Communal Dining A public or non-profit establishment approved by Food and Nutrition Services (FNS) that prepares and serves meals to elderly people or those who receive Supplemental Security Income (SSI) and their spouses. 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. Medicaid is also known as the medical assistance program. The parent oversees the curriculum and ensures that the children are actually being educated. In-Kind Contribution Any gain or benefit to a person that is not in the form of money paid directly to the person such as clothing, public housing or food. Be receiving disability-related assistance or benefits. That means bringing some manufacturing back home, or "reshoring" and moving some of it . State Data Exchange (SDX) Computer tape from the Social Security Administration (SSA). Voluntary Quit Leaving a job without good cause. Seecase modeandinterview mode. Conception occurs, but no fetus ever develops. Also formally known as (adult) probation. is the guardian of a victim of a violent crime. Second Chance Home An adult-supervised living arrangement that provides independent living services to teen mothers and their children. This includes falsifying a document or a statement, or providing false information in an interview, with the intent to commit fraud. If you don't know what type of Medicaid you have, call toll-free 800-964-2777. Authorization Code A code that identifies a retailer as a Food and Nutrition Service (FNS)-participating store. Retroactive Benefits Initial benefits issued for a month before the application is certified. Commingled Resources Resources of a Temporary Assistance for Needy Families (TANF) or Supplemental Security Income (SSI) recipient combined with those of a non-TANF or SSI household member. SeeEDBCand Run EDBC. Aperson under18 may not be a party to an informal (common law) marriage. Noncompliance with the PRA results in a sanction. See Alternate Payee. 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. Nonliquid Resources Resources such as vehicles, buildings, land, or certain other property that are considered countable, except as explained in the vehicles portion of resource policy or unless the resource is specifically exempted. This includes, mineral rights, patents or copyrights. A same-sex marriage that occurred before June 26, 2015, is considered valid effective June 26, 2015. Standard Medical Expense A $137 deduction applied to a Supplemental Nutrition Assistance Program (SNAP) budget. The matching funds are inaccessible to the person if the funds are paid directly to a bank or loan institution, a person selling a home, or a business account. We recommend creating an account so you can: Get alerts about updates to your application. 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. Protective Payee Person selected to receive and manage the Temporary Assistance for Needy Families (TANF) benefit when the caretaker is not using the TANF payments for the children's benefit. 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 exchange of firearms, ammunition, explosives, or controlled substances, defined in Section 802 of Title 21, United States Code, for SNAP benefits. Annuity A series of payments paid under a contract and made at regular intervals over more than one full year. For example, a user can: User Guide A Texas Integrated Eligibility Redesign System (TIERS) help tool accessed by clicking on the Help icon in the upper right corner of TIERS pages. Texas's EBT customer service number is 1-800-777-7328. Functions of the clearinghouse include: Collateral Contact A person the advisor can contact to verify a person's information. Business day excludes Saturday, Sunday, and holidays designated by a federal or state agency. 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. This may or may not include the person or the persons spouse. Special Review A procedure to explore one or more areas of eligibility. 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). Representative Payee In Temporary Assistance for Needy Families (TANF), a person designated to receive and manage the household's benefits for someone who is incapacitated or incompetent. Advanced Authentication Personal security questions generated by third-party software to perform authentication of an applicant's identity before granting the person an account through YourTexasBenefits.com (link is external) with Case Visibility. Office of Inspector General (OIG) A division of the Texas Health and Human Services Commission (HHSC) created by the 78th Texas Legislature, Regular Session, 2003, to prevent and reduce waste, abuse, and fraud within the Texas Health and Human Services system. Deductible Part of Self-Employment Tax A federal income tax deduction for self-employed people paying self-employment taxes. Medicaid & CHIP in . Vendor Payment Payment made directly to the individual's creditor or person providing the service by a person or organization outside the household. The buying, selling, stealing, or otherwise effecting an exchange of SNAP benefits for cash or consideration other than eligible food, either directly, indirectly, in complicity or collusion with others, or acting alone. Reactivation Date The effective date to reinstate benefits for an Eligibility Determination Group (EDG). General Equivalency Diploma (GED) A high school equivalency certificate issued after a person completes a State Board of Education-approved high school equivalency program. Home School A type of education in which children are taught by their parents, or someone acting in parental authority, at home, using a set curriculum. Also, the act of trafficking in SNAP benefits. Certification Period The period of eligibility established at disposition. Incidentals include such things as normal day-to-day transportation, phone, laundry, medical supplies not paid by Medicaid, home remedies, recreation, and household equipment. The 5% down payment is subject to credit approval. It compares an applicants statement of income against income provided