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. Marketplace The governmental entity that makes qualified health plans available to qualified people, qualified employers or both. Minor Parent A person under 18 who has a dependent. They cannot be used to schedule appointments using the Scheduling functional area. 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. Questionable Management A household has questionable management when reported basic expenses exceed reported net income and resources. Cafeteria Plan Flexible fringe benefit plans offered to employees by their employers. The newborn Medicaid coverage can continue through the month of the child's first birthday if the child continues to live in Texas. Priority Supplemental Nutrition Assistance Program (SNAP) Issuances Expedited SNAP benefits, benefits issued on or after the 25th day from the date of application, and issuances ordered by a hearing officer decision that must be made available in order to meet fair hearing timeliness requirements. collects information from throughout the Texas Integrated Eligibility Redesign System (TIERS); and. SeeCase Mode. Vested Interest A situation or circumstance to which a person has a strong personal commitment. a Medical Program Modified Adjusted Gross Income (MAGI) household member. All system-generated correspondence is sent to pending correspondence, but it can be retrieved and printed locally. You can check the status of your application or you can start a new one. formal court-ordered or legally mandated; or. Automated Renewal Process The first step in an administrative renewal. Grandparent Payment System (GPS) An electronic, web-based data system used to inquire about the issuance of archived TANF one-time Grandparent Payments. 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. Helps cover visits to doctors, dentists, and hospitals. Note:See Publicly Operated Community Residence for additional information about a public facility not considered to be a public institution. Reasonable Compatibility The method of verification used for Medical Programs. Restored Benefits Full or partial months of benefits for a past month that are owed to a household due to an agency error. Residents of a publicly operated community residence are potentially eligible for Temporary Assistance for Needy Families (TANF) and Medicaid. Medicaid & CHIP in . Initial Benefits Benefits issued for the first month of eligibility. hold out to the public that they are a married couple. Citizenship and Immigration Services (USCIS) and who has received a final order of deportation. Voluntary Quit Leaving a job without good cause. Examples include certified nurse-midwives, clinical nurse specialists, and pediatric nurse practitioners. Deferred Adjudication A type of probation where the decision for a conviction is postponed until the end of the probationary period. Power of Attorney (POA) Written legal authorization to represent or act on another's behalf in private affairs, business, or some other legal matters. Individual Number A unique nine-digit number that identifies any person known to the Texas Integrated Eligibility Redesign System (TIERS). The payee must be within the required degree of relationship. Second Chance Home An adult-supervised living arrangement that provides independent living services to teen mothers and their children. You need 4 numbers for your PIN. Cost-Sharing Reductions Federal payments toward out-of-pocket costs made for an eligible person enrolled in a qualified health plan (QHP) through the Marketplace. Change Action A data collection interview mode that allows eligibility staff to navigate to pages on which they want to update or record information. Balance Receipt A paper receipt that shows the available balance in an person's cash or food account. The site is secure. Deductible Part of Self-Employment Tax A federal income tax deduction for self-employed people paying self-employment taxes. Tip Income Income earned along with wages paid by patrons to people employed in service-related occupations. SeeCarryover Standby List. lives with another person and they represent themselves to the community as married. The Marketplace is also known as the Exchange, Health Insurance Marketplace, and Federally Facilitated Marketplace (FFM). Timely Supplemental Nutrition Assistance Program (SNAP) application filed by the 15th of the last month of certification. 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). Overpayment The amount of benefits issued in excess of what should have been issued. The 5% down payment is subject to credit approval. Alien Sponsor A person who signed an affidavit of support (U.S. The amount the employer pays is counted as part of the person's gross income. With an account, you will also be able to save your support service screening forms and check the status of any you have already filled out. The functional areas that are available to the user are determined by the user's job title and security role(s). This may or may not include the person or the persons spouse. Apply for TANF. 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. 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. SeeEDBC. Seebatch processing,pending correspondence,print mode,print type,system-generatedanduser-generated. Examples include loan foreclosures and canceled credit card debt. TWC is part of a local and state network dedicated to developing the workforce of Texas. are held under court order as material witnesses or juveniles. This coverage is providedtemporarily while the Texas Health and Human Services Commission (HHSC) determines eligibility for regular Medicaid. Not all Texas Health and Human Services Commission (HHSC) programs and types of assistance have certification periods. Helps pregnant, breastfeeding women and families with children younger than 5 buy healthy foods. Health Savings Account A savings account for medical-related expenses that is available to taxpayers. Step Grandparent The spouse of a blood-related grandparent. Certification Date The date that eligibility staff dispose the Eligibility Determination Group (EDG) to certify an applicant. 24/7, confidential support is always available. The last number in your TANF Eligibility Determination Group number tells what day you get your benefits. Able Bodied Adult Without Dependents (ABAWD) A person, 18 through 50 who: The ABAWD age criteria begins the month after the person turns 18 and ends the month the person turns 50. A transaction may also be pre-authorized by phone. The notice contains programmed information based on the program, type of assistance, and eligibility result. Quality Control The functional area that supports the state's approach to quality control and allows authorized staff to enter sample selection criteria. Advance Notice A notice of adverse action that expires 13 days after it is sent. Incidentals include such things as normal day-to-day transportation, phone, laundry, medical supplies not paid by Medicaid, home remedies, recreation, and household equipment. 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. 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. You have unsaved changes that will be lost if you exit. 