Conception occurs, but no fetus ever develops. Batch Processing Actions postponed until a later time when they can be processed by the system more efficiently. placing the patient's health in serious jeopardy; seriously impairing the patient's bodily functions; or. 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. SeeCascade Logic,Rebuild EDG, andRun EDBC. If the total collection is less than $75, then the amount of the collection is sent to the person . Medicaid A state and federal cooperative program authorized under Title XIX of the Social Security Act (United States Code [U.S.C. Be ready to answer questions abouteveryone applying such as: Check the status of your benefits ormanage your benefits. Personal Identification Number (PIN) A four-digit numeric code assigned to each cardholder and used to control access to the person's account. These issuances are available to the person the same day the Eligibility Determination Group (EDG) is disposed. A household member is a TANF or SSI recipient if the person is approved for TANF or SSI but the benefit: A SNAP household that includes members authorized to receive TANF non-cash services and whose household gross income is less than 165 percent of the Federal Poverty Income Limit (FPIL) for its size and meets the resource criteria. You'll get an email or text when there'sa form or notice available online in yourMessage Center. Unemployment benefits range from $69 per week to $521 per week. Benefits. hold out to the public that they are a married couple. 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. Apply for TANF. Glossary | Texas Health and Human Services Purchasing a product with SNAP benefits with a container requiring a return deposit. To continue working, click on Stay on page. People with Application Visibility accounts may only apply for benefits and view and modify applications created under their username. 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. Continuing Scheme A situation in which a recipient commits two or more acts. The PIN must be entered on a keypad before any electronic transaction can be processed. Alimony Paid Payments to a spouse or former spouse under a divorce or separation decree. 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. Overpayment The amount of benefits issued in excess of what should have been issued. 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. Your information has not been sent. It gives Supplemental Security Income (SSI) and Medicaid information on Texas Health and Human Services Commission (HHSC) people. The system generates an alert when the SSA Benefit amount on file does not match the information on the BENDEX file. A special review is conducted in Special Review mode. some eligible members receive TANF or RCA, and all other eligible members receive Supplemental Security Income (SSI), including SSI essential persons. See Taxpayer. 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. (FPL). 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. Logical Unit of Work (LUW) A set of Texas Integrated Eligibility Redesign System (TIERS) pages that must be completed before the information entered on these pages is saved. Former Medicaid recipients may request a certificate within 24 months after their Medicaid is denied by calling 800-723-4789. This number may be found on the paperwork we gave you informing you that you are eligible for SNAP assistance. Lump-Sum Payment A financial settlement that often involves funds accumulated over an extended period and that is paid in a single payment. Managed Care A health care delivery system with the aim of controlling costs. 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. What Is The Contact Number For Texas Health Benefits 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. 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. Agriculturally Related Activities Employment: Aid A benefit, coverage or service in programs that HHSC administers. Trust Property held by one person for the benefit of another. This may or may not include the person or the persons spouse. Answer some basic questions in our prescreening tool to find which benefits and support services you might be able to get. 10 Best Veteran Benefits in Texas Explained (The Ultimate Guide) Type Program (TP) 08, Parents and Caretaker Relatives Medicaid A person who supervises and cares for a dependent child. 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. Underpayment Issuance of fewer benefits than an individual is entitled to receive. State Online Query SOLQ allows states real-time online access to SSA's SSN verification service. Waiver Counties Texas counties with an unemployment rate over 10 percent. Processing Time Frames Number of days eligibility staff must complete a particular action. EDGs denied because of new or increased spousal support income will receive a maximum of four months of coverage. The discovery date is compared with the report date to determine whether a change is reported timely. Understanding Your EDG Number: What It Is And How To Obtain It For Food Accessibility Date The date that benefits are deposited into an Electronic Benefit Transfer (EBT) account. Periodic Income Check (PIC) The process to determine whether