When an individual is added, File Clearance can be processed in Application Registration. Mastectomy surgery is a significant life event for many people. During this step, information from electronic data sources is automatically requested, reasonable compatibility is run when income verification is required and correspondence is sent to the recipient. Availability Period For TANF, the availability period is two fiscal years after the benefit was issued. Print Mode Indicates where historical correspondence was printed. Negative Management A household has negative management when its reported basic expenses exceed reported net income and resources plus support the HHSC excludes, such as vendor payments. Sufficient Employment Job earnings, other than seasonal work such as migrant or seasonal farm work, that would result in Temporary Assistance for Needy Families (TANF) ineligibility without including the 90 percent earned income disregard . It'savailable to applicants and Community Partners assisting applicants to: Also referred to as YourTexasBenefits.com. Call us at 1-800-777-7328 if you can't locate it. 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. Practitioner A person who holds a license to practice medicine, including a physician (M.D. The intention is to get cash by purposely discarding the product and returning the container for the deposit amount. 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. 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. Annulment A court order declaring a marriage invalid. Appeals are logged and updated in the Hearing functional area on the navigation bar. SeeCascade Logic,Rebuild EDG, andRun EDBC. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. 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. Life Estate Income a person receives from ownership of property that they only possess for the duration of their life, such as rental income. This is also called a timely recertification or redetermination. lives with another person and they represent themselves to the community as married. This includes management and medical, at a specified time other than at application or complete action. Temporary Assistance for Needy Families (TANF) An adult whose needs are included in a TANF grant because the adult is within the required degree of relationship and is financially eligible according to TANF policy. 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. First Cousin Once Removed A person who is either one's first cousin's child or the parent's first cousin. Children's Health Insurance Program (CHIP) Medical coverage for children under 19 whose family income exceeds the limits for Children's Medicaid. Medicaid Report (Form H1146) A form completed by a transitional Medicaid household in the fourth, seventh and tenth months of medical coverage to report earnings and household composition changes. Penalty on Early WithdrawalA federal income tax deduction for people who withdrew money from a time-deposit savings account before the certificate maturing and who were charged a penalty for early withdrawal. Secure Facility Secure boot camp settings. Lone Star Card SeeElectronic Benefit Transfer (EBT) Card. Texas's EBT customer service number is 1-800-777-7328. 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. ), advanced nurse practitioner (A.N.P.) Also benefits issued for the first month of eligibility after a break in eligibility of at least one month. 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. Health Savings Account A savings account for medical-related expenses that is available to taxpayers. This process occurs through a mass update and does not require action. It is when a child lives with both legal parents and both parents are requesting and are eligible for coverage. 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. Cafeteria Plan Flexible fringe benefit plans offered to employees by their employers. 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. 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. TWC is part of a local and state network dedicated to developing the workforce of Texas. Agriculturally Related Activities Employment: Aid A benefit, coverage or service in programs that HHSC administers. SeeInterview ModeandCase Mode. Redetermination A complete action to determine eligibility for a new certification period in a program. The same benefit is now called One-Time TANF for Relatives, with payment records stored in TIERS. Medicaid In Texas, there are 5 different types of Medicaid: STAR STAR+PLUS STAR Kids STAR Health Traditional Medicaid The type of Medicaid coverage you get depends on where you live and what kind of health issues you have. File Clearance compares the individual's demographic information against databases for potential matches. 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. Alerts A functional area on a navigation bar that allows eligibility staff to request alerts and view outstanding and processed alerts. Essential Person The need for a particular member of a household to be in the home on a continuous basis because another member has a (certified) mental or physical impairment. processeligibility determinations for multiple programs based on data provided through direct input and interfaces with other systems; assistusers in monitoring and managing workload; and. System-Generated Created by a computer system programmed with given parameters. Type of Assistance (TOA) The specific aid for one or more people in an Eligibility Determination Group (EDG). 