Payments may be either fixed (under which one receives a definite amount) or variable (not fixed). Noncompliance with the PRA results in a sanction. Not all Texas Health and Human Services Commission (HHSC) programs and types of assistance have certification periods. Annulment A court order declaring a marriage invalid. Boarder A person paying reasonable compensation for room and meals. Type of Assistance (TOA) The specific aid for one or more people in an Eligibility Determination Group (EDG). General Residential Operations Facility Residential care facilities that provide a live-in house parent model of care for children under their care. System-Generated Created by a computer system programmed with given parameters. Here, you can access a variety of resources to help you work with us as you care for . 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. Or send an e-mail to: mail@dhs.state.tx.us. Administrative Terminal Application (ATA) A software program accessible on one or more Texas Health and Human Services Commission (HHSC) desktop computers in each office. on a farm or ranch performing field work about planting, cultivating or harvesting operations; or. It must take place before the person receives a seventh warrant. The data broker vendor collects and combines information from many data sources. Incidentals include normal day-to-day transportation, phone, laundry, medical supplies not paid by Medicaid, home remedies, recreation and household equipment. CHIP perinatal The mother and child will be certified on a single EDG during the month the child is born. Reimbursement Repayment for a specific item or service. The primary cardholder is usually the Eligibility Determination Group (EDG) name, but the EDG may have an alternate payee who is the primary cardholder. Activity Fee An additional cost incurred by the household associated with a structured dependent care program. The individual number for Texas benefits can vary depending on the benefits you are receiving. Refugee A person admitted to the U.S. under Section 207 of the INA. Resources Both liquid and nonliquid assets a person can convert to meet immediate needs. Each functional area contains pages that allow authorized staff to perform activities related to the business process. 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. Medicaid In Texas, there are 5 different types of Medicaid: STAR STAR+PLUS STAR Kids STAR Health Traditional Medicaid The type of Medicaid coverage you get depends on where you live and what kind of health issues you have. Temporary Assistance for Needy Families (TANF) An adult whose needs are included in a TANF grant because the adult is within the required degree of relationship and is financially eligible according to TANF policy. The account transfer from the Marketplace to HHSC, and from HHSC to the Marketplace, includes the information the applicant submitted through the original application in addition to information from verifications performed by either the Marketplace or HHSC. Your application visibility account has been disabled because of inactivity. causing serious dysfunction of any bodily organ or part. Business day excludes Saturday, Sunday, and holidays designated by a federal or state agency. Suspended Benefits The Eligibility Determination Group (EDG) is flagged to prevent the ongoing issuance of benefits until eligibility staff review the EDG. Temporary Assistance for Needy Families (TANF) A child who meets the definition of deprivation and who lives with a relative who meets the relationship requirement. Social Security information is also available for people who receive SSI or Medicaid. A mastectomy bra can provide comfort, support, and security to an individual as they become accustomed to their new normal. Carryover Standby List Applicants from a previous day's standby list who have not been interviewed. ], Title 42, 1396 et seq.) Recognizable Needs The maximum needs amount allowed by the Texas Health and Human Services Commission (HHSC) when determining eligibility. Manage your case usingthe Your Texas Benefitsapp on your phone. Off-Line Transaction The processing of Electronic Benefit Transfer (EBT) transactions using a manual voucher. Power of Attorney (POA) Written legal authorization to represent or act on another's behalf in private affairs, business, or some other legal matters. Case Visibility Type of YourTexasBenefits.com account given to an applicant who has been through Advanced Authentication so is granted a Case Visibility level account. Cuban or Haitian Entrant Admitted under Section 501(e) of the Refugee Education Assistance Act of 1980. The 5% down payment is subject to credit approval. To login again, click on either "Forgot user name" or "Forgot password" in the login box. 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. 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. Basic Utility Allowance (BUA) Deduction given to a SNAP household that has utility costs but does not qualify for the standard utility allowance (SUA). These facilities have limited power of attorney to obtain health care and educational services for the children under their care. are intended for expenses other than room and board. 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 . Each state has its own rules about who's eligible, and what Medicaid covers. 