EDGs denied because of new or increased earnings will receive a maximum of 12 months of coverage. It gives Supplemental Security Income (SSI) and Medicaid information on Texas Health and Human Services Commission (HHSC) people. Migrant Farmworker Not in the Workstream Farmworkers who travel to work in agriculture or a related industry during part of the year, but who are presently residing at their permanent residence or home base. are intended for expenses other than room and board. Correspondence The functional area in which system and user-generated notices and forms are processed and stored. Ten-Ten-Thirteen Concept Time periods used to determine the first month of an over-issuance claim. Health Savings Account A savings account for medical-related expenses that is available to taxpayers. SeeCase Mode. Boarder A person paying reasonable compensation for room and meals. Persons with illnesses that require expensive treatment are not subject to lock-in status. Independent Child A child who does not live with a parent and who is: Independent Living Payments Payments from Title IV-E funds that are distributed by Child Protective Services to certain people when they leave foster care. past, present or future payment for the provision of health care to the person. Deprivation Loss of parental support caused by death, incapacity, continued absence of one or both natural or adoptive parents, or because of unemployment or underemployment of both parents in a two-parent family. Personal Account Number (PAN) The 19-digit number on the front of the Lone Star Card representing the persons Electronic Benefit Transfer (EBT) account number on the EBT database. 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. Temporary Assistance for Needy Families Non-Cash (TANF-NC) Consists of services for: Temporary Assistance for Needy Families (TANF) Redirect A Texas Works message to TANF applicants delivered up front by Texas Health and Human Services Commission (HHSC) staff before the application process begins, explaining that: Temporary Assistance for Needy Families State Program (TANF-SP) Cash assistance for families with a dependent child and at least two adults. Normal Living Expense Items necessary for a Supplemental Nutrition Assistance Program (SNAP) household to carry on its normal daily activities. Budgetary Needs The full basic needs amount as defined by Texas Health and Human Services Commission (HHSC) necessary for a family to obtain food, clothing, housing, utilities, and incidentals such as phone, laundry, and recreation. even if an applicant chooses not to apply for TANF, the person can still apply for Medical Programs and the Supplemental Nutrition Assistance Program (SNAP) to support employment while working toward self-sufficiency. Undocumented Alien An alien living in the U.S. without the knowledge and permission of the U.S. Catchment Area The area covered by service. For example, those with incomes over $200,000 had an average refund of $3,239 while those with incomes under $50,000 had an . Batch Scheduling Including an appointment date and time with eligibility staff within application packets mailed from the central mail facility. Supplemental Nutrition Assistance Program (SNAP) applicants and people in these counties are still subject to E&T work registration requirements with TWC, but are exempt from E&T participation and are not subject to SNAP federal time limits. 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. Change Action A data collection interview mode that allows eligibility staff to navigate to pages on which they want to update or record information. Apply for TANF. Qualified Health Plan (QHP) A private insurance plan that is certified by the Marketplace, provides essential health benefits, follows established limits on cost-sharing (such as deductibles, copayments, and out-of-pocket maximum amounts), and meets certain other requirements. Marriage A legally or formally recognized union between two people. Each original correspondence is given a unique Correspondence ID (identifying number). It is a medical condition (including emergency labor and delivery) manifesting itself by acute symptoms of sufficient severity (including severe pain) that the absence of immediate medical attention could reasonably have been expected to result in: Employable Household Member A person whose earnings are countable and who: Employer-Paid Taxes Taxes that are paid by the employer on behalf of the employee rather than deducting the tax amount from the employee's wages. 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. 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). Supplemental Nutrition Assistance Program (SNAP) Past name was the Food Stamp Program. 1-877-541-7905. It provides monthly income to aged people and persons who are blind or have a disability. 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. This process occurs through a mass update and does not require action. Lock-in A status created by the Texas Health and Human Services Commission (HHSC) for certain people to help contain Medicaid costs, which allows additional review of high Medicaid users. ], Title 42, 1396 et seq.) Eligibility staff access BVS as a source to verify age, relationship and citizenship. SDX information can be used as a source of verification and is available in the Texas Integrated Eligibility Redesign System (TIERS). 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. Assignable Time periods that are available to be used to schedule appointments using the Scheduling functional area. Copyright 2016-2023. 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. Medicaid Members: Continuous Medicaid coverage will end on March 31, 2023. 