Call us at 1-800-777-7328 if you can't locate it. Underpayment Issuance of fewer benefits than an individual is entitled to receive. 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. Health Savings Account A savings account for medical-related expenses that is available to taxpayers. If there are no eligible members after cascade logic is applied, the household is ineligible for the program. If you are just looking for support services and want to be contacted by programs, you need to create an account. The functional areas that are available to the user are determined by the user's job title and security role(s). 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. 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. 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. What Is The Contact Number For Texas Health Benefits 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. Battered Alien A battered spouse, battered child or parent, or child of a battered person with a pending petition with the U.S. The Texas Workforce Commission (TWC) administers unemployment benefits, which provide temporary relief for eligible Texans who find themselves out of work or dealing with severely reduced work hours. They have already gone through the eligibility determination for those programs. Unemployment benefits range from $69 per week to $521 per week. They will become lawful permanent residents (LPRs) upon the removal of their conditions by the Department of Homeland Security (DHS). 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. These databases contain information for individuals who are currently on assistance and for individuals who have applied for or received assistance in the past. Your application visibility account has been disabled because of inactivity. Permissible purpose means the person whose credit report is requested must be: Staff who request credit information without permissible purpose are subject to fines, imprisonment, or both. 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. Recognizable Needs The maximum needs amount allowed by the Texas Health and Human Services Commission (HHSC) when determining eligibility. reactivating an EDG without requiring a new application form. 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. The payee must be within the required degree of relationship. EDGs denied because of new or increased earnings will receive a maximum of 12 months of coverage. Waiver Counties Texas counties with an unemployment rate over 10 percent. The driver flow is determined by the programs, types of assistance, and answers to questions as the case is worked. Examples include certified nurse-midwives, clinical nurse specialists, and pediatric nurse practitioners. 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. In some interview modes, staff cannot advance to pages that have not yet been accessed as part of the driver flow. You can find your EDG number on the TF0001 form we sent you saying that you can get SNAP benefits. Temporary Assistance for Needy Families (TANF) a disqualified legal parent, second parent, or a non-parent relative certified as caretaker. 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. This amount was higher or lower depending on the couple's total income. Clicking the Add, Update or Submit button saves information on specific pages. Texas Workforce Commission (TWC) The state governmental agency charged with overseeing and providing workforce development services to employers and job seekers of Texas. The Veterans Crisis Line has a new number: Dial 988 then Press 1. Housing and Urban Development (HUD) U.S. Department of Housing and Urban Development. To exit from this workflow, click on Exit. Texas Temporary Assistance for Needy Families (TANF) - Benefits.gov Need help buying food because of recent disasters in your area? Inmates of facilities that meet the definition of public institution are not eligible for Temporary Assistance for Needy Families (TANF) or Medicaid. Applied Income The countable amount of income for TANF after allowing deductions for tax dependents, child support, alimony and persons a legal parent is legally obligated to support. Excess Payment A payment sent to a TANF recipient by the Office of the Attorney General (OAG). 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. Get an online quote today. a correctional or holding facility for people who: have been arrested or detained pending disposition of charges; or. 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. Call 800-777-7328 to activate your card. The Marketplace in Texas is operated by the U.S. Department of Health and Human Services. Modified Adjusted Gross Income (MAGI) Household Size The number of people in an applicants or recipients MAGI household composition, including the number of unborn children, if applicable. Accessibility Date The date that benefits are deposited into an Electronic Benefit Transfer (EBT) account. State Online Query SOLQ allows states real-time online access to SSA's SSN verification service. Also benefits issued for the first month of eligibility after a break in eligibility of at least one month. Individual Exchange Plan Information for Providers | UHCprovider.com The participation status indicates whether the person is considered an adult or a child according to policy. If you already have a Lone Star Card PIN, you can keep it or change it. 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. Authorized staff can correct months in this functional area. This includes, mineral rights, patents or copyrights. Ongoing Benefits Benefits issued for months after the initial benefit month. Your total base period wages are at least 37 times your weekly benefit amount. Fixed Income Unearned income that does not vary. This category also includes Amerasians admitted under Section 584 of the Foreign Operations, Export Financing and Related Programs Appropriation Act of 1988. there are other alternatives and options for the applicant instead of TANF benefits; an applicant should consider jobs and other resources (such as child support) before pursuing TANF; if an applicant chooses to apply for assistance, the person is requesting help finding a job; and. Independent living services may include, but is not limited to: Second Level Review Review of a case by a second party before the Eligibility Determination Group (EDG) is disposed. Aperson under18 may not be a party to an informal (common law) marriage. Jury Duty Pay Taxable income received as compensation for jury duty. Overpayment The amount of benefits issued in excess of what should have been issued. Your session has ended. 