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. Disqualified Person Someone who is normally considered a participating member of a household but whose needs are not considered because they failed to meet or comply with a program requirement. For example, the Supplemental Nutrition Assistance Program (SNAP) has two types of assistance: PA (public assistance) and NPA (non-public assistance). To be eligible for Texas Medicaid, you must be a resident of the state of Texas, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income. The Homeland Security Act of 2002 dismantled the former Immigration and Naturalization Service (INS) and separated the former agency into three components within the Department of Homeland Security. 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. Lone Star Card SeeElectronic Benefit Transfer (EBT) Card. The Medicaid phone number is 800-252-8263, 2-1-1, or 1-877-541-2190; you can speak with a representative who will assist you in obtaining the answers and services you require. Passive Renewal A process by which the Texas Integrated Eligibility Redesign System (TIERS) automatically recertifies a Former Foster Care in Higher Education (FFCHE) active Eligibility Determination Group (EDG) for another certification period. Off-Line Transaction The processing of Electronic Benefit Transfer (EBT) transactions using a manual voucher. Ten-Ten-Thirteen Concept Time periods used to determine the first month of an over-issuance claim. Summary Page A page that lists a summary of all records available for that Texas Integrated Eligibility Redesign System (TIERS) page. 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). 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. Based on the criteria, TIERS generates a sample list. The individual number for Texas benefits can vary depending on the benefits you are receiving. Catchment Area The area covered by service. 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. Blocked Time periods that are designated for specific purposes. Social Security information is also available for people who receive SSI or Medicaid. Retroactive Benefits Initial benefits issued for a month before the application is certified. The: User-Generated Action generated directly by an individual's computer input. generate a manual issuance of benefits outside the normal eligibility process. Certified Group The members in an Eligibility Determination Group (EDG) who are eligible for a given program. 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. 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. Life Estate Income a person receives from ownership of property that they only possess for the duration of their life, such as rental income. Each functional area contains pages that allow authorized staff to perform activities related to the business process. 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. Batch Scheduling Including an appointment date and time with eligibility staff within application packets mailed from the central mail facility. Driver Flow The logical sequence of data collection pages that appear as a case is completed or read. This includes legal parents and stepparents who are disqualified for one of the reasons listed inA-222, Who Is Not Included, No. Electronic Benefit Transfer (EBT) Vendor A company that performs EBT-related services for the state of Texas. They are also subject to disciplinary action from the Texas Health and Human Services Commission (HHSC). A household member may be charged with an IPV even if the person has not actually received benefits to which they are not entitled. Recognizable Needs The maximum needs amount allowed by the Texas Health and Human Services Commission (HHSC) when determining eligibility. Eligibility Determination Benefit Calculation (EDBC) uses the discovery and report dates to determine if a required report of change is reported timely. SeeBatch Processing. 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. Only a personal representative may authorize the use or disclosure of individually identifiable health information or obtain individually identifiable health information for a person. Conception occurs, but no fetus ever develops. 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. 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. determining if a medical bill can be counted for spend down; corresponding with the applicant about eligible and ineligible medical bills; determining if and when the applicant meets spend down; 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. These people must have parental consent or court permission. The .gov means its official. 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. Newborn Child A child receiving Type Program (TP) 45, Medical Assistance for Newborn Children, because the child's mother was eligible for and received Medicaid coverage at time of the child's birth or whose mother was eligible for and received Medicaid coverage retroactively for the time of the child's birth. The mortgage company uses money in the account to pay annual property taxes, home insurance premiums and sometimes homeowner association fees on behalf of the homeowner. The discovery date is compared with the report date to determine whether a change is reported timely. Prudent Person Principle Reasonable decision made by staff based on the best information available and common sense in a particular situation. 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. 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. Third-Party Resource A source of payment of medical expenses other than the recipient or the Texas Health and Human Services Commission (HHSC). A child who will not graduate until after the month of their 19th birthday is not considered a dependent child after the month of their 18th birthday. Accessibility Date The date that benefits are deposited into an Electronic Benefit Transfer (EBT) account. 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. Please look at the permit to find your number. If you already have a Lone Star Card PIN, you can keep it or change it. General Equivalency Diploma (GED) A high school equivalency certificate issued after a person completes a State Board of Education-approved high school equivalency program. Also, the act of trafficking in SNAP benefits. 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. Electronic Benefit Transfer (EBT) Account A benefit account established by the EBT system where HHSC deposits the household's benefits. Dispose To authorize an Eligibility Determination Group (EDG) so eligibility is established or denied. Married Minor An person, age 14-17, who is married. 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. Lump-Sum Payment A financial settlement that often involves funds accumulated over an extended period and that is paid in a single payment. 