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. Non-Continuous Eligibility A period of time when changes in circumstances may affect a persons eligibility. Find Texas health insurance options at many price points. 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. Discovery Date The date a person learns of a change. Where is the individual number for Texas Benefits located? That means bringing some manufacturing back home, or "reshoring" and moving some of it . Cardholders Persons authorized to use the Lone Star Card to access benefits in the household's Electronic Benefit Transfer (EBT) account(s). 401(k) A retirement plan allowing an employee to postpone receiving a portion of current income until retirement. Restored Benefits Full or partial months of benefits for a past month that are owed to a household due to an agency error. Bona Fide Agent A person who is familiar with an applicant and knowledgeable of the person's financial affairs. Only a personal representative may authorize the use or disclosure of individually identifiable health information or obtain individually identifiable health information for a person. 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. Social Security information is also available for people who receive SSI or Medicaid. Secure Facility Secure boot camp settings. A request for an administrative review must be submitted in writing within 30 calendar days from the date of the hearing officer's decision. Derivative Citizenship U.S. citizenship that is claimed by a person born outside of the U. S. to one or both U.S. citizen parents. Citizenship and Immigration Services (USCIS). in canning, packing, ginning, seed conditioning or related research or processing operations. The primary cardholder is usually the Eligibility Determination Group (EDG) name, but the EDG may have an alternate payee who is the primary cardholder. For example, those with incomes over $200,000 had an average refund of $3,239 while those with incomes under $50,000 had an . Protection at 1-800-252-3439 or www.tdi.texas.gov. Fugitive An individual fleeing to avoid prosecution of or confinement for a felony criminal conviction or found by a court to be violating federal or state probation or parole. This information is used in the EDBC process to build Eligibility Determination Groups (EDGs) and determine eligibility for programs and types of assistance. Unauthorized access to this site and misuse of its information assets may be prosecuted under Texas State statutes regarding the use of individually identifiable personal health information (PHI) and The United States regulations and laws regarding the use of individually identifiable personal health information (PHI). Royalty A payment to a person for permitting another to use or market property. After, only the child will be certified on the EDG. Catchment Area The area covered by service. Proration Portion of total monthly benefits a household is entitled to receive. Conception occurs, but no fetus ever develops. To find out if you might be eligible for Medicaid in Texas, visit yourtexasbenefits.com These issuances are available to the person the same day the Eligibility Determination Group (EDG) is disposed. 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. Batch Scheduling Including an appointment date and time with eligibility staff within application packets mailed from the central mail facility. The person must be a legal parent(s) or other caretaker relative within the required degree of relationship who meets the income limits for that program. Also covers medicines ordered by doctors and dentists. 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. Four Months Post-Medical Medicaid coverage extended for a maximum of four months after denial of a case because of spousal support income. A person may buy the contract alone or with the help of an employer. Mastectomy surgery is a significant life event for many people. 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. 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. collects information from throughout the Texas Integrated Eligibility Redesign System (TIERS); and. Marketplace The governmental entity that makes qualified health plans available to qualified people, qualified employers or both. Traditional Medicaid 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. Modified Adjusted Gross Income (MAGI) Household Size The number of people in an applicants or recipients MAGI household composition, including the number of unborn children, if applicable. Court Awards Taxable money that a person receives as the result of a lawsuit, such as compensation for lost wages or punitive damages awards. Note:This does not include anyone who otherwise qualifies as a resident of a drug and alcohol treatment center, federally subsidized housing for the elderly, a qualifying group living arrangement, a shelter for battered persons, or a shelter for the homeless. Batch and Online are the types of print modes. Nonliquid Resources Resources such as vehicles, buildings, land, or certain other property that are considered countable, except as explained in the vehicles portion of resource policy or unless the resource is specifically exempted. When you're done, you can create an account to apply for benefits and send your info to support services to be contacted by programs. Alternative Benefit Plans. To continue working, click on Stay on page. CEAP replaced the Home Energy Assistance Program (HEAP). Your case number is a 10-digit number that HHSC uses to bundle and process benefits you receive through their agency. 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. ], Title 42, 1396 et seq.) Unauthorized access to this site and its information assets is prohibited. 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 functional areas that are available to the user are determined by the user's job title and security role(s). 