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Some people qualify for both Medicare and Medicaid. Also known as a pre-need plan or prepaid funeral agreement. Personal Account Number (PAN) The 19-digit number on the front of the Lone Star Card representing the persons Electronic Benefit Transfer (EBT) account number on the EBT database. In some interview modes, staff cannot advance to pages that have not yet been accessed as part of the driver flow. The notice of adverse action expires in 13 days. For example, the Supplemental Nutrition Assistance Program (SNAP) has two types of assistance: PA (public assistance) and NPA (non-public assistance). Beneficiary The person named to receive benefits. These benefits are accessed by: card and personal identification numbers (PINs); or, Attempting to buy, sell, steal, or otherwise effect an exchange of SNAP benefits and using them for cash or something other than eligible food, either directly, indirectly, in complicity or collusion with others, or acting alone. Unauthorized access to this site and its information assets is prohibited. 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). Authorized staff can correct months in this functional area. Absent Parent A child's parent who is not living in the home. Each functional area contains pages that allow authorized staff to perform activities related to the business process. 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. Call us at 1-800-777-7328 if you can't locate it. Normal Living Expense Items necessary for a Supplemental Nutrition Assistance Program (SNAP) household to carry on its normal daily activities. Minor Parent A person under 18 who has a dependent. This information is compared to the application and details from the interview to identify case discrepancies and reduce the possibility of case error and fraud. Choices County Service Levels Counties designated by the Texas Workforce Commission (TWC) as Choices counties. 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. 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. To continue working, click on Stay on page. Redetermination A complete action to determine eligibility for a new certification period in a program. TANF provides families with financial assistance and support services. Annuity A series of payments paid under a contract and made at regular intervals over more than one full year. Deferred Adjudication A type of probation where the decision for a conviction is postponed until the end of the probationary period. Click here to view alternate account management instructions to re-activate your account. Marriage A legally or formally recognized union between two people. 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. 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. past, present or future payment for the provision of health care to the person. Derivative Citizenship U.S. citizenship that is claimed by a person born outside of the U. S. to one or both U.S. citizen parents. A boarder can receive Supplemental Nutrition Assistance Program (SNAP) benefits only with the household where they board. A same-sex marriage that occurred before June 26, 2015, is considered valid effective June 26, 2015. CHIP Perinatal Medical services to unborn children of pregnant women ineligible for Medicaid due to income or alien status. Helps cover visits to doctors, dentists, and hospitals. 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. Seedispose. Cafeteria Plan Flexible fringe benefit plans offered to employees by their employers. Your session has ended. 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. are held under court order as material witnesses or juveniles. Assignable Time periods that are available to be used to schedule appointments using the Scheduling functional area. Electronic Benefit Transfer (EBT) Issuance Staff An HHSC employee who issues and registers EBT cards for people in the local HHSC office. 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. ), dentist (D.D.S. Electronic Benefit Transfer (EBT) System A system HHSC staff with security access use to issue and replace Lone Star Cards. The notice contains programmed information based on the program, type of assistance, and eligibility result. An example of a publicly operated community residence that is not a public institution is a county homeless shelter with a capacity of up to 16 people. Citizenship and Immigration Services (USCIS). Birth Verification System (BVS) The inquiry system includes birth records of people born in Texas. 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. Jury Duty Pay Taxable income received as compensation for jury duty. Monthly Obligation The amount of child support which the absent parent has been ordered to pay each month. Electronic Benefit Transfer (EBT) Vendor A company that performs EBT-related services for the state of Texas. IDAs are generally matched dollar-for-dollar with funds from private citizens, corporations, banks, communities, or charitable organizations. Sibling Brother or sister, including legally adopted and half-brothers and half-sisters. Adverse Action Any HHSC action resulting in denial, suspension, reduction or termination of assistance. 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. hold out to the public that they are a married couple. eligible for Medicaid because a responsible person who is not within the degree of relationship required for Temporary Assistance for Needy Families (TANF) applies on the child's behalf. SeeCase Mode. Alerts A functional area on a navigation bar that allows eligibility staff to request alerts and view outstanding and processed alerts. Need help buying food because of recent disasters in your area? The: User-Generated Action generated directly by an individual's computer input. Electronic Benefit Transfer (EBT) Card A plastic card called the Lone Star Card issued to primary and secondary cardholders that allows the cardholders access to the benefits in the EBT system. The site is secure. SeeBatch Scheduling. Availability Period For TANF, the availability period is two fiscal years after the benefit was issued. If the total collection is less than $75, then the amount of the collection is sent to the person . Electronic Benefit Transfer (EBT) Account A benefit account established by the EBT system where HHSC deposits the household's benefits. The sleeve stores the card and protects the magnetic strip from being damaged by scratches. Waiver of Continued Benefits An individual option to allow eligibility staff to process an adverse action during the individual's appeal process. Spend Down The amount of excess income that the applicant must deplete with incurred medical bills before being certified as medically needy. Alternative Benefit Plan Eligibility; . All system-generated correspondence is sent to pending correspondence, but it can be retrieved and printed locally. This gives a source of citizenship or alien status verification for certain Medical Programs. 