Explore health plans for you and your family, including short-term gap coverage and more. Types of alternate payees include a court appointed guardian, EBT representative, Financial Management Information System (FMIS) payee, long-term care (LTC) payee, protective payee and representative payee. full service having a significant presence of Choices staff; or. These plans are offered through the Health Insurance Marketplace, or the Exchange, where individuals can research, compare, and purchase health plans. Reasonable Compatibility The method of verification used for Medical Programs. Standard Medical Expense A $137 deduction applied to a Supplemental Nutrition Assistance Program (SNAP) budget. 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. Secure Facility Secure boot camp settings. Eligibility The functional area that supports Eligibility Determination Benefit Calculation (EDBC). 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. Account Transfer The way an applicants information moves between the Marketplace and the Texas Health and Human Services Commission (HHSC) when a person applies for health insurance or medical programs. Self-Service Portal (SSP) A web-based application, atYourTexasBenefits.com. Conception occurs, but no fetus ever develops. Intentionally purchasing products originally purchased with SNAP benefits in exchange for cash or consideration other than eligible food. The notices and forms processed in this functional area are also called correspondence and linked to a specific case. Your case visibility account has been disabled because of inactivity. If you don't know what type of Medicaid you have, call toll-free 800-964-2777. 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. Electronic Benefit Transfer (EBT) System A system HHSC staff with security access use to issue and replace Lone Star Cards. Users cannot delete system-generated correspondence. 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. Effective Month The first month benefits can be affected based on the monthly cutoff date or applicable policy for advance and adequate notice of adverse action. Parents and Caretaker Relatives Emergency (TA 31), Medically Needy with Spend Down Emergency (TP 32). Vested Retirement Account An account to which an employee makes contributions for a specified period of time as defined by the employer. Independent Child A child who does not live with a parent and who is: Independent Living Payments Payments from Title IV-E funds that are distributed by Child Protective Services to certain people when they leave foster care. Grant in Jeopardy The Office of the Attorney General's (OAG's) designation for a case that is potentially ineligible for the Temporary Assistance for Needy Families (TANF) grant because the OAG received a child support collection on the current monthly obligation and it equals or exceeds the TANF grant plus the disregard. Also covers medicines ordered by doctors and dentists. It provides monthly income to aged people and persons who are blind or have a disability. Veterans can still call 800-273-8255 and Press 1 to reach the Crisis Line as well. SeeEDBC. 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. Helps families with children age 18 and younger pay for basic needs. Emergency Medicaid All types of emergency Medicaid coverage programs for people who are nonimmigrants, undocumented aliens or certain legal permanent resident aliens who have emergency medical conditions and who, except for alien status, would be Medicaid-eligible. To login again, click on either "Forgot user name" or "Forgot password" in the login box. To be eligible for Texas Medicaid, you must be a resident of the state of Texas, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income. Complete Action A data collection interview mode that sets up the driver flow for a complete review of all eligibility requirements in an ongoing case. 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. Fair Market Value Amount of money an item would bring if sold in the current local market. The same benefit is now called One-Time TANF for Relatives, with payment records stored in TIERS. Tip Income Income earned along with wages paid by patrons to people employed in service-related occupations. Not all Texas Health and Human Services Commission (HHSC) programs and types of assistance have certification periods. The Marketplace is also known as the Exchange, Health Insurance Marketplace, and Federally Facilitated Marketplace (FFM). A user can click the plus sign next to a functional area or sub-functional areas to display the pages available within that area. Agriculturally Related Activities Employment: Aid A benefit, coverage or service in programs that HHSC administers. You do not need to be enrolled in VA benefits or health care to connect. Traditional Medicaid 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. produces reports that meet Texas Health and Human Services Commission (HHSC), state and federal reporting requirements. 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. 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. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. Indigent Alien A sponsored alien whose total income in the month of application does not exceed 130 percent of the federal poverty level for the alien's household size. Bona Fide Agent A person who is familiar with an applicant and knowledgeable of the person's financial affairs. Streamlined Reporting (SR) Households where all adults are exempt from the 18-50 work requirements due to: Note: These households receive a six-month certification period. Case All the persons living together, and alien sponsors, who are related by Eligibility Determination Group (EDG) affiliation. 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. Undocumented Alien An alien living in the U.S. without the knowledge and permission of the U.S. or registered nurse (R.N.). Individual Retirement Account (IRA) Deduction A federal income tax deduction for people who contributed to a traditional IRA. 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. The amount the employer pays is counted as part of the person's gross income. Lump-Sum Payment A financial settlement that often involves funds accumulated over an extended period and that is paid in a single payment. Individual Number A unique nine-digit number that identifies any person known to the Texas Integrated Eligibility Redesign System (TIERS). Data Broker An online portal used to obtain financial and other background information about applicants and recipients. 