Expedited Service Special, faster processing of SNAP applicants who qualify for an emergency food allotment, for active duty military members and their dependents applying for medical coverage and for pregnant women applicants who qualify for current or ongoing medical coverage. Correspondence The functional area in which system and user-generated notices and forms are processed and stored. Beneficiary The person named to receive benefits. 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. Interfaces The functional area that exchanges information with other systems and agencies. 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. Failure to report a required Texas Health and Human Services Commission (HHSC) program change in conjunction with one or more of these acts may be considered a basis to commit fraud. Examples include certified nurse-midwives, clinical nurse specialists, and pediatric nurse practitioners. ITIN holders pay taxes. 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). HHSC expunges these benefits at the end of each state fiscal year (Aug. 31). 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. Individually Identifiable Health Information Information that either identifies or could be used to identify a person that relates to the: Ineligible Alien A non-citizen whose alien status makes them ineligible for program benefits. Annuity A series of payments paid under a contract and made at regular intervals over more than one full year. Vested Retirement Account An account to which an employee makes contributions for a specified period of time as defined by the employer. Your session has ended. Call us at 1-800-772-1213 to make an appointment to file your application. Reactivation Date The effective date to reinstate benefits for an Eligibility Determination Group (EDG). reaching the maximum age for that specific program; state error in the eligibility determination; or, fraud, abuse, or perjury attributed to the people or persons representative, was the spouse, parent, sibling or adult child of a victim who died as a result of a violent crime; or. First Cousin Once Removed A person who is either one's first cousin's child or the parent's first cousin. 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. File Clearance compares the individual's demographic information against databases for potential matches. SeeBatch Scheduling. For example, a notice is system-generated when an Eligibility Determination Group (EDG) is disposed. Before sharing sensitive information, make sure youre on an official government site. It is also referred to as spousal support paid. 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. Non-Continuous Eligibility A period of time when changes in circumstances may affect a persons eligibility. Certification Period The period of eligibility established at disposition. Nonconvertible Bond A bond that cannot be converted to cash per program policy. past, present or future payment for the provision of health care to the person.
Eligibility & Benefit Amounts - Texas Workforce Commission 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. This is also called a timely recertification or redetermination. The final digit of your SNAP EDG (Eligibility Determination Group) number indicates the day on which you will receive benefits. This figure represents food, clothing, housing, utilities and incidentals. placing the patient's health in serious jeopardy; seriously impairing the patient's bodily functions; or. Second Parent This is the parent who is not the caretaker. Standard Medical Expense A $137 deduction applied to a Supplemental Nutrition Assistance Program (SNAP) budget. The user name or password is incorrect. To start a new session, you must close the browser window. 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. Medicaid & CHIP in . Bona Fide Agent A person who is familiar with an applicant and knowledgeable of the person's financial affairs. Continuing Scheme A situation in which a recipient commits two or more acts. The persons may or may not be included in EDGs as certified members. A Supplemental Nutrition Assistance Program (SNAP) household whose members are all approved for TANF or SSI. 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. IDAs are generally matched dollar-for-dollar with funds from private citizens, corporations, banks, communities, or charitable organizations. Standard Utility Allowance (SUA) A standard deduction for the cost of utilities. The intention is to get cash by purposely discarding the product and returning the container for the deposit amount. The EDG includes members who are eligible and may include members who are not certified for benefits. 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. See, is a member of a Supplemental Nutrition Assistance Program [SNAP] Eligibility Determination Group [EDG] where a household member is under 18; or. The official document indicates to and for whom the support is paid, the frequency and the amount of payment. A user can click the plus sign next to a functional area or sub-functional areas to display the pages available within that area. Preschool Children Children who are under six. 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. Not all Texas Health and Human Services Commission (HHSC) programs and types of assistance have certification periods. Workforce Innovation and Opportunity Act A federal program to streamline state workforce development systems combining job training, adult education and literacy, and vocational rehabilitation. 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. Housing and Urban Development (HUD) U.S. Department of Housing and Urban Development. The person has 10 days to report the change; staff have 10 days to act on the change. Lock-in A status created by the Texas Health and Human Services Commission (HHSC) for certain people to help contain Medicaid costs, which allows additional review of high Medicaid users. SeeCase. 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). Electronic Benefit Transfer (EBT) System A system HHSC staff with security access use to issue and replace Lone Star Cards. Seedispose.
How do I find my client ID number for food stamps? Texas Health Steps A health care program of prevention, diagnosis, and treatment for Medicaid people. Managed care includes the health maintenance organization (HMO) model. Sentences are served in the community rather than in jail or prison. TSAP provides a 36-month certification period. Adverse Action Any HHSC action resulting in denial, suspension, reduction or termination of assistance. 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. 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. The code is used to request permission to use the Lone Star Card in a transaction. 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. Undocumented Alien An alien living in the U.S. without the knowledge and permission of the U.S. 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. Get an online quote today. Non-Employment and Training (E&T) Counties Those Texas counties where the Texas Workforce Commission (TWC) determines it does not have enough offices to assist people who are mandatory work registrants. Click here to re-activate your account. These facilities have limited power of attorney to obtain health care and educational services for the children under their care. Overpayment The amount of benefits issued in excess of what should have been issued. Sanction Either a disqualification or a penalty applied to a case or program because a person failed to follow a program requirement. Escrow An escrow account is an account a mortgage company sets up for the homeowner as part of their monthly mortgage payment. They are still required to be registered for work with the Texas Workforce Commission (TWC) and are mandatory participants if they do not meet work registration exemption requirements. 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. ITINs let people without SSNs pay taxes. Untimely SNAP application filed after the 15th of the last certification month.
