Qualified Health Professional A person who provides care under the supervision of a licensed practitioner or a medical or dental practice that is state regulated. Supplemental Nutrition Assistance Program (SNAP) Past name was the Food Stamp Program. Access to this site and the information assets of this site are for official use only. Citizenship and Immigration Services (USCIS) and who has received a final order of deportation. Eligibility Determination Benefit Calculation (EDBC) uses the discovery and report dates to determine if a required report of change is reported timely. Parents and Caretaker Relatives Emergency (TA 31), Medically Needy with Spend Down Emergency (TP 32). You can find your EDG number on the TF0001 form we sent you saying that you can get SNAP benefits. Refugee A person admitted to the U.S. under Section 207 of the INA. Capital Goods The accumulated possessions (property, goods and products) used to produce income or other goods. These items include housing, utilities, deposits for housing or utilities, food, clothing, and incidentals. SeePrint Mode. Individual Retirement Account (IRA) Deduction A federal income tax deduction for people who contributed to a traditional IRA. Helps cover visits to doctors, dentists, and hospitals. Standby List Applicants who are awaiting an interview without a specific appointment. Alimony Paid Payments to a spouse or former spouse under a divorce or separation decree. Summer P-EBT (June-August 2022) is a one-time benefit of $391 for each eligible child. Self-Service Portal (SSP) A web-based application, atYourTexasBenefits.com. 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. Staff also use the EBT system to perform such functions as inquiry, account transaction update to the vendor database and, in certain very restricted situations, priority SNAP benefit authorization. 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. You do not need to be enrolled in VA benefits or health care to connect. Marketplace The governmental entity that makes qualified health plans available to qualified people, qualified employers or both. 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. SeeBatch Scheduling. all eligible members receive Temporary Assistance for Needy Families (TANF) or Refugee Cash Assistance (RCA); or. This gives a source of citizenship or alien status verification for certain Medical Programs. The Marketplace in Texas is operated by the U.S. Department of Health and Human Services. Or send an e-mail to: mail@dhs.state.tx.us. Undocumented Alien An alien living in the U.S. without the knowledge and permission of the U.S. Trust Property held by one person for the benefit of another. Questionable Information Information that is contradictory or incomplete. 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. General Residential Operations Facility Residential care facilities that provide a live-in house parent model of care for children under their care. Beneficiary The person named to receive benefits. Continuous Eligibility A period where a person remains eligible during a continuous eligibility period regardless of any change in circumstances, except for: Convertible Bond A bond that can be converted to cash according to program policy. Alternate Payee A person who receives the benefits for the EDG when people on the EDG are unable or ineligible to receive them. See User-Generated. 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. The 5% down payment is subject to credit approval. To ensure the information is saved in an LUW in Data Collection, the user can click on the Next button to advance to the next LUW or on the Previous button to return to the previous LUW. 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. intended to result in physical harm, bodily injury or assault, or that is a threat that reasonably places the member in fear of imminent physical harm or bodily injury or assault, not including defensive measures to protect oneself; or. Royalty A payment to a person for permitting another to use or market property. Welcome to UnitedHealthcare Individual Exchange plans, also referred to as Individual and Family plans. The system generates an alert when the SSA Benefit amount on file does not match the information on the BENDEX file. 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. OPTION 2: Start an Application Online You can start the application process online. 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. 1-877-541-7905. 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. Summary Page A page that lists a summary of all records available for that Texas Integrated Eligibility Redesign System (TIERS) page. 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. Second Parent This is the parent who is not the caretaker. The EDG is built and eligibility is established at the highest level. Legal Parents Mother, by having given birth to the child, by proof of adoption, legal document or court adjudication or father, by proof of adoption, legal document, court adjudication or his acknowledgement of paternity. 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. 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. Secure Facility Secure boot camp settings. past, present or future physical, mental health condition of the person; provision of health care to the person; or. If you can't find it, call us at 800-777-7328. The last number in your TANF Eligibility Determination Group number tells what day you get your benefits. SeeEDBC. Self-Employment Income Earned or unearned income available from one's business, trade or profession rather than from an employer. Special Immigrant Conditional Permanent Resident (SI CPRs) Qualified noncitizens granted special immigrant status. Your unique Medicaid numberwill be displayed on the Texas Health and Human Services Commission's 'Your Texas Benefits' card. 