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. Family Violence An act by a member of a family or household against another member of the family or household that is: File Clearance This feature determines whether an applicant has a case record with HHSC. Data Broker An online portal used to obtain financial and other background information about applicants and recipients. Interfaces The functional area that exchanges information with other systems and agencies. Birth Verification System (BVS) The inquiry system includes birth records of people born in Texas. Personal Identification Number (PIN) Security Actions cardholders should take to prevent others from gaining access to their PIN and Electronic Benefit Transfer (EBT) account. It is used to apply cascade logic by reforming EDGs until establishing eligibility. 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 Deferred Adjudication A type of probation where the decision for a conviction is postponed until the end of the probationary period. The driver flow is determined by the programs, types of assistance, and answers to questions as the case is worked. Judicial Review A review of the fair hearing decision by a district court in Travis County to determine whether the agency decision is correct. 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. Moving Expenses Federal income tax deductible expenses an active duty member of the military may claim for relocating to a new duty station. Institution of Higher Education Any public or private college, community college, junior college, technical institute, or university that usually requires a high school diploma or equivalent certificate such as a general equivalency diploma (GED), to enter. Availability Date The date that benefits are deposited into the recipients Electronic Benefit Transfer (EBT) account. The site is secure. Agriculturally Related Activities Employment: Aid A benefit, coverage or service in programs that HHSC administers. Home Energy Assistance Program (HEAP) A federal program that pays benefits to help eligible people pay utility costs. 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. Catchment Area The area covered by service. Inmates of facilities that meet the definition of public institution are not eligible for Temporary Assistance for Needy Families (TANF) or Medicaid. Electronic Benefit Transfer (EBT) System A system HHSC staff with security access use to issue and replace Lone Star Cards. A person may buy the contract alone or with the help of an employer. Qualified entities that are also Breast and Cervical Cancer Services (BCCS) contractors with the DSHS may make presumptive eligibility determinations for Medicaid for Breast and Cervical Cancer (MBCC) applicants. Underpayment Issuance of fewer benefits than an individual is entitled to receive. Historical Data Records of case, Eligibility Determination Groups (EDGs) and individual information. Cafeteria Plan Flexible fringe benefit plans offered to employees by their employers. Individual Retirement Account (IRA) Deduction A federal income tax deduction for people who contributed to a traditional IRA. There are three types of benefit accounts: The person or their representative uses the Lone Star Card and a personal identification number (PIN) to access benefits in the account. What Is The Contact Number For Texas Health Benefits This includes management and medical, at a specified time other than at application or complete action. Download it in the Google Play oriTunes App Store. Correspondence The functional area in which system and user-generated notices and forms are processed and stored. 1-877-541-7905. Individual Number A unique nine-digit number that identifies any person known to the Texas Integrated Eligibility Redesign System (TIERS). lives with another person and they represent themselves to the community as married. Balance Receipt A paper receipt that shows the available balance in an person's cash or food account. ITIN holders are not eligible for all of the tax benefits and public benefits that U.S. citizens and other taxpayers can receive. 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. Understanding Your EDG Number: What It Is And How To Obtain It For Food Electronic Benefit Transfer (EBT) Regional Coordinator An HHSC employee designated to oversee, monitor, lead regional planning and act as a point of contact for EBT security procedures. HHSC The Texas Health and Human Services Commission. The primary cardholder is usually the Eligibility Determination Group (EDG) name, but the EDG may have an alternate payee who is the primary cardholder. Fast forward to 2023, and many companies in some cases spurred by massive government subsidies are taking big steps to diversify their supply chains, focusing on reliability and robustness over cost and efficiency. the adult provides more than half of the minor's total support (housing is not considered as support); the adult states that the adult has parental control of the minor; or. Doctors and pharmacies use this number for billing. You can use it at stores that accept EBT. 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. 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. Vendor Payment Payment made directly to the individual's creditor or person providing the service by a person or organization outside the household. minimum service has little or no presence of Choices staff. CHIP Perinatal Medical services to unborn children of pregnant women ineligible for Medicaid due to income or alien status. 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. Standard of Need Basic needs of Temporary Assistance for Needy Families (TANF) families represented by a figure predetermined by the state of Texas per the number of certified people in the group. Illegally Present Alien A non-citizen living in the U.S. without proper approval from the U.S. This is also called a timely recertification or redetermination. 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. Batch and Online are the types of print modes. 