Each state has its own rules about who's eligible, and what Medicaid covers. Third-Party Resource A source of payment of medical expenses other than the recipient or the Texas Health and Human Services Commission (HHSC). Electronic Benefit Transfer (EBT) A system that uses electronic technology to complete some of a benefit program's functional requirements. Molar Pregnancy Also known as hydatidiform mole, a molar pregnancy is considered a degenerating pregnancy. 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). Redetermination A complete action to determine eligibility for a new certification period in a program. 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. The Food and Nutrition Act of 2008 limits eligibility for SNAP benefits to U.S. citizens and certain lawfully present non-citizens. 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. Personal Identification Number (PIN) A four-digit numeric code assigned to each cardholder and used to control access to the person's account. Questionable Information Information that is contradictory or incomplete. The functional areas that are available to the user are determined by the user's job title and security role(s). 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. The person's must have no vested interest in the household's situation. Grandparent Payment System (GPS) An electronic, web-based data system used to inquire about the issuance of archived TANF one-time Grandparent Payments. The site is secure. You tried to login 3 times in a row with either the wrong user name or password. 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. Citizenship and Immigration Services (USCIS) The government agency that oversees lawful immigration to the U.S. Instructions include not writing their PIN on the card sleeve or anything they carry in their purse or wallet, not revealing their PIN to anyone, or letting anyone use their card. EDGs denied because of new or increased earnings will receive a maximum of 12 months of coverage. Inmates of facilities that meet the definition of public institution are not eligible for Temporary Assistance for Needy Families (TANF) or Medicaid. Need help buying food because of recent disasters in your area? During this step, information from electronic data sources is automatically requested, reasonable compatibility is run when income verification is required and correspondence is sent to the recipient. To learn more about Texas Works, please visit Texas Workforce Commission website. You need to pass a few authentication questions. 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. EBT involves computers, a variety of cards or types of cards, electronic funds transfer techniques, automated teller machines (ATMs), point-of-sale terminals or other types of terminals, and software to complete the EBT process without the loss of program integrity or individual confidentiality. A calendar tax year is 12 consecutive months beginning Jan. 1 and ending Dec. 31. If you already have a Lone Star Card PIN, you can keep it or change it. Minor Parent A person under 18 who has a dependent. Manual Voucher Transaction A paper-based debit transaction completed by the food retailer when the automated Electronic Benefit Transfer (EBT) system is down or unavailable. Waiver Counties Texas counties with an unemployment rate over 10 percent. In some interview modes, staff cannot advance to pages that have not yet been accessed as part of the driver flow. Unreimbursed Assistance Money paid in prior months in the form of public assistance under the Title IV-A program (that is, under the current Temporary Assistance for Needy Families [TANF] program or the former Aid to Families with Dependent Children [AFDC] program) that has not yet been recovered from collections that are applied to assigned arrears. The: User-Generated Action generated directly by an individual's computer input. 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. Carryover Standby List Applicants from a previous day's standby list who have not been interviewed. a correctional or holding facility for people who: have been arrested or detained pending disposition of charges; or. Trafficking Victims Victims admitted under the Trafficking Victims Protection Act of 2000. Available at reasonable cost is usually defined as being available through the employer. 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. Choices County Service Levels Counties designated by the Texas Workforce Commission (TWC) as Choices counties. Do you want to keep working on your application, or start a new one? Call 800-777-7328 to activate your card. Unemployment benefits range from $69 per week to $521 per week. HHSC The Texas Health and Human Services Commission. 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. General Residential Operations Facility Residential care facilities that provide a live-in house parent model of care for children under their care. Combat Zone The geographic area or country to which a military member is deployed for combat. Vendor Payment Payment made directly to the individual's creditor or person providing the service by a person or organization outside the household. They will become lawful permanent residents (LPRs) upon the removal of their conditions by the Department of Homeland Security (DHS). 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. 1-877-541-7905. To continue working, click on Stay on page. 