electronic data indicates that there has been a change in the Modified Adjusted Gross Income (MAGI) household income that could make the recipient ineligible for certain Medical Programs. Supplemental Nutrition Assistance Program (SNAP) applicants and individuals in these counties are not subject to SNAP federal time limits because of the job market. Incidentals include normal day-to-day transportation, phone, laundry, medical supplies not paid by Medicaid, home remedies, recreation and household equipment. It provides monthly income to aged people and persons who are blind or have a disability. Secure Facility Secure boot camp settings. Need help buying food because of recent disasters in your area? Batch Scheduling Including an appointment date and time with eligibility staff within application packets mailed from the central mail facility. 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. Conditional Entrant A person granted conditional entry under Section 203(a)(7) of the INA as in effect before April 1, 1980. You can find your EDG number on the TF0001 form we sent you saying that you can get SNAP benefits. First Cousin Once Removed A person who is either one's first cousin's child or the parent's first cousin. Equity The fair market value of an item minus all money owed on it and the cost associated with its sale or transfer. See User-Generated. The Department of Defense Appropriations Act of 2010, PL 111-118, enacted on Dec. 19, 2009, says SIV are eligible for all benefits to the same extent and the same period as refugees. Get an online quote today. Secondary Cardholder A person designated by the primary cardholder as eligible to access the person's Electronic Benefit Transfer (EBT) account with a second EBT card and personal identification number (PIN). Marriage A legally or formally recognized union between two people. SOLQ enables state social services to rapidly get information they need to qualify people for programs. The intention is to get cash by purposely discarding the product and returning the container for the deposit amount. 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. 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. Advanced Nurse Practitioner A registered nurse with additional training and certification in a specific area of medicine. All system-generated correspondence is scheduled for batch printing although it can be retrieved from Pending Correspondence and printed locally. 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. What're Mastectomy Bras and Why They're Important | TomboyX Batch and Online are the types of print modes. 24/7, confidential support is always available. Your unique Medicaid numberwill be displayed on the Texas Health and Human Services Commission's 'Your Texas Benefits' card. Sentences are served in the community rather than in jail or prison. Types of alternate payees include a court appointed guardian, EBT representative, Financial Management Information System (FMIS) payee, long-term care (LTC) payee, protective payee and representative payee. 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. Examples of public institutions include county and city jails and Texas Department of Corrections prisons. Evaluative Conclusion An advisor's decision, subject to supervisory approval, to accept something other than a birth or hospital certificate or baptismal record as proof of age and relationship. 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. Unreimbursed Assistance Money paid in prior months in the form of public assistance under the Title IV-A program (that is, under the current Temporary Assistance for Needy Families [TANF] program or the former Aid to Families with Dependent Children [AFDC] program) that has not yet been recovered from collections that are applied to assigned arrears. The person has 10 days to report the change; staff have 10 days to act on the change. 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. The payee must be within the required degree of relationship. Apply online and make a Your Texas Benefitsaccount so you can start, save and go backto your online application at any time. 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. Purchasing a product with SNAP benefits with the intent of obtaining cash or something other than eligible food. 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. Review Temporary Assistance for Needy Families (TANF) evaluative interview. Click here to re-activate your account. The second party selects the Second Level Review interview mode. Change Action A data collection interview mode that allows eligibility staff to navigate to pages on which they want to update or record information. You'll get the Lone Star Card once you're approved for benefits. HHSC expunges these benefits at the end of each state fiscal year (Aug. 31). 