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. SOLQ enables state social services to rapidly get information they need to qualify people for programs. See User-Generated. All system-generated correspondence is scheduled for batch printing although it can be retrieved from Pending Correspondence and printed locally. This process occurs without staff or specialist action. Temporary Assistance for Needy Families (TANF) Certified Child A child who is included in a TANF grant. 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. Helps people with daily living needs, caregivers, and people with mental health, drug or alcohol issues. For most people, their tax year is the calendar year. System-Generated Created by a computer system programmed with given parameters. Domicile A home maintained or being established, as shown by continuation of responsibility for day-to-day care of the child, by the relative who the child lives. Deferred Adjudication A type of probation where the decision for a conviction is postponed until the end of the probationary period. 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. Electronic Benefit Transfer (EBT) Account A benefit account established by the EBT system where HHSC deposits the household's benefits. You are exiting this workflow before finishing. The program reimburses the policy holder for private health insurance payroll deductions for Medicaid-eligible persons when HHSC determines that it is cost-effective. You can check the status of your application or you can start a new one. CHIP Perinatal Medical services to unborn children of pregnant women ineligible for Medicaid due to income or alien status. 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 PAN is not related to the persons Texas Health and Human Services Commission (HHSC) case number. The individual number for Texas benefits can vary depending on the benefits you are receiving. Institution of Higher Education Any public or private college, community college, junior college, technical institute, or university that usually requires a high school diploma or equivalent certificate such as a general equivalency diploma (GED), to enter. 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. 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. Alternate Payee A person who receives the benefits for the EDG when people on the EDG are unable or ineligible to receive them. These facilities have limited power of attorney to obtain health care and educational services for the children under their care. Helps pregnant, breastfeeding women and families with children younger than 5 buy healthy foods. Need help buying food because of recent disasters in your area? Each functional area contains pages that allow authorized staff to perform activities related to the business process. Dispose To authorize an Eligibility Determination Group (EDG) so eligibility is established or denied. Qualified expenses include purchased books, supplies, equipment and other classroom materials. The code is used to request permission to use the Lone Star Card in a transaction. High School Diploma Certification issued by a state-accredited school to a student who successfully completes the curriculum requirements for secondary school as approved by the State Board of Education. Electronic Benefit Transfer (EBT) Issuance Staff An HHSC employee who issues and registers EBT cards for people in the local HHSC office. 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. Summary Page A page that lists a summary of all records available for that Texas Integrated Eligibility Redesign System (TIERS) page. the value of in-kind assistance provided by the sponsor or others. You need to pass a few authentication questions. 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. This person has access to the EBT account for the Eligibility Determination Group (EDG). a Medical Program Modified Adjusted Gross Income (MAGI) household member. Left Navigation The list of functional areas that appears on the left side of the Texas Integrated Eligibility Redesign System (TIERS) page. Before you set up an account, we need to ask you some questions. 401(k) A retirement plan allowing an employee to postpone receiving a portion of current income until retirement. The parent oversees the curriculum and ensures that the children are actually being educated. Ongoing Benefits Benefits issued for months after the initial benefit month. In 2003, USCIS officially assumed responsibility for the immigration service functions of the federal government. SeeInterview ModeandCase Mode. This gives a source of citizenship or alien status verification for certain Medical Programs. You tried to login 3 times in a row with either the wrong user name or password. Functional Area Functions and processes that appear in the Texas Integrated Eligibility Redesign System (TIERS) Left Navigation area and represent a particular business process. After certification, the Office of Attorney General (OAG) sends the person the first $75 received on monthly child support collections. The 5% down payment is subject to credit approval. These benefits are accessed by: card and personal identification numbers (PINs); or, Attempting to buy, sell, steal, or otherwise effect an exchange of SNAP benefits and using them for cash or something other than eligible food, either directly, indirectly, in complicity or collusion with others, or acting alone. For the eligibility groups reflected in the table, an individual's income, computed using the Modified Adjusted Gross Income (MAGI)-based income rules described in 42 CFR 435.603, is compared to the income . The discovery date is compared with the report date to determine whether a change is reported timely. 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). Some people qualify for both Medicare and Medicaid. 24/7, confidential support is always available. The Homeland Security Act of 2002 dismantled the former Immigration and Naturalization Service (INS) and separated the former agency into three components within the Department of Homeland Security. Print Type Classification of historical correspondence as the original record or a reprint of the original. A molar pregnancy is considered a normal pregnancy that terminates early because of miscarriage or abortion. to claim a personal exemption deduction on the taxpayers federal income tax return for one or more applicants. The person has 10 days to report the change; staff have 10 days to act on the change. 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. Eligibility Determination Benefit Calculation (EDBC) The process of applying program policy to household, non-financial, resource, income and deduction information entered in the Data Collection functional area. Cardholders Persons authorized to use the Lone Star Card to access benefits in the household's Electronic Benefit Transfer (EBT) account(s). It is used to apply cascade logic by reforming EDGs until establishing eligibility. Medicaid Card An identification card issued to people determined eligible for Medicaid that verifies Medicaid coverage. Clicking the Add, Update or Submit button saves information on specific pages. Initial Benefits Benefits issued for the first month of eligibility. A person may buy the contract alone or with the help of an employer. Married Minor An person, age 14-17, who is married. 