In-Kind Contribution Any gain or benefit to a person that is not in the form of money paid directly to the person such as clothing, public housing or food. Radiation Exposure Payments A program to compensate a person for injury or death from exposure to radiation from nuclear testing and uranium mining. Examples include a fee for an art class that is part of an adult day care program, equipment fees or an extra cost for participation in a field trip as part of a summer program. Alternative Benefit Plans. 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. 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. The Veterans Crisis Line has a new number: Dial 988 then Press 1. Continued Benefits Continuing or restoring benefits to the level authorized immediately before the notice of adverse action. notifying the applicant and the eligibility system when spend down is met. Reshoring replaces offshoring. Minor Parent A person under 18 who has a dependent. Find Texas health insurance options at many price points. Pick numbers that are easy for you to remember, but hard for others to guess. Standard Utility Allowance (SUA) A standard deduction for the cost of utilities. 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. To start a new session, you must close the browser window. First Cousin Once Removed A person who is either one's first cousin's child or the parent's first cousin. Other-Related Temporary Assistance for Needy Families/Medical Program (TANF/MP) Child An eligible child living with a relative other than the child's legal parent. This guide will explain the different types of . The Texas Workforce Commission (TWC) administers unemployment benefits, which provide temporary relief for eligible Texans who find themselves out of work or dealing with severely reduced work hours. CHIP perinatal The mother and child will be certified on a single EDG during the month the child is born. Seecase modeandinterview mode. A calendar tax year is 12 consecutive months beginning Jan. 1 and ending Dec. 31. 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. Parent A person with either a natural, biological, adopted or stepchild. A same-sex marriage that occurred on or after June 26, 2015, is considered valid on the date it occurred. Availability Period For TANF, the availability period is two fiscal years after the benefit was issued. TWC has designated all counties in Texas as Choices counties, and the Local Workforce Development Boards (LWDBs), after coordination with the Texas Health and Human Services Commission (HHSC) state office, assign a service level designation for each county depending upon services available in that county. Apply for benefits online at Unemployment Benefits Services by logging on and selecting Apply for Benefits, or call a Texas Workforce Commission . 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. Moving Expenses Federal income tax deductible expenses an active duty member of the military may claim for relocating to a new duty station. Citizenship and Immigration Services (USCIS). EBT card = a card that looks and works like a debit or credit card but is loaded with food stamps (also known as SNAP benefits) and/or cash benefits. Examples include loan foreclosures and canceled credit card debt. 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. See User-Generated. Medicaid is also known as the medical assistance program. Call us at 1-800-777-7328 if you can't locate it. SeeBatch Scheduling. Self-Employed Health Insurance A federal income tax deduction for self-employed people paying for health insurance for themselves, their spouse, their tax dependents, or their child(ren) under 27. 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. The Workforce Innovation and Opportunity Act replaced the Workforce Investment Act of 1998. You'll get the Lone Star Card once you're approved for benefits. Customs and Border Protection is responsible for border security functions. Agriculturally Related Activities Employment: Aid A benefit, coverage or service in programs that HHSC administers. Range of Payment The highest to the lowest representative pay amounts used to determine the current ongoing budget. The benefit is funded by taxes collected from businesses. Case All the persons living together, and alien sponsors, who are related by Eligibility Determination Group (EDG) affiliation. Your application visibility account has been disabled because of inactivity. The program reimburses the policy holder for private health insurance payroll deductions for Medicaid-eligible persons when HHSC determines that it is cost-effective. Non-Public Assistance (NPA) Household Supplemental Nutrition Assistance Program (SNAP) households where no one receives Temporary Assistance for Needy Families (TANF) or only some of the members receive TANF. to claim a personal exemption deduction on the taxpayers federal income tax return for one or more applicants. See Cascade Logic. Pick or change your PIN. Timely Disposed An Eligibility Determination Group (EDG) that is completed in accordance with program timeliness standards. Newborn Child A child receiving Type Program (TP) 45, Medical Assistance for Newborn Children, because the child's mother was eligible for and received Medicaid coverage at time of the child's birth or whose mother was eligible for and received Medicaid coverage retroactively for the time of the child's birth. or registered nurse (R.N.). Restored Benefits Full or partial months of benefits for a past month that are owed to a household due to an agency error. Lawful Permanent Resident (LPR) A person lawfully admitted for legal permanent residence in the U.S. 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). Redetermination A complete action to determine eligibility for a new certification period in a program. Driver Flow The logical sequence of data collection pages that appear as a case is completed or read. HHSC IEVS Staff HHSC eligibility field staff who process Automated System for Office of Inspector General (ASOIG) Match Texas Works Messages and MEPD Long Term Care (LTC) IEVS Matches. 