HHSC The Texas Health and Human Services Commission. Be ready to answer questions abouteveryone applying such as: Check the status of your benefits ormanage your benefits. This person has access to the EBT account for the Eligibility Determination Group (EDG). Falsified Statement A statement made by an individual, orally or in writing, that is not true, such as claiming to have been without worksince a certain date,when the individual was employed during that time period. For example, a notice is system-generated when an Eligibility Determination Group (EDG) is disposed. These include a county holding facility for juveniles or a facility that a government unit exercises final administrative authority. Traditional Medicaid Accessibility Date The date that benefits are deposited into an Electronic Benefit Transfer (EBT) account. Also covers medicines ordered by doctors and dentists. Interfaces The functional area that exchanges information with other systems and agencies. EDGs denied because of new or increased earnings will receive a maximum of 12 months of coverage. Preschool Children Children who are under six. The Department of Defense Appropriations Act of 2010, PL 111-118, enacted on Dec. 19, 2009, says SIV are eligible for all benefits to the same extent and the same period as refugees. HHSC expunges these benefits at the end of each state fiscal year (Aug. 31). Those who see several doctors each month and make questionable visits to hospital emergency rooms are limited to seeing one doctor or using one pharmacy for a minimum of six months. Refugee A person admitted to the U.S. under Section 207 of the INA. full service having a significant presence of Choices staff; or. Eligibility Determination Benefit Calculation (EDBC) The process of applying program policy to household, non-financial, resource, income and deduction information entered in the Data Collection functional area. The buying, selling, stealing, or otherwise effecting an exchange of SNAP benefits for cash or consideration other than eligible food, either directly, indirectly, in complicity or collusion with others, or acting alone. You tried to login 3 times in a row with either the wrong user name or password. Assignable Time periods that are available to be used to schedule appointments using the Scheduling functional area. the minor lives with an adult other than the minor's parent or legal guardian and the minor's parent or legal guardian states that the adult has parental control of the child. Review Temporary Assistance for Needy Families (TANF) evaluative interview. Expenses of Reservists Federal income tax deductible expenses for National Guard and military reserve members who traveled more than 100 miles from home for service. If you are deaf or hard of hearing, you can call us at TTY 1-800-325-0778. A transaction may also be pre-authorized by phone. Driver Flow The logical sequence of data collection pages that appear as a case is completed or read. Reshoring replaces offshoring. Enter this for various situations including: Real Property Land and any improvements on it. are intended for expenses other than room and board. EBT card = a card that looks and works like a debit or credit card but is loaded with food stamps (also known as SNAP benefits) and/or cash benefits. Non-Secure Facility A publicly operated community residence that serves no more than 16 residents, such as a county emergency shelter or non-public group or foster home. Representative Payee In Temporary Assistance for Needy Families (TANF), a person designated to receive and manage the household's benefits for someone who is incapacitated or incompetent. Evaluative Conclusion An advisor's decision, subject to supervisory approval, to accept something other than a birth or hospital certificate or baptismal record as proof of age and relationship. Historical Data Records of case, Eligibility Determination Groups (EDGs) and individual information. In many instances, batch processing occurs overnight, when Texas Health and Human Services Commission (HHSC) offices are closed and the system is not being heavily used throughout the state. IDAs are generally matched dollar-for-dollar with funds from private citizens, corporations, banks, communities, or charitable organizations. Absent Parent A child's parent who is not living in the home. Common Law Marriage Relationship in which the two parties both 18 years or older: A minor child in Texas cannot legally enter a common law marriage unless the claim of common law marriage began before Sept. 1, 1997. To continue working, click on Stay on page. Only a personal representative may authorize the use or disclosure of individually identifiable health information or obtain individually identifiable health information for a person. all eligible members receive Temporary Assistance for Needy Families (TANF) or Refugee Cash Assistance (RCA); or. Social Security information is also available for people who receive SSI or Medicaid. You can check the status of your application or you can start a new one. Eligibility Determination Benefit Calculation (EDBC) uses the discovery and report dates to determine if a required report of change is reported timely. Tip Income Income earned along with wages paid by patrons to people employed in service-related occupations. To be eligible for Texas Medicaid, you must be a resident of the state of Texas, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income. perform initial self-screening to check for potential eligibility; view general benefit program information. CHIP perinatal The mother and child will be certified on a single EDG during the month the child is born. The Marketplace in Texas is operated by the U.S. Department of Health and Human Services. If you don't know what type of Medicaid you have, call toll-free 800-964-2777. Qualified expenses include purchased books, supplies, equipment and other classroom materials. If File Clearance is not processed in