Certification Date The date that eligibility staff dispose the Eligibility Determination Group (EDG) to certify an applicant. A request for an administrative review must be submitted in writing within 30 calendar days from the date of the hearing officer's decision. Annuity A series of payments paid under a contract and made at regular intervals over more than one full year. produces reports that meet Texas Health and Human Services Commission (HHSC), state and federal reporting requirements. The same benefit is now called One-Time TANF for Relatives, with payment records stored in TIERS. They are also subject to disciplinary action from the Texas Health and Human Services Commission (HHSC). The following factors are considered in determining the alien's total income: Individual Development Accounts (IDAs) An account similar to a savings account that enables a person to save earned income for a qualifying purpose. Interfaces The functional area that exchanges information with other systems and agencies. The participation status indicates whether the person is considered an adult or a child according to policy. All members of a TSAP household must not receive earned income and must be either elderly or disabled as defined by SNAP program rules. Helps pregnant, breastfeeding women and families with children younger than 5 buy healthy foods. Advanced Nurse Practitioner A registered nurse with additional training and certification in a specific area of medicine. CEAP replaced the Home Energy Assistance Program (HEAP). Functional Area Functions and processes that appear in the Texas Integrated Eligibility Redesign System (TIERS) Left Navigation area and represent a particular business process. 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. Supplemental Nutrition Assistance Program (SNAP) applicants and individuals in these counties are not subject to SNAP federal time limits because of the job market. 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. are held under court order as material witnesses or juveniles. This may be a TANF representative payee or protective payee or a SNAP authorized representative for a resident of a Drug and Alcohol Treatment Center or Group Living Arrangement. Clearinghouse A centrally located site that processes medical bills submitted by applicants for Medically Needy with Spend Down. Administrative Terminal Application (ATA) A software program accessible on one or more Texas Health and Human Services Commission (HHSC) desktop computers in each office. For Type Program (TP) 08, Parents and Caretaker Relatives Medicaid A relative within the required degree of relationship, other than a legal parent, caring for a dependent child who meets the income limits for that program. 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. See Permissible Purpose. provides health coverage to eligible low-income adults, children, pregnant women, and people who are older or who have disabilities. 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. The EDG includes members who are eligible and may include members who are not certified for benefits. Click here to view alternate account management instructions to re-activate your account. (FPL). able to apply for Medicaid on the child's own behalf; or. 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. Health Savings Account A savings account for medical-related expenses that is available to taxpayers. SDX information can be used as a source of verification and is available in the Texas Integrated Eligibility Redesign System (TIERS). Need help buying food because of recent disasters in your area? Boarder A person paying reasonable compensation for room and meals. To exit from this workflow, click on Exit. People with Application Visibility accounts may only apply for benefits and view and modify applications created under their username. Standard of Need Basic needs of Temporary Assistance for Needy Families (TANF) families represented by a figure predetermined by the state of Texas per the number of certified people in the group. Inaccessible Resources Resources not legally available to the person. Accessibility Date The date that benefits are deposited into an Electronic Benefit Transfer (EBT) account. Birth Verification System (BVS) The inquiry system includes birth records of people born in Texas. Non-Employment and Training (E&T) Counties Those Texas counties where the Texas Workforce Commission (TWC) determines it does not have enough offices to assist people who are mandatory work registrants. Excluded Provider A Medicaid provider who is not allowed to continue participating in the Texas Medicaid program for a period of time because of fraud conviction, program abuse and other reasons. Child support may be: Child Support Disregard The first $75 of the total child support collected in a month that is subtracted before determining TANF eligibility or benefits. The Workforce Innovation and Opportunity Act replaced the Workforce Investment Act of 1998. ), advanced nurse practitioner (A.N.P.) The sleeve also has important information printed on it for easy reference, such as the Lone Star Help Desk number. Benefit Issuance The functional area that supports the issuance and tracking of benefits calculated in the Eligibility Determination Benefit Calculation (EDBC) and authorized in disposition. Download it in the Google Play oriTunes App Store. Temporary Assistance for Needy Families (TANF) Certified Child A child who is included in a TANF grant. It provides monthly income to aged people and persons who are blind or have a disability. Wrap Up The Texas Integrated Eligibility Redesign System (TIERS) program page in Data Collection where Eligibility Determination Groups (EDGs) are built and the Eligibility Determination Benefit Calculation (EDBC) is run to determine the highest level of eligibility or ineligibility. Waiver of Continued Benefits An individual option to allow eligibility staff to process an adverse action during the individual's appeal process. Undocumented Alien An alien living in the U.S. without the knowledge and permission of the U.S. Assets All items of monetary value owned by a person. Trafficking Victims Victims admitted under the Trafficking Victims Protection Act of 2000. The functional areas that are available to the user are determined by the user's job title and security role(s). 