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. The .gov means its official. These are benefits issued and accessed by EBT cards, card numbers and PINs, or by manual voucher and signature. 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. Asylee A person granted asylum under Section 208 of the Immigration and Nationality Act (INA). The sleeve also has important information printed on it for easy reference, such as the Lone Star Help Desk number. Managing Conservator A person designated by a court to have daily legal responsibility for a child. ITIN holders pay taxes. Participation Status The designation of an Eligibility Determination Group (EDG) member as an eligible or ineligible member of the certified group. Before sharing sensitive information, make sure youre on an official government site. A household member may be charged with an IPV even if the person has not actually received benefits to which they are not entitled. 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. 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. This includes legal parents and stepparents who are disqualified for one of the reasons listed inA-222, Who Is Not Included, No. This is also called a timely recertification or redetermination. 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). 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. Continuing Scheme A situation in which a recipient commits two or more acts. Alerts A functional area on a navigation bar that allows eligibility staff to request alerts and view outstanding and processed alerts. TWC is part of a local and state network dedicated to developing the workforce of Texas. Detail Page Click the Edit or View icon to edit or view details of a record listed on a Summary Page. After, only the child will be certified on the EDG. Also formally known as (adult) probation. This is done by intentionally reselling the product purchased with SNAP benefits in exchange for cash or consideration other than eligible food. Call us at 1-800-772-1213 to make an appointment to file your application. Parents and Caretaker Relatives Emergency (TA 31), Medically Needy with Spend Down Emergency (TP 32). There are three types of benefit accounts: The person or their representative uses the Lone Star Card and a personal identification number (PIN) to access benefits in the account. Historical Data Records of case, Eligibility Determination Groups (EDGs) and individual information. SeeEDBCand Run EDBC. You can check the status of your application or you can start a new one. Contact the Texas Department of Insurance's Consumer Health 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. Personal Responsibility Agreement (PRA) A requirement for Temporary Assistance for Needy Families (TANF) that certain people must follow the conditions of the agreement. Texas Health & Human Services Commission. First Cousin Once Removed A person who is either one's first cousin's child or the parent's first cousin. Annuity A series of payments paid under a contract and made at regular intervals over more than one full year. Blocked Time periods that are designated for specific purposes. Get an online quote today. Unearned Income Payments received without performing work-related activities, including benefits from other programs. Court Awards Taxable money that a person receives as the result of a lawsuit, such as compensation for lost wages or punitive damages awards. TANF provides families with financial assistance and support services. Note:This does not include anyone who otherwise qualifies as a resident of a drug and alcohol treatment center, federally subsidized housing for the elderly, a qualifying group living arrangement, a shelter for battered persons, or a shelter for the homeless. 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. My career spans a number of years, industries, and roles in education, computer operations, process improvement, organization development, coaching, marketing, customer service, and corporate . Reasonable Compatibility The method of verification used for Medical Programs. Nonconvertible bonds are exempt resources. Child Support A payment made from a biological or adoptive parent to a biological or adoptive child. After certification, the Office of Attorney General (OAG) sends the person the first $75 received on monthly child support collections. Case All the persons living together, and alien sponsors, who are related by Eligibility Determination Group (EDG) affiliation. ITIN holders are not eligible for all of the tax benefits and public benefits that U.S. citizens and other taxpayers can receive. reaching the maximum age for that specific program; state error in the eligibility determination; or, fraud, abuse, or perjury attributed to the people or persons representative, was the spouse, parent, sibling or adult child of a victim who died as a result of a violent crime; or. Waiver of Continued Benefits An individual option to allow eligibility staff to process an adverse action during the individual's appeal process. Trust Property held by one person for the benefit of another. Need help buying food because of recent disasters in your area? The term also applies to decisions for protective and restricted payments. 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. to claim a personal exemption deduction on the taxpayers federal income tax return for one or more applicants. Find Texas health insurance options at many price points. 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. See Cascade Logic. 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. 