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. Seecase modeandinterview mode. That means bringing some manufacturing back home, or "reshoring" and moving some of it . Time Limit The functional area where Temporary Assistance for Needy Families (TANF) state and federal time-limited months can be viewed. Housing and Urban Development (HUD) U.S. Department of Housing and Urban Development. HHSC expunges these benefits at the end of each state fiscal year (Aug. 31). Call us at 1-800-772-1213 to make an appointment to file your application. 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. You must also be one of the following: Pregnant, or Batch is correspondence managed by batch processing and printed at a central mail facility. You will need to login again. SeeBatch Processing. The primary cardholder is usually the Eligibility Determination Group (EDG) name, but the EDG may have an alternate payee who is the primary cardholder. 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. See User-Generated. Ongoing Benefits Benefits issued for months after the initial benefit month. Customs and Border Protection is responsible for border security functions. Licensed Practitioner A person who has met certain educational requirements and passed an examination to be licensed in the state of Texas and regulated by a state board. 401(k) A retirement plan allowing an employee to postpone receiving a portion of current income until retirement. Reactivation Date The effective date to reinstate benefits for an Eligibility Determination Group (EDG). formal court-ordered or legally mandated; or. Retroactive Benefits Initial benefits issued for a month before the application is certified. If you don't know what type of Medicaid you have, call toll-free 800-964-2777. If the total collection is less than $75, then the amount of the collection is sent to the person . The exchange of firearms, ammunition, explosives, or controlled substances, defined in Section 802 of Title 21, United States Code, for SNAP benefits. To login again, click on either "Forgot user name" or "Forgot password" in the login box. 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.". Also covers medicines ordered by doctors and dentists. 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. Able Bodied Adult Without Dependents (ABAWD) A person, 18 through 50 who: The ABAWD age criteria begins the month after the person turns 18 and ends the month the person turns 50. A boarder can receive Supplemental Nutrition Assistance Program (SNAP) benefits only with the household where they board. Former Medicaid recipients may request a certificate within 24 months after their Medicaid is denied by calling 800-723-4789. Authorization Code A code that identifies a retailer as a Food and Nutrition Service (FNS)-participating store. Reimbursement Repayment for a specific item or service. Blue Shield of Texas at 1-800-521-2227 or www.bcbstx.com or contact the Texas Department of Insurance, Consumer Protection at 1-800-252-3439 or www.tdi.texas.gov. This information is compared to the application and details from the interview to identify case discrepancies and reduce the possibility of case error and fraud. The user reaches the end of the driver flow at the Case Assignment page and must use the Left Navigation to return to specific pages in Data Collection. An example of a publicly operated community residence that is not a public institution is a county homeless shelter with a capacity of up to 16 people. We recommend creating an account so you can: Get alerts about updates to your application. Employment Services Program (ESP) ESP consists of two programs. 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. Rebuild EDG (Eligibility Determination Group)A button in the Wrap Up management group. 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. Quality Control The functional area that supports the state's approach to quality control and allows authorized staff to enter sample selection criteria. 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. 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. is the guardian of a victim of a violent crime. Temporary Assistance for Needy Families (TANF) a disqualified legal parent, second parent, or a non-parent relative certified as caretaker. Restored Benefits Full or partial months of benefits for a past month that are owed to a household due to an agency error. A household may designate a secondary cardholder who has a Lone Star Card and access to the household's Electronic Benefit Transfer (EBT) account. These people must have parental consent or court permission. This coverage is providedtemporarily while the Texas Health and Human Services Commission (HHSC) determines eligibility for regular Medicaid. 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. A person may buy the contract alone or with the help of an employer. 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. Fugitive An individual fleeing to avoid prosecution of or confinement for a felony criminal conviction or found by a court to be violating federal or state probation or parole. It provides monthly income to aged people and persons who are blind or have a disability. Reshoring replaces offshoring. Citizenship and Immigration Services (USCIS) The government agency that oversees lawful immigration to the U.S. intended to inflict emotional harm, including an act of emotional abuse. 