When you're done, you can create an account to apply for benefits and send your info to support services to be contacted by programs. Pick or change your PIN. 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. 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. Before you set up an account, we need to ask you some questions. Payments may be either fixed (under which one receives a definite amount) or variable (not fixed). TSAP provides a 36-month certification period. 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. A request for an administrative review must be submitted in writing within 30 calendar days from the date of the hearing officer's decision. Click here to re-activate your account. Common Law Marriage Relationship in which the two parties both 18 years or older: A minor child in Texas cannot legally enter a common law marriage unless the claim of common law marriage began before Sept. 1, 1997. Continuing Scheme A situation in which a recipient commits two or more acts. 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. These databases contain information for individuals who are currently on assistance and for individuals who have applied for or received assistance in the past. SeeBatch Scheduling. Family Violence An act by a member of a family or household against another member of the family or household that is: File Clearance This feature determines whether an applicant has a case record with HHSC. 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. 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. Choices County Service Levels Counties designated by the Texas Workforce Commission (TWC) as Choices counties. Inmates of facilities that meet the definition of public institution are not eligible for Temporary Assistance for Needy Families (TANF) or Medicaid. 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. Community Supervision The placement of a misdemeanor or felony offender under supervision for a specified length of time ordered by the court. 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. Redetermination A complete action to determine eligibility for a new certification period in a program. Grandparent Payment System (GPS) An electronic, web-based data system used to inquire about the issuance of archived TANF one-time Grandparent Payments. Apply for benefits online at Unemployment Benefits Services by logging on and selecting Apply for Benefits, or call a Texas Workforce Commission . You must also be one of the following: Pregnant, or Your application visibility account has been disabled because of inactivity. System-Generated Created by a computer system programmed with given parameters. It gives Supplemental Security Income (SSI) and Medicaid information on Texas Health and Human Services Commission (HHSC) people. Examples of public institutions include county and city jails and Texas Department of Corrections prisons. past, present or future payment for the provision of health care to the person. 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. Rebuild EDG (Eligibility Determination Group)A button in the Wrap Up management group. You tried to login 3 times in a row with either the wrong user name or password. We recommend creating an account so you can: Get alerts about updates to your application. Timely Supplemental Nutrition Assistance Program (SNAP) application filed by the 15th of the last month of certification. Boarder A person paying reasonable compensation for room and meals. Application Registration The functional area where a person's application for assistance is recorded. 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. Fluctuating Income Income in which the amount varies because of an increase or decrease in hours worked, rate of pay, or inclusion of a bonus. See Alternate Payee. Identical Application One or more exact copies of an application previously submitted by an applicant. Lump-Sum Payment A financial settlement that often involves funds accumulated over an extended period and that is paid in a single payment. Vested Interest A situation or circumstance to which a person has a strong personal commitment. 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. Off-Line Transaction The processing of Electronic Benefit Transfer (EBT) transactions using a manual voucher. Reimbursement Repayment for a specific item or service. Power of Attorney (POA) Written legal authorization to represent or act on another's behalf in private affairs, business, or some other legal matters. Conception occurs, but no fetus ever develops. You can check the status of your application or you can start a new one. Reasonable Opportunity The 95-day period following the date a notice is sent to a person. This will help you know if you should apply for benefits on this site or for health insurance on HealthCare.gov. Interview Mode A designation in TIERS Data Collection that queues the driver flow through appropriate pages according to the type of action. Helps families with children age 18 and younger pay for basic needs. 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. Child Support A payment made from a biological or adoptive parent to a biological or adoptive child. Your Medicaid number also known as a recipient number or individual number is a 9-digit number than can be found on the 'Your Texas Benefits' card. Publicly Operated Community Residence A facility designed to serve up to 16 residents and to provide some services beyond food and shelter, such as social services, training in socialization, and life skills. Pick numbers that are easy for you to remember, but hard for others to guess. RSDI Retirement, Survivors and Disability Insurance benefits (RSDI) paid by the Social Security Administration. This includes, mineral rights, patents or copyrights. Type of Assistance (TOA) The specific aid for one or more people in an Eligibility Determination Group (EDG). are held under court order as material witnesses or juveniles. After certification, the Office of Attorney General (OAG) sends the person the first $75 received on monthly child support collections. EDGs denied because of new or increased spousal support income will receive a maximum of four months of coverage. Waiver Counties Texas counties with an unemployment rate over 10 percent. The 5% down payment is subject to credit approval. 