Questions About Your Benefits | Texas Health and Human Services Expunged Benefits Benefits that are removed from an EBT account by the issuer of the benefits. Falsified DocumentForm H1010, Texas Works Application for Assistance Your Texas Benefits;Form H1019, Report of Change; or another signed and dated document that does not report all current income or circumstances. Cafeteria Plan Flexible fringe benefit plans offered to employees by their employers. The notices and forms processed in this functional area are also called correspondence and linked to a specific case. 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. Purchasing a product with SNAP benefits with a container requiring a return deposit. Vested Interest A situation or circumstance to which a person has a strong personal commitment. Also, the act of trafficking in SNAP benefits. Molar Pregnancy Also known as hydatidiform mole, a molar pregnancy is considered a degenerating pregnancy. Helps families with children age 18 and younger pay for basic needs. The functional areas that are available to the user are determined by the user's job title and security role(s). The LUW is represented by a set of tabs at the top of a TIERS page.
Milista Anderson - LinkedIn This person has access to the EBT account for the Eligibility Determination Group (EDG). 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). Alerts A functional area on a navigation bar that allows eligibility staff to request alerts and view outstanding and processed alerts. 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. 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. temporary quarters in another person's residence for 90 days or less. 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. Temporary Assistance for Needy Families (TANF) proration is based on the number of days between the begin date of eligibility and the end of the first month of eligibility. Data Broker An online portal used to obtain financial and other background information about applicants and recipients. Assignable Time periods that are available to be used to schedule appointments using the Scheduling functional area. 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. 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. Carryover Standby List Applicants from a previous day's standby list who have not been interviewed. Third-Party Resource A source of payment of medical expenses other than the recipient or the Texas Health and Human Services Commission (HHSC). Applicants who meet eligibility requirements during any of the months in this period receive Medicaid benefits for the eligible month(s). Absent Parent A child's parent who is not living in the home. Eligibility The functional area that supports Eligibility Determination Benefit Calculation (EDBC). The .gov means its official. Deferred Adjudication A type of probation where the decision for a conviction is postponed until the end of the probationary period. 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. A person may buy the contract alone or with the help of an employer. State and federal government websites often end in .gov. 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. It'savailable to applicants and Community Partners assisting applicants to: Also referred to as YourTexasBenefits.com.
Individual Exchange Plan Information for Providers | UHCprovider.com Here, you can access a variety of resources to help you work with us as you care for . Type of Assistance (TOA) The specific aid for one or more people in an Eligibility Determination Group (EDG). generate a manual issuance of benefits outside the normal eligibility process. Second Chance Home An adult-supervised living arrangement that provides independent living services to teen mothers and their children. The parent oversees the curriculum and ensures that the children are actually being educated. SeeEDBCand Run EDBC. 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. 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). Colonias Unincorporated and unregulated settlements (neighborhoods) along the U.S. and Mexico border. Medicaid A state and federal cooperative program authorized under Title XIX of the Social Security Act (United States Code [U.S.C. Citizenship and Immigration Services [USCIS] Form I-864 or I-864-A) on or after Dec. 19, 1997, agreeing to support an alien as a condition of the alien's entry into the U.S. Life Estate Income a person receives from ownership of property that they only possess for the duration of their life, such as rental income. Grandparent Payment System (GPS) An electronic, web-based data system used to inquire about the issuance of archived TANF one-time Grandparent Payments. 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. Time Limit The functional area where Temporary Assistance for Needy Families (TANF) state and federal time-limited months can be viewed. 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. Individual Retirement Account (IRA) Deduction A federal income tax deduction for people who contributed to a traditional IRA. System-Generated Created by a computer system programmed with given parameters. Find Texas health insurance options at many price points. 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. Texas State Profile Page. Child A child is an adoptive, step, or natural child who is under 19. Alternate Payee A person who receives the benefits for the EDG when people on the EDG are unable or ineligible to receive them. Employment Services Program (ESP) ESP consists of two programs. Logical Unit of Work (LUW) A set of Texas Integrated Eligibility Redesign System (TIERS) pages that must be completed before the information entered on these pages is saved. The payee must be within the required degree of relationship. Historical Data Records of case, Eligibility Determination Groups (EDGs) and individual information. Continued Benefits Continuing or restoring benefits to the level authorized immediately before the notice of adverse action. Or send an e-mail to: mail@dhs.state.tx.us. 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. Electronic Data Sources (ELDS) Verification sources that are available electronically and presented to advisors in the Texas Integrated Eligibility Redesign System (TIERS) during Data Collection.