Manage your case usingthe Your Texas Benefitsapp on your phone. The Veterans Crisis Line has a new number: Dial 988 then Press 1. 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. 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. 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. Answer some basic questions in our prescreening tool to find which benefits and support services you might be able to get. Quality Control The functional area that supports the state's approach to quality control and allows authorized staff to enter sample selection criteria. Employment Services Program (ESP) ESP consists of two programs. Supplemental Nutrition Assistance Program (SNAP) applicants and people in these counties are still subject to E&T work registration requirements with TWC, but are exempt from E&T participation and are not subject to SNAP federal time limits. The User Guide includes information about numerous TIERS topics. If you already get SNAP benefits, you will not be eligible for Disaster SNAP. Application Registration The functional area where a person's application for assistance is recorded. 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. In this system, patients go to their primary care physician to obtain other health services such as specialty medical care, surgery or physical therapy. Sentences are served in the community rather than in jail or prison. The qualified hospital may choose to make PE determinations for pregnant women, children under 19, parents and caretaker relatives of dependent children under 19, and former foster care children. The 5% down payment is subject to credit approval. notifying the applicant and the eligibility system when spend down is met. generate a manual issuance of benefits outside the normal eligibility process. Social Security information is also available for people who receive SSI or Medicaid. Reinstatement Process of providing Transitional Medical Assistance (TMA) to a household denied because of failure to return a complete Medicaid Report. Each reprint of an original has the same Correspondence ID as the original. Budgeting The method used to determine eligibility and benefits for Temporary Assistance for Needy Families (TANF), Medical Programs, and the Supplemental Nutrition Assistance Program (SNAP) by calculating income and deductions. Vested Retirement Account An account to which an employee makes contributions for a specified period of time as defined by the employer. 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. Restored Benefits Full or partial months of benefits for a past month that are owed to a household due to an agency error. Managed Care A health care delivery system with the aim of controlling costs. Incidentals include normal day-to-day transportation, phone, laundry, medical supplies not paid by Medicaid, home remedies, recreation and household equipment. 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; an automated eligibility determination; or. the prevention and treatment of substance abuse; Women, Infants, and Children (WIC) nutrition. 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. The .gov means its official. able to apply for Medicaid on the child's own behalf; or. Qualified Health Plan (QHP) A private insurance plan that is certified by the Marketplace, provides essential health benefits, follows established limits on cost-sharing (such as deductibles, copayments, and out-of-pocket maximum amounts), and meets certain other requirements. Supplemental Benefit Additional benefits for a current month given to a household during a month the Texas Health and Human Services Commission (HHSC) already issued initial or ongoing benefits. The payee must be within the required degree of relationship. The site is secure. *Important: Don't write your PIN on your Lone Star Card. This process occurs through a mass update and does not require action. In most instances, Children's Medicaid relates to comprehensive policy for Type Programs (TPs) 43, 44, 45 and 48, unless specifically stated otherwise in a handbook section. SeeCorrespondence,Print ModeandPrint Type. Application A form that a person or household uses to apply for assistance. These occupations include beauticians, waiters, valets and food delivery staff. You need to pass a few authentication questions. Three Months Prior The three-month period before the Medicaid application month. TWC is part of a local and state network dedicated to developing the workforce of Texas. Social Security Number A unique nine-digit number assigned to a person by the Social Security Administration (SSA). Adequate Notice A notice of adverse action that expires the same day it is sent. Batch Processing Actions postponed until a later time when they can be processed by the system more efficiently. 1-877-541-7905. Expenses of Fee-Basis Government Officials Federal income tax deductible employment-related expenses paid for or accrued by employees of a state or political subdivision who are compensated on a fee basis. Self-Service Portal (SSP) A web-based application, atYourTexasBenefits.com. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. The EDG is built and eligibility is established at the highest level. 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. The driver flow is determined by the programs, types of assistance, and answers to questions as the case is worked. Taxpayer A person or a married couple who expects: Temporary Assistance for Needy Families (TANF) Basic Cash assistance for families that include a dependent child and no more than one eligible adult. Examples of batch processing include schedule system-generated correspondence to be printed at and mailed from a central site, mail out review packets at scheduled intervals from the central mail facility, and gathering information and share it through interfaces with other agencies. A mastectomy bra can provide comfort, support, and security to an individual as they become accustomed to their new normal. Non-Traditional Retailer A food retailer who operates in a farmer's market or as a roadside vendor. Identical Application One or more exact copies of an application previously submitted by an applicant. Temporary Assistance for Needy Families (TANF) a disqualified legal parent, second parent, or a non-parent relative certified as caretaker. Applicants who meet eligibility requirements during any of the months in this period receive Medicaid benefits for the eligible month(s). Reshoring replaces offshoring. Choices County Service Levels Counties designated by the Texas Workforce Commission (TWC) as Choices counties. Helps families with children age 18 and younger pay for basic needs. 