My career spans a number of years, industries, and roles in education, computer operations, process improvement, organization development, coaching, marketing, customer service, and corporate . . For your convenience, the Help Center will open in a new window. SDX information can be used as a source of verification and is available in the Texas Integrated Eligibility Redesign System (TIERS). HHSC The Texas Health and Human Services Commission. Certification Date The date that eligibility staff dispose the Eligibility Determination Group (EDG) to certify an applicant. Interactive Voice Response (IVR) A dial-in inquiry system (also known as Automated Voice Response [AVR]) that provides 24-hour access to automated account information via a digital phone. Non-Public Assistance (NPA) Household Supplemental Nutrition Assistance Program (SNAP) households where no one receives Temporary Assistance for Needy Families (TANF) or only some of the members receive TANF. SeeCarryover Standby List. Also formally known as (adult) probation. CHIP Perinatal Medical services to unborn children of pregnant women ineligible for Medicaid due to income or alien status. Excess Payment A payment sent to a TANF recipient by the Office of the Attorney General (OAG). Here, you can access a variety of resources to help you work with us as you care for . The LUW is represented by a set of tabs at the top of a TIERS page. Logical Unit of Work (LUW) A set of Texas Integrated Eligibility Redesign System (TIERS) pages that must be completed before the information entered on these pages is saved. Lump-Sum Payment A financial settlement that often involves funds accumulated over an extended period and that is paid in a single payment. 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 TSAP provides a 36-month certification period. Disaster SNAP (D-SNAP) gives short-term food benefits to people recovering from a disaster. For most people, their tax year is the calendar year. The person must be a legal parent(s) or other caretaker relative within the required degree of relationship who meets the income limits for that program. Correspondence The functional area in which system and user-generated notices and forms are processed and stored. With this type of access, a person can view and change an application created under their username. 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. 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. 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. The discovery date is compared with the report date to determine whether a change is reported timely. ), dentist (D.D.S. 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. Presumptive Eligibility (PE) Short-term Medicaid coverage provided to people determined potentially eligible for regular Medicaid by a qualified hospital or a qualified entity. 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. past, present or future physical, mental health condition of the person; provision of health care to the person; or. 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. These households may bypass the income and resources tests and are deemed financially eligible. OPTION 2: Start an Application Online You can start the application process online. It is when a child lives with both legal parents and both parents are requesting and are eligible for coverage. Reinstatement Process of providing Transitional Medical Assistance (TMA) to a household denied because of failure to return a complete Medicaid Report. File Clearance compares the individual's demographic information against databases for potential matches. Also, the act of trafficking in SNAP benefits. Resident Seasonal Farmworkers Farmworkers who do not leave their permanent home to work in agriculture or a related industry. Temporary Assistance for Needy Families (TANF) Certified Child A child who is included in a TANF grant. Electronic Benefit Transfer (EBT) Issuance Staff An HHSC employee who issues and registers EBT cards for people in the local HHSC office. 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. are intended for expenses other than room and board. Interfaces The functional area that exchanges information with other systems and agencies. This figure represents food, clothing, housing, utilities and incidentals. Electronic Benefit Transfer (EBT) Account A benefit account established by the EBT system where HHSC deposits the household's benefits. It compares an applicants statement of income against income provided by electronic data sources. A calendar tax year is 12 consecutive months beginning Jan. 1 and ending Dec. 31. Fixed Income Unearned income that does not vary. Before sharing sensitive information, make sure youre on an official government site. The data broker vendor collects and combines information from many data sources. Absent Parent A child's parent who is not living in the home. They are still required to be registered for work with the Texas Workforce Commission (TWC) and are mandatory participants if they do not meet work registration exemption requirements. createcorrespondence and reports based on system-requested and user-requested criteria. For example, those with incomes over $200,000 had an average refund of $3,239 while those with incomes under $50,000 had an . Social Security Number A unique nine-digit number assigned to a person by the Social Security Administration (SSA). provides health coverage to eligible low-income adults, children, pregnant women, and people who are older or who have disabilities. Access to this site and the information assets of this site are for official use only. 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. Qualified entities that are also Breast and Cervical Cancer Services (BCCS) contractors with the DSHS may make presumptive eligibility determinations for Medicaid for Breast and Cervical Cancer (MBCC) applicants. Grandparent Payment System (GPS) An electronic, web-based data system used to inquire about the issuance of archived TANF one-time Grandparent Payments. action has been initiated on an Eligibility Determination Group (EDG) in a case (Intake, Complete Action, Change Action, Special Review, Conversion); allthe EDGs in a case are approved (Ongoing); and. 1-877-541-7905. 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. A petition for judicial review must be filed by the appellant in a district court in Travis County within 30 calendar days after the date the administrative decision is issued. Unauthorized access to this site and misuse of its information assets may be prosecuted under Texas State statutes regarding the use of individually identifiable personal health information (PHI) and The United States regulations and laws regarding the use of individually identifiable personal health information (PHI). 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. 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. 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). 