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. You need to pass a few authentication questions. Point-of-Sale (POS) Transaction An electronic transaction using an Electronic Benefit Transfer (EBT) card to make a purchase, a cash withdrawal, or inquiry. If there are no eligible members after cascade logic is applied, the household is ineligible for the program. Royalty A payment to a person for permitting another to use or market property. Eligibility The functional area that supports Eligibility Determination Benefit Calculation (EDBC). Non-Traditional Retailer A food retailer who operates in a farmer's market or as a roadside vendor. Managing Conservator A person designated by a court to have daily legal responsibility for a child. A user can click the plus sign next to a functional area or sub-functional areas to display the pages available within that area. able to apply for Medicaid on the child's own behalf; or. Summer P-EBT (June-August 2022) is a one-time benefit of $391 for each eligible child. Qualified Hospital (QH) A Medicaid provider that notifies HHSC of its intent to make presumptive eligibility determinations and agrees to make PE determinations per HHSC policies and procedures. 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. Child A child is an adoptive, step, or natural child who is under 19. Untimely SNAP application filed after the 15th of the last certification month. Radiation Exposure Payments A program to compensate a person for injury or death from exposure to radiation from nuclear testing and uranium mining. Call us at 1-800-777-7328 if you can't locate it. Managed care includes the health maintenance organization (HMO) model. The number is used to record covered wages, track Social Security benefits and for other identification purposes. 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. Authorized staff can correct months in this functional area. These are given to a SNAP household that either incurs a heating or cooling cost separate from the rent or received a Low-Income Home Energy Assistance Program (LIHEAP) payment. Prepaid Burial Insurance Insurance that pays for a specific funeral arrangement. Texas Workforce Commission's Unemployment Benefit Services - Help - Logon Batch is correspondence managed by batch processing and printed at a central mail facility. You do not need to be enrolled in VA benefits or health care to connect. Here, you can access a variety of resources to help you work with us as you care for . Jury Duty Pay Taxable income received as compensation for jury duty. For example, a notice is system-generated when an Eligibility Determination Group (EDG) is disposed. This will help you know if you should apply for benefits on this site or for health insurance on HealthCare.gov. lives with another person and they represent themselves to the community as married. To start a new session, you must close the browser window. The certificate is a requirement of the Health Insurance Portability and Accountability Act of 1996 (HIPAA), and is sent to denied recipients by the Texas Department of State Health Services (DSHS). Applicants who meet eligibility requirements during any of the months in this period receive Medicaid benefits for the eligible month(s). 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. is the guardian of a victim of a violent crime. Manage Office Resources (MOR) The functional area that supports the administrative structure in the Texas Integrated Eligibility Redesign System (TIERS) and relationships between regional offices and their local offices, units, and employees. 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. 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 Modified Adjusted Gross Income (MAGI) Individual Income The sum of certain income received by aperson in a MAGI household composition, from which certain expenses are subtracted. The participation status indicates whether the person is considered an adult or a child according to policy. See Alternate Payee. Standby List Applicants who are awaiting an interview without a specific appointment. 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. Migrant Farmworker in the Workstream Farmworkers who travel to work in agriculture or a related industry and who are presently employed away from their permanent residence or home base. The Food and Nutrition Act of 2008 limits eligibility for SNAP benefits to U.S. citizens and certain lawfully present non-citizens. provides health coverage to eligible low-income adults, children, pregnant women, and people who are older or who have disabilities. 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. General Equivalency Diploma (GED) A high school equivalency certificate issued after a person completes a State Board of Education-approved high school equivalency program. They are still required to be registered for work with the Texas Workforce Commission (TWC) and are mandatory participants if they do not meet work registration exemption requirements. Recognizable Needs The maximum needs amount allowed by the Texas Health and Human Services Commission (HHSC) when determining eligibility. Incidentals include such things as normal day-to-day transportation, phone, laundry, medical supplies not paid by Medicaid, home remedies, recreation, and household equipment. You need 4 numbers for your PIN. Expunged Benefits Benefits that are removed from an EBT account by the issuer of the benefits. Normal Living Expense Items necessary for a Supplemental Nutrition Assistance Program (SNAP) household to carry on its normal daily activities. Or send an e-mail to: mail@dhs.state.tx.us. Doctors and pharmacies use this number for billing. Protection at 1-800-252-3439 or www.tdi.texas.gov. Emancipated Minor A person 17 and under who has been married. cash contributions of the sponsor or others; and. Reinstatement Process of providing Transitional Medical Assistance (TMA) to a household denied because of failure to return a complete Medicaid Report. Quality Control The functional area that supports the state's approach to quality control and allows authorized staff to enter sample selection criteria. This process occurs without staff or specialist action. The official document indicates to and for whom the support is paid, the frequency and the amount of payment. Reshoring supply chains: What does it mean for investors? 