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. People can apply using a simplified application, and they do not typically have to complete an interview at redetermination. 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. Batch is correspondence managed by batch processing and printed at a central mail facility. All system-generated correspondence is scheduled for batch printing although it can be retrieved from Pending Correspondence and printed locally. Texas Health Steps A health care program of prevention, diagnosis, and treatment for Medicaid people. First Cousin Once Removed A person who is either one's first cousin's child or the parent's first cousin. Domicile A home maintained or being established, as shown by continuation of responsibility for day-to-day care of the child, by the relative who the child lives. If you already have a Lone Star Card PIN, you can keep it or change it. Trafficking Victims Victims admitted under the Trafficking Victims Protection Act of 2000. Permissible purpose means the person whose credit report is requested must be: Staff who request credit information without permissible purpose are subject to fines, imprisonment, or both. 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. a supervised shelter that provides temporary living quarters; a place not intended for regular sleeping quarters; or. 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. The amount the employer pays is counted as part of the person's gross income. a correctional or holding facility for people who: have been arrested or detained pending disposition of charges; or. The house parent assumes responsibility and acts in lieu of the parent in meeting the childrens ongoing needs. 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. Basic Utility Allowance (BUA) Deduction given to a SNAP household that has utility costs but does not qualify for the standard utility allowance (SUA). Adverse Action Any HHSC action resulting in denial, suspension, reduction or termination of assistance. Copyright 2016-2023. EDGs denied because of new or increased earnings will receive a maximum of 12 months of coverage. Interview staff Eligibility staff responsible for interviewing applicants and recipients to establish program eligibility. 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. See Cascade Logic. See Permissible Purpose. Combat Pay Supplemental incentive payments for hazardous duty and special pay for duty subject to hostile fire or imminent danger. What're Mastectomy Bras and Why They're Important | TomboyX Be ready to answer questions abouteveryone applying such as: Check the status of your benefits ormanage your benefits. The notice contains programmed information based on the program, type of assistance, and eligibility result. Manage your case usingthe Your Texas Benefitsapp on your phone. *Important: Don't write your PIN on your Lone Star Card. Blocked Time periods that are designated for specific purposes. Certification Period The period of eligibility established at disposition. Non-Traditional Retailer A food retailer who operates in a farmer's market or as a roadside vendor. Vested Interest A situation or circumstance to which a person has a strong personal commitment. Seecase modeandinterview mode. 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. See Alternate Payee. 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. Your Texas Benefits Examples of public institutions include county and city jails and Texas Department of Corrections prisons. Protection at 1-800-252-3439 or www.tdi.texas.gov. 4, Disqualified Members, unless that disqualification is due to not meeting citizenship requirements. This may or may not include the person or the persons spouse. Expedited Service Special, faster processing of SNAP applicants who qualify for an emergency food allotment, for active duty military members and their dependents applying for medical coverage and for pregnant women applicants who qualify for current or ongoing medical coverage. an account that contains the household's Supplemental Nutrition Assistance Program (SNAP) food benefits; an account that contains the household's Temporary Assistance for Needy Families (TANF) cash grant amount; or, Type Assistance (TA) 31, Parents and Caretaker Relatives Emergency, Type Program (TP) 32, Medically Needy with Spend Down Emergency. 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. 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. Standby List Applicants who are awaiting an interview without a specific appointment. The certificate is a requirement of the Health Insurance Portability and Accountability Act of 1996 (HIPAA), and is sent to denied recipients by the Texas Department of State Health Services (DSHS). 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. The persons may or may not be included in EDGs as certified members. Point-of-Sale (POS) Transaction An electronic transaction using an Electronic Benefit Transfer (EBT) card to make a purchase, a cash withdrawal, or inquiry. Recognizable Needs The maximum needs amount allowed by the Texas Health and Human Services Commission (HHSC) when determining eligibility. 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. generate a manual issuance of benefits outside the normal eligibility process. Also, the act of trafficking in SNAP benefits. Liquid Resources Resources that are readily negotiable, such as cash, checking or savings accounts, Electronic Benefit Transfer (EBT) cash account, savings certificates, stocks or bonds. Your session has ended. Get an online quote today. Purchasing a product with SNAP benefits with a container requiring a return deposit. Eligibility Determination Group (EDG) Members of a household whose needs, resources, income and deductions are considered in determining eligibility for benefits. Cuban or Haitian Entrant Admitted under Section 501(e) of the Refugee Education Assistance Act of 1980. Undocumented Alien An alien living in the U.S. without the knowledge and permission of the U.S. For example, a notice is system-generated when an Eligibility Determination Group (EDG) is disposed. My career spans a number of years, industries, and roles in education, computer operations, process improvement, organization development, coaching, marketing, customer service, and corporate . 