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). Available at reasonable cost is usually defined as being available through the employer. A household may designate a secondary cardholder who has a Lone Star Card and access to the household's Electronic Benefit Transfer (EBT) account. This will help you know if you should apply for benefits on this site or for health insurance on HealthCare.gov. Alimony Paid Payments to a spouse or former spouse under a divorce or separation decree. Continued Benefits Continuing or restoring benefits to the level authorized immediately before the notice of adverse action. An example of a publicly operated community residence that is not a public institution is a county homeless shelter with a capacity of up to 16 people. Managed care includes the health maintenance organization (HMO) model. Apply online and make a Your Texas Benefitsaccount so you can start, save and go backto your online application at any time. The payee must be within the required degree of relationship. Certified Group The members in an Eligibility Determination Group (EDG) who are eligible for a given program. To have a payable claim, you must meet all of the following requirements: You have wages in more than one of the four base period calendar quarters. You do not need to be enrolled in VA benefits or health care to connect. Be ready to answer questions abouteveryone applying such as: Check the status of your benefits ormanage your benefits. provides health coverage to eligible low-income adults, children, pregnant women, and people who are older or who have disabilities. Pick numbers that are easy for you to remember, but hard for others to guess. ITINs let people without SSNs pay taxes. Your information has not been sent. to claim a personal exemption deduction on the taxpayers federal income tax return for one or more applicants. 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. 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. Catchment Area The area covered by service. perform initial self-screening to check for potential eligibility; view general benefit program information. The notice of adverse action expires in 13 days. Spend Down The amount of excess income that the applicant must deplete with incurred medical bills before being certified as medically needy. Voluntary Quit Leaving a job without good cause. This amount was higher or lower depending on the couple's total income. It gives Supplemental Security Income (SSI) and Medicaid information on Texas Health and Human Services Commission (HHSC) people. Falsified Statement A statement made by an individual, orally or in writing, that is not true, such as claiming to have been without worksince a certain date,when the individual was employed during that time period. This results in: Administrative Review A desk review of the fair hearing record by a Texas Health and Human Services (HHS) attorney to determine if the hearing officer's decision is correct. 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. A Supplemental Nutrition Assistance Program (SNAP) household whose members are all approved for TANF or SSI. The Veterans Crisis Line has a new number: Dial 988 then Press 1. Access to this site and the information assets of this site are for official use only. A same-sex marriage that occurred before June 26, 2015, is considered valid effective June 26, 2015. Data Broker An online portal used to obtain financial and other background information about applicants and recipients. Your unique Medicaid numberwill be displayed on the Texas Health and Human Services Commission's 'Your Texas Benefits' card. The exchange of firearms, ammunition, explosives, or controlled substances, defined in Section 802 of Title 21, United States Code, for SNAP benefits. A household member is a TANF or SSI recipient if the person is approved for TANF or SSI but the benefit: A SNAP household that includes members authorized to receive TANF non-cash services and whose household gross income is less than 165 percent of the Federal Poverty Income Limit (FPIL) for its size and meets the resource criteria. 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. If you already get SNAP benefits, you will not be eligible for Disaster SNAP. Child A child is an adoptive, step, or natural child who is under 19. Type Program (TP) 08, Parents and Caretaker Relatives Medicaid A person who supervises and cares for a dependent child. temporary quarters in another person's residence for 90 days or less. Alternative Benefit Plan Eligibility; . Children's Health Insurance Program (CHIP) Medical coverage for children under 19 whose family income exceeds the limits for Children's Medicaid. The amount the employer pays is counted as part of the person's gross income. If File Clearance is not processed in Application Registration, the system will perform it in Data Collection. It could take several weeks for your P-EBT card to arrive after claiming benefits. Health Savings Account A savings account for medical-related expenses that is available to taxpayers. *Important: Don't write your PIN on your Lone Star Card. Reasonable Compatibility The method of verification used for Medical Programs. Failure to report a required Texas Health and Human Services Commission (HHSC) program change in conjunction with one or more of these acts may be considered a basis to commit fraud. Court Awards Taxable money that a person receives as the result of a lawsuit, such as compensation for lost wages or punitive damages awards. 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. SOLQ enables state social services to rapidly get information they need to qualify people for programs. They will become lawful permanent residents (LPRs) upon the removal of their conditions by the Department of Homeland Security (DHS). This includes profits from the sale of stocks, bonds, or real estate. The participation status indicates whether the person is considered an adult or a child according to policy. The user name or password is incorrect. The person's must have no vested interest in the household's situation. 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. Opportunity to Participate Providing a certified applicant with benefits, a Lone Star Card, personal identification number (PIN), and Electronic Benefit Transfer (EBT) training material. See functional area. reactivating an EDG without requiring a new application form. Functions of the clearinghouse include: Collateral Contact A person the advisor can contact to verify a person's information. Before you set up an account, we need to ask you some questions. 