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. Apply for TANF. Proration Portion of total monthly benefits a household is entitled to receive. Colonias Unincorporated and unregulated settlements (neighborhoods) along the U.S. and Mexico border. In 2003, USCIS officially assumed responsibility for the immigration service functions of the federal government. General Residential Operations Facility Residential care facilities that provide a live-in house parent model of care for children under their care. Batch is correspondence managed by batch processing and printed at a central mail facility. The primary cardholder is usually the Eligibility Determination Group (EDG) name, but the EDG may have an alternate payee who is the primary cardholder. SeeDetail Page. Deferred Adjudication A type of probation where the decision for a conviction is postponed until the end of the probationary period. Scheduling The functional area that manages eligibility appointments. Conception occurs, but no fetus ever develops. The ATA allows access to the EBT system and may also be used for inquiry on EBT-related information, expedited Supplemental Nutrition Assistance Program (SNAP) benefit authorization, and account transaction updates to the EBT database. allthe EDGs in a case are denied (Ongoing). The discovery date is compared with the report date to determine whether a change is reported timely. 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. Payments: Indian Tribal Household A household in which at least one household member is recognized as a tribal member by any Indian tribe. processeligibility determinations for multiple programs based on data provided through direct input and interfaces with other systems; assistusers in monitoring and managing workload; and. Enter this for various situations including: Real Property Land and any improvements on it. These include construction of real property or lease, rental, license, sale, exchange, or other disposition of personal property, computer software, sound recordings, produced films, produced electricity, natural gas, or potable water. Alternate Payee A person who receives the benefits for the EDG when people on the EDG are unable or ineligible to receive them. Medicaid & CHIP in . The intention is to get cash by purposely discarding the product and returning the container for the deposit amount. This includes falsifying a document or a statement, or providing false information in an interview, with the intent to commit fraud. This amount was higher or lower depending on the couple's total income. Appeals are logged and updated in the Hearing functional area on the navigation bar. Birth Verification System (BVS) The inquiry system includes birth records of people born in Texas. Temporary Assistance for Needy Families (TANF) proration is based on the number of days between the begin date of eligibility and the end of the first month of eligibility. Prospective Budgeting Determination of eligibility for and the amount and type of benefits using the best estimate of the household's current and future circumstances and income. 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 a supervised shelter that provides temporary living quarters; a place not intended for regular sleeping quarters; or. 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. Automated Renewal Process The first step in an administrative renewal. Wrap Up The Texas Integrated Eligibility Redesign System (TIERS) program page in Data Collection where Eligibility Determination Groups (EDGs) are built and the Eligibility Determination Benefit Calculation (EDBC) is run to determine the highest level of eligibility or ineligibility. These issuances are available to the person the same day the Eligibility Determination Group (EDG) is disposed. Contact the Texas Department of Insurance's Consumer Health The EDG is built and eligibility is established at the highest level. Card Sleeve A durable paper envelope folded to the dimensions of the plastic EBT card. Primary Cardholder (PCH) The person designated to receive and be responsible for the household's Lone Star Card. Three Months Prior The three-month period before the Medicaid application month. Please retype the user name and password, or sign up if you haven't already done so. 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. 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. Comprehensive Energy Assistance Program (CEAP) A utility assistance program funded annually by the Low Income Home Energy Assistance Program (LIHEAP). The term also applies to decisions for protective and restricted payments. 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. Community Supervision The placement of a misdemeanor or felony offender under supervision for a specified length of time ordered by the court. Examples include certified nurse-midwives, clinical nurse specialists, and pediatric nurse practitioners. The Department of Defense Appropriations Act of 2010, PL 111-118, enacted on Dec. 19, 2009, says SIV are eligible for all benefits to the same extent and the same period as refugees. Absent Parent A child's parent who is not living in the home. It is used to issue Electronic Benefit Transfer (EBT) cards and replacements. The persons may or may not be included in EDGs as certified members. and Texas Human Resources Code, Title 2, Subtitle C, Chapter 32, that pays for certain medical and health care costs for people who qualify. Your application visibility account has been disabled because of inactivity. HHSC The Texas Health and Human Services Commission. Presumptive Eligibility (PE) Short-term Medicaid coverage provided to people determined potentially eligible for regular Medicaid by a qualified hospital or a qualified entity. 