Application Registration, the system will perform it in Data Collection. Contact the Texas Department of Insurance's Consumer Health In this system, patients go to their primary care physician to obtain other health services such as specialty medical care, surgery or physical therapy. a Medical Program Modified Adjusted Gross Income (MAGI) household member. are received for a minimum of three months. past, present or future payment for the provision of health care to the person. Grandparent Payment System (GPS) An electronic, web-based data system used to inquire about the issuance of archived TANF one-time Grandparent Payments. They will become lawful permanent residents (LPRs) upon the removal of their conditions by the Department of Homeland Security (DHS). The Medicaid phone number is 800-252-8263, 2-1-1, or 1-877-541-2190; you can speak with a representative who will assist you in obtaining the answers and services you require. Each state has its own rules about who's eligible, and what Medicaid covers. Protective Payee Person selected to receive and manage the Temporary Assistance for Needy Families (TANF) benefit when the caretaker is not using the TANF payments for the children's benefit. and Texas Human Resources Code, Title 2, Subtitle C, Chapter 32, that pays for certain medical and health care costs for people who qualify. Complete Review A re-evaluation of ongoing eligibility. Initial Benefits Benefits issued for the first month of eligibility. Expenses of Performing Artists Federal income tax deductible expenses for qualified performing artists paid or accrued through performances while serving as an employee in the performing arts. Prospective Budgeting Determination of eligibility for and the amount and type of benefits using the best estimate of the household's current and future circumstances and income. Nonconvertible bonds are exempt resources. Tuition or GI Bill Deduction A federal income tax deduction for people who paid qualified tuition fees to eligible post-secondary educational institutions for themselves, their spouse or their dependents. The caller must provide the head of households Social Security number (SSN) or the case number and date of birth of a household member to access information. What is individual number for Texas benefits? They can also change any case data for cases where they are the head of household, an adult member within the household, or an authorized representative. The matching funds are inaccessible to the person if the funds are paid directly to a bank or loan institution, a person selling a home, or a business account. Card Sleeve A durable paper envelope folded to the dimensions of the plastic EBT card. Time Limit The functional area where Temporary Assistance for Needy Families (TANF) state and federal time-limited months can be viewed. eligible for Medicaid because a responsible person who is not within the degree of relationship required for Temporary Assistance for Needy Families (TANF) applies on the child's behalf. They have already gone through the eligibility determination for those programs. Call us at 1-800-777-7328 if you can't locate it. is the guardian of a victim of a violent crime. You must also be one of the following: Pregnant, or Special Review A procedure to explore one or more areas of eligibility. Managing Conservator A person designated by a court to have daily legal responsibility for a child. The newborn Medicaid coverage can continue through the month of the child's first birthday if the child continues to live in Texas. Licensed Practitioner A person who has met certain educational requirements and passed an examination to be licensed in the state of Texas and regulated by a state board. The Texas Workforce Commission (TWC) administers unemployment benefits, which provide temporary relief for eligible Texans who find themselves out of work or dealing with severely reduced work hours. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. Presumptive Eligibility (PE) Short-term Medicaid coverage provided to people determined potentially eligible for regular Medicaid by a qualified hospital or a qualified entity. there are other alternatives and options for the applicant instead of TANF benefits; an applicant should consider jobs and other resources (such as child support) before pursuing TANF; if an applicant chooses to apply for assistance, the person is requesting help finding a job; and. Primary Cardholder (PCH) The person designated to receive and be responsible for the household's Lone Star Card. Activity Fee An additional cost incurred by the household associated with a structured dependent care program. ), advanced nurse practitioner (A.N.P.) This number may be found on the paperwork we gave you informing you that you are eligible for SNAP assistance. One program is the Choices program for TANF recipients, and the other is the SNAP Employment and Training (E&T) program for SNAP recipients. Deferred Adjudication A type of probation where the decision for a conviction is postponed until the end of the probationary period. Alternative Benefit Plan Eligibility; . Birth Verification System (BVS) The inquiry system includes birth records of people born in Texas. Available at reasonable cost is usually defined as being available through the employer. Its given to an elderly household member, a household member with a disability, or both, who incur medical expenses of more than $35 but less than or equal to $137. TWC has designated all counties in Texas as Choices counties, and the Local Workforce Development Boards (LWDBs), after coordination with the Texas Health and Human Services Commission (HHSC) state office, assign a service level designation for each county depending upon services available in that county. The money contributed to these accounts is not subject to federal income tax at the time of deposit. See Permissible Purpose. A household member is a TANF or SSI recipient if the person is