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. The qualified hospital may choose to make PE determinations for pregnant women, children under 19, parents and caretaker relatives of dependent children under 19, and former foster care children. Data Broker An online portal used to obtain financial and other background information about applicants and recipients. 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. These are benefits issued and accessed by EBT cards, card numbers and PINs, or by manual voucher and signature. Make payments to the surviving spouse, children, parents, grandchildren or grandparents when the affected person is deceased. 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. Preschool Children Children who are under six. 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. General Residential Operations Facility Residential care facilities that provide a live-in house parent model of care for children under their care. 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. The program reimburses the policy holder for private health insurance payroll deductions for Medicaid-eligible persons when HHSC determines that it is cost-effective. Type of Assistance (TOA) The specific aid for one or more people in an Eligibility Determination Group (EDG). Here, you can access a variety of resources to help you work with us as you care for . Be ready to answer questions abouteveryone applying such as: Check the status of your benefits ormanage your benefits. Reasonable Compatibility The method of verification used for Medical Programs. Proration Portion of total monthly benefits a household is entitled to receive. RSDI Retirement, Survivors and Disability Insurance benefits (RSDI) paid by the Social Security Administration. You'll get the Lone Star Card once you're approved for benefits. 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. Evaluative Conclusion An advisor's decision, subject to supervisory approval, to accept something other than a birth or hospital certificate or baptismal record as proof of age and relationship. Each state has its own rules about who's eligible, and what Medicaid covers. Copyright 2016-2023. A user can click the plus sign next to a functional area or sub-functional areas to display the pages available within that area. This is also called a timely recertification or redetermination. 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. To start a new session, you must close the browser window. Summary Page A page that lists a summary of all records available for that Texas Integrated Eligibility Redesign System (TIERS) page. Apply online and make a Your Texas Benefitsaccount so you can start, save and go backto your online application at any time. Reception Log The functional area in the Texas Integrated Eligibility Redesign System (TIERS) where office contacts by phone, mail, fax and in-person can be recorded. 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. Emancipated Minor A person 17 and under who has been married. The PIN must be entered on a keypad before any electronic transaction can be processed. Review Temporary Assistance for Needy Families (TANF) evaluative interview. SeeCarryover Standby List. These include Form H1010, Texas Works Application for Assistance Your Texas Benefits, or Form H1205, Texas Streamlined Application. Seebatch processing,pending correspondence,print mode,print type,system-generatedanduser-generated. Aperson under18 may not be a party to an informal (common law) marriage. 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. This coverage is providedtemporarily while the Texas Health and Human Services Commission (HHSC) determines eligibility for regular Medicaid. The LUW is represented by a set of tabs at the top of a TIERS page. ), osteopathic medical physician (D.O. The payee must be within the required degree of relationship. See Alternate Payee. Nonconvertible Bond A bond that cannot be converted to cash per program policy. is the guardian of a victim of a violent crime. a Medical Program Modified Adjusted Gross Income (MAGI) household member. 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. The last number in your TANF Eligibility Determination Group number tells what day you get your benefits. SeeBatch Scheduling. Fixed Income Unearned income that does not vary. These facilities have limited power of attorney to obtain health care and educational services for the children under their care. Citizenship and Immigration Services (USCIS). This process occurs without staff or specialist action. 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 benefit is funded by taxes collected from businesses. These occupations include beauticians, waiters, valets and food delivery staff. Prepaid Burial Insurance Insurance that pays for a specific funeral arrangement. Taxable Year The 12-month period that a person uses to report income for federal income tax purposes. Or you can call the Texas Department of Human Service (DHS) toll-free at: 1-877-541-7905. 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. Complete Review A re-evaluation of ongoing eligibility. 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. Waiver of Continued Benefits An individual option to allow eligibility staff to process an adverse action during the individual's appeal process. Alien Sponsor A person who signed an affidavit of support (U.S. 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. Unearned Income Payments received without performing work-related activities, including benefits from other programs. Bona Fide Agent A person who is familiar with an applicant and knowledgeable of the person's financial affairs. SeePrint Mode. Secure Facility Secure boot camp settings. Explore health plans for you and your family, including short-term gap coverage and more. A mastectomy bra can provide comfort, support, and security to an individual as they become accustomed to their new normal. Alternative Benefit Plans. 