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. 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. Trade Adjustment Assistance Act Program (TAAP) A program for workers displaced by foreign workers. When an individual is added, File Clearance can be processed in Application Registration. Basic Utility Allowance (BUA) Deduction given to a SNAP household that has utility costs but does not qualify for the standard utility allowance (SUA). The person's must have no vested interest in the household's situation. Reshoring replaces offshoring. Your case visibility account has been disabled because of inactivity. Summary Page A page that lists a summary of all records available for that Texas Integrated Eligibility Redesign System (TIERS) page. Immigration and Customs Enforcement handles immigration enforcement; and. People with Application Visibility accounts may only apply for benefits and view and modify applications created under their username. SeePrint Mode. Child A child is an adoptive, step, or natural child who is under 19. 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. SeeCascade Logic,Rebuild EDG, andRun EDBC. The program reimburses the policy holder for private health insurance payroll deductions for Medicaid-eligible persons when HHSC determines that it is cost-effective. Appeals are logged and updated in the Hearing functional area on the navigation bar. 1-877-541-7905. Texas Medicaid | Benefits.gov Personal Responsibility Agreement (PRA) A requirement for Temporary Assistance for Needy Families (TANF) that certain people must follow the conditions of the agreement. You'll get the Lone Star Card once you're approved for benefits. is the guardian of a victim of a violent crime. 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. Only a personal representative may authorize the use or disclosure of individually identifiable health information or obtain individually identifiable health information for a person. Special Immigrant Conditional Permanent Resident (SI CPRs) Qualified noncitizens granted special immigrant status. Or you can call the Texas Department of Human Service (DHS) toll-free at: 1-877-541-7905. Account Transfer The way an applicants information moves between the Marketplace and the Texas Health and Human Services Commission (HHSC) when a person applies for health insurance or medical programs. 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. 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. Qualified Health Plan (QHP) A private insurance plan that is certified by the Marketplace, provides essential health benefits, follows established limits on cost-sharing (such as deductibles, copayments, and out-of-pocket maximum amounts), and meets certain other requirements. BENDEX (Beneficiary and Earnings Data Exchange) A computer tape match from the Social Security Administration that provides Social Security and Medicare information about Texas Health and Human Services Commission (HHSC) recipients. on a farm or ranch performing field work about planting, cultivating or harvesting operations; or. Subsistence Life supporting or survival. Veterans can still call 800-273-8255 and Press 1 to reach the Crisis Line as well. 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. Minor Parent A person under 18 who has a dependent. 4, Disqualified Members, unless that disqualification is due to not meeting citizenship requirements. 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). Cardholders Persons authorized to use the Lone Star Card to access benefits in the household's Electronic Benefit Transfer (EBT) account(s). The newborn Medicaid coverage can continue through the month of the child's first birthday if the child continues to live in Texas. Available at reasonable cost is usually defined as being available through the employer. Summer P-EBT (June-August 2022) is a one-time benefit of $391 for each eligible child. Purchasing a product with SNAP benefits with a container requiring a return deposit. Texas Workforce Commission's Unemployment Benefit Services - Help - Logon Parental Control A minor who lives with an adult is under parental control if one of the following conditions applies: Parole The discretionary and conditional release of an eligible offender sentenced to serve the remainder of the sentence under supervision in the community rather than prison. Personal Identification Number (PIN) Security Actions cardholders should take to prevent others from gaining access to their PIN and Electronic Benefit Transfer (EBT) account. Continuous Eligibility A period where a person remains eligible during a continuous eligibility period regardless of any change in circumstances, except for: Convertible Bond A bond that can be converted to cash according to program policy. 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. Advanced Authentication Personal security questions generated by third-party software to perform authentication of an applicant's identity before granting the person an account through YourTexasBenefits.com (link is external) with Case Visibility. collects information from throughout the Texas Integrated Eligibility Redesign System (TIERS); and. Electronic Benefit Transfer (EBT) System A system HHSC staff with security access use to issue and replace Lone Star Cards. 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. Advanced Premium Tax Credit (APTC) The payment of a tax credit by the federal government, provided on an advanced basis or at tax filing time, to an eligible person enrolled in a qualified health plan (QHP) through the Marketplace. We recommend creating an account so you can: Get alerts about updates to your application. Married Minor An person, age 14-17, who is married. Overrides always require Second Level Review before they can be disposed. 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. If you don't know what type of Medicaid you have, call toll-free 800-964-2777. 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.
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