approved for TANF or SSI but the benefit: A SNAP household that includes members authorized to receive TANF non-cash services and whose household gross income is less than 165 percent of the Federal Poverty Income Limit (FPIL) for its size and meets the resource criteria. Failure to report a required Texas Health and Human Services Commission (HHSC) program change in conjunction with one or more of these acts may be considered a basis to commit fraud. Streamlined Reporting (SR) Households where all adults are exempt from the 18-50 work requirements due to: Note: These households receive a six-month certification period. Non-Public Assistance (NPA) Household Supplemental Nutrition Assistance Program (SNAP) households where no one receives Temporary Assistance for Needy Families (TANF) or only some of the members receive TANF. A user can click the plus sign next to a functional area or sub-functional areas to display the pages available within that area. Batch Processing Actions postponed until a later time when they can be processed by the system more efficiently. Questionable Information Information that is contradictory or incomplete. You'll get the Lone Star Card once you're approved for benefits. You are exiting this workflow before finishing. Secondary Cardholder A person designated by the primary cardholder as eligible to access the person's Electronic Benefit Transfer (EBT) account with a second EBT card and personal identification number (PIN). Parent A person with either a natural, biological, adopted or stepchild. Unemployment Benefits Services allows individuals to submit new applications for unemployment benefits, submit payment requests, get claim and payment status information, change their benefit payment option, update their address or phone number, view IRS 1099-G information, and respond to work search log requests. to file a federal income tax return for the taxable year in which Medical Program eligibility is requested; if married, to file a joint federal income tax return for the taxable year in which Medical Program eligibility is requested; that no other taxpayer will be able to claim the person or the couple as a tax dependent on a federal income tax return for the taxable year in which Medical Program eligibility is requested; or. It compares an applicants statement of income against income provided by electronic data sources. The participation status indicates whether the person is considered an adult or a child according to policy. The qualified hospital may choose to make PE determinations for pregnant women, children under 19, parents and caretaker relatives of dependent children under 19, and former foster care children. Fluctuating Income Income in which the amount varies because of an increase or decrease in hours worked, rate of pay, or inclusion of a bonus. Life Estate Income a person receives from ownership of property that they only possess for the duration of their life, such as rental income. Medicaid A state and federal cooperative program authorized under Title XIX of the Social Security Act (United States Code [U.S.C. Sentences are served in the community rather than in jail or prison. Keogh An individual retirement account (IRA) for a self-employed individual. Your session has ended. HHSC IEVS Staff HHSC eligibility field staff who process Automated System for Office of Inspector General (ASOIG) Match Texas Works Messages and MEPD Long Term Care (LTC) IEVS Matches. ITIN holders are not eligible for all of the tax benefits and public benefits that U.S. citizens and other taxpayers can receive. Availability Date The date that benefits are deposited into the recipients Electronic Benefit Transfer (EBT) account. Electronic Benefit Transfer (EBT) Issuance Staff An HHSC employee who issues and registers EBT cards for people in the local HHSC office. Unemployment Benefits Services allows individuals to submit new applications for unemployment benefits, submit payment requests, get claim and payment status information, change their benefit payment option, update their address or phone number, view IRS 1099-G information, and respond to work search log requests. A child who will not graduate until after the month of their 19th birthday is not considered a dependent child after the month of their 18th birthday. The User Guide includes information about numerous TIERS topics. Beneficiary The person named to receive benefits. Personal Possessions Possessions that include furniture, appliances, jewelry, clothing, livestock, farm equipment, and other items that an applicant uses to meet personal needs essential for daily living. Legally Obligated Child Support Court order or a legally recorded document requiring the payments of child support to be made in the form of cash, medical support, or to a third party. Waiver Counties Texas counties with an unemployment rate over 10 percent. These are given to a SNAP household that either incurs a heating or cooling cost separate from the rent or received a Low-Income Home Energy Assistance Program (LIHEAP) payment. Children's Health Insurance Program (CHIP) Medical coverage for children under 19 whose family income exceeds the limits for Children's Medicaid. Copyright 2016-2023. createcorrespondence and reports based on system-requested and user-requested criteria. Military Member Aperson in the U.S. Armed Forces/Reserves (Army, Marine Corps, Navy, Air Force or Coast Guard), National Guard (Army, Marine Corps, Navy, Air Force, Coast Guard or Reserve Guard) or the State Military Forces/Texas State Guard. notifying the applicant and the eligibility system when spend down is met. See Taxpayer. Earned Income Tax Credits (EITC) Payments from the Internal Revenue Service (IRS) to people with gross monthly earnings at or below levels established by the IRS. Individual Number A unique nine-digit number that identifies any person known to the Texas Integrated Eligibility Redesign System (TIERS). Spend Down The amount of