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 Deferred Adjudication A type of probation where the decision for a conviction is postponed until the end of the probationary period. Some people qualify for both Medicare and Medicaid. Each original correspondence is given a unique Correspondence ID (identifying number). *Important: Don't write your PIN on your Lone Star Card. You can check the status of your application or you can start a new one. A household member may be charged with an IPV even if the person has not actually received benefits to which they are not entitled. 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. able to apply for Medicaid on the child's own behalf; or. You can use it at stores that accept EBT. This figure represents food, clothing, housing, utilities and incidentals. Combat Zone The geographic area or country to which a military member is deployed for combat. Low Income Home Energy Assistance Program (LIHEAP) The federal program that funds assistance for energy costs for low-income households. All system-generated correspondence is scheduled for batch printing although it can be retrieved from Pending Correspondence and printed locally. Voluntary Quit Leaving a job without good cause. Detail Page Click the Edit or View icon to edit or view details of a record listed on a Summary Page. These include a county holding facility for juveniles or a facility that a government unit exercises final administrative authority. Also covers medicines ordered by doctors and dentists. 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. . 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. When the OAG receives a child support collection on the current monthly obligation and that payment exceeds the TANF grant plus any unreimbursed assistance, the excess is sent to the person. U.S. 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. It gives Supplemental Security Income (SSI) and Medicaid information on Texas Health and Human Services Commission (HHSC) people. formal court-ordered or legally mandated; or. Summer P-EBT (June-August 2022) is a one-time benefit of $391 for each eligible child. 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. Trust Property held by one person for the benefit of another. The system generates an alert when the SSA Benefit amount on file does not match the information on the BENDEX file. in canning, packing, ginning, seed conditioning or related research or processing operations. Change Action A data collection interview mode that allows eligibility staff to navigate to pages on which they want to update or record information. OPTION 2: Start an Application Online You can start the application process online. They cannot be used to schedule appointments using the Scheduling functional area. You can find your EDG number on the TF0001 form we sent you saying that you can get SNAP benefits. Restored Benefits Full or partial months of benefits for a past month that are owed to a household due to an agency error. the requirement of more information from the applicant to manually process the redetermination. Periodic Income Check (PIC) The process to determine whether electronic data indicates that there has been a change in the Modified Adjusted Gross Income (MAGI) household income that could make the recipient ineligible for certain Medical Programs. Judicial Review A review of the fair hearing decision by a district court in Travis County to determine whether the agency decision is correct. Traditional Medicaid Cafeteria Plan Flexible fringe benefit plans offered to employees by their employers. The two levels of service are: Claim An amount owed by a person for an overpayment of benefits. SeeCase Mode. Balance Receipt A paper receipt that shows the available balance in an person's cash or food account. Medicaid A state and federal cooperative program authorized under Title XIX of the Social Security Act (United States Code [U.S.C. Underpayment Issuance of fewer benefits than an individual is entitled to receive. reinstating Transitional Medicaid Assistance (TMA); and. State Online Query SOLQ allows states real-time online access to SSA's SSN verification service. Homeless Household Households that have no regular nighttime residence or that live in: Hotline (TANF/SNAP Complaints) Toll-free number (877-787-8999) where staff receive complaints for Temporary Assistance for Needy Families (TANF) and Supplemental Nutrition Assistance Program (SNAP) cases. 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. 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. 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. The money contributed to these accounts is not subject to federal income tax at the time of deposit. Electronic Benefit Transfer (EBT) A system that uses electronic technology to complete some of a benefit program's functional requirements. The user reaches the end of the driver flow at the Case Assignment page and must use the Left Navigation to return to specific pages in Data Collection. Third Party Person or organization outside the certified household. Cardholders Persons authorized to use the Lone Star Card to access benefits in the household's Electronic Benefit Transfer (EBT) account(s). Health Savings Account A savings account for medical-related expenses that is available to taxpayers. 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. Other-Related Temporary Assistance for Needy Families/Medical Program (TANF/MP) Child An eligible child living with a relative other than the child's legal parent. If you already have a Lone Star Card PIN, you can keep it or change it. EDGs denied because of new or increased earnings will receive a maximum of 12 months of coverage. Your session has ended. The second party selects the Second Level Review interview mode. 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. Questionable Management A household has questionable management when reported basic expenses exceed reported net income and resources. 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. Tip Income Income earned along with wages paid by patrons to people employed in service-related occupations. 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. Purchasing a product with SNAP benefits with the intent of obtaining cash or something other than eligible food.
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