ticket tools webinar: tools to assign, track, and bill for tickets

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Ticket Tools Webinar:

Tools to Assign, Track, and Bill for Tickets

Welcome to the webinar

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Kevin Nickerson, NYMWP

Oscar Jimenez, MPHNYAPRS

FOR AUDIO Dial-in number: 1 (888) 582-3528 (US Toll Free) or 1 (847) 944-7361 (US Toll)Password: 8395 704#

Kelly StengelNYAPRS

Mira BowinNYAPRS

How to participate in the webinarMute/ un-mute

• All attendees will be automatically muted during webinar • During Q & A you may un-mute yourself by pressing: # 6 • To mute yourself: * 6 (star and then the number 6)Sending questions to presenters via chat function: Go to upper left corner to “attendees.” Look for Kelly Stengel or Mira Bowin by scrolling down. Right clickand Chat with Kelly/Mira... to send questions or technical

issues Technical problems?Contact Jennifer Brimley at (518) 436-0008 or

[email protected] 3

mailto:[email protected]

Our Program for Today

• Ticket Payments At A Glance• Decision-Tree for Assigning Tickets:

Overview • Deciding to assign Tickets within a

PROS program: Case Examples • Challenge Ticket Tracker: Overview• Challenge Ticket Tracker: Walk-through

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2010 OUTCOME PAYMENT METHOD

Payment Type Beneficiary Earnings Required After Ticket Assignment

SSI Ticket-Holder SSDI Ticket-Holder

Outcome Earnings sufficient for “zero” cash benefits status Up to 60 payments of $409/month

Up to 36 payments of $711/month

Total of Outcome Payments Available $24,540. $25,596.

2010 MILESTONE-OUTCOME PAYMENT METHOD

Payment Type Beneficiary Earnings Required After Ticket Assignment SSI Ticket-Holder SSDI Ticket-Holder

Milestone 1Milestone 2Milestone 3Milestone 4

$360/ month x 1 month$720/ month x 3 months within 6 months$720/ month x 6 months within 12 months$720/ month x 9 months within 18 months

$1275$1275$1275$1275

$1275$1275$1275$1275

Total for Phase 1 $5,100 $5,100

Outcome Earnings sufficient for “zero cash benefit” status

Up to 60 payments of $220/ month


Total of Outcome Payments Available $13,200 $13,752

Total of Milestones + Outcome Payments $22,260 $23,054

Phase 2

Phase 1

Milestones Gross earnings at or over $1,000(non-blind)/month (SGA)Gross earnings at or over $1,640 (blind)/month (SGA)



Total for Phase 2 $3,960 $4,202

Total Phase 1 + 2 Milestones Payments $9,060 $9,302

2010 Payments At A Glance

Type Ticket Holder Earnings EN Payment for SSDI

EN Payment for SSI

Phase 1

Milestone 1 $360/ two weeks within 1 month

$1,275 $1,275

Milestone 2 $720/mo for 3 months within 6 months (cumulative)

$1,275 $1,275


$1,275 $1,275


$1,275 $1,275

Total Potential Phase I Milestone Payments $5,100 $5,100

2010 Rates

Milestone-Outcome Payment System: Phase 1 Milestones

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Type Ticket Holder Earnings

EN Payment for SSDI

EN Payment for SSI

Phase 2 Gross > SGA($1000/non-blind; $1,640 for blind)

$382/mo. (up to 11 mos.)

$220/mo. (up to 18 mos.)

Total Phase 2 Payments

$4,202 $3,960

Total Potential Ticket Payments Phases 1 and 2

$9,302 $9,060

2010 Rates

Milestone-Outcome Payment System: Phase 2 Payments

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Milestone-Outcome Payment System: Outcome Payments

Type Ticket Holder Earnings

EN Payment for SSDI

EN Payment for SSI

Outcome Phase Net > SGA ($1000/non-blind;

$1,640 /blind) AND 0 cash benefit

$382/mo. for up to 36 months

$220/mo. for up to 60

months

Total Outcome Phase Payments

$13,752 $13,200

Total Potential Ticket Payments

$23,054 $22,260

2010 Rates 8

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START HEREDecision Tree for Assigning Tickets

Background The mission of Inspirations is to support

individuals in mental health recovery in achieving independence, developing life skills, contributing to their community, and enjoying quality of life. To achieve this mission, Inspirations offers a number of recovery-oriented and employment services through its PROS program. Recently, Inspirations became a certified Employment Network (EN) and has started getting ready to provide EN services through its PROS program.

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Case example # 1: Michael Michael is a 30-year old male that started receiving services at

Inspirations in 2008. Michael has little work experience and has been unemployed for the last 6 years. Michael currently receives SSI benefits along with Medicaid insurance. Michael has been receiving Community Rehabilitation and Support (CRS) services from Inspirations’ PROS program for the past two years. Until recently he had not considered work because he thought he would lose all his benefits, but a month ago he heard that this is not true. So now he is very motivated to become employed again. One of Michael’s goals is to live independently and he would like to find a job to help him accomplish this goal. As Michael does not have much work experience, his current goal is to work part-time in a job where he can make between $800-$900/month. He has never received VESID services and is not interested in applying for VESID right now. He has begun submitting applications at local retail stores and has an interview for a job at a grocery store next week.

