Receiving Payments

There are two processes by which an Employment Network (EN) may obtain Ticket payments:

  • Submitting a Payment Request Online via the Ticket Portal
  • The automated E-PAY process

1. Submitting Payment Requests (Preferred Method)

The first possible payment available to an EN is in the month after the beneficiary's Ticket assignment date, also known as the attainment month. In situations where ENs submit signed Individual Work Plans (IWP) to TPM more than 14 days after the latest signature, the first possible payment available to ENs is the month after TPM receives the IWP.

The TPM only accepts evidentiary payment requests. This is the preferred method for ENs to receive payments. Submission of evidence results in a WIN/WIN situation for both beneficiaries and ENs. TPM will start the work Continuing Disability Reviews (CDR) by entering information from evidence in Social Security systems to identify earnings for field office verification. The results of this verification process can result in beneficiaries who have earnings above substantial gainful activity (SGA) level and in current pay, placed in suspense due to work and earnings. This change in beneficiary payment status reduces beneficiary programmatic overpayments and enables TPM to pay outcome claims to ENs (Beneficiaries must have earnings at SGA or above AND in a payment status of suspense due to work and earnings before ENs can qualify for outcome payments).

An EN should submit Payment Requests as soon as it receives information that satisfies the type of claim (e.g., Beneficiary send to the EN evidence of earnings at or above Trial Work Level for Phase 1 milestone claims, etc...). An EN can only submit a payment request through the Ticket Portal.

SSA expects ENs to provide initial and ongoing services and supports based on the IWP. After initial services, SSA requires the EN to contact the Ticketholder at least quarterly to assess whether the Ticketholder needs more services or supports. SSA may contact an EN at any time to review the EN's records certifying the services provided, including documented attempts to provide proffered services. An EN shall be eligible for payment only for work milestones and outcomes achieved by Ticket-holder's beginning the month following the month the Ticket is assigned to the EN by the TPM. AN EN shall request payment no later than 24 months following the month the Ticketholder's work and earnings met the criteria for SSA to make the payment. SSA will not accept payment requests for periods outside this 24-month window.

ENs can check the status of a payment request in the Portal, by selecting the option: Payments Already Made to Me or contacting the EN Payments Help Desk by email at ENPaymentsHelpDesk@yourtickettowork.ssa.gov or calling the toll free number 866-949-3687.

 

2. E-PAY Process

This process initially involves an automated systems check of all current Ticket assignments that meet Social Security rules for E-PAY against earnings records in Social Security's databases to assess whether there are any possible payments that have not yet been made to your EN.

Under the E-PAY process, Social Security's Systems staff will create an E-PAY file. The file will include ENs that meet the following criteria:

  • Has an active contract.
  • Is not on Hold status.
  • Has first available claim payable one month after the Ticket assignment date, or if the IWP was received more than 14 days after the latest signature on IWP, one month after the date TPM receives the IWP.

When the 12th outcome payment is processed, Reconciliation Payments will automatically be triggered if all available milestones have not been previously paid.

If the Ticket was assigned to more than one EN at different times, there is the possibility of a Split Payment.

The policy is to check for a potential payment and if it appears all requirements are met, either Social Security or TPM's EN Payments staff will process payments. However, cases that meet Phase 1 Milestone Exclusions will be denied.