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. 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. 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. HHSC expunges these benefits at the end of each state fiscal year (Aug. 31). Opportunity to Participate Providing a certified applicant with benefits, a Lone Star Card, personal identification number (PIN), and Electronic Benefit Transfer (EBT) training material. 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. Applicants who meet eligibility requirements during any of the months in this period receive Medicaid benefits for the eligible month(s). You'll get an email or text when there'sa form or notice available online in yourMessage Center. Primary Cardholder (PCH) The person designated to receive and be responsible for the household's Lone Star Card. 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. You can find your EDG number on the TF0001 form we sent you saying that you can get SNAP benefits. These are benefits issued and accessed by EBT cards, card numbers and PINs, or by manual voucher and signature. 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. 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. 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. Apply online and make a Your Texas Benefitsaccount so you can start, save and go backto your online application at any time. Molar Pregnancy Also known as hydatidiform mole, a molar pregnancy is considered a degenerating pregnancy. The house parent assumes responsibility and acts in lieu of the parent in meeting the childrens ongoing needs. EDGs denied because of new or increased spousal support income will receive a maximum of four months of coverage. Click here to re-activate your account. Children's Medicaid Medical coverage for children whose family income is under the applicable income limit. Call 800-777-7328 to activate your card. Driver Flow The logical sequence of data collection pages that appear as a case is completed or read. Expenses of Reservists Federal income tax deductible expenses for National Guard and military reserve members who traveled more than 100 miles from home for service. 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 Food and Nutrition Act of 2008 limits eligibility for SNAP benefits to U.S. citizens and certain lawfully present non-citizens. Discovery Date The date a person learns of a change. Second Chance Home An adult-supervised living arrangement that provides independent living services to teen mothers and their children. . Medicaid & CHIP in . If File Clearance is not processed in Application Registration, the system will perform it in Data Collection. IDAs are generally matched dollar-for-dollar with funds from private citizens, corporations, banks, communities, or charitable organizations. See Alternate Payee. You need 4 numbers for your PIN. Recognizable Needs The maximum needs amount allowed by the Texas Health and Human Services Commission (HHSC) when determining eligibility. Child Support A payment made from a biological or adoptive parent to a biological or adoptive child. Helps cover visits to doctors, dentists, and hospitals. Reimbursement Repayment for a specific item or service. Normal Living Expense Items necessary for a Supplemental Nutrition Assistance Program (SNAP) household to carry on its normal daily activities. These people must have parental consent or court permission. Standard of Need Basic needs of Temporary Assistance for Needy Families (TANF) families represented by a figure predetermined by the state of Texas per the number of certified people in the group. 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. The Veterans Land Board (VLB) Land Loan Program provides financing on tracts for eligible veterans up to $150,000 with a minimum 5% down payment and a fixed-rate 30-year loan term. Suspended Benefits The Eligibility Determination Group (EDG) is flagged to prevent the ongoing issuance of benefits until eligibility staff review the EDG. It is also referred to as spousal support paid. 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. If you can't find it, call us at 800-777-7328. Also formally known as (adult) probation. the prevention and treatment of substance abuse; Women, Infants, and Children (WIC) nutrition. Trade Adjustment Assistance Act Program (TAAP) A program for workers displaced by foreign workers. These databases contain information for individuals who are currently on assistance and for individuals who have applied for or received assistance in the past. Interview Mode A designation in TIERS Data Collection that queues the driver flow through appropriate pages according to the type of action. Managed care includes the health maintenance organization (HMO) model. 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. 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. Electronic Benefit Transfer (EBT) Card A plastic card called the Lone Star Card issued to primary and secondary cardholders that allows the cardholders access to the benefits in the EBT system. 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. 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. Child A child is an adoptive, step, or natural child who is under 19. Available at reasonable cost is usually defined as being available through the employer. SeeBatch Scheduling. Deportation (or Removal) Withheld Deportation is being withheld under Section 243(h) of the INA, or removal is withheld under Section 241(b)(3) of the INA. Trust Property held by one person for the benefit of another. Third Party Person or organization outside the certified household. SeeCascade Logic,Rebuild EDG, andRun EDBC. Copayment Payment made directly to a provider according to a fee schedule. Cafeteria Plan Flexible fringe benefit plans offered to employees by their employers. reinstating Transitional Medicaid Assistance (TMA); and. The participation status indicates whether the person is considered an adult or a child according to policy. Emancipated Minor A person 17 and under who has been married. hold out to the public that they are a married couple. Or send an e-mail to: mail@dhs.state.tx.us. Quality Control The functional area that supports the state's approach to quality control and allows authorized staff to enter sample selection criteria. For your convenience, the Help Center will open in a new window. 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.
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