Identical Application One or more exact copies of an application previously submitted by an applicant. A stripe of magnetic material, which is machine-readable and allows for the activation of point-of-sale equipment, is affixed to the back of the card at the time of manufacture. See Permissible Purpose. Individual Retirement Account (IRA) Deduction A federal income tax deduction for people who contributed to a traditional IRA. They are not considered inmates of a public institution. 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. Click here to re-activate your account. What is individual number for Texas benefits? Temporary Assistance for Needy Families (TANF) Certified Child A child who is included in a TANF grant. The person has 10 days to report the change; staff have 10 days to act on the change. TWC is part of a local and state network dedicated to developing the workforce of Texas. Resources Both liquid and nonliquid assets a person can convert to meet immediate needs. You need to pass a few authentication questions. Case All the persons living together, and alien sponsors, who are related by Eligibility Determination Group (EDG) affiliation. an applicant or a certified Temporary Assistance for Needy Families (TANF); Supplemental Nutrition Assistance Program (SNAP)or Medical Program household member or a member who would be certified but is disqualified; or. 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. Please look at the permit to find your number. It must take place before the person receives a seventh warrant. These occupations include beauticians, waiters, valets and food delivery staff. Incidentals include such things as normal day-to-day transportation, phone, laundry, medical supplies not paid by Medicaid, home remedies, recreation, and household equipment. The 5% down payment is subject to credit approval. 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. 1-877-541-7905. Alien Sponsor A person who signed an affidavit of support (U.S. Change Action A data collection interview mode that allows eligibility staff to navigate to pages on which they want to update or record information. During this step, information from electronic data sources is automatically requested and a reasonable compatibility test is run. 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. Traditional Medicaid 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. It is when a child lives with both legal parents and both parents are requesting and are eligible for coverage. Eligibility Determination Group (EDG) Members of a household whose needs, resources, income and deductions are considered in determining eligibility for benefits. Non-Traditional Retailer A food retailer who operates in a farmer's market or as a roadside vendor. Reapplication Date Date the Texas Health and Human Services Commission (HHSC) receives a new application for redetermination or complete review of eligibility. Alternate Payee A person who receives the benefits for the EDG when people on the EDG are unable or ineligible to receive them. See functional area. Power of Attorney (POA) Written legal authorization to represent or act on another's behalf in private affairs, business, or some other legal matters. You will need to login again. The automated process uses existing applicant information, electronic data source information and reasonable compatibility when income verification is required. Also, the act of trafficking in SNAP benefits. They have already gone through the eligibility determination for those programs. Ten-Ten-Thirteen Concept Time periods used to determine the first month of an over-issuance claim. Available at reasonable cost is usually defined as being available through the employer. Answer some basic questions in our prescreening tool to find which benefits and support services you might be able to get. 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. Agriculturally Related Activities Employment: Aid A benefit, coverage or service in programs that HHSC administers. The sleeve stores the card and protects the magnetic strip from being damaged by scratches. To start a new session, you must close the browser window.
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. All system-generated correspondence is sent to pending correspondence, but it can be retrieved and printed locally. 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. Electronic Benefit Transfer (EBT) Representative A primary cardholder other than the case name. Non-Continuous Eligibility A period of time when changes in circumstances may affect a persons eligibility. You tried to login 3 times in a row with either the wrong user name or password. Overrides always require Second Level Review before they can be disposed. Recognizable Needs The maximum needs amount allowed by the Texas Health and Human Services Commission (HHSC) when determining eligibility. 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.
Lone Star FAQs | Texas Health and Human Services See User-Generated. Administrative Terminal Application (ATA) A software program accessible on one or more Texas Health and Human Services Commission (HHSC) desktop computers in each office. ], Title 42, 1396 et seq.) Review Temporary Assistance for Needy Families (TANF) evaluative interview. Each reprint of an original has the same Correspondence ID as the original. For example, the Supplemental Nutrition Assistance Program (SNAP) has two types of assistance: PA (public assistance) and NPA (non-public assistance). Electronic Benefit Transfer (EBT) Card A plastic card called the Lone Star Card issued to primary and secondary cardholders that allows the cardholders access to the benefits in the EBT system. Reimbursement Repayment for a specific item or service. Examples include certified nurse-midwives, clinical nurse specialists, and pediatric nurse practitioners. The Veterans Crisis Line has a new number: Dial 988 then Press 1. Manage your case usingthe Your Texas Benefitsapp on your phone. Personal Representative A person who can represent another person's rights with respect to individually identifiable health information. generate a manual issuance of benefits outside the normal eligibility process. temporary quarters in another person's residence for 90 days or less. EDGs denied because of new or increased spousal support income will receive a maximum of four months of coverage.
