Business Day Monday through Friday from 8 a.m. to 5 p.m. local time. Before you set up an account, we need to ask you some questions. SOLQ enables state social services to rapidly get information they need to qualify people for programs. Based on the criteria, TIERS generates a sample list. Passive Renewal A process by which the Texas Integrated Eligibility Redesign System (TIERS) automatically recertifies a Former Foster Care in Higher Education (FFCHE) active Eligibility Determination Group (EDG) for another certification period. Be ready to answer questions abouteveryone applying such as: Check the status of your benefits ormanage your benefits. formal court-ordered or legally mandated; or. Manage Office Resources (MOR) The functional area that supports the administrative structure in the Texas Integrated Eligibility Redesign System (TIERS) and relationships between regional offices and their local offices, units, and employees. 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. To learn more about Texas Works, please visit Texas Workforce Commission website. When the term is used in the handbook, it means all the following programs combined: Emergency Medical Condition An eligibility requirement for Emergency Medicaid for nonimmigrants, undocumented aliens and certain legal permanent resident aliens. The participation status indicates whether the person is considered an adult or a child according to policy. is not needed to process a redetermination. This includes profits from the sale of stocks, bonds, or real estate. Batch Scheduling Including an appointment date and time with eligibility staff within application packets mailed from the central mail facility. Sentences are served in the community rather than in jail or prison. Former Medicaid recipients may request a certificate within 24 months after their Medicaid is denied by calling 800-723-4789. Bona Fide Agent A person who is familiar with an applicant and knowledgeable of the person's financial affairs. Resources Both liquid and nonliquid assets a person can convert to meet immediate needs. The code is used to request permission to use the Lone Star Card in a transaction. 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. Expenses of Performing Artists Federal income tax deductible expenses for qualified performing artists paid or accrued through performances while serving as an employee in the performing arts. Summary Page A page that lists a summary of all records available for that Texas Integrated Eligibility Redesign System (TIERS) page. 1-877-541-7905. Apply for benefits online at Unemployment Benefits Services by logging on and selecting Apply for Benefits, or call a Texas Workforce Commission . Minor Parent A person under 18 who has a dependent. The Food and Nutrition Act of 2008 limits eligibility for SNAP benefits to U.S. citizens and certain lawfully present non-citizens. Child A child is an adoptive, step, or natural child who is under 19. Standard Medical Expense A $137 deduction applied to a Supplemental Nutrition Assistance Program (SNAP) budget. 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). Permissible Purpose A federal requirement that allows staff to legally request a credit report from the Data Broker system for the sole purpose of determining eligibility. Inmates of facilities that meet the definition of public institution are not eligible for Temporary Assistance for Needy Families (TANF) or Medicaid. Deferred Adjudication A type of probation where the decision for a conviction is postponed until the end of the probationary period. Special Immigrant Iraqi and Afghan (SIV) A special immigrant status under 101(a)(27) of the INA may be granted to Iraqi and Afghan people who have worked on behalf of the U.S. government in Iraq or Afghanistan. Expunged Benefits Benefits that are removed from an EBT account by the issuer of the benefits. 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. Second Chance Home An adult-supervised living arrangement that provides independent living services to teen mothers and their children. This results in: Administrative Review A desk review of the fair hearing record by a Texas Health and Human Services (HHS) attorney to determine if the hearing officer's decision is correct. Grandparent Payment System (GPS) An electronic, web-based data system used to inquire about the issuance of archived TANF one-time Grandparent Payments. 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. Overrides always require Second Level Review before they can be disposed. Noncompliance with the PRA results in a sanction. The number is used to record covered wages, track Social Security benefits and for other identification purposes. Purchasing a product with SNAP benefits with the intent of obtaining cash or something other than eligible food. Special Immigrant Conditional Permanent Resident (SI CPRs) Qualified noncitizens granted special immigrant status. The parent oversees the curriculum and ensures that the children are actually being educated. Range of Payment The highest to the lowest representative pay amounts used to determine the current ongoing budget. Medical Programs that follow modified adjusted gross income (MAGI) rules, except Childrens Health Insurance Program (CHIP) perinatal Only one person is certified on the EDG. causing serious dysfunction of any bodily organ or part. Keogh An individual retirement account (IRA) for a self-employed individual. Aperson under18 may not be a party to an informal (common law) marriage. The Veterans Crisis Line has a new number: Dial 988 then Press 1. Detail Page Click the Edit or View icon to edit or view details of a record listed on a Summary Page. Birth Verification System (BVS) The inquiry system includes birth records of people born in Texas. 