There are two types of cardholders: primary cardholders and secondary cardholders. The Veterans Crisis Line has a new number: Dial 988 then Press 1. Type Program (TP) 08, Parents and Caretaker Relatives Medicaid A person who supervises and cares for a dependent child. 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. Please retype the user name and password, or sign up if you haven't already done so. Personal Representative A person who can represent another person's rights with respect to individually identifiable health information. The automated process uses existing applicant information, electronic data source information and reasonable compatibility when income verification is required. Health Savings Account A savings account for medical-related expenses that is available to taxpayers. Adverse Action Any HHSC action resulting in denial, suspension, reduction or termination of assistance. The same benefit is now called One-Time TANF for Relatives, with payment records stored in TIERS. CHIP perinatal The mother and child will be certified on a single EDG during the month the child is born. Citizenship and Immigration Services (USCIS) and who has received a final order of deportation. Individually Identifiable Health Information Information that either identifies or could be used to identify a person that relates to the: Ineligible Alien A non-citizen whose alien status makes them ineligible for program benefits. You can find your EDG number on the TF0001 form we sent you saying that you can get SNAP benefits. SeeCase. 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. The employer does not match the money contributed by the employee until the defined period of time ends. Alerts A functional area on a navigation bar that allows eligibility staff to request alerts and view outstanding and processed alerts. A same-sex marriage that occurred before June 26, 2015, is considered valid effective June 26, 2015. and Texas Human Resources Code, Title 2, Subtitle C, Chapter 32, that pays for certain medical and health care costs for people who qualify. Seedispose. 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. *Important: Don't write your PIN on your Lone Star Card. 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. 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. The canceled amount is included as countable income on federal income tax returns. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. Payments: Indian Tribal Household A household in which at least one household member is recognized as a tribal member by any Indian tribe. Supplemental Security Income (SSI) A needs-tested program administered by the Social Security Administration. This includes falsifying a document or a statement, or providing false information in an interview, with the intent to commit fraud. The .gov means its official. They are also subject to disciplinary action from the Texas Health and Human Services Commission (HHSC). Or send an e-mail to: mail@dhs.state.tx.us. If File Clearance is not processed in Application Registration, the system will perform it in Data Collection. Authorization Code A code that identifies a retailer as a Food and Nutrition Service (FNS)-participating store. 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. Once correspondence is printed, whether in batch or locally, the record of the printing is stored in History Correspondence functional area. To exit from this workflow, click on Exit. Life Estate Income a person receives from ownership of property that they only possess for the duration of their life, such as rental income. Marketplace The governmental entity that makes qualified health plans available to qualified people, qualified employers or both. They cannot be used to schedule appointments using the Scheduling functional area. 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. Annulment A court order declaring a marriage invalid. 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. SeeInterview ModeandCase Mode. Customs and Border Protection is responsible for border security functions. 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. 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. Detail Page Click the Edit or View icon to edit or view details of a record listed on a Summary Page. Each original correspondence is given a unique Correspondence ID (identifying number). Publicly Operated Community Residence A facility designed to serve up to 16 residents and to provide some services beyond food and shelter, such as social services, training in socialization, and life skills. Available at reasonable cost is usually defined as being available through the employer. 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. Underpayment Issuance of fewer benefits than an individual is entitled to receive. Retroactive Benefits Initial benefits issued for a month before the application is certified. You need to pass a few authentication questions. This includes management and medical, at a specified time other than at application or complete action. reactivating an EDG without requiring a new application form. Processing Time Frames Number of days eligibility staff must complete a particular action. 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. State Online Query SOLQ allows states real-time online access to SSA's SSN verification service. Certification Date The date that eligibility staff dispose the Eligibility Determination Group (EDG) to certify an applicant. See Alternate Payee. 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. When you're done, you can create an account to apply for benefits and send your info to support services to be contacted by programs. 