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SeeInterview ModeandCase Mode. Spend Down The amount of excess income that the applicant must deplete with incurred medical bills before being certified as medically needy. It'savailable to applicants and Community Partners assisting applicants to: Also referred to as YourTexasBenefits.com. Nonconvertible Bond A bond that cannot be converted to cash per program policy. 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. 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. 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. IDAs are generally matched dollar-for-dollar with funds from private citizens, corporations, banks, communities, or charitable organizations. Qualified expenses include purchased books, supplies, equipment and other classroom materials. You need to pass a few authentication questions. ), osteopathic medical physician (D.O. 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. 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. SeeBatch Scheduling. Pending Correspondence Forms or notices that have been generated on a case and are waiting to be processed in batch. The term also applies to decisions for protective and restricted payments. Migrant Farmworker in the Workstream Farmworkers who travel to work in agriculture or a related industry and who are presently employed away from their permanent residence or home base. All system-generated correspondence is sent to pending correspondence, but it can be retrieved and printed locally. The money contributed to these accounts is not subject to federal income tax at the time of deposit. The persons may or may not be included in EDGs as certified members. Unearned Income Payments received without performing work-related activities, including benefits from other programs. 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. Legal Parents Mother, by having given birth to the child, by proof of adoption, legal document or court adjudication or father, by proof of adoption, legal document, court adjudication or his acknowledgement of paternity. They cannot be used to schedule appointments using the Scheduling functional area. Expunged Benefits Benefits that are removed from an EBT account by the issuer of the benefits. State Online Query SOLQ allows states real-time online access to SSA's SSN verification service. Not all Texas Health and Human Services Commission (HHSC) programs and types of assistance have certification periods. Electronic Benefit Transfer (EBT) Site Coordinator An HHSC employee designated to ensure local offices comply with guidelines on security and accountability operations. This includes profits from the sale of stocks, bonds, or real estate. Pick numbers that are easy for you to remember, but hard for others to guess. Refugee A person admitted to the U.S. under Section 207 of the INA. TANF-State Program (SP) A child who lives with both parents, or a parent and stepparent, and both parents and stepparent (if included in the certified group) receive TANF benefits. causing serious dysfunction of any bodily organ or part. This information is used in the EDBC process to build Eligibility Determination Groups (EDGs) and determine eligibility for programs and types of assistance. allthe EDGs in a case are denied (Ongoing). 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. Step Grandparent The spouse of a blood-related grandparent. Married Minor An person, age 14-17, who is married. Domestic Production Activities Deduction A federal income tax deduction that a person may receive for certain qualified production activities. These include Form H1010, Texas Works Application for Assistance Your Texas Benefits, or Form H1205, Texas Streamlined Application. Medicaid Card An identification card issued to people determined eligible for Medicaid that verifies Medicaid coverage. Interfaces The functional area that exchanges information with other systems and agencies. See Cascade Logic. an account that contains the household's Supplemental Nutrition Assistance Program (SNAP) food benefits; an account that contains the household's Temporary Assistance for Needy Families (TANF) cash grant amount; or, Type Assistance (TA) 31, Parents and Caretaker Relatives Emergency, Type Program (TP) 32, Medically Needy with Spend Down Emergency. 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. Here, you can access a variety of resources to help you work with us as you care for . 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. Proration Portion of total monthly benefits a household is entitled to receive. Alerts A functional area on a navigation bar that allows eligibility staff to request alerts and view outstanding and processed alerts. Certification Date The date that eligibility staff dispose the Eligibility Determination Group (EDG) to certify an applicant. The payee must be within the required degree of relationship. SeeCarryover Standby List. Low Income Home Energy Assistance Program (LIHEAP) The federal program that funds assistance for energy costs for low-income households. processeligibility determinations for multiple programs based on data provided through direct input and interfaces with other systems; assistusers in monitoring and managing workload; and. Please retype the user name and password, or sign up if you haven't already done so. EDGs denied because of new or increased spousal support income will receive a maximum of four months of coverage. 