Health Insurance Premium Payment (HIPP) A reimbursement program administered by the Texas Health and Human Services Commissions (HHSCs) Third-Party Resource Unit, which pays for the cost of premiums, coinsurance, and deductibles. Get help over the phone,from an HHSC benefit officeor community partner. Redetermination A complete action to determine eligibility for a new certification period in a program. Unearned Income Payments received without performing work-related activities, including benefits from other programs. It is when a child lives with both legal parents and both parents are requesting and are eligible for coverage. This coverage is providedtemporarily while the Texas Health and Human Services Commission (HHSC) determines eligibility for regular Medicaid. Self-Employment Income Earned or unearned income available from one's business, trade or profession rather than from an employer. Batch Scheduling Including an appointment date and time with eligibility staff within application packets mailed from the central mail facility. some eligible members receive TANF or RCA, and all other eligible members receive Supplemental Security Income (SSI), including SSI essential persons. Report Date The date information is reported to the Texas Health and Human Services Commission (HHSC). Ten-Ten-Thirteen Concept Time periods used to determine the first month of an over-issuance claim. These items include housing, utilities, deposits for housing or utilities, food, clothing, and incidentals. Answer some basic questions in our prescreening tool to find which benefits and support services you might be able to get. Reapplication Date Date the Texas Health and Human Services Commission (HHSC) receives a new application for redetermination or complete review of eligibility. Commingled Resources Resources of a Temporary Assistance for Needy Families (TANF) or Supplemental Security Income (SSI) recipient combined with those of a non-TANF or SSI household member. 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. This process occurs without staff or specialist action. Taxable Year The 12-month period that a person uses to report income for federal income tax purposes. It is also referred to as spousal support paid. Texas Workforce Commission (TWC) The state governmental agency charged with overseeing and providing workforce development services to employers and job seekers of Texas. 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. Lone Star Card SeeElectronic Benefit Transfer (EBT) Card. Untimely SNAP application filed after the 15th of the last certification month. This gives a source of citizenship or alien status verification for certain Medical Programs. The system generates an alert when the SSA Benefit amount on file does not match the information on the BENDEX file. Do you want to keep working on your application, or start a new one? Electronic Benefit Transfer (EBT) Account A benefit account established by the EBT system where HHSC deposits the household's benefits. Non-Continuous Eligibility A period of time when changes in circumstances may affect a persons eligibility. You need to pass a few authentication questions. Child Support A payment made from a biological or adoptive parent to a biological or adoptive child. Enter this for various situations including: Real Property Land and any improvements on it. When the term is used in the handbook, it means all the following programs combined: Emergency Medical Condition An eligibility requirement for Emergency Medicaid for nonimmigrants, undocumented aliens and certain legal permanent resident aliens. The code is used to request permission to use the Lone Star Card in a transaction. SeeCase Mode. TANF provides families with financial assistance and support services. Participation Status The designation of an Eligibility Determination Group (EDG) member as an eligible or ineligible member of the certified group. Discovery Date The date a person learns of a change. Hearing The functional area where individual appeals are recorded and tracked. Reception Log The functional area in the Texas Integrated Eligibility Redesign System (TIERS) where office contacts by phone, mail, fax and in-person can be recorded. Lawful Permanent Resident (LPR) A person lawfully admitted for legal permanent residence in the U.S. Copayment Payment made directly to a provider according to a fee schedule. Carryover Standby List Applicants from a previous day's standby list who have not been interviewed. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. This is done by intentionally reselling the product purchased with SNAP benefits in exchange for cash or consideration other than eligible food. The LUW is represented by a set of tabs at the top of a TIERS page. If you are deaf or hard of hearing, you can call us at TTY 1-800-325-0778. Click here to view alternate account management instructions to re-activate your account. 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. For more information, including who is eligible, click HERE. Annuity A series of payments paid under a contract and made at regular intervals over more than one full year. 