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. ), advanced nurse practitioner (A.N.P.) Citizenship and Immigration Services (USCIS) and who has received a final order of deportation. The Marketplace in Texas is operated by the U.S. Department of Health and Human Services. Each state has its own rules about who's eligible, and what Medicaid covers. 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. Certification Date The date that eligibility staff dispose the Eligibility Determination Group (EDG) to certify an applicant. One program is the Choices program for TANF recipients, and the other is the SNAP Employment and Training (E&T) program for SNAP recipients. 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 Be receiving disability-related assistance or benefits. 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. Children's Health Insurance Program (CHIP) Medical coverage for children under 19 whose family income exceeds the limits for Children's Medicaid. It compares an applicants statement of income against income provided by electronic data sources. The money contributed to these accounts is not subject to federal income tax at the time of deposit. Sentences are served in the community rather than in jail or prison. placing the patient's health in serious jeopardy; seriously impairing the patient's bodily functions; or. Domestic Production Activities Deduction A federal income tax deduction that a person may receive for certain qualified production activities. produces reports that meet Texas Health and Human Services Commission (HHSC), state and federal reporting requirements. 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. The final digit of your SNAP EDG (Eligibility Determination Group) number indicates the day on which you will receive benefits. This may be a TANF representative payee or protective payee or a SNAP authorized representative for a resident of a Drug and Alcohol Treatment Center or Group Living Arrangement. Good Cause A term used to indicate that a person has an acceptable reason for not complying with a program requirement. 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. Timely Supplemental Nutrition Assistance Program (SNAP) application filed by the 15th of the last month of certification. Please retype the user name and password, or sign up if you haven't already done so. These people must have parental consent or court permission. Supplemental Nutrition Assistance Program (SNAP) Past name was the Food Stamp Program. 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. Electronic Benefit Transfer (EBT) Vendor A company that performs EBT-related services for the state of Texas. Subsistence Life supporting or survival. 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. Emancipated Minor A person 17 and under who has been married. They will become lawful permanent residents (LPRs) upon the removal of their conditions by the Department of Homeland Security (DHS). These issuances are available to the person the same day the Eligibility Determination Group (EDG) is disposed. Customs and Border Protection is responsible for border security functions. Retroactive Benefits Initial benefits issued for a month before the application is certified. When you're done, you can create an account to apply for benefits and send your info to support services to be contacted by programs. Also covers medicines ordered by doctors and dentists. Immigrant An alien who abandons residence in a foreign country to live in the U.S. as a permanent resident, for example a lawful permanent resident (LPR). 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. Click here to re-activate your account. 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. 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. Prudent Person Principle Reasonable decision made by staff based on the best information available and common sense in a particular situation. 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. Temporary Assistance for Needy Families (TANF) Certified Child A child who is included in a TANF grant. Apply for benefits online at Unemployment Benefits Services by logging on and selecting Apply for Benefits, or call a Texas Workforce Commission . Lawful Permanent Resident (LPR) A person lawfully admitted for legal permanent residence in the U.S. Functional Area Functions and processes that appear in the Texas Integrated Eligibility Redesign System (TIERS) Left Navigation area and represent a particular business process. Electronic Data Sources (ELDS) Verification sources that are available electronically and presented to advisors in the Texas Integrated Eligibility Redesign System (TIERS) during Data Collection. See Taxpayer. TWC has designated all counties in Texas as Choices counties, and the Local Workforce Development Boards (LWDBs), after coordination with the Texas Health and Human Services Commission (HHSC) state office, assign a service level designation for each county depending upon services available in that county. Assets All items of monetary value owned by a person. This includes falsifying a document or a statement, or providing false information in an interview, with the intent to commit fraud. Texas health insurance plans | UnitedHealthcare The code is used to request permission to use the Lone Star Card in a transaction. Enter this for various situations including: Real Property Land and any improvements on it. Standard Utility Allowance (SUA) A standard deduction for the cost of utilities. They are not considered inmates of a public institution. Texas State Profile Page. Available at reasonable cost is usually defined as being available through the employer.

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