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. notifying the applicant and the eligibility system when spend down is met. Modified Adjusted Gross Income (MAGI) Household Composition The people whose income and needs are considered when determining eligibility for an applicant or recipient for certain Medical Programs based on tax status, tax relationships, living arrangement, and family relationships. Please look at the permit to find your number. 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. 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. 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. The official document indicates to and for whom the support is paid, the frequency and the amount of payment. The PAN is not related to the persons Texas Health and Human Services Commission (HHSC) case number. Also, the act of trafficking in SNAP benefits. Preschool Children Children who are under six. Electronic Data Sources (ELDS) Verification sources that are available electronically and presented to advisors in the Texas Integrated Eligibility Redesign System (TIERS) during Data Collection. Certified Group The members in an Eligibility Determination Group (EDG) who are eligible for a given program. In some interview modes, staff cannot advance to pages that have not yet been accessed as part of the driver flow. The benefit is funded by taxes collected from businesses. Certification Date The date that eligibility staff dispose the Eligibility Determination Group (EDG) to certify an applicant. Clearinghouse A centrally located site that processes medical bills submitted by applicants for Medically Needy with Spend Down. Medicaid is also known as the medical assistance program. 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. 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. These are benefits issued and accessed by EBT cards, card numbers and PINs, or by manual voucher and signature. The individual number for Texas benefits can vary depending on the benefits you are receiving. It is used to apply cascade logic by reforming EDGs until establishing eligibility. All members of a TSAP household must not receive earned income and must be either elderly or disabled as defined by SNAP program rules. generate a manual issuance of benefits outside the normal eligibility process. Apply online and make a Your Texas Benefitsaccount so you can start, save and go backto your online application at any time. Monthly Obligation The amount of child support which the absent parent has been ordered to pay each month. Marriage A legally or formally recognized union between two people. Be ready to answer questions abouteveryone applying such as: Check the status of your benefits ormanage your benefits. Availability Date The date that benefits are deposited into the recipients Electronic Benefit Transfer (EBT) account. A boarder can receive Supplemental Nutrition Assistance Program (SNAP) benefits only with the household where they board. For example, a notice is system-generated when an Eligibility Determination Group (EDG) is disposed. Your session has ended. 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. 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. Left Navigation The list of functional areas that appears on the left side of the Texas Integrated Eligibility Redesign System (TIERS) page. placing the patient's health in serious jeopardy; seriously impairing the patient's bodily functions; or. ), dentist (D.D.S. 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. Complete Action A data collection interview mode that sets up the driver flow for a complete review of all eligibility requirements in an ongoing case. State Online Query SOLQ allows states real-time online access to SSA's SSN verification service. Deductible Part of Self-Employment Tax A federal income tax deduction for self-employed people paying self-employment taxes. The mortgage company uses money in the account to pay annual property taxes, home insurance premiums and sometimes homeowner association fees on behalf of the homeowner. Based on the criteria, TIERS generates a sample list. When an individual is added, File Clearance can be processed in Application Registration. 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 (SNAP) applicants and individuals in these counties are not subject to SNAP federal time limits because of the job market. 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. During this step, information from electronic data sources is automatically requested and a reasonable compatibility test is run. Lone Star Card SeeElectronic Benefit Transfer (EBT) Card. Medicaid A state and federal cooperative program authorized under Title XIX of the Social Security Act (United States Code [U.S.C. 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. Overrides always require Second Level Review before they can be disposed. My career spans a number of years, industries, and roles in education, computer operations, process improvement, organization development, coaching, marketing, customer service, and corporate . Taxable Year The 12-month period that a person uses to report income for federal income tax purposes. This category also includes Amerasians admitted under Section 584 of the Foreign Operations, Export Financing and Related Programs Appropriation Act of 1988. This process occurs without staff or specialist action. To learn more about Texas Works, please visit Texas Workforce Commission website. Trafficking Supplemental Nutrition Assistance Program (SNAP) . able to apply for Medicaid on the child's own behalf; or. Ongoing Benefits Benefits issued for months after the initial benefit month. 