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. Or you can call the Texas Department of Human Service (DHS) toll-free at: 1-877-541-7905. These facilities have limited power of attorney to obtain health care and educational services for the children under their care. The final digit of your SNAP EDG (Eligibility Determination Group) number indicates the day on which you will receive benefits. Certified Group The members in an Eligibility Determination Group (EDG) who are eligible for a given program. Personal Responsibility Agreement (PRA) A requirement for Temporary Assistance for Needy Families (TANF) that certain people must follow the conditions of the agreement. produces reports that meet Texas Health and Human Services Commission (HHSC), state and federal reporting requirements. full service having a significant presence of Choices staff; or. 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. For example, a notice is system-generated when an Eligibility Determination Group (EDG) is disposed. receive copies of the applicants or recipient's notices in the preferred language selected on the application and other communications from the agency; act on behalf of the applicant or recipient in all other matters with the agency, such as reporting changes. They cannot be used to schedule appointments using the Scheduling functional area. Application A form that a person or household uses to apply for assistance. 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. Citizenship and Immigration Services (USCIS) and who has received a final order of deportation. Texas State Profile Page. The benefit is funded by taxes collected from businesses. Individual Retirement Account (IRA) An account in which a person contributes an amount of money to supplement retirement income, regardless of their participation in a group retirement plan. Life Estate Income a person receives from ownership of property that they only possess for the duration of their life, such as rental income. intended to result in physical harm, bodily injury or assault, or that is a threat that reasonably places the member in fear of imminent physical harm or bodily injury or assault, not including defensive measures to protect oneself; or. 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. 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. are held under court order as material witnesses or juveniles. All system-generated correspondence is scheduled for batch printing although it can be retrieved from Pending Correspondence and printed locally. 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 Eligibility Determination Group (EDG) name must be within the required degree of relationship to the dependent child. 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. Supplemental Nutrition Assistance Program (SNAP) and Temporary Assistance for Needy Families (TANF) Multiple people may be certified on a single EDG. This is done by intentionally reselling the product purchased with SNAP benefits in exchange for cash or consideration other than eligible food. The number is used to record covered wages, track Social Security benefits and for other identification purposes. ), advanced nurse practitioner (A.N.P.) Once correspondence is printed, whether in batch or locally, the record of the printing is stored in History Correspondence functional area. If there are no eligible members after cascade logic is applied, the household is ineligible for the program. Workforce Innovation and Opportunity Act A federal program to streamline state workforce development systems combining job training, adult education and literacy, and vocational rehabilitation. For more information, including who is eligible, click HERE. 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. Ongoing Benefits Benefits issued for months after the initial benefit month. Clearinghouse A centrally located site that processes medical bills submitted by applicants for Medically Needy with Spend Down. These people must have parental consent or court permission. General Equivalency Diploma (GED) A high school equivalency certificate issued after a person completes a State Board of Education-approved high school equivalency program. You have unsaved changes that will be lost if you exit. Medicaid A state and federal cooperative program authorized under Title XIX of the Social Security Act (United States Code [U.S.C. Texas Workforce Commission (TWC) The state governmental agency charged with overseeing and providing workforce development services to employers and job seekers of Texas. SeeCase Mode. Cardholders Persons authorized to use the Lone Star Card to access benefits in the household's Electronic Benefit Transfer (EBT) account(s). The notices and forms processed in this functional area are also called correspondence and linked to a specific case. Be receiving disability-related assistance or benefits. Keogh An individual retirement account (IRA) for a self-employed individual. Sufficient Employment Job earnings, other than seasonal work such as migrant or seasonal farm work, that would result in Temporary Assistance for Needy Families (TANF) ineligibility without including the 90 percent earned income disregard . 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. For example, the Supplemental Nutrition Assistance Program (SNAP) has two types of assistance: PA (public assistance) and NPA (non-public assistance). 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. Married Minor An person, age 14-17, who is married. Application Visibility Type of YourTexasBenefits.com account given to an applicant who has selected not to go through Advanced Authentication. Do you want to keep working on your application, or start a new one? Click here to re-activate your account. The functional areas that are available to the user are determined by the user's job title and security role(s). Advanced Nurse Practitioner A registered nurse with additional training and certification in a specific area of medicine. 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. Residents of a publicly operated community residence are potentially eligible for Temporary Assistance for Needy Families (TANF) and Medicaid. 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. 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. A request for an administrative review must be submitted in writing within 30 calendar days from the date of the hearing officer's decision. Electronic Benefit Transfer (EBT) A system that uses electronic technology to complete some of a benefit program's functional requirements. The code is used to request permission to use the Lone Star Card in a transaction. All members of a TSAP household must not receive earned income and must be either elderly or disabled as defined by SNAP program rules. It is also referred to as spousal support paid. Timely Disposed An Eligibility Determination Group (EDG) that is completed in accordance with program timeliness standards. 