Neighborhood Legal Services, Inc.

The Benefits Planner
Newsletter of the NY State Work Incentives Support Center

Covering a range of issues involving Social Security, SSI
Medicare, Medicaid and work will be published quarterly

This publication is sponsored in part by the NYS Developmental Disabilities Planning Council and the Social Security Administration through the NYS Department of Labor (NY Works Project), and is a collaborative publication of Cornell University's Program on Employment and Disability and Neighborhood Legal Services, Inc. (NLS) of Buffalo, NY. The editors and primary authors are James R. Sheldon, Jr. of NLS and Edwin J. Lopez-Soto of Cornell University.

Table of Contents

To move to an issue Click on the Volume and Issue line

You will need the free Adobe Acrobat reader to read these in PDF format. The reader is available by following this link getacro.gif (2359 bytes)

Volume 6: Spring 2006 - Winter 2006

Volume 6 Issue 1 Spring-Summer 06

SSI'S PLAN FOR ACHIEVING SELF SUPPORT
What is a PASS?
How  Does it Work
Criteria for PASS Approval
What Items Can Be Funded with a PASS?
Time Limits for the PASS
An Approved PASS Can Be Amended
Using the PASS to Gain Access to 1619(b) Medicaid
Special Features
SSA’s PASS CADRES
Laws, Regulations and Policies Governing the PASS
Protection and Advocacy for Beneficiaries of Social Security Benefits
Benefits Planning Assistance & Outreach Projects in New York
The PASS and Medicaid
The PASS and Children Under 18
When to Call Our Toll-Free Line for Technical Assistance

To view in PDF format Click Here

Volume 5: Spring 2005 - Winter 2005

Volume 5 Issue 4 Winter 2005-06

Seeking Waiver of a Social Security or SSI Overpayment
A Practical Guide for Advocates and Beneficiaries

Sources of Overpayments
Requesting a Waiver
Establishing the Right to a Waiver
The Right to Appeal if the Request for Waiver is Denied
Special Features
When To Call Our Toll-Free Line For Technical Assistance
Taking Steps to Avoid Work-Related Overpayments
Resources for Advocates
Medicaid Updates for 2006
Forms, Other Resources Available on SSA’s Website
Benefits Planning, Assistance & Outreach Projects in New York .

To view in PDF format Click Here

 

 

Volume 5 Issue 3 Fall 2005

The Medicare Part D Presciption Drug Program
Special Issues Facing Younger Individuals Who are Dually Eligible for Medicaid and Medicare

and The Interaction of Part D with the SSI, SSDI, Medicaid, and Medicare Work Incentives

Medicare, The Basics
Medicare Part D: Issues Faced by SSDI & SSI Beneficiaries
What Will Part D Coverage Cost Beneficiaries?
The Low Income Subsidy
Low-Income Subsidy Applications
Picking a Prescription Drug Plan
What if Drug Plan Does Not Cover a Needed Drug?
New York’s Medicaid Wrap-Around Program
Medicare, Medicaid, and the Younger Individual with a Disability: Key Issues for Benefits Planning
Medicaid Work Incentives: Section 1619(b) and the Medicaid Buy-In
Medicaid Eligibility-the Medically Needy or Spend Down Program
The Medicaid Buy-In
Special Features
Websites to Support Your Medicare Part D Work

To view in PDF format Click Here

Volume 5 Issue 2 Summer 2005

SSI AND TRANSITION-AGED
SPECIAL EDUCATION STUDENTS

SSI, Social Security, Medicaid and Medicare
A Few Words About SSI's Disability Criteria
Some Basic Financial Rules Which Apply to SSI
SSI's Income and Resource Rules
Eligibility Calculations -
When is a Child Eligible for SSI?
What Happens to SSI and Medicaid if the Child or Young Adult Works?
Keeping Medicaid While Working
Receipt of SSI or SSDI Ensures Automatic Financial Eligibility for VESID and Commission for the Blind Service

To view in PDF format Click Here

Volume 5 Issue 1 Spring 2005

SSI'S INCOME AND RESOURCE RULES PART II:
A PRACTICAL APPLICATION

Introducing Maria
Hector's Death
Maria Gets Help From Her Sister
Katherine's Gift of a Sofa;
Maria's Garage Sale
Inheritance From Aunt Susie
Maria Starts Working for Katherine
Maria Starts Making Necklaces at Home
Maria Gets a Lumbar-Support Chair
VESID Pays for Jewelry Making Course, Equipment, Supplies, and Lumbar Support Chair
Special Features
When To Call Our Toll-Free Line For Technical Assistance
The Technical Assistance Corner