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. You need to pass a few authentication questions. First Cousin Once Removed A person who is either one's first cousin's child or the parent's first cousin. Prepaid Burial Insurance Insurance that pays for a specific funeral arrangement. Enter this for various situations including: Real Property Land and any improvements on it. Spend Down The amount of excess income that the applicant must deplete with incurred medical bills before being certified as medically needy. You can use it at stores that accept EBT. 1-877-541-7905. reinstating Transitional Medicaid Assistance (TMA); and. Personal Responsibility Agreement (PRA) A requirement for Temporary Assistance for Needy Families (TANF) that certain people must follow the conditions of the agreement. It gives Supplemental Security Income (SSI) and Medicaid information on Texas Health and Human Services Commission (HHSC) people. High School Diploma Certification issued by a state-accredited school to a student who successfully completes the curriculum requirements for secondary school as approved by the State Board of Education. Summer P-EBT (June-August 2022) is a one-time benefit of $391 for each eligible child. SOLQ enables state social services to rapidly get information they need to qualify people for programs. 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. reactivating an EDG without requiring a new application form. Click here to re-activate your account. Additionally, a consumer assistance program can help you file your appeal. Get help over the phone,from an HHSC benefit officeor community partner. Expenses of Fee-Basis Government Officials Federal income tax deductible employment-related expenses paid for or accrued by employees of a state or political subdivision who are compensated on a fee basis. If you can't find it, call us at 800-777-7328. Type Program (TP) 08, Parents and Caretaker Relatives Medicaid A person who supervises and cares for a dependent child. Alerts A functional area on a navigation bar that allows eligibility staff to request alerts and view outstanding and processed alerts. 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. Supplemental Nutrition Assistance Program (SNAP) and Temporary Assistance for Needy Families (TANF) Multiple people may be certified on a single EDG. The program reimburses the policy holder for private health insurance payroll deductions for Medicaid-eligible persons when HHSC determines that it is cost-effective. Before you set up an account, we need to ask you some questions. SeeCase. Assignable Time periods that are available to be used to schedule appointments using the Scheduling functional area. This will help you know if you should apply for benefits on this site or for health insurance on HealthCare.gov. Inaccessible Resources Resources not legally available to the person. Batch Processing Actions postponed until a later time when they can be processed by the system more efficiently. The marriage must not have been annulled. 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. Manage your case usingthe Your Texas Benefitsapp on your phone. Trust Property held by one person for the benefit of another. It is used to apply cascade logic by reforming EDGs until establishing 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. 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. minimum service has little or no presence of Choices staff. Employment Services Program (ESP) ESP consists of two programs. It provides monthly income to aged people and persons who are blind or have a disability. 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). You tried to login 3 times in a row with either the wrong user name or password. SDX information can be used as a source of verification and is available in the Texas Integrated Eligibility Redesign System (TIERS). Historical Data Records of case, Eligibility Determination Groups (EDGs) and individual information. 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. provides health coverage to eligible low-income adults, children, pregnant women, and people who are older or who have disabilities. The money contributed to these accounts is not subject to federal income tax at the time of deposit. Also known as a pre-need plan or prepaid funeral agreement. Or you can call the Texas Department of Human Service (DHS) toll-free at: 1-877-541-7905. 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. HHSC The Texas Health and Human Services Commission. U.S. See Alternate Payee. Licensed Practitioner A person who has met certain educational requirements and passed an examination to be licensed in the state of Texas and regulated by a state board. Resources Both liquid and nonliquid assets a person can convert to meet immediate needs. Parent A person with either a natural, biological, adopted or stepchild. 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. This process occurs through a mass update and does not require action. Fair Hearing A meeting conducted by a regional hearing officer with an applicant or individual who disagrees with and wishes to appeal some action taken on the individual's case. CEAP replaced the Home Energy Assistance Program (HEAP). This is a toll-free number (2-1-1 or 877-541-7905) that allows people to inquire on the status of their case, their next appointment time, or to determine if Texas Health and Human Services Commission (HHSC) received information. Customs and Border Protection is responsible for border security functions. These issuances are available to the person the same day the Eligibility Determination Group (EDG) is disposed. 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. are intended for expenses other than room and board. 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. 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. 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. Payments may be either fixed (under which one receives a definite amount) or variable (not fixed). Report Date The date information is reported to the Texas Health and Human Services Commission (HHSC). 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. Your case visibility account has been disabled because of inactivity. Notice of Adverse Action A notice provided to the household on TF 0002 that includes explaining the proposed adverse action, reason for the action, right to a fair hearing, availability of continued benefits. A Supplemental Nutrition Assistance Program (SNAP) household whose members are all approved for TANF or SSI. The EDG includes members who are eligible and may include members who are not certified for 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. 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. . 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. Seedispose. Do you want to keep working on your application, or start a new one? placing the patient's health in serious jeopardy; seriously impairing the patient's bodily functions; or. Adequate Notice A notice of adverse action that expires the same day it is sent. Click here to view alternate account management instructions to re-activate your account. It is a medical condition (including emergency labor and delivery) manifesting itself by acute symptoms of sufficient severity (including severe pain) that the absence of immediate medical attention could reasonably have been expected to result in: Employable Household Member A person whose earnings are countable and who: Employer-Paid Taxes Taxes that are paid by the employer on behalf of the employee rather than deducting the tax amount from the employee's wages.