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. To find out if you might be eligible for Medicaid in Texas, visit yourtexasbenefits.com Call us at 1-800-772-1213 to make an appointment to file your application. If you don't know what type of Medicaid you have, call toll-free 800-964-2777. Monthly Obligation The amount of child support which the absent parent has been ordered to pay each month. Seedispose. Trafficking Victims Victims admitted under the Trafficking Victims Protection Act of 2000. 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. Court Awards Taxable money that a person receives as the result of a lawsuit, such as compensation for lost wages or punitive damages awards. 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. Supplemental Nutrition Assistance Program (SNAP) applicants and individuals in these counties are not subject to SNAP federal time limits because of the job market. The functional areas that are available to the user are determined by the user's job title and security role(s). the value of in-kind assistance provided by the sponsor or others. Persons with illnesses that require expensive treatment are not subject to lock-in status. They cannot be used to schedule appointments using the Scheduling functional area. Override A Texas Integrated Eligibility Redesign System (TIERS) procedure that allows the user to make a change to the system-determined Eligibility Determination Group (EDG) results. 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. Business day excludes Saturday, Sunday, and holidays designated by a federal or state agency. Home Energy Assistance Program (HEAP) A federal program that pays benefits to help eligible people pay utility costs. A same-sex marriage that occurred before June 26, 2015, is considered valid effective June 26, 2015. Apply online and make a Your Texas Benefitsaccount so you can start, save and go backto your online application at any time. Intentionally purchasing products originally purchased with SNAP benefits in exchange for cash or consideration other than eligible food. Lump-Sum Payment A financial settlement that often involves funds accumulated over an extended period and that is paid in a single payment. Tax Dependent A person who expects to be claimed by someone else as a dependent on a federal income tax return for the taxable year that Medicaid or Children's Health Insurance Program (CHIP) eligibility is requested. SeePrint Mode. 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. 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. Print Type Classification of historical correspondence as the original record or a reprint of the original. ITIN holders are not eligible for all of the tax benefits and public benefits that U.S. citizens and other taxpayers can receive. Also covers medicines ordered by doctors and dentists. Expedited Service Special, faster processing of SNAP applicants who qualify for an emergency food allotment, for active duty military members and their dependents applying for medical coverage and for pregnant women applicants who qualify for current or ongoing medical coverage. A request for an administrative review must be submitted in writing within 30 calendar days from the date of the hearing officer's decision. 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. request an alert and send it to another user; generate manual correspondence on a case; and. The benefit is funded by taxes collected from businesses. Payments: Indian Tribal Household A household in which at least one household member is recognized as a tribal member by any Indian tribe. 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 . You'll get an email or text when there'sa form or notice available online in yourMessage Center. able to apply for Medicaid on the child's own behalf; or. Electronic Benefit Transfer (EBT) Account A benefit account established by the EBT system where HHSC deposits the household's benefits. Opportunity to Participate Providing a certified applicant with benefits, a Lone Star Card, personal identification number (PIN), and Electronic Benefit Transfer (EBT) training material. Medicaid In Texas, there are 5 different types of Medicaid: STAR STAR+PLUS STAR Kids STAR Health Traditional Medicaid The type of Medicaid coverage you get depends on where you live and what kind of health issues you have. Illegally Present Alien A non-citizen living in the U.S. without proper approval from the U.S. 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. Also formally known as (adult) probation. The user reaches the end of the driver flow at the Case Assignment page and must use the Left Navigation to return to specific pages in Data Collection. Benefits. Click here to re-activate your account. Fluctuating Income Income in which the amount varies because of an increase or decrease in hours worked, rate of pay, or inclusion of a bonus. Citizenship and Immigration Services (USCIS). minimum service has little or no presence of Choices staff. The canceled amount is included as countable income on federal income tax returns. Housing and Urban Development (HUD) U.S. Department of Housing and Urban Development. Personal Responsibility Agreement (PRA) A requirement for Temporary Assistance for Needy Families (TANF) that certain people must follow the conditions of the agreement. Welcome to UnitedHealthcare Individual Exchange plans, also referred to as Individual and Family plans. 