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. Traditional Medicaid The person has 10 days to report the change; staff have 10 days to act on the change. BENDEX (Beneficiary and Earnings Data Exchange) A computer tape match from the Social Security Administration that provides Social Security and Medicare information about Texas Health and Human Services Commission (HHSC) recipients. The discovery date is compared with the report date to determine whether a change is reported timely. Batch Processing Actions postponed until a later time when they can be processed by the system more efficiently. 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. Electronic Benefit Transfer (EBT) Issuance Staff An HHSC employee who issues and registers EBT cards for people in the local HHSC office. Certified Group The members in an Eligibility Determination Group (EDG) who are eligible for a given program. Social Security Number A unique nine-digit number assigned to a person by the Social Security Administration (SSA). Derivative Citizenship U.S. citizenship that is claimed by a person born outside of the U. S. to one or both U.S. citizen parents. 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). Type Program (TP) 08, Parents and Caretaker Relatives Medicaid A child who is18 or under, and a full-time student meeting the school attendance requirement. Low Income Home Energy Assistance Program (LIHEAP) The federal program that funds assistance for energy costs for low-income households. Questionable Management A household has questionable management when reported basic expenses exceed reported net income and resources. It compares an applicants statement of income against income provided by electronic data sources. Self-Employment Income Earned or unearned income available from one's business, trade or profession rather than from an employer. The participation status indicates whether the person is considered an adult or a child according to policy. Management The way in which a household pays its expenses with available income. Educational Expenses/Student Loan Interest A federal income tax deduction for people paying interest on student loans or for people with education expenses such as tuition, fees, room and board, books and other supplies. Adults on the Eligibility Determination Group (EDG) must be legal parents (including a certified stepparent) to the dependent child. State and federal government websites often end in .gov. The PAN is not related to the persons Texas Health and Human Services Commission (HHSC) case number. State Online Query SOLQ allows states real-time online access to SSA's SSN verification service. 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. To login again, click on either "Forgot user name" or "Forgot password" in the login box. Molar Pregnancy Also known as hydatidiform mole, a molar pregnancy is considered a degenerating pregnancy. Correspondence The functional area in which system and user-generated notices and forms are processed and stored. The EDG is built and eligibility is established at the highest level. Some people qualify for both Medicare and Medicaid. Cafeteria Plan Flexible fringe benefit plans offered to employees by their employers. 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. SeeCascade Logic,Rebuild EDG, andRun EDBC. If you are deaf or hard of hearing, you can call us at TTY 1-800-325-0778. past, present or future physical, mental health condition of the person; provision of health care to the person; or. Unemployment Benefits Services allows individuals to submit new applications for unemployment benefits, submit payment requests, get claim and payment status information, change their benefit payment option, update their address or phone number, view IRS 1099-G information, and respond to work search log requests. are held under court order as material witnesses or juveniles. Catchment Area The area covered by service. Sanction Either a disqualification or a penalty applied to a case or program because a person failed to follow a program requirement. a correctional or holding facility for people who: have been arrested or detained pending disposition of charges; or. receives Supplemental Nutrition Assistance Program (SNAP) benefits; is physically and mentally able to work at least an average of 20 hours per week; is not a member of a SNAP Eligibility Determination Group (EDG) where a household member on the SNAP EDG is under 18; and is not pregnant. It is also referred to as spousal support. These facilities have limited power of attorney to obtain health care and educational services for the children under their care. 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. They can also change any case data for cases where they are the head of household, an adult member within the household, or an authorized representative. We recommend creating an account so you can: Get alerts about updates to your application. Health Savings Account A savings account for medical-related expenses that is available to taxpayers. Practitioner A person who holds a license to practice medicine, including a physician (M.D. Your total base period wages are at least 37 times your weekly benefit amount. Changes in income identified through this process may impact eligibility for other programs. The LUW is represented by a set of tabs at the top of a TIERS page. Also known as a pre-need plan or prepaid funeral agreement. 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. The canceled amount is included as countable income on federal income tax returns. 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. Evaluative Conclusion An advisor's decision, subject to supervisory approval, to accept something other than a birth or hospital certificate or baptismal record as proof of age and relationship. Judicial Review A review of the fair hearing decision by a district court in Travis County to determine whether the agency decision is correct. In this system, patients go to their primary care physician to obtain other health services such as specialty medical care, surgery or physical therapy. Helps cover visits to doctors, dentists, and hospitals. A child who will not graduate until after the month of their 19th birthday is not considered a dependent child after the month of their 18th birthday. Copayment Payment made directly to a provider according to a fee schedule. 