Benefits. Seebatch processing,pending correspondence,print mode,print type,system-generatedanduser-generated. You must also be one of the following: Pregnant, or Fast forward to 2023, and many companies in some cases spurred by massive government subsidies are taking big steps to diversify their supply chains, focusing on reliability and robustness over cost and efficiency. You can buy individual coverage through: An insurance company or health maintenance organization (HMO) A licensed health insurance agent who has a relationship with one or more insurance companies ; Healthcare.gov, the online federal health insurance Marketplace ; The Plan Finder on Healthcare.gov for individuals and small businesses Temporary Assistance for Needy Families (TANF) Certified Child A child who is included in a TANF grant. Former Medicaid recipients may request a certificate within 24 months after their Medicaid is denied by calling 800-723-4789. 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. Note: A licensed vocational nurse or licensed practical nurse does not meet the definition of practitioner. The Food and Nutrition Act of 2008 limits eligibility for SNAP benefits to U.S. citizens and certain lawfully present non-citizens. 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. Adults on the Eligibility Determination Group (EDG) must be legal parents (including a certified stepparent) to the dependent child. 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. Military Member Aperson in the U.S. Armed Forces/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/Texas State Guard. For example, a user can: User Guide A Texas Integrated Eligibility Redesign System (TIERS) help tool accessed by clicking on the Help icon in the upper right corner of TIERS pages. 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. 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. 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. People can apply using a simplified application, and they do not typically have to complete an interview at redetermination. Helps pregnant, breastfeeding women and families with children younger than 5 buy healthy foods. Eligibility Determination Benefit Calculation (EDBC) uses the discovery and report dates to determine if a required report of change is reported timely. Child support may be: Child Support Disregard The first $75 of the total child support collected in a month that is subtracted before determining TANF eligibility or benefits. 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). Individually Identifiable Health Information Information that either identifies or could be used to identify a person that relates to the: Ineligible Alien A non-citizen whose alien status makes them ineligible for program benefits. Birth Verification System (BVS) The inquiry system includes birth records of people born in Texas. Electronic Benefit Transfer (EBT) System A system HHSC staff with security access use to issue and replace Lone Star Cards. Authorization Code A code that identifies a retailer as a Food and Nutrition Service (FNS)-participating store. The EDG is built and eligibility is established at the highest level. Battered Alien A battered spouse, battered child or parent, or child of a battered person with a pending petition with the U.S. 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. It provides monthly income to aged people and persons who are blind or have a disability. intended to inflict emotional harm, including an act of emotional abuse. The primary cardholder is usually the Eligibility Determination Group (EDG) name, but the EDG may have an alternate payee who is the primary cardholder. Before you set up an account, we need to ask you some questions. This gives a source of citizenship or alien status verification for certain Medical Programs. 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. Unemployment Benefits Services allows individuals to submit new applications for unemployment benefits, submit payment requests, get claim and payment status information, change their benefit payment option, update their address or phone number, view IRS 1099-G information, and respond to work search log requests. ), osteopathic medical physician (D.O. Health Savings Account A savings account for medical-related expenses that is available to taxpayers. What're Mastectomy Bras and Why They're Important | TomboyX Additionally, a consumer assistance program can help you file your appeal. Medical Support Health insurance that absent parents will be ordered to obtain for their children who receive Medicaid when it is available at reasonable cost. 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. General Equivalency Diploma (GED) A high school equivalency certificate issued after a person completes a State Board of Education-approved high school equivalency program. Summer P-EBT (June-August 2022) is a one-time benefit of $391 for each eligible child. Type Program (TP) 08, Parents and Caretaker Relatives Medicaid A person who supervises and cares for a dependent child. Common Law Marriage Relationship in which the two parties both 18 years or older: A minor child in Texas cannot legally enter a common law marriage unless the claim of common law marriage began before Sept. 1, 1997. Secure Facility Secure boot camp settings. Alternative Benefit Plans. Inquiry Refers to the functional area that allows users to view case, Eligibility Determination Group (EDG), and individual information. 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. Advanced Nurse Practitioner A registered nurse with additional training and certification in a specific area of medicine. . It must take place before the person receives a seventh warrant. You have unsaved changes that will be lost if you exit. 