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. Self-Employment Income Earned or unearned income available from one's business, trade or profession rather than from an employer. What is individual number for Texas benefits? Incidentals include such things as normal day-to-day transportation, phone, laundry, medical supplies not paid by Medicaid, home remedies, recreation, and household equipment. Seecase modeandinterview mode. Comprehensive Energy Assistance Program (CEAP) A utility assistance program funded annually by the Low Income Home Energy Assistance Program (LIHEAP). It could take several weeks for your P-EBT card to arrive after claiming benefits. Call us at 1-800-772-1213 to make an appointment to file your application. The amount the employer pays is counted as part of the person's gross income. Temporary Assistance for Needy Families (TANF) a disqualified legal parent, second parent, or a non-parent relative certified as caretaker. Overpayment The amount of benefits issued in excess of what should have been issued. the value of in-kind assistance provided by the sponsor or others. 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. Certification Period The period of eligibility established at disposition. Correspondence The functional area in which system and user-generated notices and forms are processed and stored. Noncompliance with the PRA results in a sanction. 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. 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. Priority Supplemental Nutrition Assistance Program (SNAP) Issuances Expedited SNAP benefits, benefits issued on or after the 25th day from the date of application, and issuances ordered by a hearing officer decision that must be made available in order to meet fair hearing timeliness requirements. HHSC expunges these benefits at the end of each state fiscal year (Aug. 31). 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. Primary Cardholder (PCH) The person designated to receive and be responsible for the household's Lone Star Card. 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. 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 ATA allows access to the EBT system and may also be used for inquiry on EBT-related information, expedited Supplemental Nutrition Assistance Program (SNAP) benefit authorization, and account transaction updates to the EBT database. Mastectomy surgery is a significant life event for many people. Eligibility Determination Group (EDG) Members of a household whose needs, resources, income and deductions are considered in determining eligibility for benefits. The data broker vendor collects and combines information from many data sources. lives with another person and they represent themselves to the community as married. This coverage is providedtemporarily while the Texas Health and Human Services Commission (HHSC) determines eligibility for regular Medicaid. Logical Unit of Work (LUW) A set of Texas Integrated Eligibility Redesign System (TIERS) pages that must be completed before the information entered on these pages is saved. System-Generated Created by a computer system programmed with given parameters. Untimely SNAP application filed after the 15th of the last certification month. Note:See Publicly Operated Community Residence for additional information about a public facility not considered to be a public institution. 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. 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. 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. Your case visibility account has been disabled because of inactivity. causing serious dysfunction of any bodily organ or part. Helps people with daily living needs, caregivers, and people with mental health, drug or alcohol issues. 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. 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. Health Savings Account A savings account for medical-related expenses that is available to taxpayers. Life Estate Income a person receives from ownership of property that they only possess for the duration of their life, such as rental income. Agriculturally Related Activities Employment: Aid A benefit, coverage or service in programs that HHSC administers. Batch is correspondence managed by batch processing and printed at a central mail facility. Fixed Income Unearned income that does not vary. In many instances, batch processing occurs overnight, when Texas Health and Human Services Commission (HHSC) offices are closed and the system is not being heavily used throughout the state. 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. Time Limit The functional area where Temporary Assistance for Needy Families (TANF) state and federal time-limited months can be viewed. Temporary Assistance for Needy Families (TANF) Certified Child A child who is included in a TANF grant. Application Registration The functional area where a person's application for assistance is recorded. You have unsaved changes that will be lost if you exit. Citizenship and Immigration Services (USCIS) and who has received a final order of deportation. 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. are intended for expenses other than room and board. 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. The intention is to get cash by purposely discarding the product and returning the container for the deposit amount. Enter this for various situations including: Real Property Land and any improvements on it. 