Deferred Adjudication A type of probation where the decision for a conviction is postponed until the end of the probationary period. State Data Exchange (SDX) Computer tape from the Social Security Administration (SSA). Legally Obligated Child Support Court order or a legally recorded document requiring the payments of child support to be made in the form of cash, medical support, or to a third party. Special Immigrant Iraqi and Afghan (SIV) A special immigrant status under 101(a)(27) of the INA may be granted to Iraqi and Afghan people who have worked on behalf of the U.S. government in Iraq or Afghanistan. Examples include loan foreclosures and canceled credit card debt. Supplemental Security Income (SSI) A needs-tested program administered by the Social Security Administration. CHIP Perinatal Medical services to unborn children of pregnant women ineligible for Medicaid due to income or alien status. 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. 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. Medicaid Card An identification card issued to people determined eligible for Medicaid that verifies Medicaid coverage. Availability Date The date that benefits are deposited into the recipients Electronic Benefit Transfer (EBT) account. Electronic Benefit Transfer (EBT) System A system HHSC staff with security access use to issue and replace Lone Star Cards. Find Texas health insurance options at many price points. Click here to re-activate your account. Citizenship and Immigration Services (USCIS). 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. The official document indicates to and for whom the support is paid, the frequency and the amount of payment. These include Form H1010, Texas Works Application for Assistance Your Texas Benefits, or Form H1205, Texas Streamlined Application. cash contributions of the sponsor or others; and. Eligibility staff access BVS as a source to verify age, relationship and citizenship. Parolee A person paroled into the U.S. under section 212(d)(5) of the INA for at least one year. You need to pass a few authentication questions. Texas Health & Human Services Commission. 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. 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. SDX information can be used as a source of verification and is available in the Texas Integrated Eligibility Redesign System (TIERS). 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. Application Registration The functional area where a person's application for assistance is recorded. A calendar tax year is 12 consecutive months beginning Jan. 1 and ending Dec. 31. It provides monthly income to aged people and persons who are blind or have a disability. To exit from this workflow, click on Exit. 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). 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. Comprehensive Energy Assistance Program (CEAP) A utility assistance program funded annually by the Low Income Home Energy Assistance Program (LIHEAP). all eligible members receive Temporary Assistance for Needy Families (TANF) or Refugee Cash Assistance (RCA); or. Community Supervision The placement of a misdemeanor or felony offender under supervision for a specified length of time ordered by the court. 401(k) A retirement plan allowing an employee to postpone receiving a portion of current income until retirement. are intended for expenses other than room and board. Annulment A court order declaring a marriage invalid. 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. If you are just looking for support services and want to be contacted by programs, you need to create an account. Carryover Standby List Applicants from a previous day's standby list who have not been interviewed. You need 4 numbers for your PIN. If you don't know what type of Medicaid you have, call toll-free 800-964-2777. The program reimburses the policy holder for private health insurance payroll deductions for Medicaid-eligible persons when HHSC determines that it is cost-effective. The second party selects the Second Level Review interview mode. Personal Identification Number (PIN) A four-digit numeric code assigned to each cardholder and used to control access to the person's account. Catchment Area The area covered by service. The participation status indicates whether the person is considered an adult or a child according to policy. Derivative Citizenship U.S. citizenship that is claimed by a person born outside of the U. S. to one or both U.S. citizen parents. Self-Employment Income Earned or unearned income available from one's business, trade or profession rather than from an employer. People can apply using a simplified application, and they do not typically have to complete an interview at redetermination. The driver flow is determined by the programs, types of assistance, and answers to questions as the case is worked. 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. 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). Power of Attorney (POA) Written legal authorization to represent or act on another's behalf in private affairs, business, or some other legal matters. Marriage A legally or formally recognized union between two people. 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. Pick or change your PIN. 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. Examples include certified nurse-midwives, clinical nurse specialists, and pediatric nurse practitioners. 