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. 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. Nonconvertible Bond A bond that cannot be converted to cash per program policy. For non-federal governmental group health plans and church plans that are group health plans, Blue Cross and Blue Shield of Texas at 1-888-907-7880 or www.bcbstx.com or contact the Texas Department of Insurance, Consumer Protection at 1-800-252-3439 or 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. Or send an e-mail to: mail@dhs.state.tx.us. The individual number for Texas benefits can vary depending on the benefits you are receiving. 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. 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. Administrative Renewal The method used to redetermine eligibility for most Medical Programs, including Medicaid for the Elderly and People with Disabilities (MEPD) and the Childrens Health Insurance Program (CHIP). Functions of the clearinghouse include: Collateral Contact A person the advisor can contact to verify a person's information. Alerts A functional area on a navigation bar that allows eligibility staff to request alerts and view outstanding and processed alerts. All rights reserved. Beneficiary The person named to receive benefits. One program is the Choices program for TANF recipients, and the other is the SNAP Employment and Training (E&T) program for SNAP recipients. Persons with illnesses that require expensive treatment are not subject to lock-in status. Eligibility Determination Group (EDG) Members of a household whose needs, resources, income and deductions are considered in determining eligibility for benefits. For your convenience, the Help Center will open in a new window. The second party selects the Second Level Review interview mode. all eligible members receive Temporary Assistance for Needy Families (TANF) or Refugee Cash Assistance (RCA); or. 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. The Marketplace in Texas is operated by the U.S. Department of Health and Human Services. 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. Assets All items of monetary value owned by a person. Your case number is a 10-digit number that HHSC uses to bundle and process benefits you receive through their agency. 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. Your session has ended. 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). in canning, packing, ginning, seed conditioning or related research or processing operations. Apply online and make a Your Texas Benefitsaccount so you can start, save and go backto your online application at any time. Case Mode Status of a case that identifies that: Case Number A unique 10-digit number that identifies a group of Eligibility Determination Groups (EDGs). Before sharing sensitive information, make sure youre on an official government site. 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. This includes profits from the sale of stocks, bonds, or real estate. You tried to login 3 times in a row with either the wrong user name or password. Qualified entities that are also Breast and Cervical Cancer Services (BCCS) contractors with the DSHS may make presumptive eligibility determinations for Medicaid for Breast and Cervical Cancer (MBCC) applicants. the minor lives with an adult other than the minor's parent or legal guardian and the minor's parent or legal guardian states that the adult has parental control of the child. Office of Inspector General (OIG) A division of the Texas Health and Human Services Commission (HHSC) created by the 78th Texas Legislature, Regular Session, 2003, to prevent and reduce waste, abuse, and fraud within the Texas Health and Human Services system. Non-Traditional Retailer A food retailer who operates in a farmer's market or as a roadside vendor. Certification Date The date that eligibility staff dispose the Eligibility Determination Group (EDG) to certify an applicant. 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. 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. They are not considered inmates of a public institution. The driver flow is determined by the programs, types of assistance, and answers to questions as the case is worked. Underpayment Issuance of fewer benefits than an individual is entitled to receive. The notices and forms processed in this functional area are also called correspondence and linked to a specific case. 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. 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. an applicant or a certified Temporary Assistance for Needy Families (TANF); Supplemental Nutrition Assistance Program (SNAP)or Medical Program household member or a member who would be certified but is disqualified; or. request an alert and send it to another user; generate manual correspondence on a case; and. cash contributions of the sponsor or others; and. Ten-Ten-Thirteen Concept Time periods used to determine the first month of an over-issuance claim. ITIN holders pay taxes. Resident Seasonal Farmworkers Farmworkers who do not leave their permanent home to work in agriculture or a related industry. IDAs are generally matched dollar-for-dollar with funds from private citizens, corporations, banks, communities, or charitable organizations. Three Months Prior The three-month period before the Medicaid application month. You need to pass a few authentication questions. The current Land Loans interest rate for Texas veterans is 6.95%. The final digit of your SNAP EDG (Eligibility Determination Group) number indicates the day on which you will receive benefits. Absent Parent A child's parent who is not living in the home. Budgetary Needs The full basic needs amount as defined by Texas Health and Human Services Commission (HHSC) necessary for a family to obtain food, clothing, housing, utilities, and incidentals such as phone, laundry, and recreation. 