Healthy and Ready to Work

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Healthy Ready to Work, to Live and to
Participate!
Celebrate the Paperwork It Means You Are
Alive! Making the Paperwork Work Expediting
Program Eligibility
Patti Hackett, MEd HRTW Co-Director, Bangor,
ME T. Kay Hughes, PhD Assistant Superintendent,
Mifflintown, PA PA Transition Conference State
College, PA July 23, 2008
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Todays Outcomes

• By the end of 1 hour success
• will look, sound and feel like
• New knowledge of how to draft disability
  documentation
• Ways to increase family involvement in the
  documentation process
• Energized by working in a brain compatible
  learning environment that you can model in your
  work

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About You Me About HRTW
Entitlement-Eligibility Essential
Paperwork Just the Facts Resources
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You, Me, Looking for ?

• Affirm
• Ah ha!
• Squirm
• Disagree

Who You Are? Experts in the Room About me!
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Growing Up Ready to LIVE!
Health Wellness . Humor
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www.hrtw.org
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Just the Facts Key Benefits

• Celebrate the Paperwork
• It Means You Are Alive!
• Making the Paperwork Work
• Expediting Program Eligibility

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Take Home Messages

• Paperwork is a reality
• no positives in whining
• 2. Indentify the shortcuts
• put energy on solutions
• 3. Draft the paragraph, create the one pager
• Trim done the care notebook
• 4. Families NEED to learn this
• they get the denials and the stress

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Survival Tips Why NOT try some

• No is just the first answer
• until additional information is provided
• 2. Speak their language, terms
• Compliment, address by name
• 3. Scheduled stress day-deal w/ forms, bills.
• - Open mail on the 15th
• - Take action on 17th prep relax bath
• 4. Three way call

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SKILLS FOR YOUTH

• Practice filling in forms (Home School)
• 2. Cheat sheet portable medical summary
• 3. Tracking to avoid forgetting

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SKILLS FOR YOUTH at SCHOOL

• TIPS
• Incorporate form completion activities in
  transition planning.
• Ask school personnel to include community
  agency staff when planning activities.
• Work with school personnel to develop a
  personal cheat sheet that can be used when
  filling out standard forms.

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Just the Facts Key Benefits

• OVERVIEW
• SSI
• Voc Rehab

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Just the Facts Accessing Adult ServicesIts
Moving from Entitlement to Eligibility

• FORMAT
• Dispelling the Myths
• The Intent of the Service
• Roles Teachers,
• Physicians, Care Coordinators
• Families Youth

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Roles - Home and School

• TIPS
• Home
• Ensure a collaborative relationship
• between home/YOUTH and school
• that develops a comprehensive IEP
• Ensure youth is working toward IEP goals that
  address all post-secondary outcomes (supporting
  aspirations)

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Roles - Home and School

• TIPS
• Home
• Ensure a collaborative relationship between home
  and school that develops a comprehensive IEP
• Ensure youth is working toward IEP goals that
  address all post-secondary outcomes
• School
• Provide advocacy
• Encourage self-advocacy
• Act as a liaison between home, school and
  community
• Make connections between families, employers,
  schools, community agencies
• Assist in simplifying paperwork

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Just the Facts SSI

• The Myth
• All applications get denied first time around.
• The Intent
• Supplemental Security Income (SSI) 1972
• Federal funded by general tax revenues (not
  Social Security taxes)
• Designed to help aged, blind, and disabled
  people, who have little or no income and
• Provides cash to meet basic needs for food,
  clothing, and shelter (assets 2,000
  single/3,000 couple)

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Just the Facts SSI

• Insider Info
• Applications will receive a timely impartial
  review IF the complete paperwork is received.
• Medical and other evidence is not complete.
• Documentation doesnt follow disability criteria.
• SSA staff receive raises in part based on
  paperwork flow.

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Just the Facts SSI Disability Criteria

• An individual is "disabled" if he or she has a
  medically determinable physical or mental
  impairment
• Can be expected to result in death
• Has lasted or can be expected to last for a
• continuous period of not less than 12 months
• Child - Marked severe functional limitations
• Adults -Inability to engage in any
• substantial gainful activity (2007-900/mo)

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Just the Facts SSI - Listings

• Musculoskeletal System
• Special Senses and Speech
• Respiratory System
• Cardiovascular System
• Digestive System
• Genito-Urinary System
• Hemic and Lymphatic System
• Skin
• Endocrine System
• Multiple Body Systems
• Neurological
• Mental Disorders
• Neoplastic Diseases Malignant
• Immune System

www.ssa.gov search BLUE BOOK
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Just the Facts SSI

