Lump-Sum Payment A financial settlement that often involves funds accumulated over an extended period and that is paid in a single payment. The money contributed to these accounts is not subject to federal income tax at the time of deposit. Batch and Online are the types of print modes. Tip Income Income earned along with wages paid by patrons to people employed in service-related occupations. Your case visibility account has been disabled because of inactivity. Participation Status The designation of an Eligibility Determination Group (EDG) member as an eligible or ineligible member of the certified group. Users cannot delete system-generated correspondence. Also formally known as (adult) probation. This includes profits from the sale of stocks, bonds, or real estate. Annualize Averaging income over a 12-month period. Social Security information is also available for people who receive SSI or Medicaid. Texas Workforce Commission's Unemployment Benefit Services - Sign Up The Food and Nutrition Act of 2008 limits eligibility for SNAP benefits to U.S. citizens and certain lawfully present non-citizens. To exit from this workflow, click on Exit. 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. 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. Disaster SNAP (D-SNAP) gives short-term food benefits to people recovering from a disaster. 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). Reasonable Compatibility The method of verification used for Medical Programs. 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. is the guardian of a victim of a violent crime. Range of Payment The highest to the lowest representative pay amounts used to determine the current ongoing budget. This category also includes Amerasians admitted under Section 584 of the Foreign Operations, Export Financing and Related Programs Appropriation Act of 1988. 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. If there are no eligible members after cascade logic is applied, the household is ineligible for the program. Traditional Medicaid 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. Advance Notice A notice of adverse action that expires 13 days after it is sent. This calculation is based on family size and is used in the Temporary Assistance for Needy Families (TANF) 100 percent budgetary needs gross income test. Your unique Medicaid numberwill be displayed on the Texas Health and Human Services Commission's 'Your Texas Benefits' card. Your session has ended. Ongoing Benefits Benefits issued for months after the initial benefit month. 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. reactivating an EDG without requiring a new application form. Application Visibility Type of YourTexasBenefits.com account given to an applicant who has selected not to go through Advanced Authentication. Call us at 1-800-777-7328 if you can't locate it. Individual Number A unique nine-digit number that identifies any person known to the Texas Integrated Eligibility Redesign System (TIERS). is not needed to process a redetermination. 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. Electronic Benefit Transfer (EBT) Vendor A company that performs EBT-related services for the state of Texas. 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. Inmates of facilities that meet the definition of public institution are not eligible for Temporary Assistance for Needy Families (TANF) or Medicaid. HHSC The Texas Health and Human Services Commission. Available at reasonable cost is usually defined as being available through the employer. Review Temporary Assistance for Needy Families (TANF) evaluative interview. Also covers medicines ordered by doctors and dentists. Apply for TANF. Texas Health Insurance | Texas.gov or registered nurse (R.N.). Comprehensive Energy Assistance Program (CEAP) A utility assistance program funded annually by the Low Income Home Energy Assistance Program (LIHEAP). Citizenship and Immigration Services (USCIS). SeeEDBCand Run EDBC. Deprivation Loss of parental support caused by death, incapacity, continued absence of one or both natural or adoptive parents, or because of unemployment or underemployment of both parents in a two-parent family. 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). Point-of-Sale (POS) Transaction An electronic transaction using an Electronic Benefit Transfer (EBT) card to make a purchase, a cash withdrawal, or inquiry. State and federal government websites often end in .gov. Print Mode Indicates where historical correspondence was printed. Contact the Texas Department of Insurance's Consumer Health 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. 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. Waiver of Continued Benefits An individual option to allow eligibility staff to process an adverse action during the individual's appeal process. ], Title 42, 1396 et seq.) Only a personal representative may authorize the use or disclosure of individually identifiable health information or obtain individually identifiable health information for a person. Suspended Benefits The Eligibility Determination Group (EDG) is flagged to prevent the ongoing issuance of benefits until eligibility staff review the EDG. To learn more about Texas Works, please visit Texas Workforce Commission website. Pick numbers that are easy for you to remember, but hard for others to guess. SeeCascade Logic,Rebuild EDG, andRun EDBC. See Alternate Payee. Coordination of benefits (COB) allows plans that provide health and/or prescription coverage for a person with Medicare to determine their respective payment responsibilities (i.e., determine which insurance plan has the primary payment responsibility and the extent to which the other plans will contribute when an individual is covered by more These databases contain information for individuals who are currently on assistance and for individuals who have applied for or received assistance in the past. The EDG includes members who are eligible and may include members who are not certified for benefits. past, present or future payment for the provision of health care to the person. SDX information can be used as a source of verification and is available in the Texas Integrated Eligibility Redesign System (TIERS). Primary Cardholder (PCH) The person designated to receive and be responsible for the household's Lone Star Card. 