Vested Interest A situation or circumstance to which a person has a strong personal commitment. Scheduling The functional area that manages eligibility appointments. 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. Participation Status The designation of an Eligibility Determination Group (EDG) member as an eligible or ineligible member of the certified group. Children's Health Insurance Program (CHIP) Medical coverage for children under 19 whose family income exceeds the limits for Children's Medicaid. Housing and Urban Development (HUD) U.S. Department of Housing and Urban Development. Before sharing sensitive information, make sure youre on an official government site. Seebatch processing,pending correspondence,print mode,print type,system-generatedanduser-generated. Point-of-Sale (POS) Transaction An electronic transaction using an Electronic Benefit Transfer (EBT) card to make a purchase, a cash withdrawal, or inquiry. See Permissible Purpose. That means bringing some manufacturing back home, or "reshoring" and moving some of it . Marriage A legally or formally recognized union between two people. Assets All items of monetary value owned by a person. Other-Related Temporary Assistance for Needy Families/Medical Program (TANF/MP) Child An eligible child living with a relative other than the child's legal parent. Individual Retirement Account (IRA) Deduction A federal income tax deduction for people who contributed to a traditional IRA. Opportunity to Participate Providing a certified applicant with benefits, a Lone Star Card, personal identification number (PIN), and Electronic Benefit Transfer (EBT) training material. The person has 10 days to report the change; staff have 10 days to act on the change. Waiver of Continued Benefits An individual option to allow eligibility staff to process an adverse action during the individual's appeal process. All rights reserved. generate a manual issuance of benefits outside the normal eligibility process. Combat Zone The geographic area or country to which a military member is deployed for combat. perform initial self-screening to check for potential eligibility; view general benefit program information. ), advanced nurse practitioner (A.N.P.) The account transfer from the Marketplace to HHSC, and from HHSC to the Marketplace, includes the information the applicant submitted through the original application in addition to information from verifications performed by either the Marketplace or HHSC. Intentionally purchasing products originally purchased with SNAP benefits in exchange for cash or consideration other than eligible food. The program reimburses the policy holder for private health insurance payroll deductions for Medicaid-eligible persons when HHSC determines that it is cost-effective. Deferred Adjudication A type of probation where the decision for a conviction is postponed until the end of the probationary period. After, only the child will be certified on the EDG. See User-Generated. Personal Possessions Possessions that include furniture, appliances, jewelry, clothing, livestock, farm equipment, and other items that an applicant uses to meet personal needs essential for daily living. a facility located on the grounds of or immediately adjacent to any large institution or multi-structure complex; an educational or vocational training institution; and. 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. 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. This person has access to the EBT account for the Eligibility Determination Group (EDG). The LUW is represented by a set of tabs at the top of a TIERS page. on a farm or ranch performing field work about planting, cultivating or harvesting operations; or. Do you want to keep working on your application, or start a new one? (FPL). Migrant Farmworker Not in the Workstream Farmworkers who travel to work in agriculture or a related industry during part of the year, but who are presently residing at their permanent residence or home base. Reshoring replaces offshoring. 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. . Three Months Prior The three-month period before the Medicaid application month. It compares an applicants statement of income against income provided by electronic data sources. 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. determining if a medical bill can be counted for spend down; corresponding with the applicant about eligible and ineligible medical bills; determining if and when the applicant meets spend down; and. TSAP provides a 36-month certification period. Sufficient Employment Job earnings, other than seasonal work such as migrant or seasonal farm work, that would result in Temporary Assistance for Needy Families (TANF) ineligibility without including the 90 percent earned income disregard . 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. Sibling Brother or sister, including legally adopted and half-brothers and half-sisters. This includes profits from the sale of stocks, bonds, or real estate. SeeCascade Logic,Rebuild EDG, andRun EDBC. Personal Identification Number (PIN) Security Actions cardholders should take to prevent others from gaining access to their PIN and Electronic Benefit Transfer (EBT) account. 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. The money contributed to these accounts is not subject to federal income tax at the time of deposit. Explore health plans for you and your family, including short-term gap coverage and more. 