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. Seebatch processing,pending correspondence,print mode,print type,system-generatedanduser-generated. The User Guide includes information about numerous TIERS topics. Housing and Urban Development (HUD) U.S. Department of Housing and Urban Development. Non-Continuous Eligibility A period of time when changes in circumstances may affect a persons eligibility. Primary Cardholder (PCH) The person designated to receive and be responsible for the household's Lone Star Card. an account that contains the household's Supplemental Nutrition Assistance Program (SNAP) food benefits; an account that contains the household's Temporary Assistance for Needy Families (TANF) cash grant amount; or, Type Assistance (TA) 31, Parents and Caretaker Relatives Emergency, Type Program (TP) 32, Medically Needy with Spend Down Emergency. Falsified Interview An interview with agency personnel at which time the individual does not report all current income or accurate circumstances. Before you set up an account, we need to ask you some questions. Advanced Premium Tax Credit (APTC) The payment of a tax credit by the federal government, provided on an advanced basis or at tax filing time, to an eligible person enrolled in a qualified health plan (QHP) through the Marketplace. If you are just looking for support services and want to be contacted by programs, you need to create an account. Ongoing Benefits Benefits issued for months after the initial benefit month. Other-Related Temporary Assistance for Needy Families/Medical Program (TANF/MP) Child An eligible child living with a relative other than the child's legal parent. 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. This results in: Administrative Review A desk review of the fair hearing record by a Texas Health and Human Services (HHS) attorney to determine if the hearing officer's decision is correct. This coverage is providedtemporarily while the Texas Health and Human Services Commission (HHSC) determines eligibility for regular Medicaid. If you already have a Lone Star Card PIN, you can keep it or change it. Able Bodied Adult Without Dependents (ABAWD) A person, 18 through 50 who: The ABAWD age criteria begins the month after the person turns 18 and ends the month the person turns 50. reactivating an EDG without requiring a new application form. Get help over the phone,from an HHSC benefit officeor community partner. See Permissible Purpose. Newborn Child A child receiving Type Program (TP) 45, Medical Assistance for Newborn Children, because the child's mother was eligible for and received Medicaid coverage at time of the child's birth or whose mother was eligible for and received Medicaid coverage retroactively for the time of the child's birth. That means bringing some manufacturing back home, or "reshoring" and moving some of it . CEAP replaced the Home Energy Assistance Program (HEAP). The Homeland Security Act of 2002 dismantled the former Immigration and Naturalization Service (INS) and separated the former agency into three components within the Department of Homeland Security. and Texas Human Resources Code, Title 2, Subtitle C, Chapter 32, that pays for certain medical and health care costs for people who qualify. 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. Residents of a publicly operated community residence are potentially eligible for Temporary Assistance for Needy Families (TANF) and Medicaid. Home School A type of education in which children are taught by their parents, or someone acting in parental authority, at home, using a set curriculum. Employment Services Program (ESP) ESP consists of two programs. Recognizable Needs The maximum needs amount allowed by the Texas Health and Human Services Commission (HHSC) when determining eligibility. With an account, you will also be able to save your support service screening forms and check the status of any you have already filled out. Emergency Medicaid All types of emergency Medicaid coverage programs for people who are nonimmigrants, undocumented aliens or certain legal permanent resident aliens who have emergency medical conditions and who, except for alien status, would be Medicaid-eligible. 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. Authorization Code A code that identifies a retailer as a Food and Nutrition Service (FNS)-participating store. Community Supervision The placement of a misdemeanor or felony offender under supervision for a specified length of time ordered by the court. Illegally Present Alien A non-citizen living in the U.S. without proper approval from the U.S. Citizenship and Immigration Services (USCIS). You'll get the Lone Star Card once you're approved for benefits. The person's must have no vested interest in the household's situation. Batch is correspondence managed by batch processing and printed at a central mail facility. The program reimburses the policy holder for private health insurance payroll deductions for Medicaid-eligible persons when HHSC determines that it is cost-effective. Migrant Farmworker in the Workstream Farmworkers who travel to work in agriculture or a related industry and who are presently employed away from their permanent residence or home base. 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. Unauthorized access to this site and its information assets is prohibited. SeeCascade Logic,Rebuild EDG, andRun EDBC. The PAN is not related to the persons Texas Health and Human Services Commission (HHSC) case number. Additionally, a consumer assistance program can help you file your appeal. Texas Health & Human Services Commission. The individual number for Texas benefits can vary depending on the benefits you are receiving. Annulment A court order declaring a marriage invalid. ), dentist (D.D.S. Balance Receipt A paper receipt that shows the available balance in an person's cash or food account. allthe EDGs in a case are denied (Ongoing). Complete Review A re-evaluation of ongoing eligibility. Do you want to keep working on your application, or start a new one? Please look at the permit to find your number. Range of Payment The highest to the lowest representative pay amounts used to determine the current ongoing budget. Card Sleeve A durable paper envelope folded to the dimensions of the plastic EBT card. Birth Verification System (BVS) The inquiry system includes birth records of people born in Texas. The second party selects the Second Level Review interview mode. SeeEDBC and Driver Flow. Excess Payment A payment sent to a TANF recipient