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. If you can't find it, call us at 800-777-7328. For the eligibility groups reflected in the table, an individual's income, computed using the Modified Adjusted Gross Income (MAGI)-based income rules described in 42 CFR 435.603, is compared to the income . 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. HHSC IEVS Staff HHSC eligibility field staff who process Automated System for Office of Inspector General (ASOIG) Match Texas Works Messages and MEPD Long Term Care (LTC) IEVS Matches. Combat Pay Supplemental incentive payments for hazardous duty and special pay for duty subject to hostile fire or imminent danger. Call us at 1-800-777-7328 if you can't locate it. The person's must have no vested interest in the household's situation. Unemployment benefits range from $69 per week to $521 per week. See Alternate Payee. Waiver of Continued Benefits An individual option to allow eligibility staff to process an adverse action during the individual's appeal process. The site is secure. Electronic Benefit Transfer (EBT) System A system HHSC staff with security access use to issue and replace Lone Star Cards. Supplemental Nutrition Assistance Program (SNAP) applicants and people in these counties are still subject to E&T work registration requirements with TWC, but are exempt from E&T participation and are not subject to SNAP federal time limits. Eligibility staff access BVS as a source to verify age, relationship and citizenship. Excess Payment A payment sent to a TANF recipient by the Office of the Attorney General (OAG). Spend Down The amount of excess income that the applicant must deplete with incurred medical bills before being certified as medically needy. The same benefit is now called One-Time TANF for Relatives, with payment records stored in TIERS. Electronic Benefit Transfer (EBT) Site Coordinator An HHSC employee designated to ensure local offices comply with guidelines on security and accountability operations. 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. Be receiving disability-related assistance or benefits. Batch is correspondence managed by batch processing and printed at a central mail facility. To exit from this workflow, click on Exit. ), osteopathic medical physician (D.O. Proration Portion of total monthly benefits a household is entitled to receive. The newborn Medicaid coverage can continue through the month of the child's first birthday if the child continues to live in Texas. Non-Continuous Eligibility A period of time when changes in circumstances may affect a persons eligibility. This figure represents food, clothing, housing, utilities and incidentals. SeeBatch Scheduling. 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. Married Minor An person, age 14-17, who is married. SeeBatch Processing. determining if a medical bill can be counted for spend down; corresponding with the applicant about eligible and ineligible medical bills; determining if and when the applicant meets spend down; and. They have already gone through the eligibility determination for those programs. A transaction may also be pre-authorized by phone. past, present or future payment for the provision of health care to the person. 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 second party selects the Second Level Review interview mode. Answer some basic questions in our prescreening tool to find which benefits and support services you might be able to get. 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. Complete Action A data collection interview mode that sets up the driver flow for a complete review of all eligibility requirements in an ongoing case. Step Grandparent The spouse of a blood-related grandparent. Self-Service Portal (SSP) A web-based application, atYourTexasBenefits.com. Interview Mode A designation in TIERS Data Collection that queues the driver flow through appropriate pages according to the type of action. 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. Citizenship and Immigration Services (USCIS) The government agency that oversees lawful immigration to the U.S. The term also applies to decisions for protective and restricted payments. Presumptive Eligibility (PE) Short-term Medicaid coverage provided to people determined potentially eligible for regular Medicaid by a qualified hospital or a qualified entity. Power of Attorney (POA) Written legal authorization to represent or act on another's behalf in private affairs, business, or some other legal matters. The notices and forms processed in this functional area are also called correspondence and linked to a specific case. 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. A person may buy the contract alone or with the help of an employer. Adjusting to the physical changes post-surgery can be difficult, and finding the right mastectomy bra is one of the most important steps in the process. Balance Receipt A paper receipt that shows the available balance in an person's cash or food account. 