The last number in your TANF Eligibility Determination Group number tells what day you get your benefits. 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. Interview Mode A designation in TIERS Data Collection that queues the driver flow through appropriate pages according to the type of action. past, present or future physical, mental health condition of the person; provision of health care to the person; or. Annuity A series of payments paid under a contract and made at regular intervals over more than one full year. To have a payable claim, you must meet all of the following requirements: You have wages in more than one of the four base period calendar quarters. a correctional or holding facility for people who: have been arrested or detained pending disposition of charges; or. You do not need to be enrolled in VA benefits or health care to connect. They are also subject to disciplinary action from the Texas Health and Human Services Commission (HHSC). OPTION 2: Start an Application Online You can start the application process online. are received for a minimum of three months. SeeDetail Page. The PAN is not related to the persons Texas Health and Human Services Commission (HHSC) case number. The term also applies to decisions for protective and restricted payments. 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. Activity Fee An additional cost incurred by the household associated with a structured dependent care program. 1-877-541-7905. Citizenship and Immigration Services [USCIS] Form I-864 or I-864-A) on or after Dec. 19, 1997, agreeing to support an alien as a condition of the alien's entry into the U.S. The amount the employer pays is counted as part of the person's gross income. Prepaid Burial Insurance Insurance that pays for a specific funeral arrangement. With an account, you will also be able to save your support service screening forms and check the status of any you have already filled out. See Alternate Payee. Marketplace The governmental entity that makes qualified health plans available to qualified people, qualified employers or both. 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. 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. Medicaid Card An identification card issued to people determined eligible for Medicaid that verifies Medicaid coverage. Asylee A person granted asylum under Section 208 of the Immigration and Nationality Act (INA). Marriage A legally or formally recognized union between two people. It provides monthly income to aged people and persons who are blind or have a disability. Inquiry Refers to the functional area that allows users to view case, Eligibility Determination Group (EDG), and individual information. Explore health plans for you and your family, including short-term gap coverage and more. 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. Before sharing sensitive information, make sure youre on an official government site. The system generates an alert when the SSA Benefit amount on file does not match the information on the BENDEX file. Self-Employment Income Earned or unearned income available from one's business, trade or profession rather than from an employer. 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. Please look at the permit to find your number. See Alternate Payee. causing serious dysfunction of any bodily organ or part. SeeBatch Processing. Call 800-777-7328 to activate your card. This process occurs through a mass update and does not require action. Availability Date The date that benefits are deposited into the recipients Electronic Benefit Transfer (EBT) account. The current Land Loans interest rate for Texas veterans is 6.95%. Accessibility Date The date that benefits are deposited into an Electronic Benefit Transfer (EBT) account. Rebuild EDG (Eligibility Determination Group)A button in the Wrap Up management group. (FPL). Change Action A data collection interview mode that allows eligibility staff to navigate to pages on which they want to update or record information. SeeBatch Scheduling. Medicaid A state and federal cooperative program authorized under Title XIX of the Social Security Act (United States Code [U.S.C. Disaster SNAP (D-SNAP) gives short-term food benefits to people recovering from a disaster. Office of Inspector General (OIG) A division of the Texas Health and Human Services Commission (HHSC) created by the 78th Texas Legislature, Regular Session, 2003, to prevent and reduce waste, abuse, and fraud within the Texas Health and Human Services system. This includes profits from the sale of stocks, bonds, or real estate. You can find your EDG number on the TF0001 form we sent you saying that you can get SNAP benefits. It could take several weeks for your P-EBT card to arrive after claiming benefits. 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. Three Months Prior The three-month period before the Medicaid application month. Birth Verification System (BVS) The inquiry system includes birth records of people born in Texas. These databases contain information for individuals who are currently on assistance and for individuals who have applied for or received assistance in the past. to file a federal income tax return for the taxable year in which Medical Program eligibility is requested; if married, to file a joint federal income tax return for the taxable year in which Medical Program eligibility is requested; that no other taxpayer will be able to claim the person or the couple as a tax dependent on a federal income tax return for the taxable year in which Medical Program eligibility is requested; or. Emergency Medicaid All types of emergency Medicaid coverage programs for people who are nonimmigrants, undocumented aliens or certain legal permanent resident aliens who have emergency medical conditions and who, except for alien status, would be Medicaid-eligible. 