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| Disability Research Home | Ticket to Work Evaluation (February 2004) |
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Impairment Category and Underlying Conditions |
Listing Section |
SSA Impairment Code |
Result in frequent need for personal assistance or coaching |
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Disorders of the spine (i.e., quadriplegia) |
1.05 |
724 |
Cognitive disorders |
||
Down syndrome |
10.06 |
758 |
Organic mental disorders |
12.02 |
294 |
Mental retardation |
12.05 |
317 – 319 |
Autistic disorders and other |
12.10 |
299 |
Cerebral palsy |
11.07 |
343 |
Cerebral trauma |
11.18 |
907 |
Episodic and will likely have an intermittent effect on ability to work |
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Myasthenia gravis |
11.12 |
358 |
Organic mental disorders |
12.02 |
294 |
Schizophrenic, paranoid and other psychotic disorders |
12.03 |
295 |
Affective disorders | 12.04 | 296 |
Anxiety-related disorders |
12.06 |
300 |
Somatoform disorders |
12.07 |
306 |
Personality disorders |
12.08 |
301 |
Possible disruptions to work activity |
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Epilepsy |
11.02 |
345 |
Substance addiction disorders |
12.09 |
303 |
Increase gradually in severity |
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Degenerative arthritis |
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Rheumatoid arthritis and other |
1.02 |
716 |
| Arthritis of major weight-bearing and other joints |
1.03/04 |
715/724 |
| Osteomyelitis or septic arthritis | 1.08 |
730/711 |
Multiple sclerosis |
11.09 |
340 |
Multiple impairments |
Various |
-- |
B. IDENTIFYING INDIVIDUALS WITH A NEED FOR HIGH-COST ACCOMMODATIONS (AOI GROUP 2)
High-cost accommodations include supports such as assistive technologies, workplace modifications, job coaching, personal assistance services, and interpreter or reader services. The evaluation design proposes to identify individuals in this subcategory in the same way beneficiaries with ongoing support needs are identified, by making a priori assumptions of subgroup membership based on primary impairment code. These impairment codes are included in Table C.2 and attempt to include conditions that result in the inability to use two or more limbs, severe neurological impairments (e.g., spinal cord injuries), deafness and severe auditory impairments, and blindness and severe vision impairments.
Table C.2: SSA Listing of Impairments Codes for Individuals with a Need for High-Cost Accommodations
Impairment Category and Underlying Conditions |
Listing Section |
SSA Impairment Code |
Require interpreter or reader services |
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Deafness and severe hearing impairments |
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Meniere's disease and other |
2.07 |
386 |
| Hearing impairments | 2.08 |
389 |
Blindness and severe sight impairments |
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Impairment of central visual acuity |
2.02 |
361/365/366/369 |
Contraction of peripheral visual fields |
2.03 |
368 |
Loss of visual efficiency |
2.04 |
368 |
| Complete homonymous hemianopsia | 2.05 |
-- |
Total bilateral opthalmoplegia |
2.06 |
378 |
Loss of speech |
2.09 |
784 |
Require assistive technologies, major workplace modification, job coaching, or personal assistance |
||
Inability to use two or more limbs due to amputation or anatomical deformity |
1.09 |
905 |
Severe Neurological Impairments |
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Central nervous system vascular |
11.04 |
438 |
Parkinsonian syndrome |
11.06 |
332 |
Spinal cord or nerve root lesions |
11.08 |
806 |
Amyotrophic lateral sclerosis |
11.10 |
335 |
Anterior poliomyelitis |
11.11 |
138 |
Muscular dystrophy |
11.13 |
359 |
Peripheral neuropathies |
11.14 |
357 |
Tabes dorsalis |
11.15 |
094 |
Subacute cord degeneration |
11.16 |
-- |
Other degenerative disease (e.g., |
11.17 |
331 |
Syringomyelia |
11.19 |
336 |
C. IDENTIFYING INDIVIDUALS WHO EARN A SUBMINIMUM WAGE
The evaluation design assumes that most beneficiaries in this category will be working in sheltered workshops, but others might be working in competitive employment situations through a subminimum wage certificate. We anticipate that identifying these individuals will be very challenging, because SSA administrative data do not contain wage data. For SSI recipients, monthly earnings are available, but hours worked are not. Reports of annual earnings subject to FICA taxes are routinely reported, but again do not contain wage information and are only available after a 14-month time lag. The evaluation design proposes to develop a prediction equation for subminimum wages for beneficiaries with earnings, using detailed wage and hour data from the Survey of Income and Program Participation that have been matched to SSA’s administrative data. The resulting prediction model could subsequently be applied to the administrative data to predict the hourly wage rates for beneficiaries with earnings and begin to identify individuals who have a high probability of earning subminimum wages. Another option is to identify the similar group that has monthly earnings that fall well below what would be earned by a full-time worker who was paid the federal minimum wage.
D. IDENTIFYING INDIVIDUALS WHO WORK AND RECEIVE PARTIAL CASH BENEFITS
In any given month, many SSI recipients may be working and earning wages, even above the level designating substantial gainful activity, yet not sufficient to reduce their cash benefit to zero.2 Because a Ticket holder must be in zero cash benefit status to generate an outcome payment for an EN, Congress was concerned that these individuals might have a particularly difficult time locating an EN willing to accept their Ticket and provide them the services necessary to increase their earnings and ultimately reduce their cash benefit to zero. Individuals who receive partial cash benefits can be identified through SSA administrative data. These individuals may actually be earning wages that might, in some situations, reduce their benefit to zero, yet continue to receive a benefit payment through the use of various work incentives (e.g. Plan for Achieving Self Support, subsidies, Student Earned Income Exclusion, etc.).
In the next evaluation report, we will identify SSI beneficiaries who receive partial benefits because of work by focusing on their reported earnings during the prior 12 months. In particular, we will analyze those who have (1) some earnings in at least one month, and (2) earnings above the individual’s minimum disregard in one or more months. While the concept of partial cash benefits does not apply to DI-only beneficiaries on a monthly basis, on a longer term basis it does apply to those DI beneficiaries that have intermittent employment experiences that cause them to cycle in and out of payments during their Extended Period of Eligibility. Specifically, we will focus on DI beneficiaries that (1) receive FICA-covered earnings in a given year and (2) experience an interruption in benefit payments during at least one month of the year. We will also identify DI beneficiaries who "work and receive full cash benefits," defined as beneficiaries who intermittently use trial work period months, but do not enter the Extended Period of Eligibility. The data required to implement this definition are expected to be available in time for the evaluation’s next report in spring 2004 (see Chapter VIII).
Notes:
1 The evaluation team will not have direct access to FICA tax reports because of data confidentiality rules. However, SSA staff will assist the evaluation by using that information to help develop more refined definitions of the AOI groups, and those definitions will be available. Return to text.
2 DI beneficiaries receive either the full cash benefit for which they are eligible or no payment at all. Return to text.
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