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. These occupations include beauticians, waiters, valets and food delivery staff. intended to inflict emotional harm, including an act of emotional abuse. Supplemental Nutrition Assistance Program (SNAP) Past name was the Food Stamp Program. Standard Utility Allowance (SUA) A standard deduction for the cost of utilities. Texas's EBT customer service number is 1-800-777-7328. Certified Group The members in an Eligibility Determination Group (EDG) who are eligible for a given program. Your unique Medicaid numberwill be displayed on the Texas Health and Human Services Commission's 'Your Texas Benefits' card. processeligibility determinations for multiple programs based on data provided through direct input and interfaces with other systems; assistusers in monitoring and managing workload; and. (FPL). Inmates of facilities that meet the definition of public institution are not eligible for Temporary Assistance for Needy Families (TANF) or Medicaid. Married Minor An person, age 14-17, who is married. Appeal A request for a fair hearing concerning an HHSC action. the value of in-kind assistance provided by the sponsor or others. This process occurs through a mass update and does not require action. Ten-Ten-Thirteen Concept Time periods used to determine the first month of an over-issuance claim. The system generates an alert when the SSA Benefit amount on file does not match the information on the BENDEX file. The person's must have no vested interest in the household's situation. Citizenship and Immigration Services [USCIS] Form I-864 or I-864-A) on or after Dec. 19, 1997, agreeing to support an alien as a condition of the alien's entry into the U.S. Time Limit The functional area where Temporary Assistance for Needy Families (TANF) state and federal time-limited months can be viewed. Welcome to UnitedHealthcare Individual Exchange plans, also referred to as Individual and Family plans. The Eligibility Determination Group (EDG) name must be within the required degree of relationship to the dependent child. Electronic Data Sources (ELDS) Verification sources that are available electronically and presented to advisors in the Texas Integrated Eligibility Redesign System (TIERS) during Data Collection. 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. Minor Parent A person under 18 who has a dependent. ), advanced nurse practitioner (A.N.P.) This may or may not include the person or the persons spouse. the prevention and treatment of substance abuse; Women, Infants, and Children (WIC) nutrition. allthe EDGs in a case are denied (Ongoing). Preschool Children Children who are under six. 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. 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. It is used to apply cascade logic by reforming EDGs until establishing eligibility. 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. 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. See User-Generated. 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. CHIP Perinatal Medical services to unborn children of pregnant women ineligible for Medicaid due to income or alien status. full service having a significant presence of Choices staff; or. One program is the Choices program for TANF recipients, and the other is the SNAP Employment and Training (E&T) program for SNAP recipients. Be receiving disability-related assistance or benefits. Medicaid is also known as the medical assistance program. ], Title 42, 1396 et seq.) Self-Employed Health Insurance A federal income tax deduction for self-employed people paying for health insurance for themselves, their spouse, their tax dependents, or their child(ren) under 27. To continue working, click on Stay on page. a Medical Program Modified Adjusted Gross Income (MAGI) household member. 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. Customs and Border Protection is responsible for border security functions. The 5% down payment is subject to credit approval. Liquid Resources Resources that are readily negotiable, such as cash, checking or savings accounts, Electronic Benefit Transfer (EBT) cash account, savings certificates, stocks or bonds. a supervised shelter that provides temporary living quarters; a place not intended for regular sleeping quarters; or. Copayment Payment made directly to a provider according to a fee schedule. Categorically Eligible Household Households where all members are either eligible for or receive benefits from Temporary Assistance for Needy Families (TANF), Supplemental Security Income (SSI), or state-financed general assistance programs. 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. 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. some eligible members receive TANF or RCA, and all other eligible members receive Supplemental Security Income (SSI), including SSI essential persons. Conditional Entrant A person granted conditional entry under Section 203(a)(7) of the INA as in effect before April 1, 1980. Managed Care A health care delivery system with the aim of controlling costs. 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. Processing Time Frames Number of days eligibility staff must complete a particular action. In some interview modes, staff cannot advance to pages that have not yet been accessed as part of the driver flow. Authorized staff can correct months in this functional area. There are two types of categorically eligible households: Certificate of Coverage A certificate that serves as proof of a Medicaid recipient's most recent period of Medicaid coverage. Former Medicaid recipients may request a certificate within 24 months after their Medicaid is denied by calling 800-723-4789. The Veterans Crisis Line has a new number: Dial 988 then Press 1. U.S. These issuances are available to the person the same day the Eligibility Determination Group (EDG) is disposed. Grant in Jeopardy The Office of the Attorney General's (OAG's) designation for a case that is potentially ineligible for the Temporary Assistance for Needy Families (TANF) grant because the OAG received a child support collection on the current monthly obligation and it equals or exceeds the TANF grant plus the disregard. You can use it at stores that accept EBT. 