Health Savings Account A savings account for medical-related expenses that is available to taxpayers. See User-Generated. Each functional area contains pages that allow authorized staff to perform activities related to the business process. Payments may be either fixed (under which one receives a definite amount) or variable (not fixed). Examples include certified nurse-midwives, clinical nurse specialists, and pediatric nurse practitioners. Left Navigation The list of functional areas that appears on the left side of the Texas Integrated Eligibility Redesign System (TIERS) page. The notice of adverse action expires in 13 days. Glossary | Texas Health and Human Services Advance Notice A notice of adverse action that expires 13 days after it is sent. The Texas Workforce Commission (TWC) administers unemployment benefits, which provide temporary relief for eligible Texans who find themselves out of work or dealing with severely reduced work hours. Lawful Permanent Resident (LPR) A person lawfully admitted for legal permanent residence in the U.S. The system generates an alert when the SSA Benefit amount on file does not match the information on the BENDEX file. Summary of Benefits and Coverage: What this Plan Covers & What You Pay If the total collection is less than $75, then the amount of the collection is sent to the person . 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. Office of Inspector General (OIG) A division of the Texas Health and Human Services Commission (HHSC) created by the 78th Texas Legislature, Regular Session, 2003, to prevent and reduce waste, abuse, and fraud within the Texas Health and Human Services system. You can find your EDG number on the TF0001 form we sent you saying that you can get SNAP benefits. 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. 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. It is also referred to as spousal support. lives with another person and they represent themselves to the community as married. Minor Parent A person under 18 who has a dependent. This includes profits from the sale of stocks, bonds, or real estate. The individual number for Texas benefits can vary depending on the benefits you are receiving. Housing and Urban Development (HUD) U.S. Department of Housing and Urban Development. 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. SeeCase. Also, the act of trafficking in SNAP benefits. Disability | Texas Health and Human Services 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. Timely Disposed An Eligibility Determination Group (EDG) that is completed in accordance with program timeliness standards. Questionable Information Information that is contradictory or incomplete. 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. The sleeve stores the card and protects the magnetic strip from being damaged by scratches. CHIP perinatal The mother and child will be certified on a single EDG during the month the child is born. The intention is to get cash by purposely discarding the product and returning the container for the deposit amount. See Alternate Payee. 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. 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. This person has access to the EBT account for the Eligibility Determination Group (EDG). Community Supervision The placement of a misdemeanor or felony offender under supervision for a specified length of time ordered by the court. When the OAG receives a child support collection on the current monthly obligation and that payment exceeds the TANF grant plus any unreimbursed assistance, the excess is sent to the person. SeePrint Mode. Electronic Benefit Transfer (EBT) Representative A primary cardholder other than the case name. Legal Parents Mother, by having given birth to the child, by proof of adoption, legal document or court adjudication or father, by proof of adoption, legal document, court adjudication or his acknowledgement of paternity. Reasonable Opportunity The 95-day period following the date a notice is sent to a person. 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. 401(k) A retirement plan allowing an employee to postpone receiving a portion of current income until retirement. You can use it at stores that accept EBT. Summer P-EBT (June-August 2022) is a one-time benefit of $391 for each eligible child. If you can't find it, call us at 800-777-7328. 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. Canceled Debts Debts that have been canceled, forgiven, or discharged. This may or may not include the person or the persons spouse. The .gov means its official. Eligibility Determination Benefit Calculation (EDBC) The process of applying program policy to household, non-financial, resource, income and deduction information entered in the Data Collection functional area. 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. Inmates of facilities that meet the definition of public institution are not eligible for Temporary Assistance for Needy Families (TANF) or Medicaid. Please retype the user name and password, or sign up if you haven't already done so. Your application visibility account has been disabled because of inactivity. Some people qualify for both Medicare and Medicaid. 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. 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 qualified hospital may choose to make PE determinations for pregnant women, children under 19, parents and caretaker relatives of dependent children under 19, and former foster care children. 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. They are not considered inmates of a public institution. The final digit of your SNAP EDG (Eligibility Determination Group) number indicates the day on which you will receive benefits. Veterans can still call 800-273-8255 and Press 1 to reach the Crisis Line as well. It is when a child lives with both legal parents and both parents are requesting and are eligible for coverage. The notices and forms processed in this functional area are also called correspondence and linked to a specific case. 