Eligibility & Benefit Amounts - Texas Workforce Commission Child Support A payment made from a biological or adoptive parent to a biological or adoptive child. 4, Disqualified Members, unless that disqualification is due to not meeting citizenship requirements.
Texas Workforce Commission's Unemployment Benefit Services - Help - Logon Texas State Profile Page. Questionable Information Information that is contradictory or incomplete. 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. Generally, to qualify for SNAP, non-citizens must meet one of the following criteria: Have lived in the United States for at least 5 years. The canceled amount is included as countable income on federal income tax returns. 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. 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. Incidentals include normal day-to-day transportation, phone, laundry, medical supplies not paid by Medicaid, home remedies, recreation and household equipment. Veterans can still call 800-273-8255 and Press 1 to reach the Crisis Line as well. The functional areas that are available to the user are determined by the user's job title and security role(s). The program reimburses the policy holder for private health insurance payroll deductions for Medicaid-eligible persons when HHSC determines that it is cost-effective. Eligibility The functional area that supports Eligibility Determination Benefit Calculation (EDBC). 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. 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. Taxable Year The 12-month period that a person uses to report income for federal income tax purposes. Business day excludes Saturday, Sunday, and holidays designated by a federal or state agency. Monthly Obligation The amount of child support which the absent parent has been ordered to pay each month. Historical Data Records of case, Eligibility Determination Groups (EDGs) and individual information. Educator Expenses Expenses for which educators, kindergarten through grade 12 teachers, counselors, principals or aides can receive a federal income tax deduction. The EDG includes members who are eligible and may include members who are not certified for 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. causing serious dysfunction of any bodily organ or part. 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.
What is the difference between a Medicaid number and a case number 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. These people must have parental consent or court permission. Timely Disposed An Eligibility Determination Group (EDG) that is completed in accordance with program timeliness standards. 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. SeeDetail Page. Non-Secure Facility A publicly operated community residence that serves no more than 16 residents, such as a county emergency shelter or non-public group or foster home. Personal Account Number (PAN) The 19-digit number on the front of the Lone Star Card representing the persons Electronic Benefit Transfer (EBT) account number on the EBT database. Management The way in which a household pays its expenses with available income. Eligibility Determination Benefit Calculation (EDBC) The process of applying program policy to household, non-financial, resource, income and deduction information entered in the Data Collection functional area. Cafeteria Plan Flexible fringe benefit plans offered to employees by their employers. One program is the Choices program for TANF recipients, and the other is the SNAP Employment and Training (E&T) program for SNAP recipients. 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. 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. request an alert and send it to another user; generate manual correspondence on a case; and. Protection at 1-800-252-3439 or www.tdi.texas.gov. 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. 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. 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. Activity Fee An additional cost incurred by the household associated with a structured dependent care program. 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. This includes management and medical, at a specified time other than at application or complete action. 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. Staff also use the EBT system to perform such functions as inquiry, account transaction update to the vendor database and, in certain very restricted situations, priority SNAP benefit authorization. Card Sleeve A durable paper envelope folded to the dimensions of the plastic EBT card. Certification Period The period of eligibility established at disposition. Only a personal representative may authorize the use or disclosure of individually identifiable health information or obtain individually identifiable health information for a person. Participation Status The designation of an Eligibility Determination Group (EDG) member as an eligible or ineligible member of the certified group.
Reshoring supply chains: What does it mean for investors? Expenses of Fee-Basis Government Officials Federal income tax deductible employment-related expenses paid for or accrued by employees of a state or political subdivision who are compensated on a fee basis. State Data Exchange (SDX) Computer tape from the Social Security Administration (SSA). Pick numbers that are easy for you to remember, but hard for others to guess. Deprivation Loss of parental support caused by death, incapacity, continued absence of one or both natural or adoptive parents, or because of unemployment or underemployment of both parents in a two-parent family. Helps cover visits to doctors, dentists, and hospitals. 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. Historical Correspondence Records of forms and notices that have been printed. Automated Renewal Process The first step in an administrative renewal. 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. Contact the Texas Department of Insurance's Consumer Health Deductible Part of Self-Employment Tax A federal income tax deduction for self-employed people paying self-employment taxes. Fixed Income Unearned income that does not vary. Trafficking Victims Victims admitted under the Trafficking Victims Protection Act of 2000. Legally Obligated Child Support Court order or a legally recorded document requiring the payments of child support to be made in the form of cash, medical support, or to a third party. Trust Property held by one person for the benefit of another. When an individual is added, File Clearance can be processed in Application Registration. 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 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. You'll get the Lone Star Card once you're approved for benefits. Your information has not been sent. 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 notice of adverse action expires in 13 days. 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. Eligibility staff access BVS as a source to verify age, relationship and citizenship. SeeEDBC and Driver Flow. 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. Medicaid is also known as the medical assistance program. Need help buying food because of recent disasters in your area? are intended for expenses other than room and board. Continued Benefits Continuing or restoring benefits to the level authorized immediately before the notice of adverse action. Interfaces The functional area that exchanges information with other systems and agencies. Lone Star Card SeeElectronic Benefit Transfer (EBT) Card. and Texas Human Resources Code, Title 2, Subtitle C, Chapter 32, that pays for certain medical and health care costs for people who qualify. All members of a TSAP household must not receive earned income and must be either elderly or disabled as defined by SNAP program rules. able to apply for Medicaid on the child's own behalf; 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 persons may or may not be included in EDGs as certified members. Range of Payment The highest to the lowest representative pay amounts used to determine the current ongoing budget.