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. Examples include loan foreclosures and canceled credit card debt. Unemployment benefits range from $69 per week to $521 per week. The Food and Nutrition Act of 2008 limits eligibility for SNAP benefits to U.S. citizens and certain lawfully present non-citizens. Business Day Monday through Friday from 8 a.m. to 5 p.m. local time. Interfaces The functional area that exchanges information with other systems and agencies. Need help buying food because of recent disasters in your area? (FPL). It is also referred to as spousal support. all eligible members receive Temporary Assistance for Needy Families (TANF) or Refugee Cash Assistance (RCA); or. My career spans a number of years, industries, and roles in education, computer operations, process improvement, organization development, coaching, marketing, customer service, and corporate . are held under court order as material witnesses or juveniles. To start a new session, you must close the browser window. Business day excludes Saturday, Sunday, and holidays designated by a federal or state agency. If you are deaf or hard of hearing, you can call us at TTY 1-800-325-0778. 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. the value of in-kind assistance provided by the sponsor or others. State Data Exchange (SDX) Computer tape from the Social Security Administration (SSA). placing the patient's health in serious jeopardy; seriously impairing the patient's bodily functions; or. The PAN is not related to the persons Texas Health and Human Services Commission (HHSC) case number. Summary Page A page that lists a summary of all records available for that Texas Integrated Eligibility Redesign System (TIERS) page. 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. Each original correspondence is given a unique Correspondence ID (identifying number). Marriage A legally or formally recognized union between two people. Not all Texas Health and Human Services Commission (HHSC) programs and types of assistance have certification periods. The benefit is funded by taxes collected from businesses. This includes falsifying a document or a statement, or providing false information in an interview, with the intent to commit fraud. Good Cause A term used to indicate that a person has an acceptable reason for not complying with a program requirement. 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. Contact the Texas Department of Insurance's Consumer Health 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. Get help over the phone,from an HHSC benefit officeor community partner. Before you set up an account, we need to ask you some questions. Continuous Eligibility A period where a person remains eligible during a continuous eligibility period regardless of any change in circumstances, except for: Convertible Bond A bond that can be converted to cash according to program policy. 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. ITINs let people without SSNs pay taxes. 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. Unearned Income Payments received without performing work-related activities, including benefits from other programs. Advance Notice A notice of adverse action that expires 13 days after it is sent. Before sharing sensitive information, make sure youre on an official government site. full service having a significant presence of Choices staff; or. A Supplemental Nutrition Assistance Program (SNAP) household whose members are all approved for TANF or SSI. Modified Adjusted Gross Income (MAGI) The rules used to determine financial eligibility for certain Medical Programs that are based on Internal Revenue Service (IRS) tax rules. The number is used to record covered wages, track Social Security benefits and for other identification purposes. Lawful Permanent Resident (LPR) A person lawfully admitted for legal permanent residence in the U.S. The Marketplace is also known as the Exchange, Health Insurance Marketplace, and Federally Facilitated Marketplace (FFM). Overpayment The amount of benefits issued in excess of what should have been issued. Apply online and make a Your Texas Benefitsaccount so you can start, save and go backto your online application at any time. In some interview modes, staff cannot advance to pages that have not yet been accessed as part of the driver flow. Point-of-Sale (POS) Transaction An electronic transaction using an Electronic Benefit Transfer (EBT) card to make a purchase, a cash withdrawal, or inquiry. Payments: Indian Tribal Household A household in which at least one household member is recognized as a tribal member by any Indian tribe. Accessibility Date The date that benefits are deposited into an Electronic Benefit Transfer (EBT) account. 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. Primary Cardholder (PCH) The person designated to receive and be responsible for the household's Lone Star Card. Your case number is a 10-digit number that HHSC uses to bundle and process benefits you receive through their agency. 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. Trafficking Supplemental Nutrition Assistance Program (SNAP) . 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. 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. For your convenience, the Help Center will open in a new window. SeeCase Mode. Meal delivery services A non-profit establishment approved by Food and Nutrition Services (FNS) that prepares and delivers meals to elderly people or people who are housebound, have a physical handicap, or otherwise have a disability that prevents the person from adequately preparing all their meals. 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 automated process uses existing applicant information, electronic data source information and reasonable compatibility when income verification is required.
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