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). Seecase modeandinterview mode. SDX information can be used as a source of verification and is available in the Texas Integrated Eligibility Redesign System (TIERS). If File Clearance is not processed in Application Registration, the system will perform it in Data Collection. some eligible members receive TANF or RCA, and all other eligible members receive Supplemental Security Income (SSI), including SSI essential persons. It is used to apply cascade logic by reforming EDGs until establishing eligibility. Authorized staff can correct months in this functional area. If you don't know what type of Medicaid you have, call toll-free 800-964-2777. Certified Group The members in an Eligibility Determination Group (EDG) who are eligible for a given program. Earned Income Tax Credits (EITC) Payments from the Internal Revenue Service (IRS) to people with gross monthly earnings at or below levels established by the IRS. Card Sleeve A durable paper envelope folded to the dimensions of the plastic EBT card. Temporary Assistance for Needy Families (TANF) a disqualified legal parent, second parent, or a non-parent relative certified as caretaker. The Food and Nutrition Act of 2008 limits eligibility for SNAP benefits to U.S. citizens and certain lawfully present non-citizens. Timely Disposed An Eligibility Determination Group (EDG) that is completed in accordance with program timeliness standards. Scheduling The functional area that manages eligibility appointments. Representative Payee In Temporary Assistance for Needy Families (TANF), a person designated to receive and manage the household's benefits for someone who is incapacitated or incompetent. Download it in the Google Play oriTunes App Store. Electronic Benefit Transfer (EBT) Vendor A company that performs EBT-related services for the state of Texas. The canceled amount is included as countable income on federal income tax returns. Health Savings Account A savings account for medical-related expenses that is available to taxpayers. Be ready to answer questions abouteveryone applying such as: Check the status of your benefits ormanage your benefits. These benefits are accessed by: card and personal identification numbers (PINs); or, Attempting to buy, sell, steal, or otherwise effect an exchange of SNAP benefits and using them for cash or something other than eligible food, either directly, indirectly, in complicity or collusion with others, or acting alone. The functional areas that are available to the user are determined by the user's job title and security role(s). Clicking the Add, Update or Submit button saves information on specific pages. If the total collection is less than $75, then the amount of the collection is sent to the person . 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. Sanction Either a disqualification or a penalty applied to a case or program because a person failed to follow a program requirement. Combat Zone The geographic area or country to which a military member is deployed for combat. People can apply using a simplified application, and they do not typically have to complete an interview at redetermination. Unemployment benefits range from $69 per week to $521 per week. All system-generated correspondence is scheduled for batch printing although it can be retrieved from Pending Correspondence and printed locally. Additionally, a consumer assistance program can help you file your appeal. This is a toll-free number (2-1-1 or 877-541-7905) that allows people to inquire on the status of their case, their next appointment time, or to determine if Texas Health and Human Services Commission (HHSC) received information. Alternative Benefit Plan Eligibility; . Preschool Children Children who are under six. Click here to re-activate your account. A household may designate a secondary cardholder who has a Lone Star Card and access to the household's Electronic Benefit Transfer (EBT) account. Minor Parent A person under 18 who has a dependent. 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. Supplemental Nutrition Assistance Program (SNAP) proration is based on the number of days between the file date and the end of the month. Application A form that a person or household uses to apply for assistance. Secure Facility Secure boot camp settings. Some people qualify for both Medicare and Medicaid. These include a county holding facility for juveniles or a facility that a government unit exercises final administrative authority. Good Cause A term used to indicate that a person has an acceptable reason for not complying with a program requirement. createcorrespondence and reports based on system-requested and user-requested criteria. Standard Medical Expense A $137 deduction applied to a Supplemental Nutrition Assistance Program (SNAP) budget. Fixed Income Unearned income that does not vary. 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. Nonconvertible Bond A bond that cannot be converted to cash per program policy. Access to this site and the information assets of this site are for official use only. Third-Party Resource A source of payment of medical expenses other than the recipient or the Texas Health and Human Services Commission (HHSC). Doctors and pharmacies use this number for billing. That means bringing some manufacturing back home, or "reshoring" and moving some of it . Equity The fair market value of an item minus all money owed on it and the cost associated with its sale or transfer. ], Title 42, 1396 et seq.) 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. Public Assistance (PA) Household A Supplemental Nutrition Assistance Program (SNAP) Eligibility Determination Group (EDG) in which: Public Institution A facility that is either an organizational part of a governmental entity or over which a governmental unit exercises final administrative control. Sibling Brother or sister, including legally adopted and half-brothers and half-sisters. These occupations include beauticians, waiters, valets and food delivery staff. Newborn Child A child receiving Type Program (TP) 45, Medical Assistance for Newborn Children, because the child's mother was eligible for and received Medicaid coverage at time of the child's birth or whose mother was eligible for and received Medicaid coverage retroactively for the time of the child's birth. Seebatch processing,pending correspondence,print mode,print type,system-generatedanduser-generated. 