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. Non-Immigrant An alien temporarily admitted to the U.S. for a purpose other than permanent residency, such as a religious worker or the fianc/fiance of a U.S. citizen. Participation Status The designation of an Eligibility Determination Group (EDG) member as an eligible or ineligible member of the certified group. Resources Both liquid and nonliquid assets a person can convert to meet immediate needs. Card Sleeve A durable paper envelope folded to the dimensions of the plastic EBT card. Managed Care A health care delivery system with the aim of controlling costs. Standard Medical Expense A $137 deduction applied to a Supplemental Nutrition Assistance Program (SNAP) budget. ITIN holders pay taxes. SeeEDBC. Child A child is an adoptive, step, or natural child who is under 19. Four Months Post-Medical Medicaid coverage extended for a maximum of four months after denial of a case because of spousal support income. You can use it at stores that accept EBT. The PIN must be entered on a keypad before any electronic transaction can be processed. All members of a TSAP household must not receive earned income and must be either elderly or disabled as defined by SNAP program rules. intended to result in physical harm, bodily injury or assault, or that is a threat that reasonably places the member in fear of imminent physical harm or bodily injury or assault, not including defensive measures to protect oneself; or. Your unique Medicaid numberwill be displayed on the Texas Health and Human Services Commission's 'Your Texas Benefits' card. Immigration and Customs Enforcement handles immigration enforcement; and. 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. First Cousin Once Removed A person who is either one's first cousin's child or the parent's first cousin. 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. If there are no eligible members after cascade logic is applied, the household is ineligible for the program. Timely Supplemental Nutrition Assistance Program (SNAP) application filed by the 15th of the last month of certification. The EDG is built and eligibility is established at the highest level. To continue working, click on Stay on page. 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. To have a payable claim, you must meet all of the following requirements: You have wages in more than one of the four base period calendar quarters. Active-Duty Military Member A person currently serving in the U.S. Armed Forces or Reserves (Army, Marine Corps, Navy, Air Force or Coast Guard), National Guard (Army, Marine Corps, Navy, Air Force, Coast Guard or Reserve Guard) or the State Military Forces or Texas State Guard. Based on the criteria, TIERS generates a sample list. 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. Qualified expenses include purchased books, supplies, equipment and other classroom materials. is the guardian of a victim of a violent crime. For most people, their tax year is the calendar year. Electronic Benefit Transfer (EBT) Vendor A company that performs EBT-related services for the state of Texas. Purchasing a product with SNAP benefits with the intent of obtaining cash or something other than eligible food. Welcome to UnitedHealthcare Individual Exchange plans, also referred to as Individual and Family plans. These items include housing, utilities, deposits for housing or utilities, food, clothing, and incidentals. collects information from throughout the Texas Integrated Eligibility Redesign System (TIERS); and. A same-sex marriage that occurred before June 26, 2015, is considered valid effective June 26, 2015. Your session has ended. Quality Control The functional area that supports the state's approach to quality control and allows authorized staff to enter sample selection criteria. State and federal government websites often end in .gov. The functional areas that are available to the user are determined by the user's job title and security role(s). Refugee A person admitted to the U.S. under Section 207 of the INA. 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. Do you want to keep working on your application, or start a new one? When an individual is added, File Clearance can be processed in Application Registration. The .gov means its official. Reasonable Compatibility The method of verification used for Medical Programs. See, is a member of a Supplemental Nutrition Assistance Program [SNAP] Eligibility Determination Group [EDG] where a household member is under 18; or. See Cascade Logic. 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. Temporary Assistance for Needy Families Non-Cash (TANF-NC) Consists of services for: Temporary Assistance for Needy Families (TANF) Redirect A Texas Works message to TANF applicants delivered up front by Texas Health and Human Services Commission (HHSC) staff before the application process begins, explaining that: Temporary Assistance for Needy Families State Program (TANF-SP) Cash assistance for families with a dependent child and at least two adults. Educator Expenses Expenses for which educators, kindergarten through grade 12 teachers, counselors, principals or aides can receive a federal income tax deduction. See Alternate Payee. Emancipated Minor A person 17 and under who has been married. Suspended Benefits The Eligibility Determination Group (EDG) is flagged to prevent the ongoing issuance of benefits until eligibility staff review the EDG. 