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                             The Guide: Social Security Benefits and Work Incentives

                                                           Table of Contents

Chapter

 

 1     INTRODUCTION

                Introduction

                What Are Work Incentives?

                Which Benefit Does the Person Receive?

       

 2     The BASICS

                The Definition of Disability

                Substantial Gainful Activity (SGA)

                Initiating the Disability Claims Process

                Determining the Existence of a Disability Involves Answering

                    Five Basic Questions

 

 3     EARNED  AND  UNEARNED  INCOME

                What Is Income?

                What Are Wages? (SSDI)

                What Income Is Not Wages (SSDI)

                What Constitutes Earned Income? (SSI)

                What Constitutes Unearned Income? (SSI)

                What Is Not Counted As Income? (SSI)

 

Social Security Disability Insurance

       

 4     SOCIAL  SECURITY  DISABILITY  INSURANCE

                Introduction

                Who May Qualify For Social Security Disability Insurance Benefits?

                To Be Entitled For SSDI

                How SSDI Payment Amounts Are Determined

                Entitlement To Benefits From a Parentís Work Record

                How CDB Payment Amounts Are Determined

                Monitoring CDB Benefits

 

 5     SSDI  PROCESS

                The Process Of Receiving SSDI Benefits

                Five-Month Waiting Period

                Initiation Of Cash Benefits

                Continuing Disability Reviews

                The Process Of Continuing Disability Reviews

                When Else Can A CDR Occur?

                Vocational Re-examination Diary Review

                If Medical Improvement Was Expected And The Individual Returns To Work       .

                SECTION 301: Continued Payment Under A Vocational Rehabilitation Program

                Other Factors In Determining The Continuance Of A Disability

                Four  Conditions  Must  be  Met  to  Terminate  from  SSDI Because  of Work

                Cessation Of Cash Benefits

                The Impact Of Work On The "Routine" Of Receiving SSDI Benefits

 

 6     TRIAL  WORK  PERIOD

                The Time Frame Of A Trial Work Period

                Performance Of Services

                When The Trial Work Period Ends

                The "Rolling 60 Month" Period

                Example  1

                Example  2

                Example  3

                Example  4

                Example  5

                Beneficiaries Not Entitled to A Trial Work Period

                How To Monitor Trial Work Period Months

 

 7     EXTENDED  PERIOD  OF  ELIGIBILITY

                Introduction

                Beginning Of The Extended Period Of Eligibility (EPE)

                Cessation of Cash Benefit and "Grace Period"

                When Will The EPE End?

                When An Unsuccessful Work Attempt Is Not A Measure Of SGA

                Example  6

                Example  7

                Benefit Termination Month

                Expedited Reinstatement of Benefits

                Example  8

                How To Monitor Income During The EPE

 

 8     MONITORING  OF  SSDI  BENEFITS  WHEN  WORKING

                Why Monitor Benefits?

                What Information Does The SSA Require?

                Who Is Responsible For Reporting To The SSA?

                When And How Should Information Be Provided To The SSA?

                Where To Start

                How To Monitor Income And Benefits

                How To Use The SSDI Income And Benefit Record

 

 9     SUBSIDY

                Introduction

                When Can A Subsidy Be Used?

                Types Of Subsidy

                Agency Services Provided To Supported Employees

                Use Of Subsidy By Self-Employed Individuals

                Responsibility Of The SSA Representative

                Responsibility Of The Agency Supporting A Person

                Special Points About The Use Of Subsidy

                How To Submit A Subsidy Claim And Monitor Benefits

                Example 9

                Example 10

                Example 11

 

10     IMPAIRMENT-RELATED  WORK  EXPENSE

                Introduction

                What Conditions Must be Met to Claim an IRWE?

                When Can an IRWE Be Used?

                What Expenses Can Be Claimed As An IRWE?

