The last number in your TANF Eligibility Determination Group number tells what day you get your benefits. Also benefits issued for the first month of eligibility after a break in eligibility of at least one month. SOLQ enables state social services to rapidly get information they need to qualify people for programs. Unauthorized access to this site and misuse of its information assets may be prosecuted under Texas State statutes regarding the use of individually identifiable personal health information (PHI) and The United States regulations and laws regarding the use of individually identifiable personal health information (PHI). The current Land Loans interest rate for Texas veterans is 6.95%. Minor Parent A person under 18 who has a dependent. OPTION 2: Start an Application Online You can start the application process online. Three Months Prior The three-month period before the Medicaid application month. HHSC expunges these benefits at the end of each state fiscal year (Aug. 31). Your information has not been sent. 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. Electronic Benefit Transfer (EBT) System A system HHSC staff with security access use to issue and replace Lone Star Cards. Individually Identifiable Health Information Information that either identifies or could be used to identify a person that relates to the: Ineligible Alien A non-citizen whose alien status makes them ineligible for program benefits. provides health coverage to eligible low-income adults, children, pregnant women, and people who are older or who have disabilities. SeeCase. Cafeteria Plan Flexible fringe benefit plans offered to employees by their employers. Doctors and pharmacies use this number for billing. The functional areas that are available to the user are determined by the user's job title and security role(s). 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. It is when a child lives with both legal parents and both parents are requesting and are eligible for coverage. To continue working, click on Stay on page. 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. One program is the Choices program for TANF recipients, and the other is the SNAP Employment and Training (E&T) program for SNAP recipients. They have already gone through the eligibility determination for those programs. Eligibility Determination Group (EDG) Members of a household whose needs, resources, income and deductions are considered in determining eligibility for benefits. 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. To be eligible for Texas Medicaid, you must be a resident of the state of Texas, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income. Type Program (TP) 08, Parents and Caretaker Relatives Medicaid A child who is18 or under, and a full-time student meeting the school attendance requirement. Click here to re-activate your account. Taxable Year The 12-month period that a person uses to report income for federal income tax purposes. The user reaches the end of the driver flow at the Case Assignment page and must use the Left Navigation to return to specific pages in Data Collection. To find out if you might be eligible for Medicaid in Texas, visit yourtexasbenefits.com 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. Here, you can access a variety of resources to help you work with us as you care for . Carryover Standby List Applicants from a previous day's standby list who have not been interviewed. TANF-State Program (SP) A child who lives with both parents, or a parent and stepparent, and both parents and stepparent (if included in the certified group) receive TANF benefits. Helps cover visits to doctors, dentists, and hospitals. Historical Data Records of case, Eligibility Determination Groups (EDGs) and individual information. Logical Unit of Work (LUW) A set of Texas Integrated Eligibility Redesign System (TIERS) pages that must be completed before the information entered on these pages is saved. Types of alternate payees include a court appointed guardian, EBT representative, Financial Management Information System (FMIS) payee, long-term care (LTC) payee, protective payee and representative payee. Administrative Terminal Application (ATA) A software program accessible on one or more Texas Health and Human Services Commission (HHSC) desktop computers in each office. SeeBatch Scheduling. All system-generated correspondence is sent to pending correspondence, but it can be retrieved and printed locally. Trust Property held by one person for the benefit of another. 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. The goal of ESP is to prepare recipients for employment and help them find and keep a job. 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. Comprehensive Energy Assistance Program (CEAP) A utility assistance program funded annually by the Low Income Home Energy Assistance Program (LIHEAP). SeeEDBC and Driver Flow. In this system, patients go to their primary care physician to obtain other health services such as specialty medical care, surgery or physical therapy. This includes legal parents and stepparents who are disqualified for one of the reasons listed inA-222, Who Is Not Included, No. Advanced Nurse Practitioner A registered nurse with additional training and certification in a specific area of medicine. Business day excludes Saturday, Sunday, and holidays designated by a federal or state agency. Also covers medicines ordered by doctors and dentists. SDX information can be used as a source of verification and is available in the Texas Integrated Eligibility Redesign System (TIERS). Deductible Part of Self-Employment Tax A federal income tax deduction for self-employed people paying self-employment taxes. Grant in Jeopardy The Office of the Attorney General's (OAG's) designation for a case that is potentially ineligible for the Temporary Assistance for Needy Families (TANF) grant because the OAG received a child support collection on the current monthly obligation and it equals or exceeds the TANF grant plus the disregard. Royalty A payment to a person for permitting another to use or market property. All members of a TSAP household must not receive earned income and must be either elderly or disabled as defined by SNAP program rules. My career spans a number of years, industries, and roles in education, computer operations, process improvement, organization development, coaching, marketing, customer service, and corporate . 