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. You must also be one of the following: Pregnant, or General Residential Operations Facility Residential care facilities that provide a live-in house parent model of care for children under their care. 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. Housing and Urban Development (HUD) U.S. Department of Housing and Urban Development. Special Immigrant Conditional Permanent Resident (SI CPRs) Qualified noncitizens granted special immigrant status. a correctional or holding facility for people who: have been arrested or detained pending disposition of charges; or. Cardholders Persons authorized to use the Lone Star Card to access benefits in the household's Electronic Benefit Transfer (EBT) account(s). For most people, their tax year is the calendar year. 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. Your application visibility account has been disabled because of inactivity. Convertible bonds are countable resources. 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. . 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. full service having a significant presence of Choices staff; or. 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). Combat Pay Supplemental incentive payments for hazardous duty and special pay for duty subject to hostile fire or imminent danger. 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. a supervised shelter that provides temporary living quarters; a place not intended for regular sleeping quarters; or. Reasonable Compatibility The method of verification used for Medical Programs. eligible for Medicaid because a responsible person who is not within the degree of relationship required for Temporary Assistance for Needy Families (TANF) applies on the child's behalf. Third Party Person or organization outside the certified household. 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. Authorized staff can correct months in this functional area. Questionable Management A household has questionable management when reported basic expenses exceed reported net income and resources. This guide will explain the different types of . 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. Note: Not all aliens must obtain a sponsor before being admitted into the U.S. Alimony Payments received from a spouse or former spouse under a divorce or separation decree. Emancipated Minor A person 17 and under who has been married. To continue working, click on Stay on page. The functional areas that are available to the user are determined by the user's job title and security role(s). Cafeteria Plan Flexible fringe benefit plans offered to employees by their employers. some eligible members receive TANF or RCA, and all other eligible members receive Supplemental Security Income (SSI), including SSI essential persons. The benefit is funded by taxes collected from businesses. processeligibility determinations for multiple programs based on data provided through direct input and interfaces with other systems; assistusers in monitoring and managing workload; and. 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. Alternative Benefit Plans. 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. Electronic Benefit Transfer (EBT) A system that uses electronic technology to complete some of a benefit program's functional requirements. 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. These issuances are available to the person the same day the Eligibility Determination Group (EDG) is disposed. It'savailable to applicants and Community Partners assisting applicants to: Also referred to as YourTexasBenefits.com. provides health coverage to eligible low-income adults, children, pregnant women, and people who are older or who have disabilities. Alerts A functional area on a navigation bar that allows eligibility staff to request alerts and view outstanding and processed alerts. See Permissible Purpose. RSDI Retirement, Survivors and Disability Insurance benefits (RSDI) paid by the Social Security Administration. 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. Reapplication Date Date the Texas Health and Human Services Commission (HHSC) receives a new application for redetermination or complete review of eligibility. They will become lawful permanent residents (LPRs) upon the removal of their conditions by the Department of Homeland Security (DHS). 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. A Supplemental Nutrition Assistance Program (SNAP) household whose members are all approved for TANF or SSI. This process occurs without staff action. A user can click the plus sign next to a functional area or sub-functional areas to display the pages available within that area. It is a medical condition (including emergency labor and delivery) manifesting itself by acute symptoms of sufficient severity (including severe pain) that the absence of immediate medical attention could reasonably have been expected to result in: Employable Household Member A person whose earnings are countable and who: Employer-Paid Taxes Taxes that are paid by the employer on behalf of the employee rather than deducting the tax amount from the employee's wages. They are also subject to disciplinary action from the Texas Health and Human Services Commission (HHSC). The final digit of your SNAP EDG (Eligibility Determination Group) number indicates the day on which you will receive benefits. Texas Health & Human Services Commission. Cost-Sharing Reductions Federal payments toward out-of-pocket costs made for an eligible person enrolled in a qualified health plan (QHP) through the Marketplace. 