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. Former Medicaid recipients may request a certificate within 24 months after their Medicaid is denied by calling 800-723-4789. Managing Conservator A person designated by a court to have daily legal responsibility for a child. You can still manage your benefits online.Once we review your application you will be able to see your information on Your Texas Benefits. 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. Fair Market Value Amount of money an item would bring if sold in the current local market. 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. Tax Dependent A person who expects to be claimed by someone else as a dependent on a federal income tax return for the taxable year that Medicaid or Children's Health Insurance Program (CHIP) eligibility is requested. Eligibility Determination Group (EDG) Members of a household whose needs, resources, income and deductions are considered in determining eligibility for benefits. 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. SeeInterview ModeandCase Mode. Seebatch processing,pending correspondence,print mode,print type,system-generatedanduser-generated. 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. The program reimburses the policy holder for private health insurance payroll deductions for Medicaid-eligible persons when HHSC determines that it is cost-effective. See, is a member of a Supplemental Nutrition Assistance Program [SNAP] Eligibility Determination Group [EDG] where a household member is under 18; or. 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. Representative Payee In Temporary Assistance for Needy Families (TANF), a person designated to receive and manage the household's benefits for someone who is incapacitated or incompetent. 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. TWC is part of a local and state network dedicated to developing the workforce of Texas. Personal Account Number (PAN) The 19-digit number on the front of the Lone Star Card representing the persons Electronic Benefit Transfer (EBT) account number on the EBT database. 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. Medicaid Members: Continuous Medicaid coverage will end on March 31, 2023. The discovery date is compared with the report date to determine whether a change is reported timely. Good Cause A term used to indicate that a person has an acceptable reason for not complying with a program requirement. Four Months Post-Medical Medicaid coverage extended for a maximum of four months after denial of a case because of spousal support income. Its given to an elderly household member, a household member with a disability, or both, who incur medical expenses of more than $35 but less than or equal to $137. Conception occurs, but no fetus ever develops. Note:See Publicly Operated Community Residence for additional information about a public facility not considered to be a public institution. Identical Application One or more exact copies of an application previously submitted by an applicant. 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. That means bringing some manufacturing back home, or "reshoring" and moving some of it . or registered nurse (R.N.). Life Estate Income a person receives from ownership of property that they only possess for the duration of their life, such as rental income. See Alternate Payee. 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. 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. These occupations include beauticians, waiters, valets and food delivery staff. The newborn Medicaid coverage can continue through the month of the child's first birthday if the child continues to live in Texas. Untimely SNAP application filed after the 15th of the last certification month. Immigration and Customs Enforcement handles immigration enforcement; and. 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. Underpayment Issuance of fewer benefits than an individual is entitled to receive. Combat Zone The geographic area or country to which a military member is deployed for combat. Once correspondence is printed, whether in batch or locally, the record of the printing is stored in History Correspondence functional area. This process occurs without staff action. Click here to re-activate your account. Jury Duty Pay Taxable income received as compensation for jury duty. The Food and Nutrition Act of 2008 limits eligibility for SNAP benefits to U.S. citizens and certain lawfully present non-citizens. 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. State Online Query SOLQ allows states real-time online access to SSA's SSN verification service. See User-Generated. . The PAN is not related to the persons Texas Health and Human Services Commission (HHSC) case number. Adequate Notice A notice of adverse action that expires the same day it is sent. Bona Fide Agent A person who is familiar with an applicant and knowledgeable of the person's financial affairs. Need help buying food because of recent disasters in your area? The Department of Defense Appropriations Act of 2010, PL 111-118, enacted on Dec. 19, 2009, says SIV are eligible for all benefits to the same extent and the same period as refugees. Contact the Texas Department of Insurance's Consumer Health Blue Shield of Texas at 1-800-521-2227 or www.bcbstx.com or contact the Texas Department of Insurance, Consumer Protection at 1-800-252-3439 or www.tdi.texas.gov. Only a personal representative may authorize the use or disclosure of individually identifiable health information or obtain individually identifiable health information for a person. Call us at 1-800-777-7328 if you can't locate it. Interview staff Eligibility staff responsible for interviewing applicants and recipients to establish program eligibility. Payments: Indian Tribal Household A household in which at least one household member is recognized as a tribal member by any Indian tribe. processeligibility determinations for multiple programs based on data provided through direct input and interfaces with other systems; assistusers in monitoring and managing workload; and.
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