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. Self-Employment Income Earned or unearned income available from one's business, trade or profession rather than from an employer. Standby List Applicants who are awaiting an interview without a specific appointment. Access to this site and the information assets of this site are for official use only. 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. Unemployment benefits range from $69 per week to $521 per week. Pick numbers that are easy for you to remember, but hard for others to guess. The benefit is funded by taxes collected from businesses. Citizenship and Immigration Services (USCIS) and who has received a final order of deportation. 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. If you can't find it, call us at 800-777-7328. The: User-Generated Action generated directly by an individual's computer input. See functional area. Summary Page A page that lists a summary of all records available for that Texas Integrated Eligibility Redesign System (TIERS) page. Life Estate Income a person receives from ownership of property that they only possess for the duration of their life, such as rental income. The buying, selling, stealing, or otherwise effecting an exchange of SNAP benefits for cash or consideration other than eligible food, either directly, indirectly, in complicity or collusion with others, or acting alone. provides health coverage to eligible low-income adults, children, pregnant women, and people who are older or who have disabilities. the adult provides more than half of the minor's total support (housing is not considered as support); the adult states that the adult has parental control of the minor; or. Users cannot delete system-generated correspondence. Eligibility The functional area that supports Eligibility Determination Benefit Calculation (EDBC). Fixed Income Unearned income that does not vary. Immigration and Customs Enforcement handles immigration enforcement; and. 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). Also, the act of trafficking in SNAP benefits. 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. the requirement of more information from the applicant to manually process the redetermination. 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. Based on the criteria, TIERS generates a sample list. 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. Personal Possessions Possessions that include furniture, appliances, jewelry, clothing, livestock, farm equipment, and other items that an applicant uses to meet personal needs essential for daily living. 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. All system-generated correspondence is sent to pending correspondence, but it can be retrieved and printed locally. The sleeve stores the card and protects the magnetic strip from being damaged by scratches. Medicaid & CHIP in . If you already get SNAP benefits, you will not be eligible for Disaster SNAP. Supplemental Nutrition Assistance Program (SNAP) proration is based on the number of days between the file date and the end of the month. Supplemental Nutrition Assistance Program (SNAP) applicants and individuals in these counties are not subject to SNAP federal time limits because of the job market. 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. IDAs are generally matched dollar-for-dollar with funds from private citizens, corporations, banks, communities, or charitable organizations. Batch and Online are the types of print modes. This figure represents food, clothing, housing, utilities and incidentals. causing serious dysfunction of any bodily organ or part. Residents of a publicly operated community residence are potentially eligible for Temporary Assistance for Needy Families (TANF) and Medicaid. The Marketplace is also known as the Exchange, Health Insurance Marketplace, and Federally Facilitated Marketplace (FFM). Tuition or GI Bill Deduction A federal income tax deduction for people who paid qualified tuition fees to eligible post-secondary educational institutions for themselves, their spouse or their dependents. The number is used to record covered wages, track Social Security benefits and for other identification purposes. produces reports that meet Texas Health and Human Services Commission (HHSC), state and federal reporting requirements. Standard Medical Expense A $137 deduction applied to a Supplemental Nutrition Assistance Program (SNAP) budget. even if an applicant chooses not to apply for TANF, the person can still apply for Medical Programs and the Supplemental Nutrition Assistance Program (SNAP) to support employment while working toward self-sufficiency. Availability Date The date that benefits are deposited into the recipients Electronic Benefit Transfer (EBT) account. Benefits. 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. They are not considered inmates of a public institution. Clicking the Add, Update or Submit button saves information on specific pages. 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. The Department of Defense Appropriations Act of 2010, PL 111-118, enacted on Dec. 19, 2009, says SIV are eligible for all benefits to the same extent and the same period as refugees. Workforce Innovation and Opportunity Act A federal program to streamline state workforce development systems combining job training, adult education and literacy, and vocational rehabilitation. Seebatch processing,pending correspondence,print mode,print type,system-generatedanduser-generated. 