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. Questionable Management A household has questionable management when reported basic expenses exceed reported net income and resources. Questions About Your Benefits | Texas Health and Human Services U.S. 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 a Medical Program Modified Adjusted Gross Income (MAGI) household member. Beneficiary The person named to receive benefits. In this system, patients go to their primary care physician to obtain other health services such as specialty medical care, surgery or physical therapy. How do I find my Food and Nutrition Service number? (For SNAP - USDA Migrant Farmworker in the Workstream Farmworkers who travel to work in agriculture or a related industry and who are presently employed away from their permanent residence or home base. This process occurs without staff action. To continue working, click on Stay on page. Agriculturally Related Activities Employment: Aid A benefit, coverage or service in programs that HHSC administers. If you already get SNAP benefits, you will not be eligible for Disaster SNAP. Blocked Time periods that are designated for specific purposes. The Texas Workforce Commission (TWC) administers unemployment benefits, which provide temporary relief for eligible Texans who find themselves out of work or dealing with severely reduced work hours. the prevention and treatment of substance abuse; Women, Infants, and Children (WIC) nutrition. Expunged Benefits Benefits that are removed from an EBT account by the issuer of the benefits. to claim a personal exemption deduction on the taxpayers federal income tax return for one or more applicants. Your unique Medicaid numberwill be displayed on the Texas Health and Human Services Commission's 'Your Texas Benefits' card. are intended for expenses other than room and board. Annulment A court order declaring a marriage invalid. Self-Service Portal (SSP) A web-based application, atYourTexasBenefits.com. Illegally Present Alien A non-citizen living in the U.S. without proper approval from the U.S. When an individual is added, File Clearance can be processed in Application Registration. 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. createcorrespondence and reports based on system-requested and user-requested criteria. Change Action A data collection interview mode that allows eligibility staff to navigate to pages on which they want to update or record information. Medicaid A state and federal cooperative program authorized under Title XIX of the Social Security Act (United States Code [U.S.C. 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. Supplemental Security Income (SSI) | SSA Underpayment Issuance of fewer benefits than an individual is entitled to receive. Monthly Obligation The amount of child support which the absent parent has been ordered to pay each month. 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. cash contributions of the sponsor or others; and. Availability Period For TANF, the availability period is two fiscal years after the benefit was issued. Please retype the user name and password, or sign up if you haven't already done so. 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. It is also referred to as spousal support. 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. Conception occurs, but no fetus ever develops. Available at reasonable cost is usually defined as being available through the employer. Temporary Assistance for Needy Families Non-Cash (TANF-NC) Consists of services for: Temporary Assistance for Needy Families (TANF) Redirect A Texas Works message to TANF applicants delivered up front by Texas Health and Human Services Commission (HHSC) staff before the application process begins, explaining that: Temporary Assistance for Needy Families State Program (TANF-SP) Cash assistance for families with a dependent child and at least two adults. past, present or future payment for the provision of health care to the person. A household member may be charged with an IPV even if the person has not actually received benefits to which they are not entitled. 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. 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. Ten-Ten-Thirteen Concept Time periods used to determine the first month of an over-issuance claim. Asylee A person granted asylum under Section 208 of the Immigration and Nationality Act (INA). the value of in-kind assistance provided by the sponsor or others. Electronic Benefit Transfer (EBT) Issuance Staff An HHSC employee who issues and registers EBT cards for people in the local HHSC office. perform initial self-screening to check for potential eligibility; view general benefit program information. Power of Attorney (POA) Written legal authorization to represent or act on another's behalf in private affairs, business, or some other legal matters. Traditional Medicaid provides health coverage to eligible low-income adults, children, pregnant women, and people who are older or who have disabilities. The functional areas that are available to the user are determined by the user's job title and security role(s). Interview Mode A designation in TIERS Data Collection that queues the driver flow through appropriate pages according to the type of action. With this type of access, a person can view and change an application created under their username. Capital Goods The accumulated possessions (property, goods and products) used to produce income or other goods. Mastectomy surgery is a significant life event for many people. The Marketplace is also known as the Exchange, Health Insurance Marketplace, and Federally