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. Electronic Benefit Transfer (EBT) Representative A primary cardholder other than the case name. Falsified Interview An interview with agency personnel at which time the individual does not report all current income or accurate circumstances. Examples include certified nurse-midwives, clinical nurse specialists, and pediatric nurse practitioners. Seecase modeandinterview mode. Texas State Profile Page. For most people, their tax year is the calendar year. This includes falsifying a document or a statement, or providing false information in an interview, with the intent to commit fraud. The notice contains programmed information based on the program, type of assistance, and eligibility result. 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. 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. CHIP Perinatal Medical services to unborn children of pregnant women ineligible for Medicaid due to income or alien status. For example, the Supplemental Nutrition Assistance Program (SNAP) has two types of assistance: PA (public assistance) and NPA (non-public assistance). You have already answered the required questions.If you want to start the questions over, go back to the home page of Your Texas Benefits. Illegally Present Alien A non-citizen living in the U.S. without proper approval from the U.S. Keogh An individual retirement account (IRA) for a self-employed individual. Carryover Standby List Applicants from a previous day's standby list who have not been interviewed. This will help you know if you should apply for benefits on this site or for health insurance on HealthCare.gov. a supervised shelter that provides temporary living quarters; a place not intended for regular sleeping quarters; or. *Important: Don't write your PIN on your Lone Star Card. Recoupment Withholding part of a person's current benefit because of a previous overpayment. Texas Health Steps A health care program of prevention, diagnosis, and treatment for Medicaid people. 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. This may or may not include the person or the persons spouse. Basic Utility Allowance (BUA) Deduction given to a SNAP household that has utility costs but does not qualify for the standard utility allowance (SUA). Lone Star Card SeeElectronic Benefit Transfer (EBT) Card. Primary Cardholder (PCH) The person designated to receive and be responsible for the household's Lone Star Card. 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. past, present or future payment for the provision of health care to the person. Combat Zone The geographic area or country to which a military member is deployed for combat. Standard Utility Allowance (SUA) A standard deduction for the cost of utilities. Note: A licensed vocational nurse or licensed practical nurse does not meet the definition of practitioner. Earned Income Tax Credits (EITC) Payments from the Internal Revenue Service (IRS) to people with gross monthly earnings at or below levels established by the IRS. Duplicate Application An application filed after another application has already been filed and the new application: Earned Income Income a person receives for a certain activity or work. Range of Payment The highest to the lowest representative pay amounts used to determine the current ongoing budget. It gives Supplemental Security Income (SSI) and Medicaid information on Texas Health and Human Services Commission (HHSC) people. Review Temporary Assistance for Needy Families (TANF) evaluative interview. 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. Expenses of Performing Artists Federal income tax deductible expenses for qualified performing artists paid or accrued through performances while serving as an employee in the performing arts. 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. Non-Continuous Eligibility A period of time when changes in circumstances may affect a persons eligibility. Appeals are logged and updated in the Hearing functional area on the navigation bar. Type Program (TP) 08, Parents and Caretaker Relatives Medicaid A child who is18 or under, and a full-time student meeting the school attendance requirement. Your session has ended. Doctors and pharmacies use this number for billing. BENDEX (Beneficiary and Earnings Data Exchange) A computer tape match from the Social Security Administration that provides Social Security and Medicare information about Texas Health and Human Services Commission (HHSC) recipients. 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. Reshoring replaces offshoring. Suspended Benefits The Eligibility Determination Group (EDG) is flagged to prevent the ongoing issuance of benefits until eligibility staff review the EDG. Alternative Benefit Plan Eligibility; . 