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 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). Trade Adjustment Assistance Act Program (TAAP) A program for workers displaced by foreign workers. Reasonable Opportunity The 95-day period following the date a notice is sent to a person. The parent oversees the curriculum and ensures that the children are actually being educated. The driver flow is determined by the programs, types of assistance, and answers to questions as the case is worked. 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. Helps pregnant, breastfeeding women and families with children younger than 5 buy healthy foods. 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. Lock-in A status created by the Texas Health and Human Services Commission (HHSC) for certain people to help contain Medicaid costs, which allows additional review of high Medicaid users. In most instances, Children's Medicaid relates to comprehensive policy for Type Programs (TPs) 43, 44, 45 and 48, unless specifically stated otherwise in a handbook section. 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. Budgetary Needs The full basic needs amount as defined by Texas Health and Human Services Commission (HHSC) necessary for a family to obtain food, clothing, housing, utilities, and incidentals such as phone, laundry, and recreation. It is also referred to as spousal support. 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. Legal Requirements The non- financial eligibility requirements for a Temporary Assistance for Needy Families(TANF) or Medicaid child, such as age, relationship, domicile, citizenship, Social Security number (SSN), and deprivation. Each original correspondence is given a unique Correspondence ID (identifying number). Penalty on Early WithdrawalA federal income tax deduction for people who withdrew money from a time-deposit savings account before the certificate maturing and who were charged a penalty for early withdrawal. SeeCase Mode. placing the patient's health in serious jeopardy; seriously impairing the patient's bodily functions; or. You need 4 numbers for your PIN. RSDI Retirement, Survivors and Disability Insurance benefits (RSDI) paid by the Social Security Administration. 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. 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. Left Navigation The list of functional areas that appears on the left side of the Texas Integrated Eligibility Redesign System (TIERS) page. 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. Eligibility Determination Benefit Calculation (EDBC) uses the discovery and report dates to determine if a required report of change is reported timely. Communal Dining A public or non-profit establishment approved by Food and Nutrition Services (FNS) that prepares and serves meals to elderly people or those who receive Supplemental Security Income (SSI) and their spouses. Data Broker An online portal used to obtain financial and other background information about applicants and recipients. 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. If there are no eligible members after cascade logic is applied, the household is ineligible for the program. These include a county holding facility for juveniles or a facility that a government unit exercises final administrative authority. Refugee A person admitted to the U.S. under Section 207 of the INA. These facilities have limited power of attorney to obtain health care and educational services for the children under their care. State Online Query SOLQ allows states real-time online access to SSA's SSN verification service. Rebuild EDG (Eligibility Determination Group)A button in the Wrap Up management group. Report Date The date information is reported to the Texas Health and Human Services Commission (HHSC). Falsified DocumentForm H1010, Texas Works Application for Assistance Your Texas Benefits;Form H1019, Report of Change; or another signed and dated document that does not report all current income or circumstances. Payee A person that the Temporary Assistance for Needy Families (TANF) benefits are issued to if no one in the household qualifies or wants to be a caretaker. 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. Print Mode Indicates where historical correspondence was printed. 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. 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. 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. This person has access to the EBT account for the Eligibility Determination Group (EDG). Reinstatement Process of providing Transitional Medical Assistance (TMA) to a household denied because of failure to return a complete Medicaid Report. Molar Pregnancy Also known as hydatidiform mole, a molar pregnancy is considered a degenerating pregnancy. Indigent Alien A sponsored alien whose total income in the month of application does not exceed 130 percent of the federal poverty level for the alien's household size. Basic Utility Allowance (BUA) Deduction given to a SNAP household that has utility costs but does not qualify for the standard utility allowance (SUA). notifying the applicant and the eligibility system when spend down is met. Mastectomy surgery is a significant life event for many people. 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. Continuous Eligibility A period where a person remains eligible during a continuous eligibility period regardless of any change in circumstances, except for: Convertible Bond A bond that can be converted to cash according to program policy. If the total collection is less than $75, then the amount of the collection is sent to the person . SeeInterview ModeandCase Mode. A transaction may also be pre-authorized by phone. collects information from throughout the Texas Integrated Eligibility Redesign System (TIERS); and. 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.
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