by electronic data sources. Additionally, a consumer assistance program can help you file your appeal. Successful prosecution of misuse of PHI may include imprisonment and/or financial sanctions as set forth in Standards for Privacy of Individual Health Information 45 CFR Parts 160 and 164. the prevention and treatment of substance abuse; Women, Infants, and Children (WIC) nutrition. in canning, packing, ginning, seed conditioning or related research or processing operations. are received for a minimum of three months. Independent living services may include, but is not limited to: Second Level Review Review of a case by a second party before the Eligibility Determination Group (EDG) is disposed. Residents of a publicly operated community residence are potentially eligible for Temporary Assistance for Needy Families (TANF) and Medicaid. The money contributed to these accounts is not subject to federal income tax at the time of deposit. Carryover Standby List Applicants from a previous day's standby list who have not been interviewed. 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. Case Visibility Type of YourTexasBenefits.com account given to an applicant who has been through Advanced Authentication so is granted a Case Visibility level account. Boarder A person paying reasonable compensation for room and meals. The: User-Generated Action generated directly by an individual's computer input. 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. After, only the child will be certified on the EDG. This includes management and medical, at a specified time other than at application or complete action. hold out to the public that they are a married couple. Electronic Benefit Transfer (EBT) Account A benefit account established by the EBT system where HHSC deposits the household's benefits. File Clearance compares the individual's demographic information against databases for potential matches. The PIN must be entered on a keypad before any electronic transaction can be processed. Reapplication Date Date the Texas Health and Human Services Commission (HHSC) receives a new application for redetermination or complete review of eligibility. Electronic Benefit Transfer (EBT) A system that uses electronic technology to complete some of a benefit program's functional requirements. 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. Administrative Renewal The method used to redetermine eligibility for most Medical Programs, including Medicaid for the Elderly and People with Disabilities (MEPD) and the Childrens Health Insurance Program (CHIP). Continuing Scheme A situation in which a recipient commits two or more acts. The Workforce Innovation and Opportunity Act replaced the Workforce Investment Act of 1998. Keogh An individual retirement account (IRA) for a self-employed individual. The primary cardholder is usually the Eligibility Determination Group (EDG) name, but the EDG may have an alternate payee who is the primary cardholder. Falsified Interview An interview with agency personnel at which time the individual does not report all current income or accurate circumstances. If the total collection is less than $75, then the amount of the collection is sent to the person . A Supplemental Nutrition Assistance Program (SNAP) household whose members are all approved for TANF or SSI. 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.". 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. Benefit Issuance The functional area that supports the issuance and tracking of benefits calculated in the Eligibility Determination Benefit Calculation (EDBC) and authorized in disposition. With this type of access, a person can view and change an application created under their username. Lump-Sum Payment A financial settlement that often involves funds accumulated over an extended period and that is paid in a single payment. Temporary Assistance for Needy Families (TANF) Certified Child A child who is included in a TANF grant. Each reprint of an original has the same Correspondence ID as the original. Supplemental Nutrition Assistance Program (SNAP) Past name was the Food Stamp Program. During this step, information from electronic data sources is automatically requested and a reasonable compatibility test is run. Also benefits issued for the first month of eligibility after a break in eligibility of at least one month. ), osteopathic medical physician (D.O. past, present or future payment for the provision of health care to the person. Personal Possessions Possessions that include furniture, appliances, jewelry, clothing, livestock, farm equipment, and other items that an applicant uses to meet personal needs essential for daily living. Unauthorized access to this site and misuse of its information assets may be prosecuted under Texas State statutes regarding the use of individually identifiable personal health information (PHI) and The United States regulations and laws regarding the use of individually identifiable personal health information (PHI). Your case visibility account has been disabled because of inactivity. Transitional Medical Assistance (TMA) Medicaid coverage provided after denial of certain Eligibility Determination Groups (EDGs) because of new or increased earnings or new or increased spousal support income. Royalty A payment to a person for permitting another to use or market property. 401(k) A retirement plan allowing an employee to postpone receiving a portion of current income until retirement. SeeCascade Logic,Rebuild EDG, andRun EDBC. You have unsaved changes that will be lost if you exit. Texas Health Steps A health care program of prevention, diagnosis, and treatment for Medicaid people. Personal Identification Number (PIN) A four-digit numeric code assigned to each cardholder and used to control access to the person's account. The account transfer from the Marketplace to HHSC, and from HHSC to the Marketplace, includes the information the applicant submitted through the original application in addition to information from verifications performed by either the Marketplace or HHSC. Battered Alien A battered spouse, battered child or parent, or child of a battered person with a pending petition with the U.S. 