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. 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. 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. A same-sex marriage that occurred before June 26, 2015, is considered valid effective June 26, 2015. Combat Pay Supplemental incentive payments for hazardous duty and special pay for duty subject to hostile fire or imminent danger. To continue working, click on Stay on page. Advance Notice A notice of adverse action that expires 13 days after it is sent. Quality Control The functional area that supports the state's approach to quality control and allows authorized staff to enter sample selection criteria. Interview staff Eligibility staff responsible for interviewing applicants and recipients to establish program eligibility. Management The way in which a household pays its expenses with available income. The: User-Generated Action generated directly by an individual's computer input. Mastectomy surgery is a significant life event for many people. The newborn Medicaid coverage can continue through the month of the child's first birthday if the child continues to live in Texas. 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. Also benefits issued for the first month of eligibility after a break in eligibility of at least one month. Card Sleeve A durable paper envelope folded to the dimensions of the plastic EBT card. 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. 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. Texas Integrated Eligibility Redesign System (TIERS) A computer system used to: Texas Simplified Application Project (TSAP) TSAP is a simplified application and certification process for SNAP. A mastectomy bra can provide comfort, support, and security to an individual as they become accustomed to their new normal. Tax Dependent A person who expects to be claimed by someone else as a dependent on a federal income tax return for the taxable year that Medicaid or Children's Health Insurance Program (CHIP) eligibility is requested. When an individual is added, File Clearance can be processed in Application Registration. The user name or password is incorrect. Temporary Assistance for Needy Families (TANF) An adult whose needs are included in a TANF grant because the adult is within the required degree of relationship and is financially eligible according to TANF policy. Examples include loan foreclosures and canceled credit card debt. Benefits. Note:This does not include anyone who otherwise qualifies as a resident of a drug and alcohol treatment center, federally subsidized housing for the elderly, a qualifying group living arrangement, a shelter for battered persons, or a shelter for the homeless. A household may designate a secondary cardholder who has a Lone Star Card and access to the household's Electronic Benefit Transfer (EBT) account. 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. Grandparent Payment System (GPS) An electronic, web-based data system used to inquire about the issuance of archived TANF one-time Grandparent Payments. Individual Number A unique nine-digit number that identifies any person known to the Texas Integrated Eligibility Redesign System (TIERS). *Important: Don't write your PIN on your Lone Star Card. A special review is conducted in Special Review mode. The 5% down payment is subject to credit approval. Seecase modeandinterview mode. Social Security information is also available for people who receive SSI or Medicaid. Get an online quote today. Your application visibility account has been disabled because of inactivity. Electronic Benefit Transfer (EBT) Site Coordinator An HHSC employee designated to ensure local offices comply with guidelines on security and accountability operations. This gives a source of citizenship or alien status verification for certain Medical Programs. Tuition or GI Bill Deduction A federal income tax deduction for people who paid qualified tuition fees to eligible post-secondary educational institutions for themselves, their spouse or their dependents. The Medicaid phone number is 800-252-8263, 2-1-1, or 1-877-541-2190; you can speak with a representative who will assist you in obtaining the answers and services you require. PDF Coverage for: Individual + Family | Plan Type: HRA This includes legal parents and stepparents who are disqualified for one of the reasons listed inA-222, Who Is Not Included, No. allthe EDGs in a case are denied (Ongoing). Adequate Notice A notice of adverse action that expires the same day it is sent. Changes in income identified through this process may impact eligibility for other programs. We recommend creating an account so you can: Get alerts about updates to your application. Automated Renewal Process The first step in an administrative renewal. past, present or future physical, mental health condition of the person; provision of health care to the person; or. Temporary Assistance for Needy Families (TANF) a disqualified legal parent, second parent, or a non-parent relative certified as caretaker. Print Type Classification of historical correspondence as the original record or a reprint of the original. a Medical Program Modified Adjusted Gross Income (MAGI) household member. EDGs denied because of new or increased spousal support income will receive a maximum of four months of coverage. State Data Exchange (SDX) Computer tape from the Social Security Administration (SSA). Employment Services Program (ESP) ESP consists of two programs. Reimbursement Repayment for a specific item or service. 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. Protection at 1-800-252-3439 or www.tdi.texas.gov. Complete Guide to Texas Employee Benefits During COVID-19 - Gusto Residents of a publicly operated community residence are potentially eligible for Temporary Assistance for Needy Families (TANF) and Medicaid. 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. 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 This figure represents food, clothing, housing, utilities and incidentals. Ongoing Benefits Benefits issued for months after the initial benefit month. 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. to claim a personal exemption deduction on the taxpayers federal income tax return for one or more applicants. After 90 days in the same person's residence, the household is no longer considered homeless. Identical Application One or more exact copies of an application previously submitted by an applicant. The Homeland Security Act of 2002 dismantled the former Immigration and Naturalization Service (INS) and separated the former agency into three components within the Department of Homeland Security. Parolee A person paroled into the U.S. under section 212(d)(5) of the INA for at least one year. The notices and forms processed in this functional area are also called correspondence and linked to a specific case. Expenses of Reservists Federal income tax deductible expenses for National Guard and military reserve members who traveled more than 100 miles from home for service. CHIP Perinatal Medical services to unborn children of pregnant women ineligible for Medicaid due to income or alien status. 