System-Generated Created by a computer system programmed with given parameters. These occupations include beauticians, waiters, valets and food delivery staff. Data Collection The functional area where individual household, non-financial, resource, income, and deduction information is recorded for use in building Eligibility Determination Groups (EDGs) and determining eligibility for types of assistance. For your convenience, the Help Center will open in a new window. The amount the employer pays is counted as part of the person's gross income. Texas Health & Human Services Commission. Noncompliance with the PRA results in a sanction. You have already answered the required questions.If you want to start the questions over, go back to the home page of Your Texas Benefits. Or send an e-mail to: mail@dhs.state.tx.us. Personal Responsibility Agreement (PRA) A requirement for Temporary Assistance for Needy Families (TANF) that certain people must follow the conditions of the agreement. To learn more about Texas Works, please visit Texas Workforce Commission website. an account that contains the household's Supplemental Nutrition Assistance Program (SNAP) food benefits; an account that contains the household's Temporary Assistance for Needy Families (TANF) cash grant amount; or, Type Assistance (TA) 31, Parents and Caretaker Relatives Emergency, Type Program (TP) 32, Medically Needy with Spend Down Emergency. full service having a significant presence of Choices staff; or. 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. Doctors and pharmacies use this number for billing. These include Form H1010, Texas Works Application for Assistance Your Texas Benefits, or Form H1205, Texas Streamlined Application. Modified Adjusted Gross Income (MAGI) The rules used to determine financial eligibility for certain Medical Programs that are based on Internal Revenue Service (IRS) tax rules. Priority Supplemental Nutrition Assistance Program (SNAP) Issuances Expedited SNAP benefits, benefits issued on or after the 25th day from the date of application, and issuances ordered by a hearing officer decision that must be made available in order to meet fair hearing timeliness requirements. Also formally known as (adult) probation. You have unsaved changes that will be lost if you exit. Card Sleeve A durable paper envelope folded to the dimensions of the plastic EBT card. SeeBatch Scheduling. the value of in-kind assistance provided by the sponsor or others. . past, present or future payment for the provision of health care to the person. Cafeteria Plan Flexible fringe benefit plans offered to employees by their employers. Personal Identification Number (PIN) Security Actions cardholders should take to prevent others from gaining access to their PIN and Electronic Benefit Transfer (EBT) account. 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. Processing Time Frames Number of days eligibility staff must complete a particular action. Retroactive Benefits Initial benefits issued for a month before the application is certified. allthe EDGs in a case are denied (Ongoing). Voluntary Quit Leaving a job without good cause. The account transfer from the Marketplace to HHSC, and from HHSC to the Marketplace, includes the information the applicant submitted through the original application in addition to information from verifications performed by either the Marketplace or HHSC. and Texas Human Resources Code, Title 2, Subtitle C, Chapter 32, that pays for certain medical and health care costs for people who qualify. Medicaid Report (Form H1146) A form completed by a transitional Medicaid household in the fourth, seventh and tenth months of medical coverage to report earnings and household composition changes. 401(k) A retirement plan allowing an employee to postpone receiving a portion of current income until retirement. some eligible members receive TANF or RCA, and all other eligible members receive Supplemental Security Income (SSI), including SSI essential persons. . The Medicaid phone number is 800-252-8263, 2-1-1, or 1-877-541-2190; you can speak with a representative who will assist you in obtaining the answers and services you require. CHIP Perinatal Medical services to unborn children of pregnant women ineligible for Medicaid due to income or alien status. Alternate Payee A person who receives the benefits for the EDG when people on the EDG are unable or ineligible to receive them. Activity Fee An additional cost incurred by the household associated with a structured dependent care program. 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. 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. Capital Gains A profit from the sale of property or an investment when the sale price is higher than the initial purchase price. Be ready to answer questions abouteveryone applying such as: Check the status of your benefits ormanage your benefits. The EDG is built and eligibility is established at the highest level. Additionally, a consumer assistance program can help you file your appeal. the requirement of more information from the applicant to manually process the redetermination. Alternative Benefit Plans. This information is used in the EDBC process to build Eligibility Determination Groups (EDGs) and determine eligibility for programs and types of assistance. 