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. 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. The functional areas that are available to the user are determined by the user's job title and security role(s). This will help you know if you should apply for benefits on this site or for health insurance on HealthCare.gov. receives Supplemental Nutrition Assistance Program (SNAP) benefits; is physically and mentally able to work at least an average of 20 hours per week; is not a member of a SNAP Eligibility Determination Group (EDG) where a household member on the SNAP EDG is under 18; and is not pregnant. Fixed Income Unearned income that does not vary. 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. This guide will explain the different types of . 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. The 5% down payment is subject to credit approval. intended to inflict emotional harm, including an act of emotional abuse. perform initial self-screening to check for potential eligibility; view general benefit program information. A household may designate a secondary cardholder who has a Lone Star Card and access to the household's Electronic Benefit Transfer (EBT) account. 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. You can find your EDG number on the TF0001 form we sent you saying that you can get SNAP benefits. The discovery date is compared with the report date to determine whether a change is reported timely. In most instances, Children's Medicaid relates to comprehensive policy for Type Programs (TPs) 43, 44, 45 and 48, unless specifically stated otherwise in a handbook section. Examples include a fee for an art class that is part of an adult day care program, equipment fees or an extra cost for participation in a field trip as part of a summer program. The sleeve also has important information printed on it for easy reference, such as the Lone Star Help Desk number. 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. Power of Attorney (POA) Written legal authorization to represent or act on another's behalf in private affairs, business, or some other legal matters. People with Application Visibility accounts may only apply for benefits and view and modify applications created under their username. 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. some eligible members receive TANF or RCA, and all other eligible members receive Supplemental Security Income (SSI), including SSI essential persons. Supplemental Nutrition Assistance Program (SNAP) and Temporary Assistance for Needy Families (TANF) Multiple people may be certified on a single EDG. past, present or future physical, mental health condition of the person; provision of health care to the person; or. Passive Renewal A process by which the Texas Integrated Eligibility Redesign System (TIERS) automatically recertifies a Former Foster Care in Higher Education (FFCHE) active Eligibility Determination Group (EDG) for another certification period. Housing and Urban Development (HUD) U.S. Department of Housing and Urban Development. TSAP provides a 36-month certification period. EBT card = a card that looks and works like a debit or credit card but is loaded with food stamps (also known as SNAP benefits) and/or cash benefits. Other-Related Temporary Assistance for Needy Families/Medical Program (TANF/MP) Child An eligible child living with a relative other than the child's legal parent. Benefit Issuance The functional area that supports the issuance and tracking of benefits calculated in the Eligibility Determination Benefit Calculation (EDBC) and authorized in disposition. Fair Market Value Amount of money an item would bring if sold in the current local market. Child Support A payment made from a biological or adoptive parent to a biological or adoptive child. 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. The driver flow is determined by the programs, types of assistance, and answers to questions as the case is worked. The number is used to record covered wages, track Social Security benefits and for other identification purposes. This includes profits from the sale of stocks, bonds, or real estate. To learn more about Texas Works, please visit Texas Workforce Commission website. Trust Property held by one person for the benefit of another. Practitioner A person who holds a license to practice medicine, including a physician (M.D. Cuban or Haitian Entrant Admitted under Section 501(e) of the Refugee Education Assistance Act of 1980. Type of Assistance (TOA) The specific aid for one or more people in an Eligibility Determination Group (EDG). Historical Correspondence Records of forms and notices that have been printed. The .gov means its official. Subsistence Life supporting or survival. Equity The fair market value of an item minus all money owed on it and the cost associated with its sale or transfer. Make payments to the surviving spouse, children, parents, grandchildren or grandparents when the affected person is deceased. A household member may be charged with an IPV even if the person has not actually received benefits to which they are not entitled. Persons with illnesses that require expensive treatment are not subject to lock-in status. Print Type Classification of historical correspondence as the original record or a reprint of the original. Reinstatement Process of providing Transitional Medical Assistance (TMA) to a household denied because of failure to return a complete Medicaid Report. These plans are offered through the Health Insurance Marketplace, or the Exchange, where individuals can research, compare, and purchase health plans. Reimbursement Repayment for a specific item or service. Radiation Exposure Payments A program to compensate a person for injury or death from exposure to radiation from nuclear testing and uranium mining. Helps pregnant, breastfeeding women and families with children younger than 5 buy healthy foods. Illegally Present Alien A non-citizen living in the U.S. without proper approval from the U.S. Those who see several doctors each month and make questionable visits to hospital emergency rooms are limited to seeing one doctor or using one pharmacy for a minimum of six months. 