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. Examples include certified nurse-midwives, clinical nurse specialists, and pediatric nurse practitioners. Health Savings Account A savings account for medical-related expenses that is available to taxpayers. 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. CHIP Perinatal Medical services to unborn children of pregnant women ineligible for Medicaid due to income or alien status. Temporary Assistance for Needy Families (TANF) a disqualified legal parent, second parent, or a non-parent relative certified as caretaker. Marketplace The governmental entity that makes qualified health plans available to qualified people, qualified employers or both. Apply for benefits online at Unemployment Benefits Services by logging on and selecting Apply for Benefits, or call a Texas Workforce Commission . Managing Conservator A person designated by a court to have daily legal responsibility for a child. See Permissible Purpose. 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. Examples include loan foreclosures and canceled credit card debt. Temporary Assistance for Needy Families (TANF) A child who meets the definition of deprivation and who lives with a relative who meets the relationship requirement. The system generates an alert when the SSA Benefit amount on file does not match the information on the BENDEX file. does not include a request for programs different from programs requested on the initial application ; does not include a request for programs different from programs currently received by the applicant; and. The EDG is built and eligibility is established at the highest level. Royalty A payment to a person for permitting another to use or market property. Business day excludes Saturday, Sunday, and holidays designated by a federal or state agency. Capital Gains A profit from the sale of property or an investment when the sale price is higher than the initial purchase price. Three Months Prior The three-month period before the Medicaid application month. Here, you can access a variety of resources to help you work with us as you care for . 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. perform initial self-screening to check for potential eligibility; view general benefit program information. Your case visibility account has been disabled because of inactivity. SeeCorrespondence,Print ModeandPrint Type. These people must have parental consent or court permission. Eligibility staff access BVS as a source to verify age, relationship and citizenship. Apply online and make a Your Texas Benefitsaccount so you can start, save and go backto your online application at any time. Child A child is an adoptive, step, or natural child who is under 19. Hearing The functional area where individual appeals are recorded and tracked. Supplemental Nutrition Assistance Program (SNAP) applicants and individuals in these counties are not subject to SNAP federal time limits because of the job market. 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. 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. Interfaces The functional area that exchanges information with other systems and agencies. Availability Date The date that benefits are deposited into the recipients Electronic Benefit Transfer (EBT) account. We recommend creating an account so you can: Get alerts about updates to your application. 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. The PAN is not related to the persons Texas Health and Human Services Commission (HHSC) case number. Click here to view alternate account management instructions to re-activate your account. The individual number for Texas benefits can vary depending on the benefits you are receiving. Electronic Benefit Transfer (EBT) A system that uses electronic technology to complete some of a benefit program's functional requirements. With this type of access, a person can view and change an application created under their username. The functional areas that are available to the user are determined by the user's job title and security role(s). Annulment A court order declaring a marriage invalid. If File Clearance is not processed in Application Registration, the system will perform it in Data Collection. 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. Combat Zone The geographic area or country to which a military member is deployed for combat. CEAP replaced the Home Energy Assistance Program (HEAP). Case All the persons living together, and alien sponsors, who are related by Eligibility Determination Group (EDG) affiliation. provides health coverage to eligible low-income adults, children, pregnant women, and people who are older or who have disabilities. Individual Exchange Plan Information for Providers | UHCprovider.com placing the patient's health in serious jeopardy; seriously impairing the patient's bodily functions; or. It must take place before the person receives a seventh warrant. Home School A type of education in which children are taught by their parents, or someone acting in parental authority, at home, using a set curriculum. Management The way in which a household pays its expenses with available income. 