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. Customs and Border Protection is responsible for border security functions. determining if a medical bill can be counted for spend down; corresponding with the applicant about eligible and ineligible medical bills; determining if and when the applicant meets spend down; and. 24/7, confidential support is always available. Refugee A person admitted to the U.S. under Section 207 of the INA. They are still required to be registered for work with the Texas Workforce Commission (TWC) and are mandatory participants if they do not meet work registration exemption requirements. receive copies of the applicants or recipient's notices in the preferred language selected on the application and other communications from the agency; act on behalf of the applicant or recipient in all other matters with the agency, such as reporting changes. Mastectomy surgery is a significant life event for many people. Driver Flow The logical sequence of data collection pages that appear as a case is completed or read. Tip Income Income earned along with wages paid by patrons to people employed in service-related occupations. 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. Recognizable Needs The maximum needs amount allowed by the Texas Health and Human Services Commission (HHSC) when determining eligibility. Permissible purpose means the person whose credit report is requested must be: Staff who request credit information without permissible purpose are subject to fines, imprisonment, or both. 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. Personal Identification Number (PIN) A four-digit numeric code assigned to each cardholder and used to control access to the person's account. Each state has its own rules about who's eligible, and what Medicaid covers. Combat Pay Supplemental incentive payments for hazardous duty and special pay for duty subject to hostile fire or imminent danger. Alternate Payee A person who receives the benefits for the EDG when people on the EDG are unable or ineligible to receive them. You have unsaved changes that will be lost if you exit. A stripe of magnetic material, which is machine-readable and allows for the activation of point-of-sale equipment, is affixed to the back of the card at the time of manufacture. Available at reasonable cost is usually defined as being available through the employer. Activity Fee An additional cost incurred by the household associated with a structured dependent care program. 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. For Type Program (TP) 08, Parents and Caretaker Relatives Medicaid A relative within the required degree of relationship, other than a legal parent, caring for a dependent child who meets the income limits for that program. 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. This is also called a timely recertification or redetermination. This guide will explain the different types of . Radiation Exposure Payments A program to compensate a person for injury or death from exposure to radiation from nuclear testing and uranium mining. 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. are held under court order as material witnesses or juveniles. Annulment A court order declaring a marriage invalid. Alternative Benefit Plan Eligibility; . If there are no eligible members after cascade logic is applied, the household is ineligible for the program. Administrative Terminal Application (ATA) A software program accessible on one or more Texas Health and Human Services Commission (HHSC) desktop computers in each office. In 2003, USCIS officially assumed responsibility for the immigration service functions of the federal government. 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. Incidentals include such things as normal day-to-day transportation, phone, laundry, medical supplies not paid by Medicaid, home remedies, recreation, and household equipment. Community Supervision The placement of a misdemeanor or felony offender under supervision for a specified length of time ordered by the court. Also covers medicines ordered by doctors and dentists. 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. Absent Parent A child's parent who is not living in the home. People can apply using a simplified application, and they do not typically have to complete an interview at redetermination. SeeCase. 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. A special review is conducted in Special Review mode. This information is used in the EDBC process to build Eligibility Determination Groups (EDGs) and determine eligibility for programs and types of assistance. 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. A calendar tax year is 12 consecutive months beginning Jan. 1 and ending Dec. 31. Apply for TANF. SeeDetail Page. According to the IRS, in 2015, "4.4 million ITIN filers paid over $5.5 billion in payroll and Medicare taxes and $23.6 billion in total taxes.". lives with another person and they represent themselves to the community as married. Scheduling The functional area that manages eligibility appointments. Independent living services may include, but is not limited to: Second Level Review Review of a case by a second party before the Eligibility Determination Group (EDG) is disposed. placing the patient's health in serious jeopardy; seriously impairing the patient's bodily functions; or. Standby List Applicants who are awaiting an interview without a specific appointment. 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. Child A child is an adoptive, step, or natural child who is under 19. Resources Both liquid and nonliquid assets a person can convert to meet immediate needs. Interview Mode A designation in TIERS Data Collection that queues the driver flow through appropriate pages according to the type of action. Sentences are served in the community rather than in jail or prison. 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. 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. Supplemental Security Income (SSI) A needs-tested program administered by the Social Security Administration. State and federal government websites often end in .gov. 