Ticket to Work Frequently Asked Questions

Disability Rights Washington can provide advocacy, legal and other services you may need in using the Ticket.

In Washington, contact: 

Disability Rights Washington 

315 - Fifth Avenue South, Suite 850 

Seattle, WA 98104 

*Phone: (206) 324-1521 or in Washington State: (800) 562-2702 

TTY: (206) 957-0728 or in Washington State: (800) 905-0209 

Fax: (206) 957-0729 

*Interpreters Available in over 200 languages via AT&T Language Line

It is one part of the Federal Ticket to Work legislation. It allows States to create a medical program so people with disabilities who are working can buy into Medicaid for their health care coverage. Washington State implemented its Medicaid Buy-In program in January of 2002. In Washington State, it is called Healthcare for Workers with Disabilities (HWD). This program allows you to pay a monthly premium to purchase Medicaid coverage. If you are a Washington State resident with a disability who is working, you could be eligible for this program regardless of Ticket status.

Call (206) 272-2169 or 1 (800) 871-9275 to leave a message with the specialized medical team that completes HWD applications. HWD staff check their direct message line twice a day. You can find more information online at HWD.

Benefit planning helps you understand the impact of work on your benefits, such as cash, medical, housing, personal care services, and food benefits. A benefit specialist can help you explore work incentives and develop a plan to transition to work.

There are two options.

  1. DVR has benefits planning services as part of receiving services from DVR.
  2. Work Incentive Planning & Assistance (WIPA) Projects are approved by SSA to help you learn about Social Security work incentives, other employment support programs, provide benefits planning services and evaluate what would be helpful for you. There are two WIPAs serving people receiving SSI and/or Social Security Disability residing in Washington State:
    • Plan to Work
      Statewide: toll-free at 1-866-497-9443 or TTY 1-877-846-0775
      Serves every Washington state county except those served by “Plan for Work” below
    • Plan For Work
      Statewide toll free at 1-800-452-1694 x227 or 503-243-2081 x 227
      Serves ten Southern Washington counties: Pacific, Lewis, Wahkiakum, Cowlitz, Clark, Skamania, Klickitat, Benton, Franklin, and Walla Walla

Some County Developmental Disabilities programs also offer benefit planning. Check with your Case Manager at the Developmental Disabilities Administration to find out if these services are available in your area.