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. 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. Underpayment Issuance of fewer benefits than an individual is entitled to receive. All members of a TSAP household must not receive earned income and must be either elderly or disabled as defined by SNAP program rules. Trust Property held by one person for the benefit of another. 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. These plans are offered through the Health Insurance Marketplace, or the Exchange, where individuals can research, compare, and purchase health plans. Batch and Online are the types of print modes. Supplemental Nutrition Assistance Program (SNAP) and Temporary Assistance for Needy Families (TANF) Multiple people may be certified on a single EDG. Adequate Notice A notice of adverse action that expires the same day it is sent. HHSC expunges these benefits at the end of each state fiscal year (Aug. 31). 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. A user can click the plus sign next to a functional area or sub-functional areas to display the pages available within that area. Self-Employed Individual Retirement Account (IRA), Simple IRA, and Qualified Plan Deductions A federal income tax deduction for self-employed people or partners in a business. To continue working, click on Stay on page. These include Form H1010, Texas Works Application for Assistance Your Texas Benefits, or Form H1205, Texas Streamlined Application. The program reimburses the policy holder for private health insurance payroll deductions for Medicaid-eligible persons when HHSC determines that it is cost-effective. Capital Gains A profit from the sale of property or an investment when the sale price is higher than the initial purchase price. Birth Verification System (BVS) The inquiry system includes birth records of people born in Texas. A household member may be charged with an IPV even if the person has not actually received benefits to which they are not entitled. The number is used to record covered wages, track Social Security benefits and for other identification purposes. 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. Nonconvertible bonds are exempt resources. 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. The EDG includes members who are eligible and may include members who are not certified for benefits. The notices and forms processed in this functional area are also called correspondence and linked to a specific case. Self-Employment Income Earned or unearned income available from one's business, trade or profession rather than from an employer. 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. Only a personal representative may authorize the use or disclosure of individually identifiable health information or obtain individually identifiable health information for a person. Reimbursement Repayment for a specific item or service. If you are just looking for support services and want to be contacted by programs, you need to create an account. It is used to issue Electronic Benefit Transfer (EBT) cards and replacements. Applied Income The countable amount of income for TANF after allowing deductions for tax dependents, child support, alimony and persons a legal parent is legally obligated to support. 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. The ATA allows access to the EBT system and may also be used for inquiry on EBT-related information, expedited Supplemental Nutrition Assistance Program (SNAP) benefit authorization, and account transaction updates to the EBT database. A mastectomy bra can provide comfort, support, and security to an individual as they become accustomed to their new normal. 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. Standby List Applicants who are awaiting an interview without a specific appointment. These include a county holding facility for juveniles or a facility that a government unit exercises final administrative authority. Unemployment benefits range from $69 per week to $521 per week. The person's must have no vested interest in the household's situation. The Food and Nutrition Act of 2008 limits eligibility for SNAP benefits to U.S. citizens and certain lawfully present non-citizens. Seedispose. Life Estate Income a person receives from ownership of property that they only possess for the duration of their life, such as rental income. To ensure the information is saved in an LUW in Data Collection, the user can click on the Next button to advance to the next LUW or on the Previous button to return to the previous LUW. Presumptive Eligibility (PE) Short-term Medicaid coverage provided to people determined potentially eligible for regular Medicaid by a qualified hospital or a qualified entity. Those who see several doctors each month and make questionable visits to hospital emergency rooms are limited to seeing one doctor or using one pharmacy for a minimum of six months. Here, you can access a variety of resources to help you work with us as you care for . Spend Down The amount of excess income that the applicant must deplete with incurred medical bills before being certified as medically needy. Type of Assistance (TOA) The specific aid for one or more people in an Eligibility Determination Group (EDG). Each state has its own rules about who's eligible, and what Medicaid covers. Court Awards Taxable money that a person receives as the result of a lawsuit, such as compensation for lost wages or punitive damages awards. Call us at 1-800-777-7328 if you can't locate it. Molar Pregnancy Also known as hydatidiform mole, a molar pregnancy is considered a degenerating pregnancy. Not all Texas Health and Human Services Commission (HHSC) programs and types of assistance have certification periods. Alimony Paid Payments to a spouse or former spouse under a divorce or separation decree. They have already gone