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. provides health coverage to eligible low-income adults, children, pregnant women, and people who are older or who have disabilities. 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. 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 Four Months Post-Medical Medicaid coverage extended for a maximum of four months after denial of a case because of spousal support income. A mastectomy bra can provide comfort, support, and security to an individual as they become accustomed to their new normal. 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. Appeals are logged and updated in the Hearing functional area on the navigation bar. For more information, including who is eligible, click HERE. Based on the criteria, TIERS generates a sample list. 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. Before you set up an account, we need to ask you some questions. Failure to report a required Texas Health and Human Services Commission (HHSC) program change in conjunction with one or more of these acts may be considered a basis to commit fraud. Administrative Terminal Application (ATA) A software program accessible on one or more Texas Health and Human Services Commission (HHSC) desktop computers in each office. Historical Correspondence Records of forms and notices that have been printed. The exchange of firearms, ammunition, explosives, or controlled substances, defined in Section 802 of Title 21, United States Code, for SNAP benefits. Life Estate Income a person receives from ownership of property that they only possess for the duration of their life, such as rental income. Clearinghouse A centrally located site that processes medical bills submitted by applicants for Medically Needy with Spend Down. Questionable Information Information that is contradictory or incomplete. 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. Not all Texas Health and Human Services Commission (HHSC) programs and types of assistance have certification periods. Annualize Averaging income over a 12-month period. Capital Gains A profit from the sale of property or an investment when the sale price is higher than the initial purchase price. Authorization Code A code that identifies a retailer as a Food and Nutrition Service (FNS)-participating store. The goal of ESP is to prepare recipients for employment and help them find and keep a job. past, present or future payment for the provision of health care to the person. If you already get SNAP benefits, you will not be eligible for Disaster SNAP. This guide will explain the different types of . ITIN holders pay taxes. 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. The code is used to request permission to use the Lone Star Card in a transaction. 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. Essential Person The need for a particular member of a household to be in the home on a continuous basis because another member has a (certified) mental or physical impairment. The Marketplace is also known as the Exchange, Health Insurance Marketplace, and Federally Facilitated Marketplace (FFM). Domicile A home maintained or being established, as shown by continuation of responsibility for day-to-day care of the child, by the relative who the child lives. This information is compared to the application and details from the interview to identify case discrepancies and reduce the possibility of case error and fraud. Taxable Year The 12-month period that a person uses to report income for federal income tax purposes. Child Support A payment made from a biological or adoptive parent to a biological or adoptive child. Click here to re-activate your account. Your total base period wages are at least 37 times your weekly benefit amount. The marriage must not have been annulled. Underpayment Issuance of fewer benefits than an individual is entitled to receive. Ongoing Benefits Benefits issued for months after the initial benefit month. Eligibility Determination Benefit Calculation (EDBC) uses the discovery and report dates to determine if a required report of change is reported timely. This may be a TANF representative payee or protective payee or a SNAP authorized representative for a resident of a Drug and Alcohol Treatment Center or Group Living Arrangement. Inaccessible Resources Resources not legally available to the person. on a farm or ranch performing field work about planting, cultivating or harvesting operations; or. 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. Helps families with children age 18 and younger pay for basic needs. Its given to an elderly household member, a household member with a disability, or both, who incur medical expenses of more than $35 but less than or equal to $137. The number is used to record covered wages, track Social Security benefits and for other identification purposes. 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. 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. System-Generated Created by a computer system programmed with given parameters. In most instances, Children's Medicaid relates to comprehensive policy for Type Programs (TPs) 43, 44, 45 and 48, unless specifically stated otherwise in a handbook section. hold out to the public that they are a married couple. Electronic Benefit Transfer (EBT) Representative A primary cardholder other than the case name. Where is the individual number for Texas Benefits located? minimum service has little or no presence of Choices staff. Cafeteria Plan Flexible fringe benefit plans offered to employees by their employers. allthe EDGs in a case are denied (Ongoing). Each functional area contains pages that allow authorized staff to perform activities related to the business process. You are exiting this workflow before finishing. Alerts A functional area on a navigation bar that allows eligibility staff to request alerts and view outstanding and processed alerts. Judicial Review A review of the fair hearing decision by a district court in Travis County to determine whether the agency decision is correct.