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. Your Medicaid number also known as a recipient number or individual number is a 9-digit number than can be found on the 'Your Texas Benefits' card. Molar Pregnancy Also known as hydatidiform mole, a molar pregnancy is considered a degenerating pregnancy. Contact the Texas Department of Insurance's Consumer Health Unemployment benefits range from $69 per week to $521 per week. Time Limit The functional area where Temporary Assistance for Needy Families (TANF) state and federal time-limited months can be viewed. EDGs denied because of new or increased earnings will receive a maximum of 12 months of coverage. See Taxpayer. SeeInterview ModeandCase Mode. SeeCorrespondence,Print ModeandPrint Type. This coverage is providedtemporarily while the Texas Health and Human Services Commission (HHSC) determines eligibility for regular Medicaid. Successful prosecution of misuse of PHI may include imprisonment and/or financial sanctions as set forth in Standards for Privacy of Individual Health Information 45 CFR Parts 160 and 164. 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. 401(k) A retirement plan allowing an employee to postpone receiving a portion of current income until retirement. After 90 days in the same person's residence, the household is no longer considered homeless. 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. EDGs denied because of new or increased spousal support income will receive a maximum of four months of coverage. a supervised shelter that provides temporary living quarters; a place not intended for regular sleeping quarters; or. Employment Services Program (ESP) ESP consists of two programs. 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. Children's Health Insurance Program (CHIP) Medical coverage for children under 19 whose family income exceeds the limits for Children's Medicaid. Administrative Terminal Application (ATA) A software program accessible on one or more Texas Health and Human Services Commission (HHSC) desktop computers in each office. The participation status indicates whether the person is considered an adult or a child according to policy. You will need to login again. 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. Nonconvertible Bond A bond that cannot be converted to cash per program policy. The persons may or may not be included in EDGs as certified members. 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. Apply online and make a Your Texas Benefitsaccount so you can start, save and go backto your online application at any time. Advance Notice A notice of adverse action that expires 13 days after it is sent. 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. Refugee A person admitted to the U.S. under Section 207 of the INA. 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. Each functional area contains pages that allow authorized staff to perform activities related to the business process. Interview Mode A designation in TIERS Data Collection that queues the driver flow through appropriate pages according to the type of action. See User-Generated. 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. Your case visibility account has been disabled because of inactivity. Migrant Farmworker in the Workstream Farmworkers who travel to work in agriculture or a related industry and who are presently employed away from their permanent residence or home base. Independent living services may include, but is not limited to: Second Level Review Review of a case by a second party before the Eligibility Determination Group (EDG) is disposed. Cardholders Persons authorized to use the Lone Star Card to access benefits in the household's Electronic Benefit Transfer (EBT) account(s). Social Security information is also available for people who receive SSI or Medicaid. Second Chance Home An adult-supervised living arrangement that provides independent living services to teen mothers and their children. all eligible members receive Temporary Assistance for Needy Families (TANF) or Refugee Cash Assistance (RCA); or. Housing and Urban Development (HUD) U.S. Department of Housing and Urban Development. The sleeve stores the card and protects the magnetic strip from being damaged by scratches. Supplemental Benefit Additional benefits for a current month given to a household during a month the Texas Health and Human Services Commission (HHSC) already issued initial or ongoing benefits. BENDEX (Beneficiary and Earnings Data Exchange) A computer tape match from the Social Security Administration that provides Social Security and Medicare information about Texas Health and Human Services Commission (HHSC) recipients. The following factors are considered in determining the alien's total income: Individual Development Accounts (IDAs) An account similar to a savings account that enables a person to save earned income for a qualifying purpose. 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. Rebuild EDG (Eligibility Determination Group)A button in the Wrap Up management group. A same-sex marriage that occurred on or after June 26, 2015, is considered valid on the date it occurred. The matching funds are inaccessible to the person if the funds are paid directly to a bank or loan institution, a person selling a home, or a business account. Eligibility The functional area that supports Eligibility Determination Benefit Calculation (EDBC). In this system, patients go to their primary care physician to obtain other health services such as specialty medical care, surgery or physical therapy. Legal Requirements The non- financial eligibility requirements for a Temporary Assistance for Needy Families(TANF) or Medicaid child, such as age, relationship, domicile, citizenship, Social Security number (SSN), and deprivation. You need to pass a few authentication questions. Appeals are logged and updated in the Hearing functional area on the navigation bar. or registered nurse (R.N.). 