI He begins working and earning $525.00 gross per month What will his new SSI check be? $525 gross wages -$ 65 exclusion -$ 20 exclusion $440 $440 / 2 = $220 Countable Income $674.00 - $220 = $454.00 SSI $454.00 + 525.00 - $979.00

10. Student Earned Income Exclusion Calculation with SEIE Lets say Herman receives $674.00 in SSI He begins working and earning $525.00 gross per month What will his new SSI check be? $525 gross wages -$525 Student Earned Income Exclusion = 0.00 Countable Income $674 FBR* - $0.00 = $674.00 SSI $674.00 + 525.00 = $1,199.00! Thats $14, 388.00 a year!

11. Student Earned Income Exclusion SEIE… 3 month Summer Job! Lets say Herman receives $674.00 in SSI He gets a summer job earning $1,640.00 gross per month What will his new SSI check be? $1,640.00 gross wages -$1,640.00 Student Earned Income Exclusion = 0.00 Countable Income $674 FBR* - $0.00 = $674.00 SSI $674.00 + $1,640.00 = $2,314.00! Thats $6,942 in 3 months!

12. 1619 (b) How much can people on SSI earn annually in Gross Wages before they are in jeopardy of losing Medicaid? 28,753.00!! Florida… 2011

13. 13 Due to out of pocket expenses that support a disability to allow a person to earn income, even if those items or services are also needed for non-work activities. Examples Transportation Medications Medical Devices PCA Impairment Related Work Expense (IRWE)

14. Calculation with IRWE Lets say Mario receives $674.00 in SSI He begins working and earning $885.00 gross per month What will his new SSI check be? $885 gross wages -$ 65 exclusion -$ 20 exclusion $800 -$400.00 (Transportation, Medication) $400 / 2 = $200 Countable Income $674.00 - $200 = $474.00 SSI $474.00 + 885.00 - $1,359.00 ($16,308.00 per year)

15. Plan for Achieving Self-Support Mario likes cooking so much, he wants to go to school to become a chef. School will cost $4,000.00 for the first year. $885 gross wages -$ 65 exclusion -$ 20 exclusion $800 $800 / 2 = $400 Countable Income Mario says: I want to save $400.00 a month to go to school!

16. Plan for Achieving Self-Support $885 gross wages -$ 65 exclusion -$ 20 exclusion $800 $800 / 2 = $400 Countable Income $400.00 Countable Income -$400.00 PASS Plan $0.00 Countable Income Mario keeps his whole $674.00 + $885.00 per month Thats $1,559.00!!!

17. Thank You! Questions? Comments?