Business day excludes Saturday, Sunday, and holidays designated by a federal or state agency. Only a personal representative may authorize the use or disclosure of individually identifiable health information or obtain individually identifiable health information for a person. Expunged Benefits Benefits that are removed from an EBT account by the issuer of the benefits. You have unsaved changes that will be lost if you exit. The final digit of your SNAP EDG (Eligibility Determination Group) number indicates the day on which you will receive benefits. Redetermination A complete action to determine eligibility for a new certification period in a program. Texas health insurance plans | UnitedHealthcare Monthly Obligation The amount of child support which the absent parent has been ordered to pay each month. See Alternate Payee. 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. The Eligibility Determination Group (EDG) name must be within the required degree of relationship to the dependent child. Print Type Classification of historical correspondence as the original record or a reprint of the original. 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. Lone Star Card SeeElectronic Benefit Transfer (EBT) Card. Battered Alien A battered spouse, battered child or parent, or child of a battered person with a pending petition with the U.S. 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. 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. SeeDetail Page. 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. Domestic Production Activities Deduction A federal income tax deduction that a person may receive for certain qualified production activities. 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. Advance Notice A notice of adverse action that expires 13 days after it is sent. 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. Unauthorized access to this site and its information assets is prohibited. Supplemental Nutrition Assistance Program (SNAP) Past name was the Food Stamp Program. Summary Page A page that lists a summary of all records available for that Texas Integrated Eligibility Redesign System (TIERS) page. The goal of ESP is to prepare recipients for employment and help them find and keep a job. past, present or future payment for the provision of health care to the person. 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. Vested Retirement Account An account to which an employee makes contributions for a specified period of time as defined by the employer. Citizenship and Immigration Services [USCIS] Form I-864 or I-864-A) on or after Dec. 19, 1997, agreeing to support an alien as a condition of the alien's entry into the U.S. Available at reasonable cost is usually defined as being available through the employer. 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. 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. Dispose To authorize an Eligibility Determination Group (EDG) so eligibility is established or denied. Keogh An individual retirement account (IRA) for a self-employed individual. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. If you are deaf or hard of hearing, you can call us at TTY 1-800-325-0778. Beneficiary The person named to receive benefits. 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 discovery date is compared with the report date to determine whether a change is reported timely. It provides monthly income to aged people and persons who are blind or have a disability. 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. Case All the persons living together, and alien sponsors, who are related by Eligibility Determination Group (EDG) affiliation. These occupations include beauticians, waiters, valets and food delivery staff. 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. Each original correspondence is given a unique Correspondence ID (identifying number). Prepaid Burial Insurance Insurance that pays for a specific funeral arrangement. Nonconvertible Bond A bond that cannot be converted to cash per program policy. Four Months Post-Medical Medicaid coverage extended for a maximum of four months after denial of a case because of spousal support income. 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. Medicaid Card An identification card issued to people determined eligible for Medicaid that verifies Medicaid coverage. Enter this for various situations including: Real Property Land and any improvements on it. lives with another person and they represent themselves to the community as married. 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. Alternate Payee A person who receives the benefits for the EDG when people on the EDG are unable or ineligible to receive them. See Alternate Payee. 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. full service having a significant presence of Choices staff; or. 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. This includes falsifying a document or a statement, or providing false information in an interview, with the intent to commit fraud. Availability Date The date that benefits are deposited into the recipients Electronic Benefit Transfer (EBT) account. The sleeve also has important information printed on it for easy reference, such as the Lone Star Help Desk number. Trafficking Supplemental Nutrition Assistance Program (SNAP) . This includes profits from the sale of stocks, bonds, or real estate. You do not need to be enrolled in VA benefits or health care to connect. These households may bypass the income and resources tests and are deemed financially eligible. The participation status indicates whether the person is considered an adult or a child according to policy. Driver Flow The logical sequence of data collection pages that appear as a case is completed or read. Special Immigrant Iraqi and Afghan (SIV) A special immigrant status under 101(a)(27) of the INA may be granted to Iraqi and Afghan people who have worked on behalf of the U.S. government in Iraq or Afghanistan. 