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. Personal Responsibility Agreement (PRA) A requirement for Temporary Assistance for Needy Families (TANF) that certain people must follow the conditions of the agreement. 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. Each functional area contains pages that allow authorized staff to perform activities related to the business process. Summer P-EBT (June-August 2022) is a one-time benefit of $391 for each eligible child. This person has access to the EBT account for the Eligibility Determination Group (EDG). Tuition or GI Bill Deduction A federal income tax deduction for people who paid qualified tuition fees to eligible post-secondary educational institutions for themselves, their spouse or their dependents. If the total collection is less than $75, then the amount of the collection is sent to the person . You need 4 numbers for your PIN. The notice contains programmed information based on the program, type of assistance, and eligibility result. generate a manual issuance of benefits outside the normal eligibility process. They cannot be used to schedule appointments using the Scheduling functional area. 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. Data Broker An online portal used to obtain financial and other background information about applicants and recipients. Additionally, a consumer assistance program can help you file your appeal. These are benefits issued and accessed by EBT cards, card numbers and PINs, or by manual voucher and signature. Appeal A request for a fair hearing concerning an HHSC action. Your case visibility account has been disabled because of inactivity. action has been initiated on an Eligibility Determination Group (EDG) in a case (Intake, Complete Action, Change Action, Special Review, Conversion); allthe EDGs in a case are approved (Ongoing); and. CHIP perinatal The mother and child will be certified on a single EDG during the month the child is born. Managing Conservator A person designated by a court to have daily legal responsibility for a child. Agriculturally Related Activities Employment: Aid A benefit, coverage or service in programs that HHSC administers. 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. Inmates of facilities that meet the definition of public institution are not eligible for Temporary Assistance for Needy Families (TANF) or Medicaid. Electronic Benefit Transfer (EBT) Regional Coordinator An HHSC employee designated to oversee, monitor, lead regional planning and act as a point of contact for EBT security procedures. According to the most recent IRS statistics for the 2017 tax year, the average married couple filing jointly received a tax refund of $2,781. SeeBatch Scheduling. Undocumented Alien An alien living in the U.S. without the knowledge and permission of the U.S. 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. Alien Sponsor A person who signed an affidavit of support (U.S. Fast forward to 2023, and many companies in some cases spurred by massive government subsidies are taking big steps to diversify their supply chains, focusing on reliability and robustness over cost and efficiency. The term also applies to decisions for protective and restricted payments. 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. Time Limit The functional area where Temporary Assistance for Needy Families (TANF) state and federal time-limited months can be viewed. You will need to login again. 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. Based on the criteria, TIERS generates a sample list. or registered nurse (R.N.). Equity The fair market value of an item minus all money owed on it and the cost associated with its sale or transfer. The individual number for Texas benefits can vary depending on the benefits you are receiving. Active-Duty Military Member A person currently serving in the U.S. Armed Forces or Reserves (Army, Marine Corps, Navy, Air Force or Coast Guard), National Guard (Army, Marine Corps, Navy, Air Force, Coast Guard or Reserve Guard) or the State Military Forces or Texas State Guard. Need help buying food because of recent disasters in your area? Benefits. Each reprint of an original has the same Correspondence ID as the original. Supplemental Nutrition Assistance Program Combined Application Project (SNAP-CAP) A demonstration project that outreaches elderly Supplemental Security Income (SSI) recipients who are not currently certified for SNAP. During this step, information from electronic data sources is automatically requested and a reasonable compatibility test is run. Where is the individual number for Texas Benefits located? *Important: Don't write your PIN on your Lone Star Card. 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. Also known as a pre-need plan or prepaid funeral agreement. Your unique Medicaid numberwill be displayed on the Texas Health and Human Services Commission's 'Your Texas Benefits' card. ITINs let people without SSNs pay taxes. Timely Supplemental Nutrition Assistance Program (SNAP) application filed by the 15th of the last month of certification. 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. 