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. Commingled Resources Resources of a Temporary Assistance for Needy Families (TANF) or Supplemental Security Income (SSI) recipient combined with those of a non-TANF or SSI household member. It'savailable to applicants and Community Partners assisting applicants to: Also referred to as YourTexasBenefits.com. Inaccessible Resources Resources not legally available to the person. The EDG includes members who are eligible and may include members who are not certified for benefits. 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. Second Chance Home An adult-supervised living arrangement that provides independent living services to teen mothers and their children. Texas Workforce Commission (TWC) The state governmental agency charged with overseeing and providing workforce development services to employers and job seekers of Texas. voluntary not court-ordered and given voluntarily when the childs caretaker or the person making the payment states the purpose of the payment is to support the child. temporary quarters in another person's residence for 90 days or less. 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. 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. Seebatch processing,pending correspondence,print mode,print type,system-generatedanduser-generated. SNAP Eligibility | Food and Nutrition Service - USDA See Permissible Purpose. Managed care includes the health maintenance organization (HMO) model. ITINs let people without SSNs pay taxes. 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. The notice of adverse action expires in 13 days. the requirement of more information from the applicant to manually process the redetermination. Educational Expenses/Student Loan Interest A federal income tax deduction for people paying interest on student loans or for people with education expenses such as tuition, fees, room and board, books and other supplies. Helps people with daily living needs, caregivers, and people with mental health, drug or alcohol issues. Payments to Civilians Relocated During Wartime Payments made to Aleuts or people of Japanese ancestry or their heirs who were relocated during World War II. Accessibility Date The date that benefits are deposited into an Electronic Benefit Transfer (EBT) account. This information is used in the EDBC process to build Eligibility Determination Groups (EDGs) and determine eligibility for programs and types of assistance. 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. 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. Examples of public institutions include county and city jails and Texas Department of Corrections prisons. If File Clearance is not processed in Application Registration, the system will perform it in Data Collection. See functional area. TWC is part of a local and state network dedicated to developing the workforce of Texas. Proration Portion of total monthly benefits a household is entitled to receive. You tried to login 3 times in a row with either the wrong user name or password. Texas Health Insurance | Texas.gov Electronic Benefit Transfer (EBT) System A system HHSC staff with security access use to issue and replace Lone Star Cards. Reapplication Date Date the Texas Health and Human Services Commission (HHSC) receives a new application for redetermination or complete review of eligibility. are held under court order as material witnesses or juveniles. 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. Overpayment The amount of benefits issued in excess of what should have been issued. Do you want to keep working on your application, or start a new one? 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. A user can click the plus sign next to a functional area or sub-functional areas to display the pages available within that area. Seedefinitions of Eligibility Determination Benefit Calculation(EDBC), rebuild EDG,run EDBCandWrap Up. General Equivalency Diploma (GED) A high school equivalency certificate issued after a person completes a State Board of Education-approved high school equivalency program. Molar Pregnancy Also known as hydatidiform mole, a molar pregnancy is considered a degenerating pregnancy. Community Supervision The placement of a misdemeanor or felony offender under supervision for a specified length of time ordered by the court. These people must have parental consent or court permission. Annualize Averaging income over a 12-month period. Milista Anderson - LinkedIn Standby List Applicants who are awaiting an interview without a specific appointment. Disaster SNAP (D-SNAP) gives short-term food benefits to people recovering from a disaster. The Marketplace in Texas is operated by the U.S. Department of Health and Human Services. Timely Disposed An Eligibility Determination Group (EDG) that is completed in accordance with program timeliness standards. 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. Reception Log The functional area in the Texas Integrated Eligibility Redesign System (TIERS) where office contacts by phone, mail, fax and in-person can be recorded. The official document indicates to and for whom the support is paid, the frequency and the amount of payment. Participation Status The designation of an Eligibility Determination Group (EDG) member as an eligible or ineligible member of the certified group. The caller must provide the head of households Social Security number (SSN) or the case number and date of birth of a household member to access information. the value of in-kind assistance provided by the sponsor or others. 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. Educator Expenses Expenses for which educators, kindergarten through grade 12 teachers, counselors, principals or aides can receive a federal income tax deduction. Questions About Your Benefits | Texas Health and Human Services Priority Supplemental Nutrition Assistance Program (SNAP) Issuances Expedited SNAP benefits, benefits issued on or after the 25th day from the date of application, and issuances ordered by a hearing officer decision that must be made available in order to meet fair hearing timeliness requirements. The primary cardholder is usually the Eligibility Determination Group (EDG) name, but the EDG may have an alternate payee who is the primary cardholder. in canning, packing, ginning, seed conditioning or related research or processing operations. Active-Duty Military Member A person currently serving in the U.S. Armed Forces or 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 or Texas State Guard.
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