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. Before you set up an account, we need to ask you some questions. Four Months Post-Medical Medicaid coverage extended for a maximum of four months after denial of a case because of spousal support income. Eligibility Determination Benefit Calculation (EDBC) uses the discovery and report dates to determine if a required report of change is reported timely. If the total collection is less than $75, then the amount of the collection is sent to the person . minimum service has little or no presence of Choices staff. Parental Control A minor who lives with an adult is under parental control if one of the following conditions applies: Parole The discretionary and conditional release of an eligible offender sentenced to serve the remainder of the sentence under supervision in the community rather than prison. 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 Payee A person that the Temporary Assistance for Needy Families (TANF) benefits are issued to if no one in the household qualifies or wants to be a caretaker. For example, if you are receiving disability benefits through the Social Security Administration, then your Social Security number is the individual number used by the state of Texas. The persons may or may not be included in EDGs as certified members. Authorization Code A code that identifies a retailer as a Food and Nutrition Service (FNS)-participating store. The driver flow is determined by the programs, types of assistance, and answers to questions as the case is worked. 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. Third Party Person or organization outside the certified household. Alternative Benefit Plans. Presumptive Eligibility (PE) Short-term Medicaid coverage provided to people determined potentially eligible for regular Medicaid by a qualified hospital or a qualified entity. The Workforce Innovation and Opportunity Act replaced the Workforce Investment Act of 1998. This figure represents food, clothing, housing, utilities and incidentals. Illegally Present Alien A non-citizen living in the U.S. without proper approval from the U.S. Feb 17, 2022 Knowledge Article The Food and Nutrition Service (FNS) number is the 7-digit number printed on the Supplemental Nutrition Assistance Program (SNAP) permit sent to you when you became authorized to participate in SNAP. The canceled amount is included as countable income on federal income tax returns. Seedefinitions of Eligibility Determination Benefit Calculation(EDBC), rebuild EDG,run EDBCandWrap Up. 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. Children's Medicaid Medical coverage for children whose family income is under the applicable income limit. Pick numbers that are easy for you to remember, but hard for others to guess. This process occurs without staff or specialist action. 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. The automated process uses existing applicant information, electronic data source information and reasonable compatibility when income verification is required. They are not considered inmates of a public institution. Boarder A person paying reasonable compensation for room and meals. The certificate is a requirement of the Health Insurance Portability and Accountability Act of 1996 (HIPAA), and is sent to denied recipients by the Texas Department of State Health Services (DSHS). Interview Mode A designation in TIERS Data Collection that queues the driver flow through appropriate pages according to the type of action. ITINs let people without SSNs pay taxes. request an alert and send it to another user; generate manual correspondence on a case; and. 4, Disqualified Members, unless that disqualification is due to not meeting citizenship requirements. It'savailable to applicants and Community Partners assisting applicants to: Also referred to as YourTexasBenefits.com. 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. Electronic Benefit Transfer (EBT) Representative A primary cardholder other than the case name. This guide will explain the different types of . Some people qualify for both Medicare and Medicaid. The same benefit is now called One-Time TANF for Relatives, with payment records stored in TIERS. Get an online quote today. 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. You can check the status of your application or you can start a new one. This may or may not include the person or the persons spouse. RSDI Retirement, Survivors and Disability Insurance benefits (RSDI) paid by the Social Security Administration. Adults on the Eligibility Determination Group (EDG) must be legal parents (including a certified stepparent) to the dependent child. Users cannot delete system-generated correspondence. 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. Fluctuating Income Income in which the amount varies because of an increase or decrease in hours worked, rate of pay, or inclusion of a bonus. The two levels of service are: Claim An amount owed by a person for an overpayment of benefits. To find out if you might be eligible for Medicaid in Texas, visit yourtexasbenefits.com 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. There are three types of benefit accounts: The person or their representative uses the Lone Star Card and a personal identification number (PIN) to access benefits in the account. This includes falsifying a document or a statement, or providing false information in an interview, with the intent to commit fraud. Housing and Urban Development (HUD) U.S. Department of Housing and Urban Development. Where is the individual number for Texas Benefits located? For your convenience, the Help Center will open in a new window. ITIN holders are not eligible for all of the tax benefits and public benefits that U.S. citizens and other taxpayers can receive. on a farm or ranch performing field work about planting, cultivating or harvesting operations; or. 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.
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