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. Publicly Operated Community Residence A facility designed to serve up to 16 residents and to provide some services beyond food and shelter, such as social services, training in socialization, and life skills. Crime Victim's Compensation Payments from the funds authorized by state legislation to assist a person who: The payments are distributed by the Office of the Attorney General (OAG) in monthly payments or in a lump-sum payment. Seedefinitions of Eligibility Determination Benefit Calculation(EDBC), rebuild EDG,run EDBCandWrap Up. Users cannot delete system-generated correspondence. Doctors and pharmacies use this number for billing. Pending Correspondence Forms or notices that have been generated on a case and are waiting to be processed in batch. Assignable Time periods that are available to be used to schedule appointments using the Scheduling functional area. Scheduling The functional area that manages eligibility appointments. Special Review A procedure to explore one or more areas of eligibility. 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. If you already have a Lone Star Card PIN, you can keep it or change it. This is also called a timely recertification or redetermination. The PIN must be entered on a keypad before any electronic transaction can be processed. See Taxpayer. 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. Changes in income identified through this process may impact eligibility for other programs. Sibling Brother or sister, including legally adopted and half-brothers and half-sisters. ITIN holders pay taxes. Agriculturally Related Activities Employment: Aid A benefit, coverage or service in programs that HHSC administers. Automated Renewal Process The first step in an administrative renewal. Vested Interest A situation or circumstance to which a person has a strong personal commitment. Assets All items of monetary value owned by a person. Also benefits issued for the first month of eligibility after a break in eligibility of at least one month. Molar Pregnancy Also known as hydatidiform mole, a molar pregnancy is considered a degenerating pregnancy. Court Awards Taxable money that a person receives as the result of a lawsuit, such as compensation for lost wages or punitive damages awards. allthe EDGs in a case are denied (Ongoing). Hearing The functional area where individual appeals are recorded and tracked. One program is the Choices program for TANF recipients, and the other is the SNAP Employment and Training (E&T) program for SNAP recipients. Examples of public institutions include county and city jails and Texas Department of Corrections prisons. ), advanced nurse practitioner (A.N.P.) It is also referred to as spousal support paid. These occupations include beauticians, waiters, valets and food delivery staff. Equity The fair market value of an item minus all money owed on it and the cost associated with its sale or transfer. This includes falsifying a document or a statement, or providing false information in an interview, with the intent to commit fraud. or registered nurse (R.N.). 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. Applicants who meet eligibility requirements during any of the months in this period receive Medicaid benefits for the eligible month(s). This is done by intentionally reselling the product purchased with SNAP benefits in exchange for cash or consideration other than eligible food. That means bringing some manufacturing back home, or "reshoring" and moving some of it . 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. Contact the Texas Department of Insurance's Consumer Health Business day excludes Saturday, Sunday, and holidays designated by a federal or state agency. Managed care includes the health maintenance organization (HMO) model. Persons with illnesses that require expensive treatment are not subject to lock-in status. Proration Portion of total monthly benefits a household is entitled to receive. the value of in-kind assistance provided by the sponsor or others. Qualified Hospital (QH) A Medicaid provider that notifies HHSC of its intent to make presumptive eligibility determinations and agrees to make PE determinations per HHSC policies and procedures. Disaster SNAP (D-SNAP) gives short-term food benefits to people recovering from a disaster. 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. To exit from this workflow, click on Exit. Helps people with daily living needs, caregivers, and people with mental health, drug or alcohol issues. 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. It'savailable to applicants and Community Partners assisting applicants to: Also referred to as YourTexasBenefits.com. does not include a request for programs different from programs requested on the initial application ; does not include a request for programs different from programs currently received by the applicant; and. Complete Review A re-evaluation of ongoing eligibility. Capital Gains A profit from the sale of property or an investment when the sale price is higher than the initial purchase price. The amount the employer pays is counted as part of the person's gross income. Reinstatement Process of providing Transitional Medical Assistance (TMA) to a household denied because of failure to return a complete Medicaid Report. Third-Party Resource A source of payment of medical expenses other than the recipient or the Texas Health and Human Services Commission (HHSC). SOLQ enables state social services to rapidly get information they need to qualify people for programs. Report Date The date information is reported to the Texas Health and Human Services Commission (HHSC). 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. The intention is to get cash by purposely discarding the product and returning the container for the deposit amount. 