Glossary | Texas Health and Human Services 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. The newborn Medicaid coverage can continue through the month of the child's first birthday if the child continues to live in Texas.
How do I find my Food and Nutrition Service number? (For SNAP - USDA 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. Social Security Number A unique nine-digit number assigned to a person by the Social Security Administration (SSA). ), advanced nurse practitioner (A.N.P.) Summer P-EBT (June-August 2022) is a one-time benefit of $391 for each eligible child. 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. Type of Assistance (TOA) The specific aid for one or more people in an Eligibility Determination Group (EDG). Medicaid & CHIP in . Standard Utility Allowance (SUA) A standard deduction for the cost of utilities. Call 800-777-7328 to activate your card. Recoupment Withholding part of a person's current benefit because of a previous overpayment. SeeCarryover Standby List. For example, those with incomes over $200,000 had an average refund of $3,239 while those with incomes under $50,000 had an . Helps people with daily living needs, caregivers, and people with mental health, drug or alcohol issues. allthe EDGs in a case are denied (Ongoing). Transitional Medical Assistance (TMA) Medicaid coverage provided after denial of certain Eligibility Determination Groups (EDGs) because of new or increased earnings or new or increased spousal support income. Availability Period For TANF, the availability period is two fiscal years after the benefit was issued. Pick or change your PIN. 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. Print Mode Indicates where historical correspondence was printed. 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. 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. 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. Report Date The date information is reported to the Texas Health and Human Services Commission (HHSC). Deportation (or Removal) Withheld Deportation is being withheld under Section 243(h) of the INA, or removal is withheld under Section 241(b)(3) of the INA. This figure represents food, clothing, housing, utilities and incidentals. Crime Victim's Compensation Payments from the funds authorized by state legislation to assist a person who: The payments are distributed by the Office of the Attorney General (OAG) in monthly payments or in a lump-sum payment. Managed care includes the health maintenance organization (HMO) model. The User Guide includes information about numerous TIERS topics. 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. This guide will explain the different types of . Inaccessible Resources Resources not legally available to the person. Annuity A series of payments paid under a contract and made at regular intervals over more than one full year. 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. 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 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. See Alternate Payee. 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 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. Asylee A person granted asylum under Section 208 of the Immigration and Nationality Act (INA). 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.
Individual Exchange Plan Information for Providers | UHCprovider.com A same-sex marriage that occurred on or after June 26, 2015, is considered valid on the date it occurred. . Adults on the Eligibility Determination Group (EDG) must be legal parents (including a certified stepparent) to the dependent child. The term also applies to decisions for protective and restricted payments. Unauthorized access to this site and its information assets is prohibited.
Understanding Your EDG Number: What It Is And How To Obtain It For Food PDF Coverage for: Individual + Family | Plan Type: HRA Texas's EBT customer service number is 1-800-777-7328. Also formally known as (adult) probation. Radiation Exposure Payments A program to compensate a person for injury or death from exposure to radiation from nuclear testing and uranium mining. in canning, packing, ginning, seed conditioning or related research or processing operations. Payments: Indian Tribal Household A household in which at least one household member is recognized as a tribal member by any Indian tribe. provides health coverage to eligible low-income adults, children, pregnant women, and people who are older or who have disabilities. 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. Good Cause A term used to indicate that a person has an acceptable reason for not complying with a program requirement. Sentences are served in the community rather than in jail or prison. Examples include a fee for an art class that is part of an adult day care program, equipment fees or an extra cost for participation in a field trip as part of a summer program. minimum service has little or no presence of Choices staff. Vested Interest A situation or circumstance to which a person has a strong personal commitment. Enter this for various situations including: Real Property Land and any improvements on it. These plans are offered through the Health Insurance Marketplace, or the Exchange, where individuals can research, compare, and purchase health plans. 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. The money contributed to these accounts is not subject to federal income tax at the time of deposit. Texas Integrated Eligibility Redesign System (TIERS) A computer system used to: Texas Simplified Application Project (TSAP) TSAP is a simplified application and certification process for SNAP. Electronic Benefit Transfer (EBT) Account A benefit account established by the EBT system where HHSC deposits the household's benefits.