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. Call 800-777-7328 to activate your 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. In many instances, batch processing occurs overnight, when Texas Health and Human Services Commission (HHSC) offices are closed and the system is not being heavily used throughout the state. 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. SeeCorrespondence,Print ModeandPrint Type. One program is the Choices program for TANF recipients, and the other is the SNAP Employment and Training (E&T) program for SNAP recipients. The canceled amount is included as countable income on federal income tax returns. Temporary Assistance for Needy Families (TANF) a disqualified legal parent, second parent, or a non-parent relative certified as caretaker. some eligible members receive TANF or RCA, and all other eligible members receive Supplemental Security Income (SSI), including SSI essential persons. 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. Cafeteria Plan Flexible fringe benefit plans offered to employees by their employers. All system-generated correspondence is scheduled for batch printing although it can be retrieved from Pending Correspondence and printed locally. Managed care includes the health maintenance organization (HMO) model. Recognizable Needs The maximum needs amount allowed by the Texas Health and Human Services Commission (HHSC) when determining eligibility. Your information has not been sent. 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. 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. To learn more about Texas Works, please visit Texas Workforce Commission website. Deportation (or Removal) Withheld Deportation is being withheld under Section 243(h) of the INA, or removal is withheld under Section 241(b)(3) of the INA. This process occurs through a mass update and does not require action. 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. The Marketplace in Texas is operated by the U.S. Department of Health and Human Services. Users cannot delete system-generated correspondence. Sufficient Employment Job earnings, other than seasonal work such as migrant or seasonal farm work, that would result in Temporary Assistance for Needy Families (TANF) ineligibility without including the 90 percent earned income disregard . This guide will explain the different types of . Radiation Exposure Payments A program to compensate a person for injury or death from exposure to radiation from nuclear testing and uranium mining. Historical Correspondence Records of forms and notices that have been printed. Managed Care A health care delivery system with the aim of controlling costs. This gives a source of citizenship or alien status verification for certain Medical Programs. Pick or change your PIN. Apply for TANF. Feb 17, 2022 Knowledge Article The Food and Nutrition Service (FNS) number is the 7-digit number printed on the Supplemental Nutrition Assistance Program (SNAP) permit sent to you when you became authorized to participate in SNAP. Supplemental Nutrition Assistance Program (SNAP) applicants and people in these counties are still subject to E&T work registration requirements with TWC, but are exempt from E&T participation and are not subject to SNAP federal time limits. Resources Both liquid and nonliquid assets a person can convert to meet immediate needs. 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. Explore health plans for you and your family, including short-term gap coverage and more. Helps families with children age 18 and younger pay for basic needs. 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. They cannot be used to schedule appointments using the Scheduling functional area. The sleeve stores the card and protects the magnetic strip from being damaged by scratches. Cardholders Persons authorized to use the Lone Star Card to access benefits in the household's Electronic Benefit Transfer (EBT) account(s). Voluntary Quit Leaving a job without good cause. If there are no eligible members after cascade logic is applied, the household is ineligible for the program. Based on the criteria, TIERS generates a sample list. Sentences are served in the community rather than in jail or prison. If you are deaf or hard of hearing, you can call us at TTY 1-800-325-0778. Correspondence The functional area in which system and user-generated notices and forms are processed and stored. Your unique Medicaid numberwill be displayed on the Texas Health and Human Services Commission's 'Your Texas Benefits' card. Get an online quote today. 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. Residents of a publicly operated community residence are potentially eligible for Temporary Assistance for Needy Families (TANF) and Medicaid. ], Title 42, 1396 et seq.) 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. Also known as a pre-need plan or prepaid funeral agreement. 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. This includes, mineral rights, patents or copyrights. The: User-Generated Action generated directly by an individual's computer input. This is done by intentionally reselling the product purchased with SNAP benefits in exchange for cash or consideration other than eligible food. Reasonable Compatibility The method of verification used for Medical Programs. Institution of Higher Education Any public or private college, community college, junior college, technical institute, or university that usually requires a high school diploma or equivalent certificate such as a general equivalency diploma (GED), to enter. Click here to view alternate account management instructions to re-activate your account. Welfare-to-Work A federal program designed to support state and local efforts to move hard-to-employ Temporary Assistance for Needy Families (TANF) recipients into unsubsidized jobs and promote their self-sufficiency. Educational Expenses/Student Loan Interest A federal income tax deduction for people paying interest on student loans or for people with education expenses such as tuition, fees, room and board, books and other supplies. This includes legal parents and stepparents who are disqualified for one of the reasons listed inA-222, Who Is Not Included, No. past, present or future payment for the provision of health care to the person. Or send an e-mail to: mail@dhs.state.tx.us. Falsified Statement A statement made by an individual, orally or in writing, that is not true, such as claiming to have been without worksince a certain date,when the individual was employed during that time period. Inquiry Refers to the functional area that allows users to view case, Eligibility Determination Group (EDG), and individual information. Untimely SNAP application filed after the 15th of the last certification month. cash contributions of the sponsor or others; and. Generally, to qualify for SNAP, non-citizens must meet one of the following criteria: Have lived in the United States for at least 5 years. To find out if you might be eligible for Medicaid in Texas, visit yourtexasbenefits.com Presumptive Eligibility (PE) Short-term Medicaid coverage provided to people determined potentially eligible for regular Medicaid by a