1-877-541-7905. Trafficking Supplemental Nutrition Assistance Program (SNAP) . Effective Month The first month benefits can be affected based on the monthly cutoff date or applicable policy for advance and adequate notice of adverse action. Immigration and Customs Enforcement handles immigration enforcement; and. Helps cover visits to doctors, dentists, and hospitals. createcorrespondence and reports based on system-requested and user-requested criteria. If you are just looking for support services and want to be contacted by programs, you need to create an account. *Important: Don't write your PIN on your Lone Star Card. intended to inflict emotional harm, including an act of emotional abuse. It is used to issue Electronic Benefit Transfer (EBT) cards and replacements. Dispose To authorize an Eligibility Determination Group (EDG) so eligibility is established or denied. 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 . General Residential Operations Facility Residential care facilities that provide a live-in house parent model of care for children under their care. Interview Mode A designation in TIERS Data Collection that queues the driver flow through appropriate pages according to the type of action. OPTION 2: Start an Application Online You can start the application process online. are intended for expenses other than room and board. Redetermination A complete action to determine eligibility for a new certification period in a program. Veterans can still call 800-273-8255 and Press 1 to reach the Crisis Line as well. Third Party Person or organization outside the certified household. Step Grandparent The spouse of a blood-related grandparent. Seedispose. Time Limit The functional area where Temporary Assistance for Needy Families (TANF) state and federal time-limited months can be viewed. Residents of a publicly operated community residence are potentially eligible for Temporary Assistance for Needy Families (TANF) and Medicaid. A same-sex marriage that occurred on or after June 26, 2015, is considered valid on the date it occurred. Adults on the Eligibility Determination Group (EDG) must be legal parents (including a certified stepparent) to the dependent child. If there are no eligible members after cascade logic is applied, the household is ineligible for the program. Left Navigation The list of functional areas that appears on the left side of the Texas Integrated Eligibility Redesign System (TIERS) page. 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. is not needed to process a redetermination. This includes legal parents and stepparents who are disqualified for one of the reasons listed inA-222, Who Is Not Included, No. a supervised shelter that provides temporary living quarters; a place not intended for regular sleeping quarters; or. 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. A special review is conducted in Special Review mode. Please look at the permit to find your number. This will help you know if you should apply for benefits on this site or for health insurance on HealthCare.gov. Manage Office Resources (MOR) The functional area that supports the administrative structure in the Texas Integrated Eligibility Redesign System (TIERS) and relationships between regional offices and their local offices, units, and employees. Purchasing a product with SNAP benefits with a container requiring a return deposit. Minor Parent A person under 18 who has a dependent. Access to this site and the information assets of this site are for official use only. Electronic Benefit Transfer (EBT) Issuance Staff An HHSC employee who issues and registers EBT cards for people in the local HHSC office. Also formally known as (adult) probation. They have already gone through the eligibility determination for those programs. Alien Sponsor A person who signed an affidavit of support (U.S. Your application visibility account has been disabled because of inactivity. 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. Adequate Notice A notice of adverse action that expires the same day it is sent. SeeCorrespondence,Print ModeandPrint Type. The goal of ESP is to prepare recipients for employment and help them find and keep a job. Periodic Income Check (PIC) The process to determine whether electronic data indicates that there has been a change in the Modified Adjusted Gross Income (MAGI) household income that could make the recipient ineligible for certain Medical Programs. Alert A system or user-generated reminder that action needs to be taken on a case or a notification that an action has already taken place. 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. Copayment Payment made directly to a provider according to a fee schedule. 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. Low Income Home Energy Assistance Program (LIHEAP) The federal program that funds assistance for energy costs for low-income households. 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. Expunged Benefits Benefits that are removed from an EBT account by the issuer of the benefits. Lump-Sum Payment A financial settlement that often involves funds accumulated over an extended period and that is paid in a single payment. 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. 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. Historical Correspondence Records of forms and notices that have been printed. Type Program (TP) 08, Parents and Caretaker Relatives Medicaid A person who supervises and cares for a dependent child. Texas Health & Human Services Commission. Questionable Management A household has questionable management when reported basic expenses exceed reported net income and resources. Texas Integrated Eligibility Redesign System (TIERS) A computer system used to: Texas Simplified Application Project (TSAP) TSAP is a simplified application and certification process for SNAP. After certification, the Office of Attorney General (OAG) sends the person the first $75 received on monthly child support collections. It is used to apply cascade logic by reforming EDGs until establishing eligibility. Liquid Resources Resources that are readily negotiable, such as cash, checking or savings accounts, Electronic Benefit Transfer (EBT) cash account, savings certificates, stocks or bonds. provides health coverage to eligible low-income adults, children, pregnant women, and people who are older or who have disabilities. Each original correspondence is given a unique Correspondence ID (identifying number). 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. 