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 current Land Loans interest rate for Texas veterans is 6.95%. These are benefits issued and accessed by EBT cards, card numbers and PINs, or by manual voucher and signature. For example, the Supplemental Nutrition Assistance Program (SNAP) has two types of assistance: PA (public assistance) and NPA (non-public assistance). Citizenship and Immigration Services (USCIS). The person must be a legal parent(s) or other caretaker relative within the required degree of relationship who meets the income limits for that program. A user can click the plus sign next to a functional area or sub-functional areas to display the pages available within that area. Your case number is a 10-digit number that HHSC uses to bundle and process benefits you receive through their agency. Low Income Home Energy Assistance Program (LIHEAP) The federal program that funds assistance for energy costs for low-income households. Print Mode Indicates where historical correspondence was printed. If the total collection is less than $75, then the amount of the collection is sent to the person . are held under court order as material witnesses or juveniles. Customs and Border Protection is responsible for border security functions. Administrative Terminal Application (ATA) A software program accessible on one or more Texas Health and Human Services Commission (HHSC) desktop computers in each office. The house parent assumes responsibility and acts in lieu of the parent in meeting the childrens ongoing needs. Disaster SNAP (D-SNAP) gives short-term food benefits to people recovering from a disaster. 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. Liquid Resources Resources that are readily negotiable, such as cash, checking or savings accounts, Electronic Benefit Transfer (EBT) cash account, savings certificates, stocks or bonds. The system generates an alert when the SSA Benefit amount on file does not match the information on the BENDEX file. to claim a personal exemption deduction on the taxpayers federal income tax return for one or more applicants. This process occurs through a mass update and does not require action. Former Medicaid recipients may request a certificate within 24 months after their Medicaid is denied by calling 800-723-4789. The newborn Medicaid coverage can continue through the month of the child's first birthday if the child continues to live in Texas. 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. Ongoing Benefits Benefits issued for months after the initial benefit month. processeligibility determinations for multiple programs based on data provided through direct input and interfaces with other systems; assistusers in monitoring and managing workload; and. In some interview modes, staff cannot advance to pages that have not yet been accessed as part of the driver flow. Cascade Logic A hierarchy of logic used to build Eligibility Determination Groups (EDGs) and evaluate eligibility for Texas Health and Human Services Commission (HHSC) programs and types of assistance. Change Action A data collection interview mode that allows eligibility staff to navigate to pages on which they want to update or record information. the requirement of more information from the applicant to manually process the redetermination. The following factors are considered in determining the alien's total income: Individual Development Accounts (IDAs) An account similar to a savings account that enables a person to save earned income for a qualifying purpose. 1-877-541-7905. 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). The sleeve stores the card and protects the magnetic strip from being damaged by scratches. 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. Driver Flow The logical sequence of data collection pages that appear as a case is completed or read. 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. Functions of the clearinghouse include: Collateral Contact A person the advisor can contact to verify a person's information. Annuity A series of payments paid under a contract and made at regular intervals over more than one full year. In 2003, USCIS officially assumed responsibility for the immigration service functions of the federal government. Texas State Profile Page. 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. Child Support A payment made from a biological or adoptive parent to a biological or adoptive child. Payments: Indian Tribal Household A household in which at least one household member is recognized as a tribal member by any Indian tribe. The persons may or may not be included in EDGs as certified members. Molar Pregnancy Also known as hydatidiform mole, a molar pregnancy is considered a degenerating pregnancy. The: User-Generated Action generated directly by an individual's computer input. Please retype the user name and password, or sign up if you haven't already done so. Social Security information is also available for people who receive SSI or Medicaid. Managed care includes the health maintenance organization (HMO) model. 