                The Advantage Of Using An IRWE

                Deductible Services Or Items

                Use Of Special Transportation Services As An IRWE

                Special Points About The Use of IRWE

                How To Submit An IRWE And Monitor Benefits

                Example 12

                Example 13

                Example 14

                Example 15

       

Supplemental Security Income

 

11    SUPPLEMENTAL  SECURITY  INCOME

                Introduction

                Resources

                Income

                The SSI Cash Payment

                Effect Of Income On Cash Benefits

                Additional Points Regarding SSI Benefits

                Disability Programs Comparison Chart

 

12    SSI  PROCESS

                The Process Of Receiving SSI Benefits

                Initiation Of The Cash Benefit

                SSI Review (Redetermination) Process

                Current Process of Continuing Disability Reviews

                When Else Can a CDR Occur?

                The Impact Of Work On The "Routine" Of Receiving SSI Benefits

                Section 1619(a): Special SSI Payments For People Who Work

                Section 1619(b): Continued Medicaid Coverage

                Medicaid Needs Test

                 How Section 1619(b) Status Is Processed

                Clarification

                Expedited Reinstatement of Benefits

                Other SSI Provisions For Certain Classes Of Beneficiaries

 

13    HOW  SSI  PAYMENT  AMOUNTS  ARE  DETERMINED

                Introduction

                A Quick Review

                Income Exclusions

                Calculating Monthly Income And SSI Cash Payment Due

                Example 16

                Example 17

                Example 18

                Example 19

 

14     MONITORING  OF  SSI  BENEFITS  WHEN  WORKING

                Why Monitor Benefits?

                What Information Does The SSA Require?

                Who Is Responsible For Reporting To The SSA?

                When And How Should Information Be Provided To The SSA?

                Where To Start

                How To Monitor Monthly Income And Benefits

                How To Use The SSI Income And Benefit Record

 

15     STUDENT  EARNED  INCOME  EXCLUSION

                Introduction

                Eligibility For The Student Earned Income Exclusion

                How The Exclusion Is Applied

                Other Points About Using The Student Earned Income Exclusion

                Comparison Of Benefit Calculations

                Example 20

                How To Monitor And Report To The SSA

                Example 21

                Example 22

                Example 23

 

16    IMPAIRMENT-RELATED  WORK  EXPENSES

                Introduction

                What Expenses Can Be Claimed As An IRWE?

                What Conditions Must Be Met To Claim An IRWE?

                The Advantage Of Using An IRWE

                Deductible Services Or Items

                Example 24

                How To Submit An IRWE And Monitor Benefits

                Example 25

                Example 26

                Example 27

                Example 28

 

17    PLAN  FOR  ACHIEVING  SELF-SUPPORT

                Introduction

                What Income Can Be Used For A PASS?

                Basic Provisions Of A PASS

                Who Is Not A Candidate For A PASS?

                What A PASS Must Contain

                The Approval Process

                Revision Of A PASS

                Important Points When Using A PASS

                Potential Users Of A PASS

                The Advantage Of Using A PASS

                How To Submit A PASS And Monitor Benefits

                Examples Of Permissible PASS Expenditures (chart)

                Example 29

                Example 30

                Example 31

                Example 32

                Example 33

                Example 34

                Example 35

 

18    COMPARISON  OF  PASS  AND  IRWE

                Introduction

                Example 36

                Example 37

                Example 38

 

19    USE  OF  THE  PASS  TO  ESTABLISH  ELIGIBILITY  FOR  SSI

                Introduction

                Example 39

                Points To Consider When A SSDI Beneficiary Uses A PASS

                Example 40

                Example 41

                Example 42

 

20    BLIND  WORK  EXPENSES

                Introduction

                Deductible Services Or Items

                The Advantage Of Using A BWE

                How To Use And Monitor BWE

                Example 43

                Special Notes

                Comparison Of Work Incentives (chart)

 

OTHER  INFORMATION

 

21    TICKET TO WORK PROGRAM

                The Purpose of the Ticket To Work Program

                What Beneficiaries Need To Know

                What Services Providers Need to Know

 

22    CONCLUDING  RECOMMENDATIONS

 

        APPENDIX

 

        #1  GLOSSARY

        #2  SSA  PUBLICATIONS

                   List of Threshold Amounts for Calendar Year 2010

                   Listing of Impairments

        #3 SAMPLE FORMS  AND  LETTERS

 

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Last updated: 08/31/10.