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. 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. 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. in canning, packing, ginning, seed conditioning or related research or processing operations. Catchment Area The area covered by service. The person must be a legal parent(s) or other caretaker relative within the required degree of relationship who meets the income limits for that program. 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. Preschool Children Children who are under six. The sleeve also has important information printed on it for easy reference, such as the Lone Star Help Desk number. Tip Income Income earned along with wages paid by patrons to people employed in service-related occupations. Historical Correspondence Records of forms and notices that have been printed. 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. a Medical Program Modified Adjusted Gross Income (MAGI) household member. 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. Pending Correspondence Forms or notices that have been generated on a case and are waiting to be processed in batch. 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. The EDG includes members who are eligible and may include members who are not certified for benefits. Texas State Profile Page. Inquiry Refers to the functional area that allows users to view case, Eligibility Determination Group (EDG), and individual information. intended to inflict emotional harm, including an act of emotional abuse. Here, you can access a variety of resources to help you work with us as you care for . 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. To continue working, click on Stay on page. Application A form that a person or household uses to apply for assistance. The number is used to record covered wages, track Social Security benefits and for other identification purposes. Inaccessible Resources Resources not legally available to the person. 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. This includes profits from the sale of stocks, bonds, or real estate. For the eligibility groups reflected in the table, an individual's income, computed using the Modified Adjusted Gross Income (MAGI)-based income rules described in 42 CFR 435.603, is compared to the income . See Permissible Purpose. Categorically Eligible Household Households where all members are either eligible for or receive benefits from Temporary Assistance for Needy Families (TANF), Supplemental Security Income (SSI), or state-financed general assistance programs. Colonias Unincorporated and unregulated settlements (neighborhoods) along the U.S. and Mexico border. Reimbursement Repayment for a specific item or service. People with Application Visibility accounts may only apply for benefits and view and modify applications created under their username. Advance Notice A notice of adverse action that expires 13 days after it is sent. Before sharing sensitive information, make sure youre on an official government site. Functional Area Functions and processes that appear in the Texas Integrated Eligibility Redesign System (TIERS) Left Navigation area and represent a particular business process. The: User-Generated Action generated directly by an individual's computer input. Step Grandparent The spouse of a blood-related grandparent. Before you set up an account, we need to ask you some questions. Normal Living Expense Items necessary for a Supplemental Nutrition Assistance Program (SNAP) household to carry on its normal daily activities. 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. Qualified expenses include purchased books, supplies, equipment and other classroom materials. Personal Possessions Possessions that include furniture, appliances, jewelry, clothing, livestock, farm equipment, and other items that an applicant uses to meet personal needs essential for daily living. Manage your case usingthe Your Texas Benefitsapp on your phone. 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. Off-Line Transaction The processing of Electronic Benefit Transfer (EBT) transactions using a manual voucher. A boarder can receive Supplemental Nutrition Assistance Program (SNAP) benefits only with the household where they board. Able Bodied Adult Without Dependents (ABAWD) A person, 18 through 50 who: The ABAWD age criteria begins the month after the person turns 18 and ends the month the person turns 50. To be eligible for Texas Medicaid, you must be a resident of the state of Texas, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income. Reapplication Date Date the Texas Health and Human Services Commission (HHSC) receives a new application for redetermination or complete review of eligibility. Unauthorized access to this site and its information assets is prohibited. Your information has not been sent. Parent A person with either a natural, biological, adopted or stepchild. Managed care includes the health maintenance organization (HMO) model. Trust Property held by one person for the benefit of another. Identical Application One or more exact copies of an application previously submitted by an applicant. Sibling Brother or sister, including legally adopted and half-brothers and half-sisters. The two levels of service are: Claim An amount owed by a person for an overpayment of benefits. Note: Not all aliens must obtain a sponsor before being admitted into the U.S. Alimony Payments received from a spouse or former spouse under a divorce or separation decree. Prepaid Burial Insurance Insurance