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. Vested Retirement Account An account to which an employee makes contributions for a specified period of time as defined by the employer. You are exiting this workflow before finishing. Domestic Production Activities Deduction A federal income tax deduction that a person may receive for certain qualified production activities. SeeEDBC and Driver Flow. Non-Traditional Retailer A food retailer who operates in a farmer's market or as a roadside vendor. This includes legal parents and stepparents who are disqualified for one of the reasons listed inA-222, Who Is Not Included, No. Inmates of facilities that meet the definition of public institution are not eligible for Temporary Assistance for Needy Families (TANF) or Medicaid. is not needed to process a redetermination. 401(k) A retirement plan allowing an employee to postpone receiving a portion of current income until retirement. A mastectomy bra can provide comfort, support, and security to an individual as they become accustomed to their new normal. The two levels of service are: Claim An amount owed by a person for an overpayment of benefits. EDGs denied because of new or increased spousal support income will receive a maximum of four months of coverage. Texas Health & Human Services Commission. Life Estate Income a person receives from ownership of property that they only possess for the duration of their life, such as rental income. The notice contains programmed information based on the program, type of assistance, and eligibility result. Each functional area contains pages that allow authorized staff to perform activities related to the business process. The house parent assumes responsibility and acts in lieu of the parent in meeting the childrens ongoing needs. Your case visibility account has been disabled because of inactivity. 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. We recommend creating an account so you can: Get alerts about updates to your application. Welfare-to-Work A federal program designed to support state and local efforts to move hard-to-employ Temporary Assistance for Needy Families (TANF) recipients into unsubsidized jobs and promote their self-sufficiency. Parent A person with either a natural, biological, adopted or stepchild. Application Registration The functional area where a person's application for assistance is recorded. Change Action A data collection interview mode that allows eligibility staff to navigate to pages on which they want to update or record information. After, only the child will be certified on the EDG. The EDG includes members who are eligible and may include members who are not certified for benefits. 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. 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. After certification, the Office of Attorney General (OAG) sends the person the first $75 received on monthly child support collections. a facility located on the grounds of or immediately adjacent to any large institution or multi-structure complex; an educational or vocational training institution; and. Timely Disposed An Eligibility Determination Group (EDG) that is completed in accordance with program timeliness standards. It compares an applicants statement of income against income provided by electronic data sources. Supplemental Nutrition Assistance Program (SNAP) and Temporary Assistance for Needy Families (TANF) Multiple people may be certified on a single EDG. Home Energy Assistance Program (HEAP) A federal program that pays benefits to help eligible people pay utility costs. Some people qualify for both Medicare and Medicaid. The driver flow is determined by the programs, types of assistance, and answers to questions as the case is worked. Unauthorized access to this site and its information assets is prohibited. Copyright 2016-2023. Authorized Representative (AR) A person or organization designated by an applicant or recipient to take the following actions on the applicants behalf: Automated Income Check Process The first step in a periodic income check (PIC). Personal Identification Number (PIN) A four-digit numeric code assigned to each cardholder and used to control access to the person's account. (FPL). Combat Zone The geographic area or country to which a military member is deployed for combat. The .gov means its official. Non-Continuous Eligibility A period of time when changes in circumstances may affect a persons eligibility. For example, those with incomes over $200,000 had an average refund of $3,239 while those with incomes under $50,000 had an . You can buy individual coverage through: An insurance company or health maintenance organization (HMO) A licensed health insurance agent who has a relationship with one or more insurance companies ; Healthcare.gov, the online federal health insurance Marketplace ; The Plan Finder on Healthcare.gov for individuals and small businesses Get help over the phone,from an HHSC benefit officeor community partner. You can check the status of your application or you can start a new one. Coordination of benefits (COB) allows plans that provide health and/or prescription coverage for a person with Medicare to determine their respective payment responsibilities (i.e., determine which insurance plan has the primary payment responsibility and the extent to which the other plans will contribute when an individual is covered by more A person may buy the contract alone or with the help of an employer. 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 transaction may also be pre-authorized by phone. 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. Asylee A person granted asylum under Section 208 of the Immigration and Nationality Act (INA). For your convenience, the Help Center will open in a new window. Type of Assistance (TOA) The specific aid for one or more people in an Eligibility Determination Group (EDG). You'll get an email or text when there'sa form or notice available online in yourMessage Center.
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