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. Prudent Person Principle Reasonable decision made by staff based on the best information available and common sense in a particular situation. This includes management and medical, at a specified time other than at application or complete action. Authorization Code A code that identifies a retailer as a Food and Nutrition Service (FNS)-participating store. For example, the Supplemental Nutrition Assistance Program (SNAP) has two types of assistance: PA (public assistance) and NPA (non-public assistance). Personal Identification Number (PIN) Security Actions cardholders should take to prevent others from gaining access to their PIN and Electronic Benefit Transfer (EBT) account. Seedefinitions of Eligibility Determination Benefit Calculation(EDBC), rebuild EDG,run EDBCandWrap Up. These plans are offered through the Health Insurance Marketplace, or the Exchange, where individuals can research, compare, and purchase health plans. Non-Employment and Training (E&T) Counties Those Texas counties where the Texas Workforce Commission (TWC) determines it does not have enough offices to assist people who are mandatory work registrants. 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. To continue working, click on Stay on page. 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. Also, the act of trafficking in SNAP benefits. Case All the persons living together, and alien sponsors, who are related by Eligibility Determination Group (EDG) affiliation. SOLQ enables state social services to rapidly get information they need to qualify people for programs. The notice of adverse action expires in 13 days. 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. Feb 17, 2022 Knowledge Article The Food and Nutrition Service (FNS) number is the 7-digit number printed on the Supplemental Nutrition Assistance Program (SNAP) permit sent to you when you became authorized to participate in SNAP. Taxable Year The 12-month period that a person uses to report income for federal income tax purposes. 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. Unemployment benefits range from $69 per week to $521 per week. 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. 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. temporary quarters in another person's residence for 90 days or less. 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. A calendar tax year is 12 consecutive months beginning Jan. 1 and ending Dec. 31. 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. Trafficking Victims Victims admitted under the Trafficking Victims Protection Act of 2000. State Data Exchange (SDX) Computer tape from the Social Security Administration (SSA). Review Temporary Assistance for Needy Families (TANF) evaluative interview. Inquiry Refers to the functional area that allows users to view case, Eligibility Determination Group (EDG), and individual information. SDX information can be used as a source of verification and is available in the Texas Integrated Eligibility Redesign System (TIERS). With an account, you will also be able to save your support service screening forms and check the status of any you have already filled out. Helps pregnant, breastfeeding women and families with children younger than 5 buy healthy foods. This will help you know if you should apply for benefits on this site or for health insurance on HealthCare.gov. Interactive Voice Response (IVR) A dial-in inquiry system (also known as Automated Voice Response [AVR]) that provides 24-hour access to automated account information via a digital phone. CEAP replaced the Home Energy Assistance Program (HEAP). You can check the status of your application or you can start a new one. Sentences are served in the community rather than in jail or prison. SeeCase Mode. U.S. It gives Supplemental Security Income (SSI) and Medicaid information on Texas Health and Human Services Commission (HHSC) people. Summary Page A page that lists a summary of all records available for that Texas Integrated Eligibility Redesign System (TIERS) page. 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. 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. 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. Parolee A person paroled into the U.S. under section 212(d)(5) of the INA for at least one year. 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. Intentionally purchasing products originally purchased with SNAP benefits in exchange for cash or consideration other than eligible food. Unearned Income Payments received without performing work-related activities, including benefits from other programs. Modified Adjusted Gross Income (MAGI) Individual Income The sum of certain income received by aperson in a MAGI household composition, from which certain expenses are subtracted. SeeCorrespondence,Print ModeandPrint Type. The same benefit is now called One-Time TANF for Relatives, with payment records stored in TIERS. Not all Texas Health and Human Services Commission (HHSC) programs and types of assistance have certification periods. Voluntary Quit Leaving a job without good cause. Also benefits issued for the first month of eligibility after a break in eligibility of at least one month. Child A child is an adoptive, step, or natural child who is under 19. Examples include a fee for an art class that is part of an adult day care program, equipment fees or an extra cost for participation in a field trip as part of a summer program. Point-of-Sale (POS) Transaction An electronic transaction using an Electronic Benefit Transfer (EBT) card to make a purchase, a cash withdrawal, or inquiry. Incidentals include such things as normal day-to-day transportation, phone, laundry, medical supplies not paid by Medicaid, home remedies, recreation, and household equipment. the minor lives with an adult other than the minor's parent or legal guardian and the minor's parent or legal guardian states that the adult has parental control of the child. Managing Conservator A person designated by a court to have daily legal responsibility for a child. SeeBatch Processing. The marriage must not have been annulled. SeeEDBCand Run EDBC. ), advanced nurse practitioner (A.N.P.) Waiver of Continued Benefits An individual option to allow eligibility staff to process an adverse action during the individual's appeal process. Call 800-777-7328 to activate your card. 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.
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