When does SSA count earnings to determine whether an EN is entitled to a payment under the Ticket program—when they are earned or when they are actually paid?
That depends on what type of payment is being made and whether the Ticket Holder is a SSDI or SSI beneficiary, or one who receives benefits from both programs (known as a concurrent beneficiary). For all Milestone payments and for all SSDI or concurrent beneficiaries, SSA uses earnings when they are earned—by the pay period, not the pay date. For SSI, only beneficiaries during the Outcome period but before benefits are terminated; SSA uses earnings when paid. Maximus can provide training on this concept for approved ENs. Question: If an EN is tracking a beneficiary that it previously served and learns that the beneficiary eventually went to work and reached the levels of work and earnings necessary to trigger Milestone and/or Outcome payments, can the EN collect the EN payments even though the EN is no longer serving that beneficiary? Answer: Upon receiving a payment request, MAXIMUS will make a decision about whether an EN that formerly had the beneficiary’s Ticket assignment provided
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