by the Office of the Attorney General (OAG). Questionable Management A household has questionable management when reported basic expenses exceed reported net income and resources. Temporary Assistance for Needy Families (TANF) An adult whose needs are included in a TANF grant because the adult is within the required degree of relationship and is financially eligible according to TANF policy. The account transfer from the Marketplace to HHSC, and from HHSC to the Marketplace, includes the information the applicant submitted through the original application in addition to information from verifications performed by either the Marketplace or HHSC. A stripe of magnetic material, which is machine-readable and allows for the activation of point-of-sale equipment, is affixed to the back of the card at the time of manufacture. Public Assistance (PA) Household A Supplemental Nutrition Assistance Program (SNAP) Eligibility Determination Group (EDG) in which: Public Institution A facility that is either an organizational part of a governmental entity or over which a governmental unit exercises final administrative control. Payments to Civilians Relocated During Wartime Payments made to Aleuts or people of Japanese ancestry or their heirs who were relocated during World War II. 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). Make payments to the surviving spouse, children, parents, grandchildren or grandparents when the affected person is deceased. The goal of ESP is to prepare recipients for employment and help them find and keep a job. Married Minor An person, age 14-17, who is married. Eligibility Determination Group (EDG) Members of a household whose needs, resources, income and deductions are considered in determining eligibility for benefits. Domestic Production Activities Deduction A federal income tax deduction that a person may receive for certain qualified production activities. action has been initiated on an Eligibility Determination Group (EDG) in a case (Intake, Complete Action, Change Action, Special Review, Conversion); allthe EDGs in a case are approved (Ongoing); and. The benefit is funded by taxes collected from businesses. 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. This includes profits from the sale of stocks, bonds, or real estate. Practitioner A person who holds a license to practice medicine, including a physician (M.D. The employer does not match the money contributed by the employee until the defined period of time ends. The notice of adverse action expires in 13 days. Welcome to UnitedHealthcare Individual Exchange plans, also referred to as Individual and Family plans. Helps people with daily living needs, caregivers, and people with mental health, drug or alcohol issues. Reasonable Compatibility The method of verification used for Medical Programs. Accessibility Date The date that benefits are deposited into an Electronic Benefit Transfer (EBT) account. This includes legal parents and stepparents who are disqualified for one of the reasons listed inA-222, Who Is Not Included, No. This gives a source of citizenship or alien status verification for certain Medical Programs. See functional area. Case Visibility Type of YourTexasBenefits.com account given to an applicant who has been through Advanced Authentication so is granted a Case Visibility level account. TANF-State Program (SP) A child who lives with both parents, or a parent and stepparent, and both parents and stepparent (if included in the certified group) receive TANF benefits. all eligible members receive Temporary Assistance for Needy Families (TANF) or Refugee Cash Assistance (RCA); or. Domicile A home maintained or being established, as shown by continuation of responsibility for day-to-day care of the child, by the relative who the child lives. Adverse Action Any HHSC action resulting in denial, suspension, reduction or termination of assistance. Qualified expenses include purchased books, supplies, equipment and other classroom materials. During this step, information from electronic data sources is automatically requested and a reasonable compatibility test is run. placing the patient's health in serious jeopardy; seriously impairing the patient's bodily functions; or. is the guardian of a victim of a violent crime. State Data Exchange (SDX) Computer tape from the Social Security Administration (SSA). Medical Programs that follow modified adjusted gross income (MAGI) rules, except Childrens Health Insurance Program (CHIP) perinatal Only one person is certified on the EDG. SeeBatch Scheduling. Case All the persons living together, and alien sponsors, who are related by Eligibility Determination Group (EDG) affiliation. Your unique Medicaid numberwill be displayed on the Texas Health and Human Services Commission's 'Your Texas Benefits' card. See Alternate Payee. 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. Waiver Counties Texas counties with an unemployment rate over 10 percent. Seecase modeandinterview mode. Choices County Service Levels Counties designated by the Texas Workforce Commission (TWC) as Choices counties. Expedited Service Special, faster processing of SNAP applicants who qualify for an emergency food allotment, for active duty military members and their dependents applying for medical coverage and for pregnant women applicants who qualify for current or ongoing medical coverage. People can apply using a simplified application, and they do not typically have to complete an interview at redetermination. What is individual number for Texas benefits? Parolee A person paroled into the U.S. under section 212(d)(5) of the INA for at least one year. Applicants who meet eligibility requirements during any of the months in this period receive Medicaid benefits for the eligible month(s). 