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. Availability Date The date that benefits are deposited into the recipients Electronic Benefit Transfer (EBT) account. Sentences are served in the community rather than in jail or prison. Interfaces The functional area that exchanges information with other systems and agencies. 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. Keogh An individual retirement account (IRA) for a self-employed individual. Temporary Assistance for Needy Families (TANF) a disqualified legal parent, second parent, or a non-parent relative certified as caretaker. 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. Texas Health Steps A health care program of prevention, diagnosis, and treatment for Medicaid people. Continued Benefits Continuing or restoring benefits to the level authorized immediately before the notice of adverse action. 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. The canceled amount is included as countable income on federal income tax returns. 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. 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. The .gov means its official. 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. For your convenience, the Help Center will open in a new window. Health Savings Account A savings account for medical-related expenses that is available to taxpayers. All members of a TSAP household must not receive earned income and must be either elderly or disabled as defined by SNAP program rules. Recognizable Needs The maximum needs amount allowed by the Texas Health and Human Services Commission (HHSC) when determining eligibility. Individual Number A unique nine-digit number that identifies any person known to the Texas Integrated Eligibility Redesign System (TIERS). 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. Certification Date The date that eligibility staff dispose the Eligibility Determination Group (EDG) to certify an applicant. Self-Service Portal (SSP) A web-based application, atYourTexasBenefits.com. Individual Retirement Account (IRA) Deduction A federal income tax deduction for people who contributed to a traditional IRA. Noncompliance with the PRA results in a sanction. Medical Support Health insurance that absent parents will be ordered to obtain for their children who receive Medicaid when it is available at reasonable cost. Medical Programs that follow modified adjusted gross income (MAGI) rules, except Childrens Health Insurance Program (CHIP) perinatal Only one person is certified on the EDG. minimum service has little or no presence of Choices staff. 24/7, confidential support is always available. 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. The EDG includes members who are eligible and may include members who are not certified for benefits. The two levels of service are: Claim An amount owed by a person for an overpayment of benefits. Permissible purpose means the person whose credit report is requested must be: Staff who request credit information without permissible purpose are subject to fines, imprisonment, or both. HHSC expunges these benefits at the end of each state fiscal year (Aug. 31). Welcome to UnitedHealthcare Individual Exchange plans, also referred to as Individual and Family plans. Some people qualify for both Medicare and Medicaid. Available at reasonable cost is usually defined as being available through the employer. processeligibility determinations for multiple programs based on data provided through direct input and interfaces with other systems; assistusers in monitoring and managing workload; and. the minor lives with an adult other than the minor's parent or legal guardian and the minor's parent or legal guardian states that the adult has parental control of the child. 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; and is not pregnant. Illegally Present Alien A non-citizen living in the U.S. without proper approval from the U.S. 4, Disqualified Members, unless that disqualification is due to not meeting citizenship requirements. Personal Identification Number (PIN) A four-digit numeric code assigned to each cardholder and used to control access to the person's account. Manual Voucher Transaction A paper-based debit transaction completed by the food retailer when the automated Electronic Benefit Transfer (EBT) system is down or unavailable. the prevention and treatment of substance abuse; Women, Infants, and Children (WIC) nutrition. 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. Parolee A person paroled into the U.S. under section 212(d)(5) of the INA for at least one year. 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. The primary cardholder is usually the Eligibility Determination Group (EDG) name, but the EDG may have an alternate payee who is the primary cardholder. Call us at 1-800-772-1213 to make an appointment to file your application. Copyright 2016-2023. Each state has its own rules about who's eligible, and what Medicaid covers. An example of a publicly operated community residence that is not a public institution is a county homeless shelter with a capacity of up to 16 people. These include a county holding facility for juveniles or a facility that a government unit exercises final administrative authority. The money contributed to these accounts is not subject to federal income tax at the time of deposit. 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. A same-sex marriage that occurred before June 26, 2015, is considered valid effective June 26, 2015. 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 last number in your TANF Eligibility Determination Group number tells what day you get your benefits. Payments to Civilians Relocated During Wartime Payments made to Aleuts or people of Japanese ancestry or their heirs who were relocated during World War II. Application A form that a person or household uses to apply for assistance. 