Escrow An escrow account is an account a mortgage company sets up for the homeowner as part of their monthly mortgage payment. provides health coverage to eligible low-income adults, children, pregnant women, and people who are older or who have disabilities. You'll get an email or text when there'sa form or notice available online in yourMessage Center. 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. 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. Vested Interest A situation or circumstance to which a person has a strong personal commitment. 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. The sleeve stores the card and protects the magnetic strip from being damaged by scratches. For more information, including who is eligible, click HERE. The individual number for Texas benefits can vary depending on the benefits you are receiving. Negative Management A household has negative management when its reported basic expenses exceed reported net income and resources plus support the HHSC excludes, such as vendor payments. Copayment Payment made directly to a provider according to a fee schedule. 1-877-541-7905. Functional Area Functions and processes that appear in the Texas Integrated Eligibility Redesign System (TIERS) Left Navigation area and represent a particular business process. Supplemental Nutrition Assistance Program (SNAP) applicants and people in these counties are still subject to E&T work registration requirements with TWC, but are exempt from E&T participation and are not subject to SNAP federal time limits. Royalty A payment to a person for permitting another to use or market property. Welcome to UnitedHealthcare Individual Exchange plans, also referred to as Individual and Family plans. 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. Appeals are logged and updated in the Hearing functional area on the navigation bar. Persons with illnesses that require expensive treatment are not subject to lock-in status. SeeBatch Processing. Conditional Entrant A person granted conditional entry under Section 203(a)(7) of the INA as in effect before April 1, 1980. Here, you can access a variety of resources to help you work with us as you care for . 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. Click here to re-activate your account. Inquiry Refers to the functional area that allows users to view case, Eligibility Determination Group (EDG), and individual information. These facilities have limited power of attorney to obtain health care and educational services for the children under their care. Card Sleeve A durable paper envelope folded to the dimensions of the plastic EBT card. Pending Correspondence Forms or notices that have been generated on a case and are waiting to be processed in batch. The: User-Generated Action generated directly by an individual's computer input. Practitioner A person who holds a license to practice medicine, including a physician (M.D. Birth Verification System (BVS) The inquiry system includes birth records of people born in Texas. Agriculturally Related Activities Employment: Aid A benefit, coverage or service in programs that HHSC administers. 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. See Alternate Payee. Treat an untimely reapplication the same as an initial application. Self-Service Portal (SSP) A web-based application, atYourTexasBenefits.com. 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. Nonliquid Resources Resources such as vehicles, buildings, land, or certain other property that are considered countable, except as explained in the vehicles portion of resource policy or unless the resource is specifically exempted. Catchment Area The area covered by service. Questionable Management A household has questionable management when reported basic expenses exceed reported net income and resources. 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. 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. Preschool Children Children who are under six. Customs and Border Protection is responsible for border security functions. Vendor Payment Payment made directly to the individual's creditor or person providing the service by a person or organization outside the household. You will need to login again. 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. formal court-ordered or legally mandated; or. The user name or password is incorrect. This figure represents food, clothing, housing, utilities and incidentals. Conception occurs, but no fetus ever develops. 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. These occupations include beauticians, waiters, valets and food delivery staff. ), osteopathic medical physician (D.O. Reimbursement Repayment for a specific item or service. These issuances are available to the person the same day the Eligibility Determination Group (EDG) is disposed. Need help buying food because of recent disasters in your area? Batch and Online are the types of print modes. 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. Medical Support Health insurance that absent parents will be ordered to obtain for their children who receive Medicaid when it is available at reasonable cost. Proration Portion of total monthly benefits a household is entitled to receive. ], Title 42, 1396 et seq.) Overrides always require Second Level Review before they can be disposed. This is also called a timely recertification or redetermination. Good Cause A term used to indicate that a person has an acceptable reason for not complying with a program requirement. The discovery date is compared with the report date to determine whether a change is reported timely. Incidentals include normal day-to-day transportation, phone, laundry, medical supplies not paid by Medicaid, home remedies, recreation and household equipment. Taxable Year The 12-month period that a person uses to report income for federal income tax purposes. 