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. The Marketplace in Texas is operated by the U.S. Department of Health and Human Services. See, is a member of a Supplemental Nutrition Assistance Program [SNAP] Eligibility Determination Group [EDG] where a household member is under 18; or. Comprehensive Energy Assistance Program (CEAP) A utility assistance program funded annually by the Low Income Home Energy Assistance Program (LIHEAP). HHSC The Texas Health and Human Services Commission. Cuban or Haitian Entrant Admitted under Section 501(e) of the Refugee Education Assistance Act of 1980. The house parent assumes responsibility and acts in lieu of the parent in meeting the childrens ongoing needs. Or send an e-mail to: mail@dhs.state.tx.us. Authorized Representative (AR) A person or organization designated by an applicant or recipient to take the following actions on the applicants behalf: Automated Income Check Process The first step in a periodic income check (PIC). Your session has ended. Call 800-777-7328 to activate your card. Change Action A data collection interview mode that allows eligibility staff to navigate to pages on which they want to update or record information. Self-Employed Individual Retirement Account (IRA), Simple IRA, and Qualified Plan Deductions A federal income tax deduction for self-employed people or partners in a business. 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. Supplemental Nutrition Assistance Program (SNAP) Past name was the Food Stamp Program. Medicaid Members: Continuous Medicaid coverage will end on March 31, 2023. 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. voluntary not court-ordered and given voluntarily when the childs caretaker or the person making the payment states the purpose of the payment is to support the child. Absent Parent A child's parent who is not living in the home. 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. 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. These databases contain information for individuals who are currently on assistance and for individuals who have applied for or received assistance in the past. ], Title 42, 1396 et seq.) Texas Workforce Commission (TWC) The state governmental agency charged with overseeing and providing workforce development services to employers and job seekers of Texas. The current Land Loans interest rate for Texas veterans is 6.95%. Capital Goods The accumulated possessions (property, goods and products) used to produce income or other goods. EDGs denied because of new or increased earnings will receive a maximum of 12 months of coverage. Ten-Ten-Thirteen Concept Time periods used to determine the first month of an over-issuance claim. Low Income Home Energy Assistance Program (LIHEAP) The federal program that funds assistance for energy costs for low-income households. Immigration and Customs Enforcement handles immigration enforcement; and. This will help you know if you should apply for benefits on this site or for health insurance on HealthCare.gov. Sanction Either a disqualification or a penalty applied to a case or program because a person failed to follow a program requirement. 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. Texas State Profile Page. 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. This includes falsifying a document or a statement, or providing false information in an interview, with the intent to commit fraud. 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. the prevention and treatment of substance abuse; Women, Infants, and Children (WIC) nutrition. Incidentals include normal day-to-day transportation, phone, laundry, medical supplies not paid by Medicaid, home remedies, recreation and household equipment. Royalty A payment to a person for permitting another to use or market property. a facility located on the grounds of or immediately adjacent to any large institution or multi-structure complex; an educational or vocational training institution; and. Citizenship and Immigration Services (USCIS) and who has received a final order of deportation. The official document indicates to and for whom the support is paid, the frequency and the amount of payment. You must also be one of the following: Pregnant, or 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. 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. CEAP replaced the Home Energy Assistance Program (HEAP). Even if designed to serve up to 16 residents, the following facilities are not considered publicly operated community residences: Qualified Entity (QE) A Medicaid provider (in most instances but can also be an organization such as a school or clinic) that notifies HHSC of its election to make presumptive eligibility determinations and agrees to make presumptive eligibility determinations for pregnant women only, per HHSC policies and procedures. 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. Hearing The functional area where individual appeals are recorded and tracked. Alert A system or user-generated reminder that action needs to be taken on a case or a notification that an action has already taken place. Unauthorized access to this site and its information assets is prohibited. Successful prosecution of misuse of PHI may include imprisonment and/or financial sanctions as set forth in Standards for Privacy of Individual Health Information 45 CFR Parts 160 and 164. Cardholders Persons authorized to use the Lone Star Card to access benefits in the household's Electronic Benefit Transfer (EBT) account(s). Reinstatement Process of providing Transitional Medical Assistance (TMA) to a household denied because of failure to return a complete Medicaid Report. A molar pregnancy is considered a normal pregnancy that terminates early because of miscarriage or abortion. 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. or registered nurse (R.N.). Expenses of Reservists Federal income tax deductible expenses for National Guard and military reserve members who traveled more than 100 miles from home for service.
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