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. The goal of ESP is to prepare recipients for employment and help them find and keep a job. Click here to view alternate account management instructions to re-activate your account. Manage Office Resources (MOR) The functional area that supports the administrative structure in the Texas Integrated Eligibility Redesign System (TIERS) and relationships between regional offices and their local offices, units, and employees. Apply online and make a Your Texas Benefitsaccount so you can start, save and go backto your online application at any time. This guide will explain the different types of . It is used to apply cascade logic by reforming EDGs until establishing eligibility. The: User-Generated Action generated directly by an individual's computer input. Capital Goods The accumulated possessions (property, goods and products) used to produce income or other goods. Helps people with daily living needs, caregivers, and people with mental health, drug or alcohol issues. A request for an administrative review must be submitted in writing within 30 calendar days from the date of the hearing officer's decision. 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. Public Assistance (PA) Household A Supplemental Nutrition Assistance Program (SNAP) Eligibility Determination Group (EDG) in which: Public Institution A facility that is either an organizational part of a governmental entity or over which a governmental unit exercises final administrative control. Helps families with children age 18 and younger pay for basic needs. Apply for benefits online at Unemployment Benefits Services by logging on and selecting Apply for Benefits, or call a Texas Workforce Commission . Trafficking Supplemental Nutrition Assistance Program (SNAP) . System-Generated Created by a computer system programmed with given parameters. the value of in-kind assistance provided by the sponsor or others. 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. ITIN holders pay taxes. Adjusting to the physical changes post-surgery can be difficult, and finding the right mastectomy bra is one of the most important steps in the process. Electronic Benefit Transfer (EBT) Account A benefit account established by the EBT system where HHSC deposits the household's benefits. Electronic Benefit Transfer (EBT) Vendor A company that performs EBT-related services for the state of Texas. Get an online quote today. Underpayment Issuance of fewer benefits than an individual is entitled to receive. The notices and forms processed in this functional area are also called correspondence and linked to a specific case. SeeBatch Processing. The sleeve also has important information printed on it for easy reference, such as the Lone Star Help Desk number. Also known as a pre-need plan or prepaid funeral agreement. 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. Case Mode Status of a case that identifies that: Case Number A unique 10-digit number that identifies a group of Eligibility Determination Groups (EDGs). Before you set up an account, we need to ask you some questions. You'll get an email or text when there'sa form or notice available online in yourMessage Center. Manage your case usingthe Your Texas Benefitsapp on your phone. The discovery date is compared with the report date to determine whether a change is reported timely. It is when a child lives with both legal parents and both parents are requesting and are eligible for coverage. Redetermination A complete action to determine eligibility for a new certification period in a program. This procedure can be used when policy has changed and TIERS has not yet been updated to process the policy change correctly. Adverse Action Any HHSC action resulting in denial, suspension, reduction or termination of assistance. SeeEDBCand Run EDBC. Dispose To authorize an Eligibility Determination Group (EDG) so eligibility is established or denied. 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. Fast forward to 2023, and many companies in some cases spurred by massive government subsidies are taking big steps to diversify their supply chains, focusing on reliability and robustness over cost and efficiency. Automated Renewal Process The first step in an administrative renewal. Batch is correspondence managed by batch processing and printed at a central mail facility. You do not need to be enrolled in VA benefits or health care to connect. TSAP provides a 36-month certification period. See, is a member of a Supplemental Nutrition Assistance Program [SNAP] Eligibility Determination Group [EDG] where a household member is under 18; or. For your convenience, the Help Center will open in a new window. Taxable Year The 12-month period that a person uses to report income for federal income tax purposes. Alien Sponsor A person who signed an affidavit of support (U.S. Based on the criteria, TIERS generates a sample list. 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. Interview Mode A designation in TIERS Data Collection that queues the driver flow through appropriate pages according to the type of action. Second Parent This is the parent who is not the caretaker. According to the most recent IRS statistics for the 2017 tax year, the average married couple filing jointly received a tax refund of $2,781. Qualified entities that are also Breast and Cervical Cancer Services (BCCS) contractors with the DSHS may make presumptive eligibility determinations for Medicaid for Breast and Cervical Cancer (MBCC) applicants. 