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. Doctors and pharmacies use this number for billing. Eligibility Determination Benefit Calculation (EDBC) uses the discovery and report dates to determine if a required report of change is reported timely. In 2003, USCIS officially assumed responsibility for the immigration service functions of the federal government. This is done by intentionally reselling the product purchased with SNAP benefits in exchange for cash or consideration other than eligible food. The person has 10 days to report the change; staff have 10 days to act on the change. During this step, information from electronic data sources is automatically requested and a reasonable compatibility test is run. Prudent Person Principle Reasonable decision made by staff based on the best information available and common sense in a particular situation. Standard Utility Allowance (SUA) A standard deduction for the cost of utilities. Fixed Income Unearned income that does not vary. Fair Market Value Amount of money an item would bring if sold in the current local market. Reimbursement Repayment for a specific item or service. notifying the applicant and the eligibility system when spend down is met. Court Awards Taxable money that a person receives as the result of a lawsuit, such as compensation for lost wages or punitive damages awards. TSAP provides a 36-month certification period. Its given to an elderly household member, a household member with a disability, or both, who incur medical expenses of more than $35 but less than or equal to $137. hold out to the public that they are a married couple. First Cousin Once Removed A person who is either one's first cousin's child or the parent's first cousin. Timely Supplemental Nutrition Assistance Program (SNAP) application filed by the 15th of the last month of certification. 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. Immigration and Customs Enforcement handles immigration enforcement; and. in canning, packing, ginning, seed conditioning or related research or processing operations. Supplemental Nutrition Assistance Program (SNAP) Past name was the Food Stamp Program. This is also called a timely recertification or redetermination. The current Land Loans interest rate for Texas veterans is 6.95%. This procedure can be used when policy has changed and TIERS has not yet been updated to process the policy change correctly. Adults on the Eligibility Determination Group (EDG) must be legal parents (including a certified stepparent) to the dependent child. Time Limit The functional area where Temporary Assistance for Needy Families (TANF) state and federal time-limited months can be viewed. For your convenience, the Help Center will open in a new window. The same benefit is now called One-Time TANF for Relatives, with payment records stored in TIERS. Grandparent Payment System (GPS) An electronic, web-based data system used to inquire about the issuance of archived TANF one-time Grandparent Payments. IDAs are generally matched dollar-for-dollar with funds from private citizens, corporations, banks, communities, or charitable organizations. Secondary Cardholder A person designated by the primary cardholder as eligible to access the person's Electronic Benefit Transfer (EBT) account with a second EBT card and personal identification number (PIN). Waiver Counties Texas counties with an unemployment rate over 10 percent. It is used to issue Electronic Benefit Transfer (EBT) cards and replacements. 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. See User-Generated. Monthly Obligation The amount of child support which the absent parent has been ordered to pay each month. 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). This coverage is providedtemporarily while the Texas Health and Human Services Commission (HHSC) determines eligibility for regular Medicaid. able to apply for Medicaid on the child's own behalf; or. Sentences are served in the community rather than in jail or prison. 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. Individual Retirement Account (IRA) Deduction A federal income tax deduction for people who contributed to a traditional IRA. 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. Supplemental Nutrition Assistance Program (SNAP) and Temporary Assistance for Needy Families (TANF) Multiple people may be certified on a single EDG. See Alternate Payee. Alien Sponsor A person who signed an affidavit of support (U.S. The Marketplace in Texas is operated by the U.S. Department of Health and Human Services. Texas Unemployment Benefits | Benefits.gov A transaction may also be pre-authorized by phone. ), dentist (D.D.S. You are exiting this workflow before finishing. Medicaid A state and federal cooperative program authorized under Title XIX of the Social Security Act (United States Code [U.S.C. A person may buy the contract alone or with the help of an employer. Advanced Authentication Personal security questions generated by third-party software to perform authentication of an applicant's identity before granting the person an account through YourTexasBenefits.com (link is external) with Case Visibility. Texas Workforce Commission's Unemployment Benefit Services - Glossary 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. 