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. Appeal A request for a fair hearing concerning an HHSC action. Participation Status The designation of an Eligibility Determination Group (EDG) member as an eligible or ineligible member of the certified group. Detail Page Click the Edit or View icon to edit or view details of a record listed on a Summary Page. Non-Employment and Training (E&T) Counties Those Texas counties where the Texas Workforce Commission (TWC) determines it does not have enough offices to assist people who are mandatory work registrants. Customs and Border Protection is responsible for border security functions. The User Guide includes information about numerous TIERS topics. Adequate Notice A notice of adverse action that expires the same day it is sent. Sanction Either a disqualification or a penalty applied to a case or program because a person failed to follow a program requirement. Cuban or Haitian Entrant Admitted under Section 501(e) of the Refugee Education Assistance Act of 1980. Note: A licensed vocational nurse or licensed practical nurse does not meet the definition of practitioner. 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. After, only the child will be certified on the EDG. This process occurs without staff or specialist action. The data broker vendor collects and combines information from many data sources. 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. the minor lives with an adult other than the minor's parent or legal guardian and the minor's parent or legal guardian states that the adult has parental control of the child. is not needed to process a redetermination. Family Violence An act by a member of a family or household against another member of the family or household that is: File Clearance This feature determines whether an applicant has a case record with HHSC. Non-Public Assistance (NPA) Household Supplemental Nutrition Assistance Program (SNAP) households where no one receives Temporary Assistance for Needy Families (TANF) or only some of the members receive TANF. Absent Parent A child's parent who is not living in the home. Institution of Higher Education Any public or private college, community college, junior college, technical institute, or university that usually requires a high school diploma or equivalent certificate such as a general equivalency diploma (GED), to enter. Electronic Benefit Transfer (EBT) Representative A primary cardholder other than the case name. Where is the individual number for Texas Benefits located? Type of Assistance (TOA) The specific aid for one or more people in an Eligibility Determination Group (EDG). The sleeve also has important information printed on it for easy reference, such as the Lone Star Help Desk number. 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. request an alert and send it to another user; generate manual correspondence on a case; and. Power of Attorney (POA) Written legal authorization to represent or act on another's behalf in private affairs, business, or some other legal matters. There are two types of categorically eligible households: Certificate of Coverage A certificate that serves as proof of a Medicaid recipient's most recent period of Medicaid coverage. These facilities have limited power of attorney to obtain health care and educational services for the children under their care. Type Program (TP) 08, Parents and Caretaker Relatives Medicaid A child who is18 or under, and a full-time student meeting the school attendance requirement. a supervised shelter that provides temporary living quarters; a place not intended for regular sleeping quarters; or. Summary Page A page that lists a summary of all records available for that Texas Integrated Eligibility Redesign System (TIERS) page. 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. Batch and Online are the types of print modes. Medicaid Card An identification card issued to people determined eligible for Medicaid that verifies Medicaid coverage. Persons with illnesses that require expensive treatment are not subject to lock-in status. Immigration and Customs Enforcement handles immigration enforcement; and. 1-877-541-7905. reaching the maximum age for that specific program; state error in the eligibility determination; or, fraud, abuse, or perjury attributed to the people or persons representative, was the spouse, parent, sibling or adult child of a victim who died as a result of a violent crime; or. Annulment A court order declaring a marriage invalid. Modified Adjusted Gross Income (MAGI) Household Composition The people whose income and needs are considered when determining eligibility for an applicant or recipient for certain Medical Programs based on tax status, tax relationships, living arrangement, and family relationships. The Marketplace in Texas is operated by the U.S. Department of Health and Human Services. generate a manual issuance of benefits outside the normal eligibility process. 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. Each original correspondence is given a unique Correspondence ID (identifying number). Practitioner A person who holds a license to practice medicine, including a physician (M.D. Copayment Payment made directly to a provider according to a fee schedule. causing serious dysfunction of any bodily organ or part. The Workforce Information System of Texas (TWIST) The computer system used by the Texas Workforce Commission (TWC) for intake, eligibility determination, assessment, service tracking, and reporting of TWC-administered programs, such as child care, Supplemental Nutrition Assistance Program (SNAP), Employment and Training, Choices, and the Workforce Innovation and Opportunity Act. Lump-Sum Payment A financial settlement that often involves funds accumulated over an extended period and that is paid in a single payment. Users cannot delete system-generated correspondence. Waiver Counties Texas counties with an unemployment rate over 10 percent. Protection at 1-800-252-3439 or www.tdi.texas.gov. People can apply using a simplified application, and they do not typically have to complete an interview at redetermination. A boarder can receive Supplemental Nutrition Assistance Program (SNAP) benefits only with the household where they board. Spend Down The amount of excess income that the applicant must deplete with incurred medical bills