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 includes profits from the sale of stocks, bonds, or real estate. Pick numbers that are easy for you to remember, but hard for others to guess. hold out to the public that they are a married couple. Married Minor An person, age 14-17, who is married. Accessibility Date The date that benefits are deposited into an Electronic Benefit Transfer (EBT) account. Interactive Voice Response (IVR) A dial-in inquiry system (also known as Automated Voice Response [AVR]) that provides 24-hour access to automated account information via a digital phone. Apply online and make a Your Texas Benefitsaccount so you can start, save and go backto your online application at any time. Treat an untimely reapplication the same as an initial application. Notice of Adverse Action A notice provided to the household on TF 0002 that includes explaining the proposed adverse action, reason for the action, right to a fair hearing, availability of continued benefits. 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. The exchange of firearms, ammunition, explosives, or controlled substances, defined in Section 802 of Title 21, United States Code, for SNAP benefits. 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. The money contributed to these accounts is not subject to federal income tax at the time of deposit. These include a county holding facility for juveniles or a facility that a government unit exercises final administrative authority. Deductible Part of Self-Employment Tax A federal income tax deduction for self-employed people paying self-employment taxes. Home School A type of education in which children are taught by their parents, or someone acting in parental authority, at home, using a set curriculum. Standard Utility Allowance (SUA) A standard deduction for the cost of utilities. This may or may not include the person or the persons spouse. Run EDBC (Eligibility Determination Benefit Calculation) A process in the Wrap Up eligibility management group used to determine eligibility of the Eligibility Determination Group (EDG). It could take several weeks for your P-EBT card to arrive after claiming benefits. SDX information can be used as a source of verification and is available in the Texas Integrated Eligibility Redesign System (TIERS). 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. Supplemental Nutrition Assistance Program (SNAP) proration is based on the number of days between the file date and the end of the month. Trust Property held by one person for the benefit of another. Not all Texas Health and Human Services Commission (HHSC) programs and types of assistance have certification periods. Workforce Innovation and Opportunity Act A federal program to streamline state workforce development systems combining job training, adult education and literacy, and vocational rehabilitation. Examples include certified nurse-midwives, clinical nurse specialists, and pediatric nurse practitioners. Appeals are logged and updated in the Hearing functional area on the navigation bar. Summary Page A page that lists a summary of all records available for that Texas Integrated Eligibility Redesign System (TIERS) page. If you don't know what type of Medicaid you have, call toll-free 800-964-2777. Proration Portion of total monthly benefits a household is entitled to receive. Questionable Information Information that is contradictory or incomplete. To learn more about Texas Works, please visit Texas Workforce Commission website. Power of Attorney (POA) Written legal authorization to represent or act on another's behalf in private affairs, business, or some other legal matters. 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. processeligibility determinations for multiple programs based on data provided through direct input and interfaces with other systems; assistusers in monitoring and managing workload; and. Personal Possessions Possessions that include furniture, appliances, jewelry, clothing, livestock, farm equipment, and other items that an applicant uses to meet personal needs essential for daily living. Contact the Texas Department of Insurance's Consumer Health Aperson under18 may not be a party to an informal (common law) marriage. Lock-in A status created by the Texas Health and Human Services Commission (HHSC) for certain people to help contain Medicaid costs, which allows additional review of high Medicaid users. Note: A licensed vocational nurse or licensed practical nurse does not meet the definition of practitioner. See Cascade Logic. A petition for judicial review must be filed by the appellant in a district court in Travis County within 30 calendar days after the date the administrative decision is issued. That means bringing some manufacturing back home, or "reshoring" and moving some of it . Seecase modeandinterview mode. 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. SeeEDBC and Driver Flow. Seedefinitions of Eligibility Determination Benefit Calculation(EDBC), rebuild EDG,run EDBCandWrap Up. 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. The second party selects the Second Level Review interview mode. The driver flow is determined by the programs, types of assistance, and answers to questions as the case is worked. The benefit is funded by taxes collected from businesses. ), osteopathic medical physician (D.O. U.S. 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. The same benefit is now called One-Time TANF for Relatives, with payment records stored in TIERS. Seedispose. This includes legal parents and stepparents who are disqualified for one of the reasons listed inA-222, Who Is Not Included, No. The notices and forms processed in this functional area are also called correspondence and linked to a specific case. past, present or future physical, mental health condition of the person; provision of health care to the person; or. Texas Health & Human Services Commission. A user can click the plus sign next to a functional area or sub-functional areas to display the pages available within that area.
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