401(k) A retirement plan allowing an employee to postpone receiving a portion of current income until retirement. Citizenship and Immigration Services (USCIS) The government agency that oversees lawful immigration to the U.S. Change Action A data collection interview mode that allows eligibility staff to navigate to pages on which they want to update or record information. A molar pregnancy is considered a normal pregnancy that terminates early because of miscarriage or abortion. Electronic Benefit Transfer (EBT) Representative A primary cardholder other than the case name. 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. Convertible bonds are countable resources. This includes legal parents and stepparents who are disqualified for one of the reasons listed inA-222, Who Is Not Included, No. Once correspondence is printed, whether in batch or locally, the record of the printing is stored in History Correspondence functional area. Eligibility staff access BVS as a source to verify age, relationship and citizenship. createcorrespondence and reports based on system-requested and user-requested criteria. 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). This may or may not include the person or the persons spouse. This process occurs through a mass update and does not require action. Bona Fide Agent A person who is familiar with an applicant and knowledgeable of the person's financial affairs. Batch Processing Actions postponed until a later time when they can be processed by the system more efficiently. Personal Identification Number (PIN) A four-digit numeric code assigned to each cardholder and used to control access to the person's account. This is a toll-free number (2-1-1 or 877-541-7905) that allows people to inquire on the status of their case, their next appointment time, or to determine if Texas Health and Human Services Commission (HHSC) received information. 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. action has been initiated on an Eligibility Determination Group (EDG) in a case (Intake, Complete Action, Change Action, Special Review, Conversion); allthe EDGs in a case are approved (Ongoing); and. Initial Benefits Benefits issued for the first month of eligibility. Vested Interest A situation or circumstance to which a person has a strong personal commitment. Interview staff Eligibility staff responsible for interviewing applicants and recipients to establish program eligibility. A child who will not graduate until after the month of their 19th birthday is not considered a dependent child after the month of their 18th birthday. Combat Pay Supplemental incentive payments for hazardous duty and special pay for duty subject to hostile fire or imminent danger. Capital Goods The accumulated possessions (property, goods and products) used to produce income or other goods. Trafficking Victims Victims admitted under the Trafficking Victims Protection Act of 2000. 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 login again, click on either "Forgot user name" or "Forgot password" in the login box. 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. Marketplace The governmental entity that makes qualified health plans available to qualified people, qualified employers or both. Employment Services Program (ESP) ESP consists of two programs. Preschool Children Children who are under six. The canceled amount is included as countable income on federal income tax returns. For example, if you are receiving disability benefits through the Social Security Administration, then your Social Security number is the individual number used by the state of Texas. These include construction of real property or lease, rental, license, sale, exchange, or other disposition of personal property, computer software, sound recordings, produced films, produced electricity, natural gas, or potable water. 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. TWC is part of a local and state network dedicated to developing the workforce of Texas. Good Cause A term used to indicate that a person has an acceptable reason for not complying with a program requirement. SeeCascade Logic,Rebuild EDG, andRun EDBC. 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. Migrant Farmworker Not in the Workstream Farmworkers who travel to work in agriculture or a related industry during part of the year, but who are presently residing at their permanent residence or home base. 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. A mastectomy bra can provide comfort, support, and security to an individual as they become accustomed to their new normal. Grandparent Payment System (GPS) An electronic, web-based data system used to inquire about the issuance of archived TANF one-time Grandparent Payments. lives with another person and they represent themselves to the community as married. Fluctuating Income Income in which the amount varies because of an increase or decrease in hours worked, rate of pay, or inclusion of a bonus. Second Chance Home An adult-supervised living arrangement that provides independent living services to teen mothers and their children. Alimony Paid Payments to a spouse or former spouse under a divorce or separation decree. What is individual number for Texas benefits? Business Day Monday through Friday from 8 a.m. to 5 p.m. local time. Application A form that a person or household uses to apply for assistance. This is also called a timely recertification or redetermination. The parent oversees the curriculum and ensures that the children are actually being educated. These households may bypass the income and resources tests and are deemed financially eligible. 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. 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. Overrides always require Second Level Review before they can be disposed. For most people, their tax year is the calendar year. 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. Managed care includes the health maintenance organization (HMO) model. 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. The benefit is funded by taxes collected from businesses. It must take place before the person receives a seventh warrant. Also, the act of trafficking in SNAP benefits. Please look at the permit to find your number. 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. Parent A person with either a natural, biological, adopted or stepchild. Texas Health Steps A health care program of prevention, diagnosis, and treatment for Medicaid people. Functional Area Functions and processes that appear in the Texas Integrated Eligibility Redesign System (TIERS) Left Navigation area and represent a particular business process. Marlon Brando Estate Net Worth,
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