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. Your information has not been sent. Enter this for various situations including: Real Property Land and any improvements on it. 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. Type of Assistance (TOA) The specific aid for one or more people in an Eligibility Determination Group (EDG). Penalty on Early WithdrawalA federal income tax deduction for people who withdrew money from a time-deposit savings account before the certificate maturing and who were charged a penalty for early withdrawal. Retroactive Benefits Initial benefits issued for a month before the application is certified. Self-Service Portal (SSP) A web-based application, atYourTexasBenefits.com. Convertible bonds are countable resources. Fixed Income Unearned income that does not vary. The Food and Nutrition Act of 2008 limits eligibility for SNAP benefits to U.S. citizens and certain lawfully present non-citizens. The Workforce Innovation and Opportunity Act replaced the Workforce Investment Act of 1998. The second party selects the Second Level Review interview mode. Independent Child A child who does not live with a parent and who is: Independent Living Payments Payments from Title IV-E funds that are distributed by Child Protective Services to certain people when they leave foster care. some eligible members receive TANF or RCA, and all other eligible members receive Supplemental Security Income (SSI), including SSI essential persons. the value of in-kind assistance provided by the sponsor or others. The discovery date is compared with the report date to determine whether a change is reported timely. 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. Aperson under18 may not be a party to an informal (common law) marriage. Keogh An individual retirement account (IRA) for a self-employed individual. Print Type Classification of historical correspondence as the original record or a reprint of the original. Parents and Caretaker Relatives Emergency (TA 31), Medically Needy with Spend Down Emergency (TP 32). These facilities have limited power of attorney to obtain health care and educational services for the children under their care. Batch is correspondence managed by batch processing and printed at a central mail facility. Vendor Payment Payment made directly to the individual's creditor or person providing the service by a person or organization outside the household. Temporary Assistance for Needy Families (TANF) Certified Child A child who is included in a TANF grant. Interview staff Eligibility staff responsible for interviewing applicants and recipients to establish program eligibility. Residents of a publicly operated community residence are potentially eligible for Temporary Assistance for Needy Families (TANF) and Medicaid. This includes legal parents and stepparents who are disqualified for one of the reasons listed inA-222, Who Is Not Included, No. CEAP replaced the Home Energy Assistance Program (HEAP). Scheduling The functional area that manages eligibility appointments. 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. processeligibility determinations for multiple programs based on data provided through direct input and interfaces with other systems; assistusers in monitoring and managing workload; and. is not needed to process a redetermination. OPTION 2: Start an Application Online You can start the application process online. 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. Citizenship and Immigration Services (USCIS). Personal Responsibility Agreement (PRA) A requirement for Temporary Assistance for Needy Families (TANF) that certain people must follow the conditions of the agreement. Sanction Either a disqualification or a penalty applied to a case or program because a person failed to follow a program requirement. Explore health plans for you and your family, including short-term gap coverage and more. a correctional or holding facility for people who: have been arrested or detained pending disposition of charges; or. Its given to an elderly household member, a household member with a disability, or both, who incur medical expenses of more than $35 but less than or equal to $137. Sentences are served in the community rather than in jail or prison. Blue Shield of Texas at 1-800-521-2227 or www.bcbstx.com or contact the Texas Department of Insurance, Consumer Protection at 1-800-252-3439 or www.tdi.texas.gov. 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. Helps pregnant, breastfeeding women and families with children younger than 5 buy healthy foods. Non-Continuous Eligibility A period of time when changes in circumstances may affect a persons eligibility. 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. See Alternate Payee. Appeal A request for a fair hearing concerning an HHSC action. Blocked Time periods that are designated for specific purposes. Deferred Adjudication A type of probation where the decision for a conviction is postponed until the end of the probationary period. All rights reserved. Managed care includes the health maintenance organization (HMO) model. Lawful Permanent Resident (LPR) A person lawfully admitted for legal permanent residence in the U.S. Sibling Brother or sister, including legally adopted and half-brothers and half-sisters. It is used to issue Electronic Benefit Transfer (EBT) cards and replacements. Annualize Averaging income over a 12-month period. Electronic Benefit Transfer (EBT) A system that uses electronic technology to complete some of a benefit program's functional requirements. Correspondence The functional area in which system and user-generated notices and forms are processed and stored.
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