To view in PDF format Click Here

Volume 4: Spring 2004 - Winter 2004

Volume 4 Issue 4 Winter 2004-2005

SSI's Income and Resource Rules Revised
Working With The Revised Rules To Ensure Eligibility For SSI And Medicaid
The SSI Program's Treatment Of Income
SSI's Treatment Of Resources
Special Features
SSI's Regulations Governing Income And Resources
Section 1619(b) Medicaid
When To Call Our Toll-Free Line For Technical Assistance
Benefits Planning, Assistance & Outreach Projects in New York

To view in PDF format Click Here

Volume 4 Issue 3 Fall 2004

ASSISTIVE TECHNOLOGY CAN MAKE WORK A REALITY
Funding for Work-Related AT Through Special Education Programs, VESID, Medicaid, Medicare, and SSI's PASS Program
Special Features
Benefits Planning, Assistance & Outreach Projects in New York
Additional Resources Available on Topics Covered In This Article
Key 2005 Social Security and Medicare Changes
State AT Project Can Help When AT is Denied

To view in PDF format Click Here

Volume 4 Issue 2 Summer 2004

A Journey Through the Maze of Social Security Benefits & Work:
The Case of Julie and How a Benefits Specialist Would Counsel Her Along the Way
Special Features
When To Call Our Toll-free Line For Technical Assistance
Contact Information for Benefits Planning, Assistance and Outreach Services
The Technical Assistance Corner

To view in PDF format Click Here

Volume 4 Issue 1 Spring 2004

Public and Subsidized Housing:
Housing Subsidies and Work Incentives for Tenants with Disabilities
What is Public and Subsidized Housing?
Eligibility Criteria for Public and Subsidized Housing
Calculation of Tenant's Rent Obligation
Special Features
Advocacy Programs for Housing Subsidy Issues
Website Support on Subsidized Housing Issues

To view in PDF format Click Here

Volume 3: Spring 2003 - Winter 2003

Volume 3 Issue 4 Winter 2003-04

The Federal Earned Income Tax Credit

Who Is Eligible for the EITC?
The Special Rules
Special Features...
The EITC Is a Tax Credit and Not a Tax Deduction
Key 2004 Social Security and Medicare Changes
Contact Information for Benefits Planning, Assistance and Outreach Services
When To Call Our Toll-free Line For Technical Assistance
The Technical Assistance Corner
EITC Eligibility Checklist For Tax Year 2003

To view in PDF format Click Here 

Volume 3 Issue 3 Fall 2003

Medicaid Buy-In PART II:
Using Examples to Illustrate Key Eligibility Issues

A Summary Of Buy-in Eligibility Criteria
Examples Illustrating Buy-in Eligibility Rules
Filing A Buy-in Application: Strategy Tips
Special Features
Reflections On Marge Tierney
Key 2004 Social Security And Medicare Changes
When To Call Our Toll-Free Line For Technical Assistance
Benefits Planning Assistance & Outreach Projects In New York
The Technical Assistance Corner
Speial Insert - Medicaid Buy-In At a Glance

To view in PDF format Click Here 

Volume 3 Issue 2 Summer 2003

New York Implements Medicaid Buy-In Program
Program Allows Individuals With Disabilities to Work and Keep Medicaid

• What Is Medicaid?
• Basic Medicaid Eligibility Concepts
• Section 1619(b) – Continued Medicaid Following A Loss Of SSI Due To Wages
• The Medically Needy Or Spend Down Program
• The Need For A Medicaid Buy-in Program
• New York's Medicaid Buy-in Program
Special Features
Contact Information For Benefits Planning, Assistance And Outreach Services
Back Issues Of The Benefits Planner Available
Two-day Conference Planned In Herkimer
When To Call Our Toll-free Line For Technical Assistance
The Technical Assistance Corner

To view in PDF format Click Here 

Volume 3 Issue 1 Spring 2003

SSI AND TRANSITION-AGED SPECIAL EDUCATION STUDENTS

SSI, Social Security, Medicaid and Medicare
A Few Words About SSI's Disability Criteria
Some Basic Financial Rules Which Apply to SSI
SSI's Income and Resource Rules
Eligibility Calculations When is a Child Eligible for SSI?
What Happens to SSI and Medicaid if the Child or Young Adult Works?
Receipt of SSI or SSDI Ensures Automatic Financial Eligibility for VESID and Commission for the • Blind Services
Special Features
New York's Medicaid Buy-In To Be Implemented in July 2003
The Technical Assistance Corner

To view in PDF format Click Here 


Volume 2: Spring 2002 - Winter 2002

Volume 2 Issue 4 Winter 2002

The U.S. Supreme Court's Walton Decision:

Some Pre-Walton History
The Walton Decision
Post-Walton Application Of SSA's Policies
Conclusion - Some Practicalities For The Benefits Planner
Special Features
Selected Resources Related To This Article
Key 2003 Social Security And Medicare Changes
When To Call Our Toll-Free Line For Technical Assistance
The TechnicalAssistance Corner
Flow Chart: Application of Post-Barnhart v. Walton Policy

To view in PDF format Click Here

EN ESPAÑOL

Volume 2 Issue 3 Fall 2002

THE SSI PROGRAM'S TREATMENT OF INCOME
SSI'S TREATMENT OF RESOURCES

SECTION 1619(b) MEDICAID
SSI'S REGULATIONS GOVERNING INCOME AND RESOURCES
Benefits Planning Assistance & Outreach Projects in New York
WHEN TO CALL OUR TOLL-FREE LINE FOR TECHNICAL ASSISTANCE
The Technical Assistance Corner

To view in PDF format Click Here 

EN ESPAÑOL

Volume 2 Issue 2 Summer 2002

SSI'S PLAN FOR ACHIEVING SELF SUPPORT
Using the PASS to Purchase Items and Services to Reach a Work Goal

What is a PASS?
How does it Work?
Criteria for PASS Approval
What Items can be Funded with a PASS?
Time Limits for the PASS
AN APPROVED PASS CAN BE AMENDED
Using the PASS to Gain Access to1619(b) MEDICAID
SSA's Pass Cadres
Laws, Regulations and Policies Governing the PASS
Protection and Advocacy for Beneficiaries of Social Security Benefits
Ticket to Work Update
Benefits Planning Assistance & Outreach Projects in New York
The PASS and Medicaid
The PASS and Children under 18

To view in PDF format Click Here 

EN ESPAÑOL

Volume 2 Issue 1 Spring-2002

THE TICKET TO WORK AND SELF SUFFICIENCY
New Program Promises More Choices for Vocational Rehabilitaion Services

Overview of the Ticket Program
Agreements Between Beneficiaries and Employment Networks
How Will Tickets Be Distributed
Elimination of Continuing Disability Reviews while Using a Ticket
The Role of MAXIMUS
The Role of Employment Networks
The Role of State Vocational Rehabilitation Agencies
The Two Payment Systems Dispute Resolution
Abbreviations and Acronyms Used in this Article
How to Contact MAXIMUS
Where to Find the Law, Regulations and Policy Regarding the Ticket Program

To view in PDF format Click Here 

EN ESPAÑOL

Volume 1: Spring 2001 - Winter 2001

Volume 1 Issue 4 Winter 2001

SSI AND SSDI OVERPAYMENTS
Sources of Overpayments
Requesting the Reconsideration and/or waiver
Avoiding Overpayments through timely waiver
Evaluating the Merits of a Reconsideration
Establishing the Right to a Waiver
SPECIAL FEATURES
Final Regulations for "Ticket" Program
Benefits Planning Assistance  and Outreach Projects serving New York State
Medicaid Income and Resource Limits

To view in PDF format Click Here  Y


EN ESPAÑOL

Volume 1 Issue 3 Fall 2001

MEDICAID ELIGIBILITY FOR PERSONS WITH DISABILITIES
What is Medicaid?
Services covered by Medicaid
Basic eligibility concepts
Obtaining or retaining SSI to keep Medicaid
Four special rules allow former SSI beneficiaries to continue
   getting Medicaid
The Medically Needy or Spenddown Program
SSI AND SSDI changes for 2002
New York's Medicaid buy-in still pending in legislature
SSA'S Policy Manual available on line

To view in PDF format Click Here 

EN ESPAÑOL

Volume 1 Issue 2 Summer 2001

The Substantial Gainful Activity Rule
The Trial Work Period
The Extended Period of Eligibility
Expedited Reinstatement of SSDI Benefits
Relevant Law, Regulations and Policy
Contact Information For Benefits Planning,
    Assistance and Outreach Services
SSA Raises Medicaid 1619(b) Threshold Amounts

To view in PDF format Click Here 

EN ESPAÑOL

Volume 1 Issue 1 Spring 2001

Getting Perspective
Special SSI Waiver Rules to be Tested in Buffalo and New York City
New SSI and SSDI Regulations will Improve Work Incentives
SSA Releases Emergency Policy on New "Expedited Reinstatement" Provisions
SSI Payments Rates for 2001

To view in PDF format Click Here 

EN ESPAÑOL

NLS Home Page | Feedback