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. Intentional Program Violation (IPV) The act of intentionally making a false or misleading statement, or misrepresenting, concealing or withholding facts for the purpose of receiving assistance under the Supplemental Nutrition Assistance Program (SNAP), Temporary Assistance for Needy Families (TANF) or Medicaid program. Inquiry Refers to the functional area that allows users to view case, Eligibility Determination Group (EDG), and individual information. The Workforce Information System of Texas (TWIST) The computer system used by the Texas Workforce Commission (TWC) for intake, eligibility determination, assessment, service tracking, and reporting of TWC-administered programs, such as child care, Supplemental Nutrition Assistance Program (SNAP), Employment and Training, Choices, and the Workforce Innovation and Opportunity Act. Family Violence An act by a member of a family or household against another member of the family or household that is: File Clearance This feature determines whether an applicant has a case record with HHSC. 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. Workforce Innovation and Opportunity Act A federal program to streamline state workforce development systems combining job training, adult education and literacy, and vocational rehabilitation. Health Savings Account A savings account for medical-related expenses that is available to taxpayers. This process occurs through a mass update and does not require action. Home Energy Assistance Program (HEAP) A federal program that pays benefits to help eligible people pay utility costs. 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. 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 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. You will need to login again. SDX information can be used as a source of verification and is available in the Texas Integrated Eligibility Redesign System (TIERS). Colonias Unincorporated and unregulated settlements (neighborhoods) along the U.S. and Mexico border. Payments may be either fixed (under which one receives a definite amount) or variable (not fixed). State and federal government websites often end in .gov. Escrow An escrow account is an account a mortgage company sets up for the homeowner as part of their monthly mortgage payment. Fair Market Value Amount of money an item would bring if sold in the current local market. It provides monthly income to aged people and persons who are blind or have a disability. 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. To start a new session, you must close the browser window. 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. Not all Texas Health and Human Services Commission (HHSC) programs and types of assistance have certification periods. Temporary Assistance for Needy Families (TANF) a disqualified legal parent, second parent, or a non-parent relative certified as caretaker. 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. Citizenship and Immigration Services (USCIS). 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. Your unique Medicaid numberwill be displayed on the Texas Health and Human Services Commission's 'Your Texas Benefits' card. HHSC expunges these benefits at the end of each state fiscal year (Aug. 31). Penalty on Early WithdrawalA federal income tax deduction for people who withdrew money from a time-deposit savings account before the certificate maturing and who were charged a penalty for early withdrawal. SeeEDBC and Driver Flow. Meal delivery services A non-profit establishment approved by Food and Nutrition Services (FNS) that prepares and delivers meals to elderly people or people who are housebound, have a physical handicap, or otherwise have a disability that prevents the person from adequately preparing all their meals. Opportunity to Participate Providing a certified applicant with benefits, a Lone Star Card, personal identification number (PIN), and Electronic Benefit Transfer (EBT) training material. Cascade Logic A hierarchy of logic used to build Eligibility Determination Groups (EDGs) and evaluate eligibility for Texas Health and Human Services Commission (HHSC) programs and types of assistance. Report Date The date information is reported to the Texas Health and Human Services Commission (HHSC). all eligible members receive Temporary Assistance for Needy Families (TANF) or Refugee Cash Assistance (RCA); or. Passive Renewal A process by which the Texas Integrated Eligibility Redesign System (TIERS) automatically recertifies a Former Foster Care in Higher Education (FFCHE) active Eligibility Determination Group (EDG) for another certification period. Self-Service Portal (SSP) A web-based application, atYourTexasBenefits.com. The PIN must be entered on a keypad before any electronic transaction can be processed. Modified Adjusted Gross Income (MAGI) Financial Eligibility The result of a comparison between an applicants or recipients MAGI household income to the applicable Medicaid or Children's Health Insurance Program (CHIP) income limit based on the Federal Poverty Income Limit (FPIL) and the MAGI household size. 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. the value of in-kind assistance provided by the sponsor or others. 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. If you can't find it, call us at 800-777-7328. This calculation is based on family size and is used in the Temporary Assistance for Needy Families (TANF) 100 percent budgetary needs gross income test. Trafficking Victims Victims admitted under the Trafficking Victims Protection Act of 2000. 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. The discovery date is compared with the report date to determine whether a change is reported timely. ITINs let people without SSNs pay taxes. Individually Identifiable Health Information Information that either identifies or could be used to identify a person that relates to the: Ineligible Alien A non-citizen whose alien status makes them ineligible for program benefits. You do not need to be enrolled in VA benefits or health care to connect. All system-generated correspondence is sent to pending correspondence, but it can be retrieved and printed locally. Each functional area contains pages that allow authorized staff to perform activities related to the business process. The marriage must not have been annulled. Overrides always require Second Level Review before they can be disposed. The LUW is represented by a set of tabs at the top of a TIERS page.
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