excess income that the applicant must deplete with incurred medical bills before being certified as medically needy. Application Registration The functional area where a person's application for assistance is recorded. Adjusting to the physical changes post-surgery can be difficult, and finding the right mastectomy bra is one of the most important steps in the process. You have already answered the required questions.If you want to start the questions over, go back to the home page of Your Texas Benefits. A petition for judicial review must be filed by the appellant in a district court in Travis County within 30 calendar days after the date the administrative decision is issued. Temporary Assistance for Needy Families (TANF) Certified Child A child who is included in a TANF grant. Do you want to keep working on your application, or start a new one? Child Support A payment made from a biological or adoptive parent to a biological or adoptive child. Duplicate Application An application filed after another application has already been filed and the new application: Earned Income Income a person receives for a certain activity or work. It must take place before the person receives a seventh warrant. in canning, packing, ginning, seed conditioning or related research or processing operations. Off-Line Transaction The processing of Electronic Benefit Transfer (EBT) transactions using a manual voucher. Conception occurs, but no fetus ever develops. Apply for TANF. Electronic Benefit Transfer (EBT) System A system HHSC staff with security access use to issue and replace Lone Star Cards. All system-generated correspondence is sent to pending correspondence, but it can be retrieved and printed locally. These include construction of real property or lease, rental, license, sale, exchange, or other disposition of personal property, computer software, sound recordings, produced films, produced electricity, natural gas, or potable water. Emancipated Minor A person 17 and under who has been married. Individual Retirement Account (IRA) Deduction A federal income tax deduction for people who contributed to a traditional IRA. 1-877-541-7905. Participation Status The designation of an Eligibility Determination Group (EDG) member as an eligible or ineligible member of the certified group. For your convenience, the Help Center will open in a new window. The Food and Nutrition Act of 2008 limits eligibility for SNAP benefits to U.S. citizens and certain lawfully present non-citizens. Range of Payment The highest to the lowest representative pay amounts used to determine the current ongoing budget. Social Security Number A unique nine-digit number assigned to a person by the Social Security Administration (SSA). See User-Generated. This figure represents food, clothing, housing, utilities and incidentals. Batch Scheduling Including an appointment date and time with eligibility staff within application packets mailed from the central mail facility. Proration Portion of total monthly benefits a household is entitled to receive. Please look at the permit to find your number. Grant in Jeopardy The Office of the Attorney General's (OAG's) designation for a case that is potentially ineligible for the Temporary Assistance for Needy Families (TANF) grant because the OAG received a child support collection on the current monthly obligation and it equals or exceeds the TANF grant plus the disregard. It gives Supplemental Security Income (SSI) and Medicaid information on Texas Health and Human Services Commission (HHSC) people. A special review is conducted in Special Review mode. Examples include certified nurse-midwives, clinical nurse specialists, and pediatric nurse practitioners. Sanction Either a disqualification or a penalty applied to a case or program because a person failed to follow a program requirement. All system-generated correspondence is scheduled for batch printing although it can be retrieved from Pending Correspondence and printed locally. Priority Supplemental Nutrition Assistance Program (SNAP) Issuances Expedited SNAP benefits, benefits issued on or after the 25th day from the date of application, and issuances ordered by a hearing officer decision that must be made available in order to meet fair hearing timeliness requirements. Convertible bonds are countable resources. Customs and Border Protection is responsible for border security functions. Feb 17, 2022 Knowledge Article The Food and Nutrition Service (FNS) number is the 7-digit number printed on the Supplemental Nutrition Assistance Program (SNAP) permit sent to you when you became authorized to participate in SNAP. Disqualified Person Someone who is normally considered a participating member of a household but whose needs are not considered because they failed to meet or comply with a program requirement. Management The way in which a household pays its expenses with available income. The network is comprised of the statewide efforts of TWC along with planning and service provision by 28 local workforce boards on a regional level. Historical Correspondence Records of forms and notices that have been printed. Advanced Nurse Practitioner A registered nurse with additional training and certification in a specific area of medicine. The marriage must not have been annulled. Run EDBC (Eligibility Determination Benefit Calculation) A process in the Wrap Up eligibility management group used to determine eligibility of the Eligibility Determination Group (EDG). You can use it at stores that accept EBT. Sufficient Employment Job earnings, other than seasonal work such as migrant or seasonal farm work, that would result in Temporary Assistance for Needy Families (TANF) ineligibility without including the 90 percent earned income disregard . OPTION 2: Start an Application Online You can start the application process online. Normal Living Expense Items necessary for a Supplemental Nutrition Assistance Program (SNAP) household to carry on its normal