through the eligibility determination for those programs. ], Title 42, 1396 et seq.) Deferred Adjudication A type of probation where the decision for a conviction is postponed until the end of the probationary period. Waiver Counties Texas counties with an unemployment rate over 10 percent. Tip Income Income earned along with wages paid by patrons to people employed in service-related occupations. For non-federal governmental group health plans and church plans that are group health plans, Blue Cross and Blue Shield of Texas at 1-888-907-7880 or www.bcbstx.com or contact the Texas Department of Insurance, Consumer Protection at 1-800-252-3439 or 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. Child A child is an adoptive, step, or natural child who is under 19. These include construction of real property or lease, rental, license, sale, exchange, or other disposition of personal property, computer software, sound recordings, produced films, produced electricity, natural gas, or potable water. This process occurs without staff action. Marketplace The governmental entity that makes qualified health plans available to qualified people, qualified employers or both. Practitioner A person who holds a license to practice medicine, including a physician (M.D. To login again, click on either "Forgot user name" or "Forgot password" in the login box. Monthly Obligation The amount of child support which the absent parent has been ordered to pay each month. Capital Goods The accumulated possessions (property, goods and products) used to produce income or other goods. able to apply for Medicaid on the child's own behalf; or. Medicaid A state and federal cooperative program authorized under Title XIX of the Social Security Act (United States Code [U.S.C. Permissible Purpose A federal requirement that allows staff to legally request a credit report from the Data Broker system for the sole purpose of determining eligibility. The final digit of your SNAP EDG (Eligibility Determination Group) number indicates the day on which you will receive benefits. Copayment Payment made directly to a provider according to a fee schedule. See, is a member of a Supplemental Nutrition Assistance Program [SNAP] Eligibility Determination Group [EDG] where a household member is under 18; or. Child support may be: Child Support Disregard The first $75 of the total child support collected in a month that is subtracted before determining TANF eligibility or benefits. 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. Proration Portion of total monthly benefits a household is entitled to receive. Cafeteria Plan Flexible fringe benefit plans offered to employees by their employers. Combat Zone The geographic area or country to which a military member is deployed for combat. Trade Adjustment Assistance Act Program (TAAP) A program for workers displaced by foreign workers. Find Texas health insurance options at many price points. does not include a request for programs different from programs requested on the initial application ; does not include a request for programs different from programs currently received by the applicant; and. Supplemental Security Income (SSI) A needs-tested program administered by the Social Security Administration. SeeCase. Resources Both liquid and nonliquid assets a person can convert to meet immediate needs. With an account, you will also be able to save your support service screening forms and check the status of any you have already filled out. You must also be one of the following: Pregnant, or The .gov means its official. Reshoring replaces offshoring. Housing and Urban Development (HUD) U.S. Department of Housing and Urban Development. 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. 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. 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. Please look at the permit to find your number. Managed Care A health care delivery system with the aim of controlling costs. Click here to re-activate your account. This is also called a timely recertification or redetermination. Persons with illnesses that require expensive treatment are not subject to lock-in status. lives with another person and they represent themselves to the community as married. a supervised shelter that provides temporary living quarters; a place not intended for regular sleeping quarters; or. 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. Or send an e-mail to: mail@dhs.state.tx.us. 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. For most people, their tax year is the calendar year. Eligibility Determination Benefit Calculation (EDBC) uses the discovery and report dates to determine if a required report of change is reported timely. In 2003, USCIS officially assumed responsibility for the immigration service functions of the federal government. Data Broker An online portal used to obtain financial and other background information about applicants and recipients. The payee must be within the required degree of relationship. Annualize Averaging income over a 12-month period. Medicaid Supplemental Payment & Directed Payment Programs, Part D, Children's Health Insurance Program, Part F, Former Foster Care in Higher Education, Part M, Medicaid for Transitioning Foster Care Youth, Part X, Medicaid for Breast and Cervical Cancer. These people must have parental consent or court permission. 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. 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. The intention is to get cash by purposely discarding the product and returning the container for the deposit amount. This person has access to the EBT account for the Eligibility Determination Group (EDG). Call 800-777-7328 to activate your card. Agriculturally Related Activities Employment: Aid A benefit, coverage or service in programs that HHSC administers. Benefits. Advanced Nurse Practitioner A registered nurse with additional training and certification in a specific area of medicine.
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