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. Modified Adjusted Gross Income (MAGI) Household Income The sum of every person's MAGI individual income within an applicants or recipients MAGI household composition, from which is subtracted the standard MAGI disregard. You do not need to be enrolled in VA benefits or health care to connect. You can find your EDG number on the TF0001 form we sent you saying that you can get SNAP benefits. createcorrespondence and reports based on system-requested and user-requested criteria. Left Navigation The list of functional areas that appears on the left side of the Texas Integrated Eligibility Redesign System (TIERS) page. Texas's EBT customer service number is 1-800-777-7328. The functional areas that are available to the user are determined by the user's job title and security role(s). Range of Payment The highest to the lowest representative pay amounts used to determine the current ongoing budget. Essential Person The need for a particular member of a household to be in the home on a continuous basis because another member has a (certified) mental or physical impairment. TSAP provides a 36-month certification period. Molar Pregnancy Also known as hydatidiform mole, a molar pregnancy is considered a degenerating pregnancy. Health Insurance Premium Payment (HIPP) A reimbursement program administered by the Texas Health and Human Services Commissions (HHSCs) Third-Party Resource Unit, which pays for the cost of premiums, coinsurance, and deductibles. Eligibility The functional area that supports Eligibility Determination Benefit Calculation (EDBC). are intended for expenses other than room and board. Application Visibility Type of YourTexasBenefits.com account given to an applicant who has selected not to go through Advanced Authentication. 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. 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. 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). Timely Disposed An Eligibility Determination Group (EDG) that is completed in accordance with program timeliness standards. Seecase modeandinterview mode. Recoupment Withholding part of a person's current benefit because of a previous overpayment. Intentional Program Violation (IPV) The act of intentionally making a false or misleading statement, or misrepresenting, concealing or withholding facts for the purpose of receiving assistance under the Supplemental Nutrition Assistance Program (SNAP), Temporary Assistance for Needy Families (TANF) or Medicaid program. Lump-Sum Payment A financial settlement that often involves funds accumulated over an extended period and that is paid in a single payment. 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. 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. The data broker vendor collects and combines information from many data sources. It is used to apply cascade logic by reforming EDGs until establishing eligibility. Data Broker An online portal used to obtain financial and other background information about applicants and recipients. Helps families with children age 18 and younger pay for basic needs. This process occurs without staff action. Run EDBC (Eligibility Determination Benefit Calculation) A process in the Wrap Up eligibility management group used to determine eligibility of the Eligibility Determination Group (EDG). Complete Action A data collection interview mode that sets up the driver flow for a complete review of all eligibility requirements in an ongoing case. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. an applicant or a certified Temporary Assistance for Needy Families (TANF); Supplemental Nutrition Assistance Program (SNAP)or Medical Program household member or a member who would be certified but is disqualified; or. They are also subject to disciplinary action from the Texas Health and Human Services Commission (HHSC). Copyright 2016-2023. 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. 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. SeeCascade Logic,Rebuild EDG, andRun EDBC. Falsified Statement A statement made by an individual, orally or in writing, that is not true, such as claiming to have been without worksince a certain date,when the individual was employed during that time period. (FPL). Expedited Service Special, faster processing of SNAP applicants who qualify for an emergency food allotment, for active duty military members and their dependents applying for medical coverage and for pregnant women applicants who qualify for current or ongoing medical coverage. intended to result in physical harm, bodily injury or assault, or that is a threat that reasonably places the member in fear of imminent physical harm or bodily injury or assault, not including defensive measures to protect oneself; or. The notice contains programmed information based on the program, type of assistance, and eligibility result. 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. Recognizable Needs The maximum needs amount allowed by the Texas Health and Human Services Commission (HHSC) when determining eligibility. SeeEDBC. Four Months Post-Medical Medicaid coverage extended for a maximum of four months after denial of a case because of spousal support income. 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. to file a federal income tax return for the taxable year in which Medical Program eligibility is requested; if married, to file a joint federal income tax return for the taxable year in which Medical Program eligibility is requested; that no other taxpayer will be able to claim the person or the couple as a tax dependent on a federal income tax return for the taxable year in which Medical Program eligibility is requested; 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. This calculation is based on family size and is used in the Temporary Assistance for Needy Families (TANF) 100 percent budgetary needs gross income test. Medical Programs that follow modified adjusted gross income (MAGI) rules, except Childrens Health Insurance Program (CHIP) perinatal Only one person is certified on the EDG. The benefit is funded by taxes collected from businesses. All rights reserved. For Type Program (TP) 08, Parents and Caretaker Relatives Medicaid A relative within the required degree of relationship, other than a legal parent, caring for a dependent child who meets the income limits for that program.