daily activities. Good Cause A term used to indicate that a person has an acceptable reason for not complying with a program requirement. Citizenship and Immigration Services (USCIS). People with Application Visibility accounts may only apply for benefits and view and modify applications created under their username. the adult provides more than half of the minor's total support (housing is not considered as support); the adult states that the adult has parental control of the minor; or. This process occurs without staff or specialist action. Payments: Indian Tribal Household A household in which at least one household member is recognized as a tribal member by any Indian tribe. The site is secure. Users cannot delete system-generated correspondence. Examples include a fee for an art class that is part of an adult day care program, equipment fees or an extra cost for participation in a field trip as part of a summer program. Self-Employment Income Earned or unearned income available from one's business, trade or profession rather than from an employer. Falsified DocumentForm H1010, Texas Works Application for Assistance Your Texas Benefits;Form H1019, Report of Change; or another signed and dated document that does not report all current income or circumstances. is not needed to process a redetermination. Rebuild EDG (Eligibility Determination Group)A button in the Wrap Up management group. lives with another person and they represent themselves to the community as married. Cafeteria Plan Flexible fringe benefit plans offered to employees by their employers. Lone Star Card SeeElectronic Benefit Transfer (EBT) Card. Automated Renewal Process The first step in an administrative renewal. The program reimburses the policy holder for private health insurance payroll deductions for Medicaid-eligible persons when HHSC determines that it is cost-effective. Annulment A court order declaring a marriage invalid. Each reprint of an original has the same Correspondence ID as the original. receives Supplemental Nutrition Assistance Program (SNAP) benefits; is physically and mentally able to work at least an average of 20 hours per week; is not a member of a SNAP Eligibility Determination Group (EDG) where a household member on the SNAP EDG is under 18; an automated eligibility determination; or. In-Kind Contribution Any gain or benefit to a person that is not in the form of money paid directly to the person such as clothing, public housing or food. Transitional Medical Assistance (TMA) Medicaid coverage provided after denial of certain Eligibility Determination Groups (EDGs) because of new or increased earnings or new or increased spousal support income. The Workforce Innovation and Opportunity Act replaced the Workforce Investment Act of 1998. Electronic Benefit Transfer (EBT) Card A plastic card called the Lone Star Card issued to primary and secondary cardholders that allows the cardholders access to the benefits in the EBT system. Logical Unit of Work (LUW) A set of Texas Integrated Eligibility Redesign System (TIERS) pages that must be completed before the information entered on these pages is saved. Parents and Caretaker Relatives Emergency (TA 31), Medically Needy with Spend Down Emergency (TP 32). A Supplemental Nutrition Assistance Program (SNAP) household whose members are all approved for TANF or SSI. The person has 10 days to report the change; staff have 10 days to act on the change. Self-Employed Health Insurance A federal income tax deduction for self-employed people paying for health insurance for themselves, their spouse, their tax dependents, or their child(ren) under 27. With this type of access, a person can view and change an application created under their username. Business day excludes Saturday, Sunday, and holidays designated by a federal or state agency. Eligibility The functional area that supports Eligibility Determination Benefit Calculation (EDBC). Standard Utility Allowance (SUA) A standard deduction for the cost of utilities. Expunged Benefits Benefits that are removed from an EBT account by the issuer of the benefits. SDX information can be used as a source of verification and is available in the Texas Integrated Eligibility Redesign System (TIERS). Helps cover visits to doctors, dentists, and hospitals. Interview Mode A designation in TIERS Data Collection that queues the driver flow through appropriate pages according to the type of action. People can apply using a simplified application, and they do not typically have to complete an interview at redetermination. Alimony Paid Payments to a spouse or former spouse under a divorce or separation decree. Authorized staff can correct months in this functional area. Advanced Authentication Personal security questions generated by third-party software to perform authentication of an applicant's identity before granting the person an account through YourTexasBenefits.com (link is external) with Case Visibility. Supplemental Nutrition Assistance Program Combined Application Project (SNAP-CAP) A demonstration project that outreaches elderly Supplemental Security Income (SSI) recipients who are not currently certified for SNAP. determining if a medical bill can be counted for spend down; corresponding with the applicant about eligible and ineligible medical bills; determining if and when the applicant meets spend down; and. Pick or change your PIN. Permissible purpose means the person whose credit report is requested must be: Staff who request credit information without permissible purpose are subject to fines, imprisonment, or both. They cannot be used to schedule appointments using the Scheduling functional area. For example, the Supplemental Nutrition Assistance Program (SNAP) has two types of assistance: PA (public assistance) and NPA (non-public assistance). Doctors and pharmacies use this number for billing. Based on the criteria, TIERS generates a sample list.
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