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. General Residential Operations Facility Residential care facilities that provide a live-in house parent model of care for children under their care. action has been initiated on an Eligibility Determination Group (EDG) in a case (Intake, Complete Action, Change Action, Special Review, Conversion); allthe EDGs in a case are approved (Ongoing); and. After 90 days in the same person's residence, the household is no longer considered homeless. They can also change any case data for cases where they are the head of household, an adult member within the household, or an authorized representative. They are also subject to disciplinary action from the Texas Health and Human Services Commission (HHSC). TSAP provides a 36-month certification period. Bona Fide Agent A person who is familiar with an applicant and knowledgeable of the person's financial affairs. The final digit of your SNAP EDG (Eligibility Determination Group) number indicates the day on which you will receive benefits. Data Collection The functional area where individual household, non-financial, resource, income, and deduction information is recorded for use in building Eligibility Determination Groups (EDGs) and determining eligibility for types of assistance. Instructions include not writing their PIN on the card sleeve or anything they carry in their purse or wallet, not revealing their PIN to anyone, or letting anyone use their card. Prospective Budgeting Determination of eligibility for and the amount and type of benefits using the best estimate of the household's current and future circumstances and income. It compares an applicants statement of income against income provided by electronic data sources. Equity The fair market value of an item minus all money owed on it and the cost associated with its sale or transfer. Special Review A procedure to explore one or more areas of eligibility. The primary cardholder is usually the Eligibility Determination Group (EDG) name, but the EDG may have an alternate payee who is the primary cardholder. Second Parent This is the parent who is not the caretaker. 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. 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. Taxable Year The 12-month period that a person uses to report income for federal income tax purposes. The network is comprised of the statewide efforts of TWC along with planning and service provision by 28 local workforce boards on a regional level. Immigrant An alien who abandons residence in a foreign country to live in the U.S. as a permanent resident, for example a lawful permanent resident (LPR). Ten-Ten-Thirteen Concept Time periods used to determine the first month of an over-issuance claim. SeeEDBCand Run EDBC. Texas's EBT customer service number is 1-800-777-7328. The Workforce Innovation and Opportunity Act replaced the Workforce Investment Act of 1998. SeeCascade Logic,Rebuild EDG, andRun EDBC. This includes, mineral rights, patents or copyrights. Sanction Either a disqualification or a penalty applied to a case or program because a person failed to follow a program requirement. Opportunity to Participate Providing a certified applicant with benefits, a Lone Star Card, personal identification number (PIN), and Electronic Benefit Transfer (EBT) training material. Off-Line Transaction The processing of Electronic Benefit Transfer (EBT) transactions using a manual voucher. 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. Helps people with daily living needs, caregivers, and people with mental health, drug or alcohol issues. The term also applies to decisions for protective and restricted payments. To login again, click on either "Forgot user name" or "Forgot password" in the login box. a supervised shelter that provides temporary living quarters; a place not intended for regular sleeping quarters; or. Illegally Present Alien A non-citizen living in the U.S. without proper approval from the U.S. This will help you know if you should apply for benefits on this site or for health insurance on HealthCare.gov. Application A form that a person or household uses to apply for assistance. Married Minor An person, age 14-17, who is married. Waiver Counties Texas counties with an unemployment rate over 10 percent. . EDGs denied because of new or increased spousal support income will receive a maximum of four months of coverage. Inquiry Refers to the functional area that allows users to view case, Eligibility Determination Group (EDG), and individual information. Not all Texas Health and Human Services Commission (HHSC) programs and types of assistance have certification periods. Electronic Benefit Transfer (EBT) Representative A primary cardholder other than the case name. Helps cover visits to doctors, dentists, and hospitals. 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. After certification, the Office of Attorney General (OAG) sends the person the first $75 received on monthly child support collections. The payee must be within the required degree of relationship. Health Insurance Premium Payment (HIPP) A reimbursement program administered by the Texas Health and Human Services Commissions (HHSCs) Third-Party Resource Unit, which pays for the cost of premiums, coinsurance, and deductibles. 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. Users cannot delete system-generated correspondence. Type Program (TP) 08, Parents and Caretaker Relatives Medicaid A person who supervises and cares for a dependent child. Parent A person with either a natural, biological, adopted or stepchild.
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