1-877-541-7905. Examples of public institutions include county and city jails and Texas Department of Corrections prisons. You need 4 numbers for your PIN. Batch and Online are the types of print modes. Electronic Benefit Transfer (EBT) System A system HHSC staff with security access use to issue and replace Lone Star Cards. Beneficiary The person named to receive benefits. 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). The last number in your TANF Eligibility Determination Group number tells what day you get your benefits. Tip Income Income earned along with wages paid by patrons to people employed in service-related occupations. 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. Electronic Benefit Transfer (EBT) Vendor A company that performs EBT-related services for the state of Texas. The money contributed to these accounts is not subject to federal income tax at the time of deposit. Electronic Benefit Transfer (EBT) Account A benefit account established by the EBT system where HHSC deposits the household's benefits. Accessibility Date The date that benefits are deposited into an Electronic Benefit Transfer (EBT) account. Texas Workforce Commission (TWC) The state governmental agency charged with overseeing and providing workforce development services to employers and job seekers of Texas. What is individual number for Texas benefits? Children's Health Insurance Program (CHIP) Medical coverage for children under 19 whose family income exceeds the limits for Children's Medicaid. The PAN is not related to the persons Texas Health and Human Services Commission (HHSC) case number. Click here to re-activate your account. Medicaid & CHIP in . These databases contain information for individuals who are currently on assistance and for individuals who have applied for or received assistance in the past. All rights reserved. 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. During this step, information from electronic data sources is automatically requested and a reasonable compatibility test is run. Immigrant An alien who abandons residence in a foreign country to live in the U.S. as a permanent resident, for example a lawful permanent resident (LPR). 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. 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). SeeBatch Scheduling. 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 Medical services to unborn children of pregnant women ineligible for Medicaid due to income or alien status. You can still manage your benefits online.Once we review your application you will be able to see your information on Your Texas Benefits. 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. Activity Fee An additional cost incurred by the household associated with a structured dependent care program. Also covers medicines ordered by doctors and dentists. All system-generated correspondence is scheduled for batch printing although it can be retrieved from Pending Correspondence and printed locally. 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. 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. The PIN must be entered on a keypad before any electronic transaction can be processed. Fair Market Value Amount of money an item would bring if sold in the current local market. The network is comprised of the statewide efforts of TWC along with planning and service provision by 28 local workforce boards on a regional level. All system-generated correspondence is sent to pending correspondence, but it can be retrieved and printed locally. 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. Waiver Counties Texas counties with an unemployment rate over 10 percent. placing the patient's health in serious jeopardy; seriously impairing the patient's bodily functions; or. 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. Wrap Up The Texas Integrated Eligibility Redesign System (TIERS) program page in Data Collection where Eligibility Determination Groups (EDGs) are built and the Eligibility Determination Benefit Calculation (EDBC) is run to determine the highest level of eligibility or ineligibility. The Food and Nutrition Act of 2008 limits eligibility for SNAP benefits to U.S. citizens and certain lawfully present non-citizens. 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. 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. Alternative Benefit Plan Eligibility; . 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. EDGs denied because of new or increased earnings will receive a maximum of 12 months of coverage. Before you set up an account, we need to ask you some questions. 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. 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. This includes falsifying a document or a statement, or providing false information in an interview, with the intent to commit fraud. Business Day Monday through Friday from 8 a.m. to 5 p.m. local time. 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. Be receiving disability-related assistance or benefits. Residents of a publicly operated community residence are potentially eligible for Temporary Assistance for Needy Families (TANF) and Medicaid. Seedefinitions of Eligibility Determination Benefit Calculation(EDBC), rebuild EDG,run EDBCandWrap Up. Voluntary Quit Leaving a job without good cause. This procedure can be used when policy has changed and TIERS has not yet been updated to process the policy change correctly. there are other alternatives and options for the applicant instead of TANF benefits; an applicant should consider jobs and other resources (such as child support) before pursuing TANF; if an applicant chooses to apply for assistance, the person is requesting help finding a job; and. These households may bypass the income and resources tests and are deemed financially eligible. 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. 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 data broker vendor collects and combines information from many data sources. 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. Call 800-777-7328 to activate your card. Modified Adjusted Gross Income (MAGI) Household Income The sum of every person's MAGI individual income within an applicants or recipients MAGI household composition, from which is subtracted the standard MAGI disregard.