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. Alternative Benefit Plan Eligibility; . Electronic Benefit Transfer (EBT) Site Coordinator An HHSC employee designated to ensure local offices comply with guidelines on security and accountability operations. Even if designed to serve up to 16 residents, the following facilities are not considered publicly operated community residences: Qualified Entity (QE) A Medicaid provider (in most instances but can also be an organization such as a school or clinic) that notifies HHSC of its election to make presumptive eligibility determinations and agrees to make presumptive eligibility determinations for pregnant women only, per HHSC policies and procedures. Emancipated Minor A person 17 and under who has been married. Alimony Paid Payments to a spouse or former spouse under a divorce or separation decree. Medicaid Members: Continuous Medicaid coverage will end on March 31, 2023. Your unique Medicaid numberwill be displayed on the Texas Health and Human Services Commission's 'Your Texas Benefits' card. Medicaid Card An identification card issued to people determined eligible for Medicaid that verifies Medicaid coverage. When the term is used in the handbook, it means all the following programs combined: Emergency Medical Condition An eligibility requirement for Emergency Medicaid for nonimmigrants, undocumented aliens and certain legal permanent resident aliens. Interview Mode A designation in TIERS Data Collection that queues the driver flow through appropriate pages according to the type of action. The person has 10 days to report the change; staff have 10 days to act on the change. The house parent assumes responsibility and acts in lieu of the parent in meeting the childrens ongoing needs. All rights reserved. allthe EDGs in a case are denied (Ongoing). 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. Batch Scheduling Including an appointment date and time with eligibility staff within application packets mailed from the central mail facility. Individual Number A unique nine-digit number that identifies any person known to the Texas Integrated Eligibility Redesign System (TIERS). Expenses of Fee-Basis Government Officials Federal income tax deductible employment-related expenses paid for or accrued by employees of a state or political subdivision who are compensated on a fee basis. This is a toll-free number (2-1-1 or 877-541-7905) that allows people to inquire on the status of their case, their next appointment time, or to determine if Texas Health and Human Services Commission (HHSC) received information. Data Collection The functional area where individual household, non-financial, resource, income, and deduction information is recorded for use in building Eligibility Determination Groups (EDGs) and determining eligibility for types of assistance. These include Form H1010, Texas Works Application for Assistance Your Texas Benefits, or Form H1205, Texas Streamlined Application. 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. placing the patient's health in serious jeopardy; seriously impairing the patient's bodily functions; or. 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. Modified Adjusted Gross Income (MAGI) The rules used to determine financial eligibility for certain Medical Programs that are based on Internal Revenue Service (IRS) tax rules. Purchasing a product with SNAP benefits with the intent of obtaining cash or something other than eligible food. Supplemental Security Income (SSI) A needs-tested program administered by the Social Security Administration. Activity Fee An additional cost incurred by the household associated with a structured dependent care program. Identical Application One or more exact copies of an application previously submitted by an applicant. After certification, the Office of Attorney General (OAG) sends the person the first $75 received on monthly child support collections. reactivating an EDG without requiring a new application form. The intention is to get cash by purposely discarding the product and returning the container for the deposit amount. Your total base period wages are at least 37 times your weekly benefit amount. Examples include certified nurse-midwives, clinical nurse specialists, and pediatric nurse practitioners. Three Months Prior The three-month period before the Medicaid application month. During this step, information from electronic data sources is automatically requested and a reasonable compatibility test is run. Balance Receipt A paper receipt that shows the available balance in an person's cash or food account. 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. Indigent Alien A sponsored alien whose total income in the month of application does not exceed 130 percent of the federal poverty level for the alien's household size. Special Immigrant Conditional Permanent Resident (SI CPRs) Qualified noncitizens granted special immigrant status. Each original correspondence is given a unique Correspondence ID (identifying number). Your session has ended. Citizenship and Immigration Services [USCIS] Form I-864 or I-864-A) on or after Dec. 19, 1997, agreeing to support an alien as a condition of the alien's entry into the U.S. 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. generate a manual issuance of benefits outside the normal eligibility process. Community Supervision The placement of a misdemeanor or felony offender under supervision for a specified length of time ordered by the court. 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. 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. 