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. The newborn Medicaid coverage can continue through the month of the child's first birthday if the child continues to live in Texas. 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. Resources Both liquid and nonliquid assets a person can convert to meet immediate needs. SeeBatch Scheduling. Please look at the permit to find your number. Third-Party Resource A source of payment of medical expenses other than the recipient or the Texas Health and Human Services Commission (HHSC). Waiver Counties Texas counties with an unemployment rate over 10 percent. 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. Children's Medicaid Medical coverage for children whose family income is under the applicable income limit. Fair Market Value Amount of money an item would bring if sold in the current local market. Vested Interest A situation or circumstance to which a person has a strong personal commitment. Complete Review A re-evaluation of ongoing eligibility. They are not considered inmates of a public institution. Point-of-Sale (POS) Transaction An electronic transaction using an Electronic Benefit Transfer (EBT) card to make a purchase, a cash withdrawal, or inquiry. Refugee A person admitted to the U.S. under Section 207 of the INA. Undocumented Alien An alien living in the U.S. without the knowledge and permission of the U.S. Blocked Time periods that are designated for specific purposes. Basic Utility Allowance (BUA) Deduction given to a SNAP household that has utility costs but does not qualify for the standard utility allowance (SUA). Lone Star Card SeeElectronic Benefit Transfer (EBT) Card. Timely Supplemental Nutrition Assistance Program (SNAP) application filed by the 15th of the last month of certification. Print Type Classification of historical correspondence as the original record or a reprint of the original. 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). Benefit Issuance The functional area that supports the issuance and tracking of benefits calculated in the Eligibility Determination Benefit Calculation (EDBC) and authorized in disposition. Illegally Present Alien A non-citizen living in the U.S. without proper approval from the U.S. Activity Fee An additional cost incurred by the household associated with a structured dependent care program. The primary cardholder is usually the Eligibility Determination Group (EDG) name, but the EDG may have an alternate payee who is the primary cardholder. General Residential Operations Facility Residential care facilities that provide a live-in house parent model of care for children under their care. See Taxpayer. Questionable Management A household has questionable management when reported basic expenses exceed reported net income and resources. The Workforce Innovation and Opportunity Act replaced the Workforce Investment Act of 1998. Radiation Exposure Payments A program to compensate a person for injury or death from exposure to radiation from nuclear testing and uranium mining. 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. Not all Texas Health and Human Services Commission (HHSC) programs and types of assistance have certification periods. SeeDetail Page. 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. 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. Texas Health & Human Services Commission. Each state has its own rules about who's eligible, and what Medicaid covers. See Cascade Logic. Supplemental Security Income (SSI) A needs-tested program administered by the Social Security Administration. 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. Case All the persons living together, and alien sponsors, who are related by Eligibility Determination Group (EDG) affiliation. Child Support A payment made from a biological or adoptive parent to a biological or adoptive child. 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. Only a personal representative may authorize the use or disclosure of individually identifiable health information or obtain individually identifiable health information for a person. Explore health plans for you and your family, including short-term gap coverage and more. A person may buy the contract alone or with the help of an employer. and Texas Human Resources Code, Title 2, Subtitle C, Chapter 32, that pays for certain medical and health care costs for people who qualify. 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. 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. Intentional Program Violation (IPV) The act of intentionally making a false or misleading statement, or misrepresenting, concealing or withholding facts for the purpose of receiving assistance under the Supplemental Nutrition Assistance Program (SNAP), Temporary Assistance for Needy Families (TANF) or Medicaid program. The amount the employer pays is counted as part of the person's gross income. Card Sleeve A durable paper envelope folded to the dimensions of the plastic EBT card. Unemployment benefits range from $69 per week to $521 per week. Cafeteria Plan Flexible fringe benefit plans offered to employees by their employers. 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. Child A child is an adoptive, step, or natural child who is under 19. ITIN holders are not eligible for all of the tax benefits and public benefits that U.S. citizens and other taxpayers can receive. Battered Alien A battered spouse, battered child or parent, or child of a battered person with a pending petition with the U.S. It'savailable to applicants and Community Partners assisting applicants to: Also referred to as YourTexasBenefits.com. 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; an automated eligibility determination; or. SeeEDBC and Driver Flow. The same benefit is now called One-Time TANF for Relatives, with payment records stored in TIERS. hold out to the public that they are a married couple. The: User-Generated Action generated directly by an individual's computer input. It is also referred to as spousal support. Colonias Unincorporated and unregulated settlements (neighborhoods) along the U.S. and Mexico border. Range of Payment The highest to the lowest representative pay amounts used to determine the current ongoing budget. See Alternate Payee. Meal delivery services A non-profit establishment approved by Food and Nutrition Services (FNS) that prepares and delivers meals to elderly people or people who are housebound, have a physical handicap, or otherwise have a disability that prevents the person from adequately preparing all their meals. These are benefits issued and accessed by EBT cards, card numbers and PINs, or by manual voucher and signature. 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. 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. Some people qualify for both Medicare and Medicaid. Capital Goods The accumulated possessions (property, goods and products) used to produce income or other goods. 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. 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.

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