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. able to apply for Medicaid on the child's own behalf; or. Cuban or Haitian Entrant Admitted under Section 501(e) of the Refugee Education Assistance Act of 1980. TWC is part of a local and state network dedicated to developing the workforce of Texas. Summary Page A page that lists a summary of all records available for that Texas Integrated Eligibility Redesign System (TIERS) page. This category also includes Amerasians admitted under Section 584 of the Foreign Operations, Export Financing and Related Programs Appropriation Act of 1988. The employer does not match the money contributed by the employee until the defined period of time ends. If you can't find it, call us at 800-777-7328. Modified Adjusted Gross Income (MAGI) Financial Eligibility The result of a comparison between an applicants or recipients MAGI household income to the applicable Medicaid or Children's Health Insurance Program (CHIP) income limit based on the Federal Poverty Income Limit (FPIL) and the MAGI household size. Liquid Resources Resources that are readily negotiable, such as cash, checking or savings accounts, Electronic Benefit Transfer (EBT) cash account, savings certificates, stocks or bonds. For most people, their tax year is the calendar year. Electronic Benefit Transfer (EBT) Vendor A company that performs EBT-related services for the state of Texas. The Marketplace is also known as the Exchange, Health Insurance Marketplace, and Federally Facilitated Marketplace (FFM). When an individual is added, File Clearance can be processed in Application Registration. The 5% down payment is subject to credit approval. You have unsaved changes that will be lost if you exit. The parent oversees the curriculum and ensures that the children are actually being educated. Vested Interest A situation or circumstance to which a person has a strong personal commitment. If the total collection is less than $75, then the amount of the collection is sent to the person . Employment Services Program (ESP) ESP consists of two programs. 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. a Medical Program Modified Adjusted Gross Income (MAGI) household member. These issuances are available to the person the same day the Eligibility Determination Group (EDG) is disposed. Educator Expenses Expenses for which educators, kindergarten through grade 12 teachers, counselors, principals or aides can receive a federal income tax deduction. Managing Conservator A person designated by a court to have daily legal responsibility for a child. State Data Exchange (SDX) Computer tape from the Social Security Administration (SSA). reinstating Transitional Medicaid Assistance (TMA); and. Untimely SNAP application filed after the 15th of the last certification month. 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. Disqualified Person Someone who is normally considered a participating member of a household but whose needs are not considered because they failed to meet or comply with a program requirement. 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 buying, selling, stealing, or otherwise effecting an exchange of SNAP benefits for cash or consideration other than eligible food, either directly, indirectly, in complicity or collusion with others, or acting alone. produces reports that meet Texas Health and Human Services Commission (HHSC), state and federal reporting requirements. Citizenship and Immigration Services (USCIS). Managed care includes the health maintenance organization (HMO) model. 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. To exit from this workflow, click on Exit. That means bringing some manufacturing back home, or "reshoring" and moving some of it . Modified Adjusted Gross Income (MAGI) Individual Income The sum of certain income received by aperson in a MAGI household composition, from which certain expenses are subtracted. Power of Attorney (POA) Written legal authorization to represent or act on another's behalf in private affairs, business, or some other legal matters. Illegally Present Alien A non-citizen living in the U.S. without proper approval from the U.S. The marriage must not have been annulled. Incidentals include normal day-to-day transportation, phone, laundry, medical supplies not paid by Medicaid, home remedies, recreation and household equipment. Annualize Averaging income over a 12-month period. Blocked Time periods that are designated for specific purposes. These include Form H1010, Texas Works Application for Assistance Your Texas Benefits, or Form H1205, Texas Streamlined Application. Processing Time Frames Number of days eligibility staff must complete a particular action. Fair Hearing A meeting conducted by a regional hearing officer with an applicant or individual who disagrees with and wishes to appeal some action taken on the individual's case. Payments to Civilians Relocated During Wartime Payments made to Aleuts or people of Japanese ancestry or their heirs who were relocated during World War II. 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. For more information, including who is eligible, click HERE. Quality Control The functional area that supports the state's approach to quality control and allows authorized staff to enter sample selection criteria. 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. See Taxpayer. Deprivation Loss of parental support caused by death, incapacity, continued absence of one or both natural or adoptive parents, or because of unemployment or underemployment of both parents in a two-parent family. It is when a child lives with both legal parents and both parents are requesting and are eligible for coverage. The person's must have no vested interest in the household's situation. Texas Health & Human Services Commission. Third-Party Resource A source of payment of medical expenses other than the recipient or the Texas Health and Human Services Commission (HHSC). Initial Benefits Benefits issued for the first month of eligibility. Battered Alien A battered spouse, battered child or parent, or child of a battered person with a pending petition with the U.S.
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