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. Veterans can still call 800-273-8255 and Press 1 to reach the Crisis Line as well. reaching the maximum age for that specific program; state error in the eligibility determination; or, fraud, abuse, or perjury attributed to the people or persons representative, was the spouse, parent, sibling or adult child of a victim who died as a result of a violent crime; or. Health Insurance Premium Payment (HIPP) A reimbursement program administered by the Texas Health and Human Services Commissions (HHSCs) Third-Party Resource Unit, which pays for the cost of premiums, coinsurance, and deductibles. General Equivalency Diploma (GED) A high school equivalency certificate issued after a person completes a State Board of Education-approved high school equivalency program. The Marketplace is also known as the Exchange, Health Insurance Marketplace, and Federally Facilitated Marketplace (FFM). Get help over the phone,from an HHSC benefit officeor community partner. Monthly Obligation The amount of child support which the absent parent has been ordered to pay each month. Agriculturally Related Activities Employment: Aid A benefit, coverage or service in programs that HHSC administers. The parent oversees the curriculum and ensures that the children are actually being educated. Advance Notice A notice of adverse action that expires 13 days after it is sent. 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. HHSC The Texas Health and Human Services Commission. A household member may be charged with an IPV even if the person has not actually received benefits to which they are not entitled. Medical Support Health insurance that absent parents will be ordered to obtain for their children who receive Medicaid when it is available at reasonable cost. Parolee A person paroled into the U.S. under section 212(d)(5) of the INA for at least one year. intended to inflict emotional harm, including an act of emotional abuse. Citizenship and Immigration Services (USCIS) The government agency that oversees lawful immigration to the U.S. Standby List Applicants who are awaiting an interview without a specific appointment. 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. Helps cover visits to doctors, dentists, and hospitals. Choices County Service Levels Counties designated by the Texas Workforce Commission (TWC) as Choices counties. an applicant or a certified Temporary Assistance for Needy Families (TANF); Supplemental Nutrition Assistance Program (SNAP)or Medical Program household member or a member who would be certified but is disqualified; or. These databases contain information for individuals who are currently on assistance and for individuals who have applied for or received assistance in the past. 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). full service having a significant presence of Choices staff; or. is the guardian of a victim of a violent crime. Medicaid Report (Form H1146) A form completed by a transitional Medicaid household in the fourth, seventh and tenth months of medical coverage to report earnings and household composition changes. The payee must be within the required degree of relationship. This number may be found on the paperwork we gave you informing you that you are eligible for SNAP assistance. Trafficking Supplemental Nutrition Assistance Program (SNAP) . In some interview modes, staff cannot advance to pages that have not yet been accessed as part of the driver flow. Children's Health Insurance Program (CHIP) Medical coverage for children under 19 whose family income exceeds the limits for Children's Medicaid. The newborn Medicaid coverage can continue through the month of the child's first birthday if the child continues to live in Texas. 401(k) A retirement plan allowing an employee to postpone receiving a portion of current income until retirement. The notices and forms processed in this functional area are also called correspondence and linked to a specific case. Proration Portion of total monthly benefits a household is entitled to receive. Resources Both liquid and nonliquid assets a person can convert to meet immediate needs. Social Security information is also available for people who receive SSI or Medicaid. Combat Pay Supplemental incentive payments for hazardous duty and special pay for duty subject to hostile fire or imminent danger. Ten-Ten-Thirteen Concept Time periods used to determine the first month of an over-issuance claim. Some people qualify for both Medicare and Medicaid. This includes, mineral rights, patents or copyrights. Fixed Income Unearned income that does not vary. Special Review A procedure to explore one or more areas of eligibility. Personal Identification Number (PIN) Security Actions cardholders should take to prevent others from gaining access to their PIN and Electronic Benefit Transfer (EBT) account. Jury Duty Pay Taxable income received as compensation for jury duty. Make payments to the surviving spouse, children, parents, grandchildren or grandparents when the affected person is deceased. Communal Dining A public or non-profit establishment approved by Food and Nutrition Services (FNS) that prepares and serves meals to elderly people or those who receive Supplemental Security Income (SSI) and their spouses. The user reaches the end of the driver flow at the Case Assignment page and must use the Left Navigation to return to specific pages in Data Collection. on a farm or ranch performing field work about planting, cultivating or harvesting operations; or. Fair Market Value Amount of money an item would bring if sold in the current local market. Personal Identification Number (PIN) A four-digit numeric code assigned to each cardholder and used to control access to the person's account. in canning, packing, ginning, seed conditioning or related research or processing operations. You can still manage your benefits online.Once we review your application you will be able to see your information on Your Texas Benefits. Medicaid & CHIP in . Types of alternate payees include a court appointed guardian, EBT representative, Financial Management Information System (FMIS) payee, long-term care (LTC) payee, protective payee and representative payee. See functional area. EDGs denied because of new or increased spousal support income will receive a maximum of four months of coverage. causing serious dysfunction of any bodily organ or part. Data Broker An online portal used to obtain financial and other background information about applicants and recipients. Pick numbers that are easy for you to remember, but hard for others to guess. 