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. Application Visibility Type of YourTexasBenefits.com account given to an applicant who has selected not to go through Advanced Authentication. Summary Page A page that lists a summary of all records available for that Texas Integrated Eligibility Redesign System (TIERS) page. In many instances, batch processing occurs overnight, when Texas Health and Human Services Commission (HHSC) offices are closed and the system is not being heavily used throughout the state. 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. Retroactive Benefits Initial benefits issued for a month before the application is certified. intended to inflict emotional harm, including an act of emotional abuse. Data Collection The functional area where individual household, non-financial, resource, income, and deduction information is recorded for use in building Eligibility Determination Groups (EDGs) and determining eligibility for types of assistance. Texas's EBT customer service number is 1-800-777-7328. Non-Continuous Eligibility A period of time when changes in circumstances may affect a persons eligibility. causing serious dysfunction of any bodily organ or part. Medicaid is also known as the medical assistance program. SeeCase Mode. 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. Capital Goods The accumulated possessions (property, goods and products) used to produce income or other goods. What're Mastectomy Bras and Why They're Important | TomboyX The official document indicates to and for whom the support is paid, the frequency and the amount of payment. Step Grandparent The spouse of a blood-related grandparent. The participation status indicates whether the person is considered an adult or a child according to policy. Continuous Eligibility A period where a person remains eligible during a continuous eligibility period regardless of any change in circumstances, except for: Convertible Bond A bond that can be converted to cash according to program policy. Your case visibility account has been disabled because of inactivity. Battered Alien A battered spouse, battered child or parent, or child of a battered person with a pending petition with the U.S. 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. Special Review A procedure to explore one or more areas of eligibility. 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. Copyright 2016-2023. 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. placing the patient's health in serious jeopardy; seriously impairing the patient's bodily functions; or. Texas Health Insurance | Texas.gov EDGs denied because of new or increased earnings will receive a maximum of 12 months of coverage. Alert A system or user-generated reminder that action needs to be taken on a case or a notification that an action has already taken place. 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. Unemployment benefits range from $69 per week to $521 per week. The persons may or may not be included in EDGs as certified members. Interview Mode A designation in TIERS Data Collection that queues the driver flow through appropriate pages according to the type of action. Administrative Renewal The method used to redetermine eligibility for most Medical Programs, including Medicaid for the Elderly and People with Disabilities (MEPD) and the Childrens Health Insurance Program (CHIP). Pick numbers that are easy for you to remember, but hard for others to guess. 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. Fair Hearing A meeting conducted by a regional hearing officer with an applicant or individual who disagrees with and wishes to appeal some action taken on the individual's case. 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). The PIN must be entered on a keypad before any electronic transaction can be processed. Applicants who meet eligibility requirements during any of the months in this period receive Medicaid benefits for the eligible month(s). Nonconvertible Bond A bond that cannot be converted to cash per program policy. TSAP provides a 36-month certification period. 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) 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. Note:See Publicly Operated Community Residence for additional information about a public facility not considered to be a public institution. Good Cause A term used to indicate that a person has an acceptable reason for not complying with a program requirement. SDX information can be used as a source of verification and is available in the Texas Integrated Eligibility Redesign System (TIERS). Historical Data Records of case, Eligibility Determination Groups (EDGs) and individual information. Meal delivery services A non-profit establishment approved by Food and Nutrition Services (FNS) that prepares and delivers meals to elderly people or people who are housebound, have a physical handicap, or otherwise have a disability that prevents the person from adequately preparing all their meals. Instructions include not writing their PIN on the card sleeve or anything they carry in their purse or wallet, not revealing their PIN to anyone, or letting anyone use their card. Pending Correspondence Forms or notices that have been generated on a case and are waiting to be processed in batch. 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. Each reprint of an original has the same Correspondence ID as the original. Automated Renewal Process The first step in an administrative renewal. TWC is part of a local and state network dedicated to developing the workforce of Texas. 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.

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