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. Copyright 2016-2023. You need 4 numbers for your PIN. Business Day Monday through Friday from 8 a.m. to 5 p.m. local time. Only a personal representative may authorize the use or disclosure of individually identifiable health information or obtain individually identifiable health information for a person. 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. 401(k) A retirement plan allowing an employee to postpone receiving a portion of current income until retirement. 1-877-541-7905. See Alternate Payee. 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. Periodic Income Check (PIC) The process to determine whether electronic data indicates that there has been a change in the Modified Adjusted Gross Income (MAGI) household income that could make the recipient ineligible for certain Medical Programs. Subsistence Life supporting or survival. Residents of a publicly operated community residence are potentially eligible for Temporary Assistance for Needy Families (TANF) and Medicaid. According to the most recent IRS statistics for the 2017 tax year, the average married couple filing jointly received a tax refund of $2,781. Indigent Alien A sponsored alien whose total income in the month of application does not exceed 130 percent of the federal poverty level for the alien's household size. The employer does not match the money contributed by the employee until the defined period of time ends. Noncompliance with the PRA results in a sanction. SeeCase Mode. Protection at 1-800-252-3439 or www.tdi.texas.gov. HHSC The Texas Health and Human Services Commission. 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. Practitioner A person who holds a license to practice medicine, including a physician (M.D. 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. Each functional area contains pages that allow authorized staff to perform activities related to the business process. Expunged Benefits Benefits that are removed from an EBT account by the issuer of the benefits. past, present or future payment for the provision of health care to the person. Traditional Medicaid RSDI Retirement, Survivors and Disability Insurance benefits (RSDI) paid by the Social Security Administration. The Workforce Innovation and Opportunity Act replaced the Workforce Investment Act of 1998. You have unsaved changes that will be lost if you exit. Reasonable Compatibility The method of verification used for Medical Programs. request an alert and send it to another user; generate manual correspondence on a case; and. Print Type Classification of historical correspondence as the original record or a reprint of the original. 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 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. Common Law Marriage Relationship in which the two parties both 18 years or older: A minor child in Texas cannot legally enter a common law marriage unless the claim of common law marriage began before Sept. 1, 1997. Benefits. Rebuild EDG (Eligibility Determination Group)A button in the Wrap Up management group. The participation status indicates whether the person is considered an adult or a child according to policy. Standard MAGI Income Disregard An income disregard equal to five percentage points of the Federal Poverty Income Limit (FPIL) for the applicable Modified Adjusted Gross Income (MAGI) household size. EDGs denied because of new or increased spousal support income will receive a maximum of four months of coverage. 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. This person has access to the EBT account for the Eligibility Determination Group (EDG). 1-877-541-7905. Historical Correspondence Records of forms and notices that have been printed. Benefit Issuance The functional area that supports the issuance and tracking of benefits calculated in the Eligibility Determination Benefit Calculation (EDBC) and authorized in disposition. Continued Benefits Continuing or restoring benefits to the level authorized immediately before the notice of adverse action. They are not considered inmates of a public institution. Also, the act of trafficking in SNAP benefits. 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. Special Immigrant Conditional Permanent Resident (SI CPRs) Qualified noncitizens granted special immigrant status. It is also referred to as spousal support. 