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Case Example # 2: Mollie Mollie is a 45-year old female that came to Inspirations to see if

she can receive help returning to work. Mollie currently receives $950/month in SSDI benefits along with Medicare insurance. She has never received services from VESID. Mollie has an associate’s degree in paralegal studies and worked for several years in a variety of legal service jobs. She was approved for SSDI benefits in 2005 due to her mental health disability and had been out of work for the last six years until recently. Mollie found a job working for a local law office. She was employed from June through August in 2010, but lost the job due to conflicts with her supervisor. This was her first job since going onto SSDI benefits. Mollie believes, along with her therapist, that working can help her in her process of recovery and that she can be a successful paralegal again. Mollie is very interested in searching for a part-time job (10-15 hrs/wk) in local law office (at $20/hour).

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1. When an individual has a VESID case OPEN, the Ticket is considered “in use” and it cannot be assigned to an EN

2. After VR case is formally closed, then the beneficiary can assign Ticket to an EN

3. If the VR case is closed successfully, then Phase One payments are NOT available

4. If the VR case is NOT closed successfully, then ALL Ticket payments may still be available

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Partnership Plus at a Glance

Case example # 3: Cody Cody is a 40-year old that was referred to Inspirations for

continuing employment support. Cody currently receives SSI benefits and Medicaid insurance. Cody has worked with VESID over the last three years and received vocational training to become an auto mechanic. Four months ago Cody got a job working at a body shop part-time where he earns $800 per/month and his case was successfully closed with VESID. Cody, however, would still like additional support because he has trouble getting along with his coworkers and sometimes feels overwhelmed with his job responsibilities. Additionally, Cody would like to work full-time in the future so that he can save to buy a car.

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Ticket-to-Work Decision-Tree for NEW PROS participants

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Ticket to Work Decision-Tree for CURRENT PROS participants




[email protected] 20


Challenge Ticket Tracker

What it Does

• Organizes all Ticket Holder Demographics at a glance

• Provides key contact information for Maximus• Manually allows tracking of all payments,

including Phase 1, 2 & Outcomes• Provides automatic tracking of total revenue• Includes charts which show total revenue,

and break-down of Phase 1, 2 & Outcome payment totals

How it Works

• The Ticket Tracker tool is an excel based database that links data and adds inputs to provide an ongoing picture of revenue your EN has earned

• Information entered in the Demographics Worksheet will populate key data to all other payment tracking Worksheets

• Notes through out the Worksheets help to guide your decisions about payment requests

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Enter EN & Key Maximus contact information here

Enter Ticket Holder information here

Check boxes for benefits type

Job Placement informationIndustry/Sector Drop-down menu: Matches Annual Periodic Outcome Report (APOR)

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Data in these fields populates from Demographics Worksheet

Phase 1 Milestones Worksheet: Payment Code indicates billing request type submitted, Wages for period is for tracking total wage data for request period you have collected from Ticket Holder

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Populated Data in these cells

Phase 2 Payments Worksheet: Note the red tabs in upper corners for comments that will assist you in making billing decisions

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Populated data in these cellsOutcome Payments are tracked in multiple Worksheets, 10/Worksheet. Note the comments again for assistance in billing.

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Management Reports help you to see progress as an EN, and identify revenue trends that can guide your EN service delivery methods. Scrolling down on this page will reveal Phase 2 and Outcome Payment Charts.

Coming Soon…

• Maximus is currently working on an EN portal management tool that will assist you in your efforts which should be released early in 2011.

• SSA is also working with a contractor on another Case Management tool that will be even more sophisticated, release date unkown.

Live Tracking Tool Demo




[email protected] 32


Questions about future trainings and technical assistance?

For questions and requests for individualized TA for PROS programs:

Oscar Jimenez, MPHNYAPRS Director of Community and Economic [email protected]

Mira BowinNYAPRS Employment and Economic Self-sufficiency Coordinator518-436-0008, ext. [email protected]

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New York Makes Work Pay is a Comprehensive Employment System Medicaid Infrastructure Grant (Contract No. #1QACMS030318) from the U.S. Department of Health and Human Services, Center for Medicare and Medicaid Services to the Office of Mental Health on behalf of New York State. It is a joint effort of the Burton Blatt Institute at Syracuse University and the Employment and Disability Institute at Cornell University with the collaborative support of the Employment Committee of the New York State Most Integrated Setting Coordinating Council to develop pathways and remove obstacles to employment for New Yorkers with disabilities.

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New York Makes Work Pay

Partnering Organizations

ticket tools webinar: tools to assign, track, and bill for tickets

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