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. Marriage A legally or formally recognized union between two people. People with Application Visibility accounts may only apply for benefits and view and modify applications created under their username. Manage your case usingthe Your Texas Benefitsapp on your phone. 24/7, confidential support is always available. This will help you know if you should apply for benefits on this site or for health insurance on HealthCare.gov. These occupations include beauticians, waiters, valets and food delivery staff. Third Party Person or organization outside the certified household. Presumptive Eligibility (PE) Short-term Medicaid coverage provided to people determined potentially eligible for regular Medicaid by a qualified hospital or a qualified entity. Reinstatement Process of providing Transitional Medical Assistance (TMA) to a household denied because of failure to return a complete Medicaid Report. According to the IRS, in 2015, "4.4 million ITIN filers paid over $5.5 billion in payroll and Medicare taxes and $23.6 billion in total taxes.". 1-877-541-7905. ITINs let people without SSNs pay taxes. Personal Identification Number (PIN) Security Actions cardholders should take to prevent others from gaining access to their PIN and Electronic Benefit Transfer (EBT) account. These households may bypass the income and resources tests and are deemed financially eligible. *Important: Don't write your PIN on your Lone Star Card. A request for an administrative review must be submitted in writing within 30 calendar days from the date of the hearing officer's decision. Non-Immigrant An alien temporarily admitted to the U.S. for a purpose other than permanent residency, such as a religious worker or the fianc/fiance of a U.S. citizen. Inaccessible Resources Resources not legally available to the person. formal court-ordered or legally mandated; or. For example, if you are receiving disability benefits through the Social Security Administration, then your Social Security number is the individual number used by the state of Texas. SeeEDBC. 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. TANF provides families with financial assistance and support services. Unearned Income Payments received without performing work-related activities, including benefits from other programs. Canceled Debts Debts that have been canceled, forgiven, or discharged. These include Form H1010, Texas Works Application for Assistance Your Texas Benefits, or Form H1205, Texas Streamlined Application. Your Texas Benefits The two levels of service are: Claim An amount owed by a person for an overpayment of benefits. These are benefits issued and accessed by EBT cards, card numbers and PINs, or by manual voucher and signature. a supervised shelter that provides temporary living quarters; a place not intended for regular sleeping quarters; or. Batch Processing Actions postponed until a later time when they can be processed by the system more efficiently. Be ready to answer questions abouteveryone applying such as: Check the status of your benefits ormanage your benefits. Continuing Scheme A situation in which a recipient commits two or more acts. The last number in your TANF Eligibility Determination Group number tells what day you get your benefits. The user name or password is incorrect. This person has access to the EBT account for the Eligibility Determination Group (EDG). 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. 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 minimum service has little or no presence of Choices staff. Each state has its own rules about who's eligible, and what Medicaid covers. 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 LUW is represented by a set of tabs at the top of a TIERS page. You have unsaved changes that will be lost if you exit. Parents and Caretaker Relatives Emergency (TA 31), Medically Needy with Spend Down Emergency (TP 32). It could take several weeks for your P-EBT card to arrive after claiming benefits. Before sharing sensitive information, make sure youre on an official government site. 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. Prepaid Burial Insurance Insurance that pays for a specific funeral arrangement. lives with another person and they represent themselves to the community as married. EDGs denied because of new or increased earnings will receive a maximum of 12 months of coverage. Copyright 2016-2023. System-Generated Created by a computer system programmed with given parameters. This includes management and medical, at a specified time other than at application or complete action. SeeBatch Scheduling. This may be a TANF representative payee or protective payee or a SNAP authorized representative for a resident of a Drug and Alcohol Treatment Center or Group Living Arrangement. SeePrint Mode. Supplemental Nutrition Assistance Program Combined Application Project (SNAP-CAP) A demonstration project that outreaches elderly Supplemental Security Income (SSI) recipients who are not currently certified for SNAP. 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. 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. 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. It'savailable to applicants and Community Partners assisting applicants to: Also referred to as YourTexasBenefits.com.

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