before being certified as medically needy. Seebatch processing,pending correspondence,print mode,print type,system-generatedanduser-generated. Managing Conservator A person designated by a court to have daily legal responsibility for a child. It'savailable to applicants and Community Partners assisting applicants to: Also referred to as YourTexasBenefits.com. EDGs denied because of new or increased earnings will receive a maximum of 12 months of coverage. Budgeting The method used to determine eligibility and benefits for Temporary Assistance for Needy Families (TANF), Medical Programs, and the Supplemental Nutrition Assistance Program (SNAP) by calculating income and deductions. Point-of-Sale (POS) Transaction An electronic transaction using an Electronic Benefit Transfer (EBT) card to make a purchase, a cash withdrawal, or inquiry. Overrides always require Second Level Review before they can be disposed. 24/7, confidential support is always available. 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. all eligible members receive Temporary Assistance for Needy Families (TANF) or Refugee Cash Assistance (RCA); or. Payments may be either fixed (under which one receives a definite amount) or variable (not fixed). This amount was higher or lower depending on the couple's total income. Veterans can still call 800-273-8255 and Press 1 to reach the Crisis Line as well. Not all Texas Health and Human Services Commission (HHSC) programs and types of assistance have certification periods. The .gov means its official. Duplicate Application An application filed after another application has already been filed and the new application: Earned Income Income a person receives for a certain activity or work. In 2003, USCIS officially assumed responsibility for the immigration service functions of the federal government. To start a new session, you must close the browser window. Bona Fide Agent A person who is familiar with an applicant and knowledgeable of the person's financial affairs. It is a medical condition (including emergency labor and delivery) manifesting itself by acute symptoms of sufficient severity (including severe pain) that the absence of immediate medical attention could reasonably have been expected to result in: Employable Household Member A person whose earnings are countable and who: Employer-Paid Taxes Taxes that are paid by the employer on behalf of the employee rather than deducting the tax amount from the employee's wages. Texas Workforce Commission (TWC) The state governmental agency charged with overseeing and providing workforce development services to employers and job seekers of Texas. TANF-State Program (SP) A child who lives with both parents, or a parent and stepparent, and both parents and stepparent (if included in the certified group) receive TANF benefits. 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. Third-Party Resource A source of payment of medical expenses other than the recipient or the Texas Health and Human Services Commission (HHSC). Automated Renewal Process The first step in an administrative renewal. This includes, mineral rights, patents or copyrights. Electronic Benefit Transfer (EBT) System A system HHSC staff with security access use to issue and replace Lone Star Cards. Do you want to keep working on your application, or start a new one? 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 household member may be charged with an IPV even if the person has not actually received benefits to which they are not entitled. Cardholders Persons authorized to use the Lone Star Card to access benefits in the household's Electronic Benefit Transfer (EBT) account(s). Parolee A person paroled into the U.S. under section 212(d)(5) of the INA for at least one year. Electronic Data Sources (ELDS) Verification sources that are available electronically and presented to advisors in the Texas Integrated Eligibility Redesign System (TIERS) during Data Collection. 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. Home Energy Assistance Program (HEAP) A federal program that pays benefits to help eligible people pay utility costs. 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). Notice of Adverse Action A notice provided to the household on TF 0002 that includes explaining the proposed adverse action, reason for the action, right to a fair hearing, availability of continued benefits. Asylee A person granted asylum under Section 208 of the Immigration and Nationality Act (INA). Your case visibility account has been disabled because of inactivity. Temporary Assistance for Needy Families (TANF) Certified Child A child who is included in a TANF grant. Traditional Medicaid Marriage A legally or formally recognized union between two people. To continue working, click on Stay on page. 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. The canceled amount is included as countable income on federal income tax returns. Eligibility Determination Benefit Calculation (EDBC) uses the discovery and report dates to determine if a required report of change is reported timely. Questionable Management A household has questionable management when reported basic expenses exceed reported net income and resources. Clearinghouse A centrally located site that processes medical bills submitted by applicants for Medically Needy with Spend Down. 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. 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. Availability Period For TANF, the availability period is two fiscal years after the benefit was issued. You can find your EDG number on the TF0001 form we sent you saying that you can get SNAP benefits. The benefit is funded by taxes collected from businesses. The primary cardholder is usually the Eligibility Determination Group (EDG) name, but the EDG may have an alternate payee who is the primary cardholder. SeeEDBCand Run EDBC. Texas's EBT customer service number is 1-800-777-7328. perform initial self-screening to check for potential eligibility; view general benefit program information. 