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. In most instances, Children's Medicaid relates to comprehensive policy for Type Programs (TPs) 43, 44, 45 and 48, unless specifically stated otherwise in a handbook section. Timely Disposed An Eligibility Determination Group (EDG) that is completed in accordance with program timeliness standards. Texas's EBT customer service number is 1-800-777-7328. The notice contains programmed information based on the program, type of assistance, and eligibility result. Applied Income The countable amount of income for TANF after allowing deductions for tax dependents, child support, alimony and persons a legal parent is legally obligated to support. Carryover Standby List Applicants from a previous day's standby list who have not been interviewed. The individual number for Texas benefits can vary depending on the benefits you are receiving. 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. Preschool Children Children who are under six. The goal of ESP is to prepare recipients for employment and help them find and keep a job. Blocked Time periods that are designated for specific purposes. Timely Supplemental Nutrition Assistance Program (SNAP) application filed by the 15th of the last month of certification. Inmates of facilities that meet the definition of public institution are not eligible for Temporary Assistance for Needy Families (TANF) or Medicaid. 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. Type Program (TP) 08, Parents and Caretaker Relatives Medicaid A person who supervises and cares for a dependent child. Here, you can access a variety of resources to help you work with us as you care for . Permissible Purpose A federal requirement that allows staff to legally request a credit report from the Data Broker system for the sole purpose of determining eligibility. Recoupment Withholding part of a person's current benefit because of a previous overpayment. Medicaid Supplemental Payment & Directed Payment Programs, Part D, Children's Health Insurance Program, Part F, Former Foster Care in Higher Education, Part M, Medicaid for Transitioning Foster Care Youth, Part X, Medicaid for Breast and Cervical Cancer. Appeal A request for a fair hearing concerning an HHSC action. Legal Requirements The non- financial eligibility requirements for a Temporary Assistance for Needy Families(TANF) or Medicaid child, such as age, relationship, domicile, citizenship, Social Security number (SSN), and deprivation. It is also referred to as spousal support. 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. Primary Cardholder (PCH) The person designated to receive and be responsible for the household's Lone Star Card. Note: A licensed vocational nurse or licensed practical nurse does not meet the definition of practitioner. Case Mode Status of a case that identifies that: Case Number A unique 10-digit number that identifies a group of Eligibility Determination Groups (EDGs). You will need to login again. For more information, including who is eligible, click HERE. If the total collection is less than $75, then the amount of the collection is sent to the person . Social Security Number A unique nine-digit number assigned to a person by the Social Security Administration (SSA). Standard MAGI Income Disregard An income disregard equal to five percentage points of the Federal Poverty Income Limit (FPIL) for the applicable Modified Adjusted Gross Income (MAGI) household size. 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. Institution of Higher Education Any public or private college, community college, junior college, technical institute, or university that usually requires a high school diploma or equivalent certificate such as a general equivalency diploma (GED), to enter. 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. Processing Time Frames Number of days eligibility staff must complete a particular action. 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; and is not pregnant. ], Title 42, 1396 et seq.) 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. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. Non-Immigrant An alien temporarily admitted to the U.S. for a purpose other than permanent residency, such as a religious worker or the fianc/fiance of a U.S. citizen. temporary quarters in another person's residence for 90 days or less. 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. reinstating Transitional Medicaid Assistance (TMA); and. 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. Trust Property held by one person for the benefit of another. 4, Disqualified Members, unless that disqualification is due to not meeting citizenship requirements. OPTION 2: Start an Application Online You can start the application process online. It'savailable to applicants and Community Partners assisting applicants to: Also referred to as YourTexasBenefits.com. Apply online and make a Your Texas Benefitsaccount so you can start, save and go backto your online application at any time. Enter this for various situations including: Real Property Land and any improvements on it. The EDG is built and eligibility is established at the highest level. Modified Adjusted Gross Income (MAGI) Individual Income The sum of certain income received by aperson in a MAGI household composition, from which certain expenses are subtracted. are received for a minimum of three months. Questionable Management A household has questionable management when reported basic expenses exceed reported net income and resources. You have unsaved changes that will be lost if you exit. Citizenship and Immigration Services (USCIS). 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. A same-sex marriage that occurred before June 26, 2015, is considered valid effective June 26, 2015. According to the IRS, in 2015, "4.4 million ITIN filers paid over $5.5 billion in payroll and Medicare taxes and $23.6 billion in total taxes.". Supplemental Benefit Additional benefits for a current month given to a household during a month the Texas Health and Human Services Commission (HHSC) already issued initial or ongoing benefits. 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. 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. 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. Reactivation Date The effective date to reinstate benefits for an Eligibility Determination Group (EDG).