Facilitated Marketplace (FFM). SNAP Eligibility | Food and Nutrition Service - USDA This information is used in the EDBC process to build Eligibility Determination Groups (EDGs) and determine eligibility for programs and types of assistance. Reasonable Opportunity The 95-day period following the date a notice is sent to a person. BENDEX (Beneficiary and Earnings Data Exchange) A computer tape match from the Social Security Administration that provides Social Security and Medicare information about Texas Health and Human Services Commission (HHSC) recipients. See, is a member of a Supplemental Nutrition Assistance Program [SNAP] Eligibility Determination Group [EDG] where a household member is under 18; or. Business Day Monday through Friday from 8 a.m. to 5 p.m. local time. The notice of adverse action expires in 13 days. SOLQ enables state social services to rapidly get information they need to qualify people for programs. a correctional or holding facility for people who: have been arrested or detained pending disposition of charges; or. Standby List Applicants who are awaiting an interview without a specific appointment. See User-Generated. Texas Workforce Commission (TWC) The state governmental agency charged with overseeing and providing workforce development services to employers and job seekers of Texas. 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. Instructions include not writing their PIN on the card sleeve or anything they carry in their purse or wallet, not revealing their PIN to anyone, or letting anyone use their card. 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. full service having a significant presence of Choices staff; or. Molar Pregnancy Also known as hydatidiform mole, a molar pregnancy is considered a degenerating pregnancy. lives with another person and they represent themselves to the community as married. The money contributed to these accounts is not subject to federal income tax at the time of deposit. The driver flow is determined by the programs, types of assistance, and answers to questions as the case is worked. Clearinghouse A centrally located site that processes medical bills submitted by applicants for Medically Needy with Spend Down. 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. Veterans can still call 800-273-8255 and Press 1 to reach the Crisis Line as well. Cuban or Haitian Entrant Admitted under Section 501(e) of the Refugee Education Assistance Act of 1980. Balance Receipt A paper receipt that shows the available balance in an person's cash or food account. 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. 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. Unearned Income Payments received without performing work-related activities, including benefits from other programs. If you already have a Lone Star Card PIN, you can keep it or change it. VA South Texas Health Care | Kerrville VA Medical Center's Open House Non-Continuous Eligibility A period of time when changes in circumstances may affect a persons eligibility. Vested Interest A situation or circumstance to which a person has a strong personal commitment. Assignable Time periods that are available to be used to schedule appointments using the Scheduling functional area. Sibling Brother or sister, including legally adopted and half-brothers and half-sisters. Application Visibility Type of YourTexasBenefits.com account given to an applicant who has selected not to go through Advanced Authentication. Comprehensive Energy Assistance Program (CEAP) A utility assistance program funded annually by the Low Income Home Energy Assistance Program (LIHEAP). What is the difference between a Medicaid number and a case number Treat an untimely reapplication the same as an initial application. Prudent Person Principle Reasonable decision made by staff based on the best information available and common sense in a particular situation. The number is used to record covered wages, track Social Security benefits and for other identification purposes. Driver Flow The logical sequence of data collection pages that appear as a case is completed or read. Personal Representative A person who can represent another person's rights with respect to individually identifiable health information. The participation status indicates whether the person is considered an adult or a child according to policy. The program reimburses the policy holder for private health insurance payroll deductions for Medicaid-eligible persons when HHSC determines that it is cost-effective. This is done by intentionally reselling the product purchased with SNAP benefits in exchange for cash or consideration other than eligible food. Eligibility & Benefit Amounts - Texas Workforce Commission The facts about the individual tax identification number 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. Married Minor An person, age 14-17, who is married. Eligibility The functional area that supports Eligibility Determination Benefit Calculation (EDBC). Disability | Texas Health and Human Services Your case visibility account has been disabled because of inactivity. reinstating Transitional Medicaid Assistance (TMA); and. Texas Unemployment Benefits | Benefits.gov They are also subject to disciplinary action from the Texas Health and Human Services Commission (HHSC). Not all Texas Health and Human Services Commission (HHSC) programs and types of assistance have certification periods. These issuances are available to the person the same day the Eligibility Determination Group (EDG) is disposed. Glossary | Texas Health and Human Services 1-877-541-7905. Also formally known as (adult) probation. Texas State Profile Page. 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.