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. They will become lawful permanent residents (LPRs) upon the removal of their conditions by the Department of Homeland Security (DHS). Helps families with children age 18 and younger pay for basic needs. Standby List Applicants who are awaiting an interview without a specific appointment. General Equivalency Diploma (GED) A high school equivalency certificate issued after a person completes a State Board of Education-approved high school equivalency program. 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. 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. During this step, information from electronic data sources is automatically requested, reasonable compatibility is run when income verification is required and correspondence is sent to the recipient. Texas Medicaid | Benefits.gov Personal Identification Number (PIN) A four-digit numeric code assigned to each cardholder and used to control access to the person's account. Pick or change your PIN. is not needed to process a redetermination. CHIP Perinatal Medical services to unborn children of pregnant women ineligible for Medicaid due to income or alien status. Or send an e-mail to: [email protected]. This procedure can be used when policy has changed and TIERS has not yet been updated to process the policy change correctly. Helps people with daily living needs, caregivers, and people with mental health, drug or alcohol issues. Click here to re-activate your account. 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. This is also called a timely recertification or redetermination. Earned Income Tax Credits (EITC) Payments from the Internal Revenue Service (IRS) to people with gross monthly earnings at or below levels established by the IRS. Crime Victim's Compensation Payments from the funds authorized by state legislation to assist a person who: The payments are distributed by the Office of the Attorney General (OAG) in monthly payments or in a lump-sum payment. Deprivation Loss of parental support caused by death, incapacity, continued absence of one or both natural or adoptive parents, or because of unemployment or underemployment of both parents in a two-parent family. 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. Manage your case usingthe Your Texas Benefitsapp on your phone. . Users cannot delete system-generated correspondence. The 5% down payment is subject to credit approval. 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. Incidentals include normal day-to-day transportation, phone, laundry, medical supplies not paid by Medicaid, home remedies, recreation and household equipment. If you are just looking for support services and want to be contacted by programs, you need to create an account. For most people, their tax year is the calendar year. Complete Review A re-evaluation of ongoing eligibility. Educator Expenses Expenses for which educators, kindergarten through grade 12 teachers, counselors, principals or aides can receive a federal income tax deduction. ], Title 42, 1396 et seq.) What is individual number for Texas benefits? High School Diploma Certification issued by a state-accredited school to a student who successfully completes the curriculum requirements for secondary school as approved by the State Board of Education. Medicaid Members: Continuous Medicaid coverage will end on March 31, 2023. Continued Benefits Continuing or restoring benefits to the level authorized immediately before the notice of adverse action. Certification Date The date that eligibility staff dispose the Eligibility Determination Group (EDG) to certify an applicant. Inaccessible Resources Resources not legally available to the person. What're Mastectomy Bras and Why They're Important | TomboyX 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. They can also change any case data for cases where they are the head of household, an adult member within the household, or an authorized representative. A boarder can receive Supplemental Nutrition Assistance Program (SNAP) benefits only with the household where they board. The notice contains programmed information based on the program, type of assistance, and eligibility result. Eligibility staff access BVS as a source to verify age, relationship and citizenship. The Providers guide to EBT in Texas | Providers 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. Resident Seasonal Farmworkers Farmworkers who do not leave their permanent home to work in agriculture or a related industry. A petition for judicial review must be filed by the appellant in a district court in Travis County within 30 calendar days after the date the administrative decision is issued. The persons may or may not be included in EDGs as certified members. Disqualified Person Someone who is normally considered a participating member of a household but whose needs are not considered because they failed to meet or comply with a program requirement. Child Support A payment made from a biological or adoptive parent to a biological or adoptive child. Welfare-to-Work A federal program designed to support state and local efforts to move hard-to-employ Temporary Assistance for Needy Families (TANF) recipients into unsubsidized jobs and promote their self-sufficiency. The EDG includes members who are eligible and may include members who are not certified for benefits. 