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. Batch is correspondence managed by batch processing and printed at a central mail facility. Boarder A person paying reasonable compensation for room and meals. intended to inflict emotional harm, including an act of emotional abuse. Personal Representative A person who can represent another person's rights with respect to individually identifiable health information. Data Broker An online portal used to obtain financial and other background information about applicants and recipients. They will become lawful permanent residents (LPRs) upon the removal of their conditions by the Department of Homeland Security (DHS). Certification Date The date that eligibility staff dispose the Eligibility Determination Group (EDG) to certify an applicant. the requirement of more information from the applicant to manually process the redetermination. After certification, the Office of Attorney General (OAG) sends the person the first $75 received on monthly child support collections. To ensure the information is saved in an LUW in Data Collection, the user can click on the Next button to advance to the next LUW or on the Previous button to return to the previous LUW. They can also change any case data for cases where they are the head of household, an adult member within the household, or an authorized representative. 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. 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. Nonconvertible bonds are exempt resources. When an individual is added, File Clearance can be processed in Application Registration. The primary cardholder is usually the Eligibility Determination Group (EDG) name, but the EDG may have an alternate payee who is the primary cardholder. These databases contain information for individuals who are currently on assistance and for individuals who have applied for or received assistance in the past. Get an online quote today. Standard Utility Allowance (SUA) A standard deduction for the cost of utilities. Supplemental Nutrition Assistance Program Combined Application Project (SNAP-CAP) A demonstration project that outreaches elderly Supplemental Security Income (SSI) recipients who are not currently certified for SNAP. Normal Living Expense Items necessary for a Supplemental Nutrition Assistance Program (SNAP) household to carry on its normal daily activities. Temporary Assistance for Needy Families (TANF) A child who meets the definition of deprivation and who lives with a relative who meets the relationship requirement. 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. 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. Publicly Operated Community Residence A facility designed to serve up to 16 residents and to provide some services beyond food and shelter, such as social services, training in socialization, and life skills. 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. 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. Individual Retirement Account (IRA) An account in which a person contributes an amount of money to supplement retirement income, regardless of their participation in a group retirement plan. Even if designed to serve up to 16 residents, the following facilities are not considered publicly operated community residences: Qualified Entity (QE) A Medicaid provider (in most instances but can also be an organization such as a school or clinic) that notifies HHSC of its election to make presumptive eligibility determinations and agrees to make presumptive eligibility determinations for pregnant women only, per HHSC policies and procedures. 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. 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. Managed care includes the health maintenance organization (HMO) model. some eligible members receive TANF or RCA, and all other eligible members receive Supplemental Security Income (SSI), including SSI essential persons. Adverse Action Any HHSC action resulting in denial, suspension, reduction or termination of assistance. 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. Type Program (TP) 08, Parents and Caretaker Relatives Medicaid A person who supervises and cares for a dependent child. General Equivalency Diploma (GED) A high school equivalency certificate issued after a person completes a State Board of Education-approved high school equivalency program. Canceled Debts Debts that have been canceled, forgiven, or discharged. 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. You are exiting this workflow before finishing. These issuances are available to the person the same day the Eligibility Determination Group (EDG) is disposed. Authorization Code A code that identifies a retailer as a Food and Nutrition Service (FNS)-participating store. Retroactive Benefits Initial benefits issued for a month before the application is certified. System-Generated Created by a computer system programmed with given parameters. (FPL). The persons may or may not be included in EDGs as certified members. Reasonable Opportunity The 95-day period following the date a notice is sent to a person. action has been initiated on an Eligibility Determination Group (EDG) in a case (Intake, Complete Action, Change Action, Special Review, Conversion); allthe EDGs in a case are approved (Ongoing); and. We recommend creating an account so you can: Get alerts about updates to your application. The Food and Nutrition Act of 2008 limits eligibility for SNAP benefits to U.S. citizens and certain lawfully present non-citizens. To start a new session, you must close the browser window. Electronic Benefit Transfer (EBT) Account A benefit account established by the EBT system where HHSC deposits the household's benefits. Employment Services Program (ESP) ESP consists of two programs. Run EDBC (Eligibility Determination Benefit Calculation) A process in the Wrap Up eligibility management group used to determine eligibility of the Eligibility Determination Group (EDG). Balance Receipt A paper receipt that shows the available balance in an person's cash or food account. This will help you know if you should apply for benefits on this site or for health insurance on HealthCare.gov. It'savailable to applicants and Community Partners assisting applicants to: Also referred to as YourTexasBenefits.com. Advance Notice A notice of adverse action that expires 13 days after it is sent.