qualified hospital or a qualified entity. Batch Processing Actions postponed until a later time when they can be processed by the system more efficiently. Reapplication Date Date the Texas Health and Human Services Commission (HHSC) receives a new application for redetermination or complete review of eligibility. processeligibility determinations for multiple programs based on data provided through direct input and interfaces with other systems; assistusers in monitoring and managing workload; and. This is also called a timely recertification or redetermination. Grandparent Payment System (GPS) An electronic, web-based data system used to inquire about the issuance of archived TANF one-time Grandparent Payments. Application A form that a person or household uses to apply for assistance. Note: Not all aliens must obtain a sponsor before being admitted into the U.S. Alimony Payments received from a spouse or former spouse under a divorce or separation decree. Contact the Texas Department of Insurance's Consumer Health 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. 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. 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. Examples of batch processing include schedule system-generated correspondence to be printed at and mailed from a central site, mail out review packets at scheduled intervals from the central mail facility, and gathering information and share it through interfaces with other agencies. See Alternate Payee. Restored Benefits Full or partial months of benefits for a past month that are owed to a household due to an agency error. 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. 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. 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. Available at reasonable cost is usually defined as being available through the employer. Batch Scheduling Including an appointment date and time with eligibility staff within application packets mailed from the central mail facility. You will need to login again. Availability Date The date that benefits are deposited into the recipients Electronic Benefit Transfer (EBT) account. Summary Page A page that lists a summary of all records available for that Texas Integrated Eligibility Redesign System (TIERS) page. It gives Supplemental Security Income (SSI) and Medicaid information on Texas Health and Human Services Commission (HHSC) people. 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. 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. 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. Interview staff Eligibility staff responsible for interviewing applicants and recipients to establish program eligibility. 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. 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. You tried to login 3 times in a row with either the wrong user name or password. Ten-Ten-Thirteen Concept Time periods used to determine the first month of an over-issuance claim. The functional areas that are available to the user are determined by the user's job title and security role(s). Copayment Payment made directly to a provider according to a fee schedule. Pending Correspondence Forms or notices that have been generated on a case and are waiting to be processed in batch. Former Medicaid recipients may request a certificate within 24 months after their Medicaid is denied by calling 800-723-4789. Individual Retirement Account (IRA) An account in which a person contributes an amount of money to supplement retirement income, regardless of their participation in a group retirement plan. The Workforce Information System of Texas (TWIST) The computer system used by the Texas Workforce Commission (TWC) for intake, eligibility determination, assessment, service tracking, and reporting of TWC-administered programs, such as child care, Supplemental Nutrition Assistance Program (SNAP), Employment and Training, Choices, and the Workforce Innovation and Opportunity Act. Texas Health Steps A health care program of prevention, diagnosis, and treatment for Medicaid people. Once correspondence is printed, whether in batch or locally, the record of the printing is stored in History Correspondence functional area. 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. Processing Time Frames Number of days eligibility staff must complete a particular action. Convertible bonds are countable resources. 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). To exit from this workflow, click on Exit. Examples of public institutions include county and city jails and Texas Department of Corrections prisons. These issuances are available to the person the same day the Eligibility Determination Group (EDG) is disposed. 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. Special Review A procedure to explore one or more areas of eligibility. ), osteopathic medical physician (D.O. When an individual is added, File Clearance can be processed in Application Registration. Waiver of Continued Benefits An individual option to allow eligibility staff to process an adverse action during the individual's appeal process. in canning, packing, ginning, seed conditioning or related research or processing operations. createcorrespondence and reports based on system-requested and user-requested criteria. Authorized staff can correct months in this functional area. Wrap Up The Texas Integrated Eligibility Redesign System (TIERS) program page in Data Collection where Eligibility Determination Groups (EDGs) are built and the Eligibility Determination Benefit Calculation (EDBC) is run to determine the highest level of eligibility or ineligibility. Your case visibility account has been disabled because of inactivity. The payee must be within the required degree of relationship. The newborn Medicaid coverage can continue through the month of the child's first birthday if the child continues to live in Texas. You must also be one of the following: Pregnant, or Individual Number A unique nine-digit number that identifies any person known to the Texas Integrated Eligibility Redesign System (TIERS). A same-sex marriage that occurred before June 26, 2015, is considered valid effective June 26, 2015. Scheduling The functional area that manages eligibility appointments. Print Mode Indicates where historical correspondence was printed. Married Minor An person, age 14-17, who is married. 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. Colonias Unincorporated and unregulated settlements (neighborhoods) along the U.S. and Mexico border. Effective Month The first month benefits can be affected based on the monthly cutoff date or applicable policy for advance and adequate notice of adverse action. Note: A licensed vocational nurse or licensed practical nurse does not meet the definition of practitioner. Annuity A series of payments paid under a contract and made at regular intervals over more than one full year. reinstating Transitional Medicaid Assistance (TMA); and. Apply for benefits online at Unemployment Benefits Services by logging on and selecting Apply for Benefits, or call a Texas Workforce Commission .

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