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. If the total collection is less than $75, then the amount of the collection is sent to the person . Or you can call the Texas Department of Human Service (DHS) toll-free at: 1-877-541-7905. General Residential Operations Facility Residential care facilities that provide a live-in house parent model of care for children under their care. Reasonable Compatibility The method of verification used for Medical Programs. Helps pregnant, breastfeeding women and families with children younger than 5 buy healthy foods. Nonconvertible Bond A bond that cannot be converted to cash per program policy. It is when a child lives with both legal parents and both parents are requesting and are eligible for coverage. 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. Self-Employed Health Insurance A federal income tax deduction for self-employed people paying for health insurance for themselves, their spouse, their tax dependents, or their child(ren) under 27. 1-877-541-7905. The house parent assumes responsibility and acts in lieu of the parent in meeting the childrens ongoing needs. Special Immigrant Conditional Permanent Resident (SI CPRs) Qualified noncitizens granted special immigrant status. The data broker vendor collects and combines information from many data sources. To learn more about Texas Works, please visit Texas Workforce Commission website. Capital Goods The accumulated possessions (property, goods and products) used to produce income or other goods. Once correspondence is printed, whether in batch or locally, the record of the printing is stored in History Correspondence functional area. Boarder A person paying reasonable compensation for room and meals. Alimony Paid Payments to a spouse or former spouse under a divorce or separation decree. Supplemental Nutrition Assistance Program (SNAP) proration is based on the number of days between the file date and the end of the month. Home School A type of education in which children are taught by their parents, or someone acting in parental authority, at home, using a set curriculum. Click here to re-activate your account. 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. Individual Number A unique nine-digit number that identifies any person known to the Texas Integrated Eligibility Redesign System (TIERS). Interview Mode A designation in TIERS Data Collection that queues the driver flow through appropriate pages according to the type of action. Medicaid & CHIP in . Reinstatement Process of providing Transitional Medical Assistance (TMA) to a household denied because of failure to return a complete Medicaid Report. 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. Cost-Sharing Reductions Federal payments toward out-of-pocket costs made for an eligible person enrolled in a qualified health plan (QHP) through the Marketplace. Inaccessible Resources Resources not legally available to the person. There are two types of categorically eligible households: Certificate of Coverage A certificate that serves as proof of a Medicaid recipient's most recent period of Medicaid coverage. Non-Continuous Eligibility A period of time when changes in circumstances may affect a persons eligibility. Cuban or Haitian Entrant Admitted under Section 501(e) of the Refugee Education Assistance Act of 1980. Sentences are served in the community rather than in jail or prison. If File Clearance is not processed in Application Registration, the system will perform it in Data Collection. Monthly Obligation The amount of child support which the absent parent has been ordered to pay each month. Overpayment The amount of benefits issued in excess of what should have been issued. Former Medicaid recipients may request a certificate within 24 months after their Medicaid is denied by calling 800-723-4789. SeeInterview ModeandCase Mode. Resources Both liquid and nonliquid assets a person can convert to meet immediate needs. Electronic Benefit Transfer (EBT) Representative A primary cardholder other than the case name. 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. These plans are offered through the Health Insurance Marketplace, or the Exchange, where individuals can research, compare, and purchase health plans. 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. Medicaid Members: Continuous Medicaid coverage will end on March 31, 2023. See Taxpayer. After certification, the Office of Attorney General (OAG) sends the person the first $75 received on monthly child support collections. 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 PIN must be entered on a keypad before any electronic transaction can be processed. A household member may be charged with an IPV even if the person has not actually received benefits to which they are not entitled. The number is used to record covered wages, track Social Security benefits and for other identification purposes. Parental Control A minor who lives with an adult is under parental control if one of the following conditions applies: Parole The discretionary and conditional release of an eligible offender sentenced to serve the remainder of the sentence under supervision in the community rather than prison. Medicaid A state and federal cooperative program authorized under Title XIX of the Social Security Act (United States Code [U.S.C. The network is comprised of the statewide efforts of TWC along with planning and service provision by 28 local workforce boards on a regional level. Inmates of facilities that meet the definition of public institution are not eligible for Temporary Assistance for Needy Families (TANF) or Medicaid. Royalty A payment to a person for permitting another to use or market property. Data Broker An online portal used to obtain financial and other background information about applicants and recipients. 