that pays for a specific funeral arrangement. Cardholders Persons authorized to use the Lone Star Card to access benefits in the household's Electronic Benefit Transfer (EBT) account(s). The primary cardholder is usually the Eligibility Determination Group (EDG) name, but the EDG may have an alternate payee who is the primary cardholder. If you are deaf or hard of hearing, you can call us at TTY 1-800-325-0778. past, present or future physical, mental health condition of the person; provision of health care to the person; or. Convertible bonds are countable resources. A same-sex marriage that occurred on or after June 26, 2015, is considered valid on the date it occurred. Intentionally purchasing products originally purchased with SNAP benefits in exchange for cash or consideration other than eligible food. Changes in income identified through this process may impact eligibility for other programs. 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. People can apply using a simplified application, and they do not typically have to complete an interview at redetermination. Unauthorized access to this site and misuse of its information assets may be prosecuted under Texas State statutes regarding the use of individually identifiable personal health information (PHI) and The United States regulations and laws regarding the use of individually identifiable personal health information (PHI). Indigent Alien A sponsored alien whose total income in the month of application does not exceed 130 percent of the federal poverty level for the alien's household size. 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. Adults on the Eligibility Determination Group (EDG) must be legal parents (including a certified stepparent) to the dependent child. Your case number is a 10-digit number that HHSC uses to bundle and process benefits you receive through their agency. The PIN must be entered on a keypad before any electronic transaction can be processed. Excluded Provider A Medicaid provider who is not allowed to continue participating in the Texas Medicaid program for a period of time because of fraud conviction, program abuse and other reasons. Resident Seasonal Farmworkers Farmworkers who do not leave their permanent home to work in agriculture or a related industry. 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. That means bringing some manufacturing back home, or "reshoring" and moving some of it . Pick numbers that are easy for you to remember, but hard for others to guess. The Veterans Land Board (VLB) Land Loan Program provides financing on tracts for eligible veterans up to $150,000 with a minimum 5% down payment and a fixed-rate 30-year loan term. Where is the individual number for Texas Benefits located? Fast forward to 2023, and many companies in some cases spurred by massive government subsidies are taking big steps to diversify their supply chains, focusing on reliability and robustness over cost and efficiency. This information is used in the EDBC process to build Eligibility Determination Groups (EDGs) and determine eligibility for programs and types of assistance. The house parent assumes responsibility and acts in lieu of the parent in meeting the childrens ongoing needs. SeeCase Mode. minimum service has little or no presence of Choices staff. ITIN holders pay taxes. Undocumented Alien An alien living in the U.S. without the knowledge and permission of the U.S. Electronic Benefit Transfer (EBT) Site Coordinator An HHSC employee designated to ensure local offices comply with guidelines on security and accountability operations. One program is the Choices program for TANF recipients, and the other is the SNAP Employment and Training (E&T) program for SNAP recipients. Reshoring replaces offshoring. Illegally Present Alien A non-citizen living in the U.S. without proper approval from the U.S. 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. Prospective Budgeting Determination of eligibility for and the amount and type of benefits using the best estimate of the household's current and future circumstances and income. Your unique Medicaid numberwill be displayed on the Texas Health and Human Services Commission's 'Your Texas Benefits' card. Scheduling The functional area that manages eligibility appointments. Ten-Ten-Thirteen Concept Time periods used to determine the first month of an over-issuance claim. 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. Immigrant An alien who abandons residence in a foreign country to live in the U.S. as a permanent resident, for example a lawful permanent resident (LPR). 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. . Parents and Caretaker Relatives Emergency (TA 31), Medically Needy with Spend Down Emergency (TP 32). To learn more about Texas Works, please visit Texas Workforce Commission website. Data Broker An online portal used to obtain financial and other background information about applicants and recipients. Equity The fair market value of an item minus all money owed on it and the cost associated with its sale or transfer. Overpayment The amount of benefits issued in excess of what should have been issued. Reasonable Opportunity The 95-day period following the date a notice is sent to a person. The functional areas that are available to the user are determined by the user's job title and security role(s). Be receiving disability-related assistance or benefits. Advanced Nurse Practitioner A registered nurse with additional training and certification in a specific area of medicine. 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.
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