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. past, present or future payment for the provision of health care to the person. 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. Participation Status The designation of an Eligibility Determination Group (EDG) member as an eligible or ineligible member of the certified group. The term also applies to decisions for protective and restricted payments. Historical Data Records of case, Eligibility Determination Groups (EDGs) and individual information. There are three types of benefit accounts: The person or their representative uses the Lone Star Card and a personal identification number (PIN) to access benefits in the account. 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. Eligibility staff access BVS as a source to verify age, relationship and citizenship. Before you set up an account, we need to ask you some questions. Sufficient Employment Job earnings, other than seasonal work such as migrant or seasonal farm work, that would result in Temporary Assistance for Needy Families (TANF) ineligibility without including the 90 percent earned income disregard . request an alert and send it to another user; generate manual correspondence on a case; and. Minor Parent A person under 18 who has a dependent. 1-877-541-7905. Appeals are logged and updated in the Hearing functional area on the navigation bar. Questionable Information Information that is contradictory or incomplete. Temporary Assistance for Needy Families (TANF) A child who lives with either one or both parents, or a parent and step-parent, and one or both parents or step-parent do not receive TANF benefits. 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. Management The way in which a household pays its expenses with available income. The individual number for Texas benefits can vary depending on the benefits you are receiving. Clearinghouse A centrally located site that processes medical bills submitted by applicants for Medically Needy with Spend Down. 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 Standard MAGI Income Disregard An income disregard equal to five percentage points of the Federal Poverty Income Limit (FPIL) for the applicable Modified Adjusted Gross Income (MAGI) household size. the value of in-kind assistance provided by the sponsor or others. Download it in the Google Play oriTunes App Store. Alien Sponsor A person who signed an affidavit of support (U.S. ), advanced nurse practitioner (A.N.P.) A mastectomy bra can provide comfort, support, and security to an individual as they become accustomed to their new normal. Please retype the user name and password, or sign up if you haven't already done so. The User Guide includes information about numerous TIERS topics. determining if a medical bill can be counted for spend down; corresponding with the applicant about eligible and ineligible medical bills; determining if and when the applicant meets spend down; and. Certification Date The date that eligibility staff dispose the Eligibility Determination Group (EDG) to certify an applicant. Reasonable Opportunity The 95-day period following the date a notice is sent to a person. Aperson under18 may not be a party to an informal (common law) marriage. Absent Parent A child's parent who is not living in the home. Protective Payee Person selected to receive and manage the Temporary Assistance for Needy Families (TANF) benefit when the caretaker is not using the TANF payments for the children's benefit. Life Estate Income a person receives from ownership of property that they only possess for the duration of their life, such as rental income. These are benefits issued and accessed by EBT cards, card numbers and PINs, or by manual voucher and signature. ), dentist (D.D.S. Recoupment Withholding part of a person's current benefit because of a previous overpayment. Reimbursement Repayment for a specific item or service. Seebatch processing,pending correspondence,print mode,print type,system-generatedanduser-generated. Texas Workforce Commission's Unemployment Benefit Services - Sign Up generate a manual issuance of benefits outside the normal eligibility process. Adjusting to the physical changes post-surgery can be difficult, and finding the right mastectomy bra is one of the most important steps in the process. Get help over the phone,from an HHSC benefit officeor community partner. Citizenship and Immigration Services (USCIS). 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. Please look at the permit to find your number.