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. Educational Expenses/Student Loan Interest A federal income tax deduction for people paying interest on student loans or for people with education expenses such as tuition, fees, room and board, books and other supplies. Inquiry Refers to the functional area that allows users to view case, Eligibility Determination Group (EDG), and individual information. High School Diploma Certification issued by a state-accredited school to a student who successfully completes the curriculum requirements for secondary school as approved by the State Board of Education. Cafeteria Plan Flexible fringe benefit plans offered to employees by their employers. The current Land Loans interest rate for Texas veterans is 6.95%. SeeCarryover Standby List. The money contributed to these accounts is not subject to federal income tax at the time of deposit. The Workforce Innovation and Opportunity Act replaced the Workforce Investment Act of 1998. It could take several weeks for your P-EBT card to arrive after claiming benefits. Tax Dependent A person who expects to be claimed by someone else as a dependent on a federal income tax return for the taxable year that Medicaid or Children's Health Insurance Program (CHIP) eligibility is requested. SeeEDBC. This information is compared to the application and details from the interview to identify case discrepancies and reduce the possibility of case error and fraud. See, is a member of a Supplemental Nutrition Assistance Program [SNAP] Eligibility Determination Group [EDG] where a household member is under 18; or. 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. The intention is to get cash by purposely discarding the product and returning the container for the deposit amount. Purchasing a product with SNAP benefits with a container requiring a return deposit. There are two types of categorically eligible households: Certificate of Coverage A certificate that serves as proof of a Medicaid recipient's most recent period of Medicaid coverage. Traditional Medicaid Molar Pregnancy Also known as hydatidiform mole, a molar pregnancy is considered a degenerating pregnancy. This process occurs without staff action. Fast forward to 2023, and many companies in some cases spurred by massive government subsidies are taking big steps to diversify their supply chains, focusing on reliability and robustness over cost and efficiency. If you already get SNAP benefits, you will not be eligible for Disaster SNAP. 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. 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. Application Registration The functional area where a person's application for assistance is recorded. 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. To exit from this workflow, click on Exit. Payments: Indian Tribal Household A household in which at least one household member is recognized as a tribal member by any Indian tribe. Eligibility Determination Benefit Calculation (EDBC) uses the discovery and report dates to determine if a required report of change is reported timely. Good Cause A term used to indicate that a person has an acceptable reason for not complying with a program requirement. They have already gone through the eligibility determination for those programs. Special Immigrant Iraqi and Afghan (SIV) A special immigrant status under 101(a)(27) of the INA may be granted to Iraqi and Afghan people who have worked on behalf of the U.S. government in Iraq or Afghanistan. Summer P-EBT (June-August 2022) is a one-time benefit of $391 for each eligible child. For example, a user can: User Guide A Texas Integrated Eligibility Redesign System (TIERS) help tool accessed by clicking on the Help icon in the upper right corner of TIERS pages. collects information from throughout the Texas Integrated Eligibility Redesign System (TIERS); and. The canceled amount is included as countable income on federal income tax returns. To login again, click on either "Forgot user name" or "Forgot password" in the login box. Alternative Benefit Plans. 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. For most people, their tax year is the calendar year. Clearinghouse A centrally located site that processes medical bills submitted by applicants for Medically Needy with Spend Down. Copayment Payment made directly to a provider according to a fee schedule. Individual Retirement Account (IRA) An account in which a person contributes an amount of money to supplement retirement income, regardless of their participation in a group retirement plan. Citizenship and Immigration Services (USCIS). Account Transfer The way an applicants information moves between the Marketplace and the Texas Health and Human Services Commission (HHSC) when a person applies for health insurance or medical programs. Taxpayer A person or a married couple who expects: Temporary Assistance for Needy Families (TANF) Basic Cash assistance for families that include a dependent child and no more than one eligible adult. 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. Alternative Benefit Plan Eligibility; . A boarder can receive Supplemental Nutrition Assistance Program (SNAP) benefits only with the household where they board. Personal Responsibility Agreement (PRA) A requirement for Temporary Assistance for Needy Families (TANF) that certain people must follow the conditions of the agreement. 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. Grandparent Payment System (GPS) An electronic, web-based data system used to inquire about the issuance of archived TANF one-time Grandparent Payments. Deferred Adjudication A type of probation where the decision for a conviction is postponed until the end of the probationary period. The: User-Generated Action generated directly by an individual's computer input. This amount was higher or lower depending on the couple's total income. They are not considered inmates of a public institution. Reapplication Date Date the Texas Health and Human Services Commission (HHSC) receives a new application for redetermination or complete review of eligibility. These benefits are accessed by: card and personal identification numbers (PINs); or, Attempting to buy, sell, steal, or otherwise effect an exchange of SNAP benefits and using them for cash or something other than eligible food, either directly, indirectly, in complicity or collusion with others, or acting alone.

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