401(k) A retirement plan allowing an employee to postpone receiving a portion of current income until retirement. Supplemental Nutrition Assistance Program (SNAP) proration is based on the number of days between the file date and the end of the month. is not needed to process a redetermination. Immigration and Customs Enforcement handles immigration enforcement; and. After, only the child will be certified on the EDG. Or you can call the Texas Department of Human Service (DHS) toll-free at: 1-877-541-7905. Tax Dependent A person who expects to be claimed by someone else as a dependent on a federal income tax return for the taxable year that Medicaid or Children's Health Insurance Program (CHIP) eligibility is requested. 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. Batch Scheduling Including an appointment date and time with eligibility staff within application packets mailed from the central mail facility. 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 PIN must be entered on a keypad before any electronic transaction can be processed. See functional area. Electronic Benefit Transfer (EBT) Regional Coordinator An HHSC employee designated to oversee, monitor, lead regional planning and act as a point of contact for EBT security procedures. 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. A person may buy the contract alone or with the help of an employer. HHSC IEVS Staff HHSC eligibility field staff who process Automated System for Office of Inspector General (ASOIG) Match Texas Works Messages and MEPD Long Term Care (LTC) IEVS Matches. Emancipated Minor A person 17 and under who has been married. You need to pass a few authentication questions. are received for a minimum of three months. Home Energy Assistance Program (HEAP) A federal program that pays benefits to help eligible people pay utility costs. Alerts A functional area on a navigation bar that allows eligibility staff to request alerts and view outstanding and processed alerts. SeePrint Mode. This includes management and medical, at a specified time other than at application or complete action. A household member may be charged with an IPV even if the person has not actually received benefits to which they are not entitled. Asylee A person granted asylum under Section 208 of the Immigration and Nationality Act (INA). You'll get the Lone Star Card once you're approved for benefits. Parental Control A minor who lives with an adult is under parental control if one of the following conditions applies: Parole The discretionary and conditional release of an eligible offender sentenced to serve the remainder of the sentence under supervision in the community rather than prison. 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. The caller must provide the head of households Social Security number (SSN) or the case number and date of birth of a household member to access information. 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. ITIN holders pay taxes. Modified Adjusted Gross Income (MAGI) Individual Income The sum of certain income received by aperson in a MAGI household composition, from which certain expenses are subtracted. 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. See Alternate Payee. Be ready to answer questions abouteveryone applying such as: Check the status of your benefits ormanage your benefits. See Cascade Logic. Automated Renewal Process The first step in an administrative renewal. 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. Standard Utility Allowance (SUA) A standard deduction for the cost of utilities. ], Title 42, 1396 et seq.) Overpayment The amount of benefits issued in excess of what should have been issued. on a farm or ranch performing field work about planting, cultivating or harvesting operations; or. Here, you can access a variety of resources to help you work with us as you care for . To exit from this workflow, click on Exit. It'savailable to applicants and Community Partners assisting applicants to: Also referred to as YourTexasBenefits.com. 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. Additionally, a consumer assistance program can help you file your appeal. State and federal government websites often end in .gov. Minor Parent A person under 18 who has a dependent. Electronic Benefit Transfer (EBT) Issuance Staff An HHSC employee who issues and registers EBT cards for people in the local HHSC office. 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. Payments: Indian Tribal Household A household in which at least one household member is recognized as a tribal member by any Indian tribe. Qualified Health Professional A person who provides care under the supervision of a licensed practitioner or a medical or dental practice that is state regulated. Carryover Standby List Applicants from a previous day's standby list who have not been interviewed. 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. Ten-Ten-Thirteen Concept Time periods used to determine the first month of an over-issuance claim. 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. Persons with illnesses that require expensive treatment are not subject to lock-in status. 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). 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. Your session has ended. Beneficiary The person named to receive benefits. During this step, information from electronic data sources is automatically requested and a reasonable compatibility test is run. In some interview modes, staff cannot advance to pages that have not yet been accessed as part of the driver flow. *Important: Don't write your PIN on your Lone Star Card. For more information, including who is eligible, click HERE. Seedefinitions of Eligibility Determination Benefit Calculation(EDBC), rebuild EDG,run EDBCandWrap Up. CHIP Perinatal Medical services to unborn children of pregnant women ineligible for Medicaid due to income or alien status. Clearinghouse A centrally located site that processes medical bills submitted by applicants for Medically Needy with Spend Down. The functional areas that are available to the user are determined by the user's job title and security role(s).
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