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. Alternate Payee A person who receives the benefits for the EDG when people on the EDG are unable or ineligible to receive them. 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. Escrow An escrow account is an account a mortgage company sets up for the homeowner as part of their monthly mortgage payment. Married Minor An person, age 14-17, who is married. Ongoing Benefits Benefits issued for months after the initial benefit month. Advanced Nurse Practitioner A registered nurse with additional training and certification in a specific area of medicine. Answer some basic questions in our prescreening tool to find which benefits and support services you might be able to get. Temporary Assistance for Needy Families (TANF) a disqualified legal parent, second parent, or a non-parent relative certified as caretaker. Failure to report a required Texas Health and Human Services Commission (HHSC) program change in conjunction with one or more of these acts may be considered a basis to commit fraud. Hearing The functional area where individual appeals are recorded and tracked. Eligibility Determination Group (EDG) Members of a household whose needs, resources, income and deductions are considered in determining eligibility for benefits. Annulment A court order declaring a marriage invalid. Be receiving disability-related assistance or benefits. The participation status indicates whether the person is considered an adult or a child according to policy. Resident Seasonal Farmworkers Farmworkers who do not leave their permanent home to work in agriculture or a related industry. 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. Trust Property held by one person for the benefit of another. Adjusting to the physical changes post-surgery can be difficult, and finding the right mastectomy bra is one of the most important steps in the process. 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. The EDG includes members who are eligible and may include members who are not certified for benefits. Emergency Medicaid All types of emergency Medicaid coverage programs for people who are nonimmigrants, undocumented aliens or certain legal permanent resident aliens who have emergency medical conditions and who, except for alien status, would be Medicaid-eligible. It gives Supplemental Security Income (SSI) and Medicaid information on Texas Health and Human Services Commission (HHSC) people. 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. U.S. Excess Payment A payment sent to a TANF recipient by the Office of the Attorney General (OAG). 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. Note:See Publicly Operated Community Residence for additional information about a public facility not considered to be a public institution. This will help you know if you should apply for benefits on this site or for health insurance on HealthCare.gov. Here, you can access a variety of resources to help you work with us as you care for . RSDI Retirement, Survivors and Disability Insurance benefits (RSDI) paid by the Social Security Administration. Second Parent This is the parent who is not the caretaker. The marriage must not have been annulled. IDAs are generally matched dollar-for-dollar with funds from private citizens, corporations, banks, communities, or charitable organizations. SeeBatch Scheduling. Capital Gains A profit from the sale of property or an investment when the sale price is higher than the initial purchase price. Parolee A person paroled into the U.S. under section 212(d)(5) of the INA for at least one year. Marketplace The governmental entity that makes qualified health plans available to qualified people, qualified employers or both. There are two types of cardholders: primary cardholders and secondary cardholders. all eligible members receive Temporary Assistance for Needy Families (TANF) or Refugee Cash Assistance (RCA); or. 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. Not all Texas Health and Human Services Commission (HHSC) programs and types of assistance have certification periods. All members of a TSAP household must not receive earned income and must be either elderly or disabled as defined by SNAP program rules. Left Navigation The list of functional areas that appears on the left side of the Texas Integrated Eligibility Redesign System (TIERS) page. 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. Print Mode Indicates where historical correspondence was printed. Eligibility staff access BVS as a source to verify age, relationship and citizenship. A stripe of magnetic material, which is machine-readable and allows for the activation of point-of-sale equipment, is affixed to the back of the card at the time of manufacture. This process occurs without staff action. We recommend creating an account so you can: Get alerts about updates to your application. Electronic Benefit Transfer (EBT) Account A benefit account established by the EBT system where HHSC deposits the household's benefits. 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. ], Title 42, 1396 et seq.) Agriculturally Related Activities Employment: Aid A benefit, coverage or service in programs that HHSC administers. Fixed Income Unearned income that does not vary. 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; an automated eligibility determination; or. Seecase modeandinterview mode.
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