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. 1-877-541-7905. Dispose To authorize an Eligibility Determination Group (EDG) so eligibility is established or denied. Combat Pay Supplemental incentive payments for hazardous duty and special pay for duty subject to hostile fire or imminent danger. TWC has designated all counties in Texas as Choices counties, and the Local Workforce Development Boards (LWDBs), after coordination with the Texas Health and Human Services Commission (HHSC) state office, assign a service level designation for each county depending upon services available in that county. Modified Adjusted Gross Income (MAGI) Household Income The sum of every person's MAGI individual income within an applicants or recipients MAGI household composition, from which is subtracted the standard MAGI disregard. CHIP perinatal The mother and child will be certified on a single EDG during the month the child is born. 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. Intentional Program Violation (IPV) The act of intentionally making a false or misleading statement, or misrepresenting, concealing or withholding facts for the purpose of receiving assistance under the Supplemental Nutrition Assistance Program (SNAP), Temporary Assistance for Needy Families (TANF) or Medicaid program. Prudent Person Principle Reasonable decision made by staff based on the best information available and common sense in a particular situation. Supplemental Nutrition Assistance Program (SNAP) and Temporary Assistance for Needy Families (TANF) Multiple people may be certified on a single EDG. You do not need to be enrolled in VA benefits or health care to connect. 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. Here, you can access a variety of resources to help you work with us as you care for . Examples include certified nurse-midwives, clinical nurse specialists, and pediatric nurse practitioners. Citizenship and Immigration Services (USCIS) The government agency that oversees lawful immigration to the U.S. 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. Licensed Practitioner A person who has met certain educational requirements and passed an examination to be licensed in the state of Texas and regulated by a state board. Blue Shield of Texas at 1-800-521-2227 or www.bcbstx.com or contact the Texas Department of Insurance, Consumer Protection at 1-800-252-3439 or www.tdi.texas.gov. Supplemental Security Income (SSI) A needs-tested program administered by the Social Security Administration. Grandparent Payment System (GPS) An electronic, web-based data system used to inquire about the issuance of archived TANF one-time Grandparent Payments. The caller must provide the head of households Social Security number (SSN) or the case number and date of birth of a household member to access information. 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. Convertible bonds are countable resources. Restored Benefits Full or partial months of benefits for a past month that are owed to a household due to an agency error. If you are deaf or hard of hearing, you can call us at TTY 1-800-325-0778. The term also applies to decisions for protective and restricted payments. 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. Secure Facility Secure boot camp settings. These are benefits issued and accessed by EBT cards, card numbers and PINs, or by manual voucher and signature. To ensure the information is saved in an LUW in Data Collection, the user can click on the Next button to advance to the next LUW or on the Previous button to return to the previous LUW. Tip Income Income earned along with wages paid by patrons to people employed in service-related occupations. Health Insurance Premium Payment (HIPP) A reimbursement program administered by the Texas Health and Human Services Commissions (HHSCs) Third-Party Resource Unit, which pays for the cost of premiums, coinsurance, and deductibles. Fugitive An individual fleeing to avoid prosecution of or confinement for a felony criminal conviction or found by a court to be violating federal or state probation or parole. Your unique Medicaid numberwill be displayed on the Texas Health and Human Services Commission's 'Your Texas Benefits' card. 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. ITINs let people without SSNs pay taxes. One program is the Choices program for TANF recipients, and the other is the SNAP Employment and Training (E&T) program for SNAP recipients. Second Chance Home An adult-supervised living arrangement that provides independent living services to teen mothers and their children. After 90 days in the same person's residence, the household is no longer considered homeless. Appeals are logged and updated in the Hearing functional area on the navigation bar. 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 Examples of public institutions include county and city jails and Texas Department of Corrections prisons. Birth Verification System (BVS) The inquiry system includes birth records of people born in Texas. 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. Helps people with daily living needs, caregivers, and people with mental health, drug or alcohol issues. Standby List Applicants who are awaiting an interview without a specific appointment. 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. The person's must have no vested interest in the household's situation. 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. a correctional or holding facility for people who: have been arrested or detained pending disposition of charges; or. 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.