• 111.07 Cerebral palsy with
• A. Motor dysfunction meeting the requirements of
  101.02 or 111.06 or
• B. Less severe motor dysfunction
• (but more than slight) and 1 of the
  following
• 1. IQ of 70 or less or
• 2. Seizure disorder, with at least one major
  motor seizure in the year prior to application
  or
• 3. Significant interference with communication
  due to speech, hearing, or visual defect or
• 4. Significant emotional disorder

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Just the Facts SSI

• Disability Criteria for Children Domains
• - Acquiring and Using Information - Attending
  and Completing Tasks - Interacting and Relating
  with Others - Moving About and Manipulating
  Objects - Caring for Yourself and - Health
  and Physical Well-being

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Just the Facts SSI

• CHILDREN - Meets or Equals
• Functionally "listed impairment
• Marked limitations in 2 of these domains
• interferes seriously with the child's ability
  to independently initiate, sustain, or complete
  activities.
• Extreme limitation in 1 domain,
• interferes very seriously with these
  abilities.

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Just the Facts SSI

• Disability Criteria for Adults
• Meets the Listing - one of the Listings by
  comparing it to the specific requirements in the
  Listings.
• Meets or Equals - impairment(s) is equal in
  severity and duration to a listed impairment.
• Residual Functional Capacity - disability is
  severe, but does not meet or equal a listed
  impairment

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Questions
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Just the Facts VR

• The Myth
• They purposely delay applications.
• They only serve people who are easy to place.
• The Intent
• To assist and empower eligible individuals
  with disabilities to achieve and maintain
  meaningful employment

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Just the Facts VR

• TRAINING
• Supported Employment
• Short-Term, Vocational Training
• College or University-based education
• EMPLOYMENT SUPPORT
• Job Coaching
• On-the-Job Training

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Just the Facts VR

• Physicians, Care Coordinators
• Help gather medical other evidence for
  disability determination
• Families Youth
• Portable Medical Summary-ICD9 codes
• 1st appt have ALL paperwork completed.
• Be part of the solution, be proactive.

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Just the Facts VR

• TIPS
• Include VR personnel in transition planning
  meetings.
• Ask personnel to explain role VR can play in
  attaining post-secondary outcomes.
• Ask personnel to assist in obtaining actual
  paperwork used in post-secondary activities
• .

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Handouts VR

• Documenting Disability
• Sample Letter from Physician
• Families need to learn how to draft letter
• Medical Team reviews/edits
• Youth learn the rules and regs.

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• Tools
• Portable medical summary
• Letter from Doc

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Questions
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Patti Hackett, MEd Co-Director, HRTW Center,
Bangor, ME pattihackett_at_hrtw.org
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Resources - 04

• HRTW Portal - Laws that Affect CYSHCN
• http//www.hrtw.org/tools/laws_leg.html
• The Term Special Health Care Needs or Disability
• Disability Rights Portals
• Education Issues
• Employment Disability
• Equal Opportunity Access (504, 508 ADA)
• Family Medical Leave Act
• HRSA/MCHB Title V Legislation
• Health Insurance Benefits
• SSI/SSDI

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Just the Facts SSI -- Resources

• SSA website
• www.ssa.gov/ssi
• Benefit Eligibility Screening Tool (BEST)
• On-line tool - eligible for benefits from any of
  the programs Social Security administers.
• https//secure.ssa.gov/apps7/best/benefits/
• Understanding Supplemental Security Income, 2007
• http//www.socialsecurity.gov/ssi/text-understandi
  ng-ssi.htm

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Just the Facts SSI -- Resources

• www.ssa.gov search BLUE BOOK
• Disability Evaluation Under Social Security
• http//www.ssa.gov/disability/professionals/bluebo
  ok/
• Listing of Impairments - Childhood Listings
• www.ssa.gov/disability/professionals/bluebook/Chil
  dhoodListings.htm
• Listing of Impairments -  Adult Listings
• www.ssa.gov/disability/professionals/bluebook/Adul
  tListings.htm

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Just the Facts SSI -- Resources

• Ultimate Social Security Disability Guide
• http//www.ultimatedisabilityguide.com/index.html
• Understanding the GRID Rules
• http//www.ultimatedisabilityguide.com/grid_rules.
  html
• FORMS-Residual Functional Capacity (mental)
  (physical)
• http//www.ultimatedisabilityguide.com/rfc_forms.h
  tml

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