1-877-541-7905. 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. Basic Utility Allowance (BUA) Deduction given to a SNAP household that has utility costs but does not qualify for the standard utility allowance (SUA). For example, the Supplemental Nutrition Assistance Program (SNAP) has two types of assistance: PA (public assistance) and NPA (non-public assistance). If you don't know what type of Medicaid you have, call toll-free 800-964-2777. The current Land Loans interest rate for Texas veterans is 6.95%. Please retype the user name and password, or sign up if you haven't already done so. 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 Inquiry Refers to the functional area that allows users to view case, Eligibility Determination Group (EDG), and individual information. 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 . 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. 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. Texas Health & Human Services Commission. VA South Texas Health Care | Kerrville VA Medical Center's Open House Nonconvertible bonds are exempt resources. Citizenship and Immigration Services (USCIS) The government agency that oversees lawful immigration to the U.S. 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. Answer some basic questions in our prescreening tool to find which benefits and support services you might be able to get. Medicaid is also known as the medical assistance program. Recognizable Needs The maximum needs amount allowed by the Texas Health and Human Services Commission (HHSC) when determining eligibility. This is done by intentionally reselling the product purchased with SNAP benefits in exchange for cash or consideration other than eligible food. some eligible members receive TANF or RCA, and all other eligible members receive Supplemental Security Income (SSI), including SSI essential persons. Reimbursement Repayment for a specific item or service. Electronic Benefit Transfer (EBT) Site Coordinator An HHSC employee designated to ensure local offices comply with guidelines on security and accountability operations. Purchasing a product with SNAP benefits with the intent of obtaining cash or something other than eligible food. ), dentist (D.D.S. Seebatch processing,pending correspondence,print mode,print type,system-generatedanduser-generated. Complete Guide to Texas Employee Benefits During COVID-19 - Gusto You are exiting this workflow before finishing. You'll get the Lone Star Card once you're approved for benefits. Historical Data Records of case, Eligibility Determination Groups (EDGs) and individual information. A transaction may also be pre-authorized by phone. Marriage A legally or formally recognized union between two people. Medicaid In Texas, there are 5 different types of Medicaid: STAR STAR+PLUS STAR Kids STAR Health Traditional Medicaid The type of Medicaid coverage you get depends on where you live and what kind of health issues you have. Residents of a publicly operated community residence are potentially eligible for Temporary Assistance for Needy Families (TANF) and Medicaid. 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. Additionally, a consumer assistance program can help you file your appeal. 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. Certified Group The members in an Eligibility Determination Group (EDG) who are eligible for a given program. Type of Assistance (TOA) The specific aid for one or more people in an Eligibility Determination Group (EDG). 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. ), osteopathic medical physician (D.O. Untimely SNAP application filed after the 15th of the last certification month. For example, a user can: User Guide A Texas Integrated Eligibility Redesign System (TIERS) help tool accessed by clicking on the Help icon in the upper right corner of TIERS pages. TSAP provides a 36-month certification period. Need help buying food because of recent disasters in your area? Waiver Counties Texas counties with an unemployment rate over 10 percent. Special Immigrant Conditional Permanent Resident (SI CPRs) Qualified noncitizens granted special immigrant status. the adult provides more than half of the minor's total support (housing is not considered as support); the adult states that the adult has parental control of the minor; or. Hearing The functional area where individual appeals are recorded and tracked. 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. is the guardian of a victim of a violent crime. 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. Make payments to the surviving spouse, children, parents, grandchildren or grandparents when the affected person is deceased. Standard Utility Allowance (SUA) A standard deduction for the cost of utilities. ITIN holders are not eligible for all of the tax benefits and public benefits that U.S. citizens and other taxpayers can receive. All members of a TSAP household must not receive earned income and must be either elderly or disabled as defined by SNAP program rules.