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. Preschool Children Children who are under six. This figure represents food, clothing, housing, utilities and incidentals. Payments: Indian Tribal Household A household in which at least one household member is recognized as a tribal member by any Indian tribe. The newborn Medicaid coverage can continue through the month of the child's first birthday if the child continues to live in Texas. Moving Expenses Federal income tax deductible expenses an active duty member of the military may claim for relocating to a new duty station. Aperson under18 may not be a party to an informal (common law) marriage. 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 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. or registered nurse (R.N.). 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. Self-Employment Income Earned or unearned income available from one's business, trade or profession rather than from an employer. Modified Adjusted Gross Income (MAGI) Financial Eligibility The result of a comparison between an applicants or recipients MAGI household income to the applicable Medicaid or Children's Health Insurance Program (CHIP) income limit based on the Federal Poverty Income Limit (FPIL) and the MAGI household size. Once correspondence is printed, whether in batch or locally, the record of the printing is stored in History Correspondence functional area. HHSC The Texas Health and Human Services Commission. 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. is not needed to process a redetermination. 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. 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. If you already get SNAP benefits, you will not be eligible for Disaster SNAP. Available at reasonable cost is usually defined as being available through the employer. 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. ), dentist (D.D.S. Comprehensive Energy Assistance Program (CEAP) A utility assistance program funded annually by the Low Income Home Energy Assistance Program (LIHEAP). ITINs let people without SSNs pay taxes. This includes, mineral rights, patents or copyrights. Click here to re-activate your account. Call 800-777-7328 to activate your card. 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. Also, the act of trafficking in SNAP benefits. Each reprint of an original has the same Correspondence ID as the original. The driver flow is determined by the programs, types of assistance, and answers to questions as the case is worked. It provides monthly income to aged people and persons who are blind or have a disability. Supplemental Nutrition Assistance Program (SNAP) applicants and individuals in these counties are not subject to SNAP federal time limits because of the job market. reinstating Transitional Medicaid Assistance (TMA); and. Examples of public institutions include county and city jails and Texas Department of Corrections prisons. The benefit is funded by taxes collected from businesses. Non-Secure Facility A publicly operated community residence that serves no more than 16 residents, such as a county emergency shelter or non-public group or foster home. Jury Duty Pay Taxable income received as compensation for jury duty. 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. Untimely SNAP application filed after the 15th of the last certification month. Administrative Terminal Application (ATA) A software program accessible on one or more Texas Health and Human Services Commission (HHSC) desktop computers in each office. It compares an applicants statement of income against income provided by electronic data sources. Temporary Assistance for Needy Families (TANF) A child who lives with either one or both parents, or a parent and step-parent, and one or both parents or step-parent do not receive TANF benefits. Vested Interest A situation or circumstance to which a person has a strong personal commitment. The house parent assumes responsibility and acts in lieu of the parent in meeting the childrens ongoing needs. This coverage is providedtemporarily while the Texas Health and Human Services Commission (HHSC) determines eligibility for regular Medicaid. Your unique Medicaid numberwill be displayed on the Texas Health and Human Services Commission's 'Your Texas Benefits' card. Migrant Farmworker Not in the Workstream Farmworkers who travel to work in agriculture or a related industry during part of the year, but who are presently residing at their permanent residence or home base. 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. My career spans a number of years, industries, and roles in education, computer operations, process improvement, organization development, coaching, marketing, customer service, and corporate . Texas's EBT customer service number is 1-800-777-7328. Catchment Area The area covered by service. Activity Fee An additional cost incurred by the household associated with a structured dependent care program. a correctional or holding facility for people who: have been arrested or detained pending disposition of charges; or. Assignable Time periods that are available to be used to schedule appointments using the Scheduling functional area. Retroactive Benefits Initial benefits issued for a month before the application is certified. Texas Workforce Commission (TWC) The state governmental agency charged with overseeing and providing workforce development services to employers and job seekers of Texas.