and Texas Human Resources Code, Title 2, Subtitle C, Chapter 32, that pays for certain medical and health care costs for people who qualify. Bona Fide Agent A person who is familiar with an applicant and knowledgeable of the person's financial affairs. General Residential Operations Facility Residential care facilities that provide a live-in house parent model of care for children under their care. a Medical Program Modified Adjusted Gross Income (MAGI) household member. During this step, information from electronic data sources is automatically requested and a reasonable compatibility test is run. SeeEDBCand Run EDBC. 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. hold out to the public that they are a married couple. 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. Comprehensive Energy Assistance Program (CEAP) A utility assistance program funded annually by the Low Income Home Energy Assistance Program (LIHEAP). SeeCarryover Standby List. 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. Eligibility The functional area that supports Eligibility Determination Benefit Calculation (EDBC). It is used to issue Electronic Benefit Transfer (EBT) cards and replacements. ), advanced nurse practitioner (A.N.P.) Non-Continuous Eligibility A period of time when changes in circumstances may affect a persons eligibility. Court Awards Taxable money that a person receives as the result of a lawsuit, such as compensation for lost wages or punitive damages awards. Generally, to qualify for SNAP, non-citizens must meet one of the following criteria: Have lived in the United States for at least 5 years. This process occurs through a mass update and does not require action. When the OAG receives a child support collection on the current monthly obligation and that payment exceeds the TANF grant plus any unreimbursed assistance, the excess is sent to the person. Apply for TANF. Reactivation Date The effective date to reinstate benefits for an Eligibility Determination Group (EDG). Children's Health Insurance Program (CHIP) Medical coverage for children under 19 whose family income exceeds the limits for Children's Medicaid. 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. formal court-ordered or legally mandated; or. Enter this for various situations including: Real Property Land and any improvements on it. The primary cardholder is usually the Eligibility Determination Group (EDG) name, but the EDG may have an alternate payee who is the primary cardholder. Review Temporary Assistance for Needy Families (TANF) evaluative interview. Driver Flow The logical sequence of data collection pages that appear as a case is completed or read. Advanced Nurse Practitioner A registered nurse with additional training and certification in a specific area of medicine. Application Visibility Type of YourTexasBenefits.com account given to an applicant who has selected not to go through Advanced Authentication. 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. Standby List Applicants who are awaiting an interview without a specific appointment. Texas Health & Human Services Commission. reactivating an EDG without requiring a new application form. 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. Secondary Cardholder A person designated by the primary cardholder as eligible to access the person's Electronic Benefit Transfer (EBT) account with a second EBT card and personal identification number (PIN). 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. For example, the Supplemental Nutrition Assistance Program (SNAP) has two types of assistance: PA (public assistance) and NPA (non-public assistance). A same-sex marriage that occurred before June 26, 2015, is considered valid effective June 26, 2015. Lawful Permanent Resident (LPR) A person lawfully admitted for legal permanent residence in the U.S. Alternate Payee A person who receives the benefits for the EDG when people on the EDG are unable or ineligible to receive them. 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. Assignable Time periods that are available to be used to schedule appointments using the Scheduling functional area. in canning, packing, ginning, seed conditioning or related research or processing operations. Medicaid Card An identification card issued to people determined eligible for Medicaid that verifies Medicaid coverage. 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. Residents of a publicly operated community residence are potentially eligible for Temporary Assistance for Needy Families (TANF) and Medicaid. The newborn Medicaid coverage can continue through the month of the child's first birthday if the child continues to live in Texas. Business day excludes Saturday, Sunday, and holidays designated by a federal or state agency. HHSC expunges these benefits at the end of each state fiscal year (Aug. 31). 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. It compares an applicants statement of income against income provided by electronic data sources. HHSC IEVS Staff HHSC eligibility field staff who process Automated System for Office of Inspector General (ASOIG) Match Texas Works Messages and MEPD Long Term Care (LTC) IEVS Matches. Supplemental Benefit Additional benefits for a current month given to a household during a month the Texas Health and Human Services Commission (HHSC) already issued initial or ongoing benefits. Lone Star Card SeeElectronic Benefit Transfer (EBT) Card. some eligible members receive TANF or RCA, and all other eligible members receive Supplemental Security Income (SSI), including SSI essential persons. 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. Intentional Program Violation (IPV) The act of intentionally making a false or misleading statement, or misrepresenting, concealing or withholding facts for the purpose of receiving assistance under the Supplemental Nutrition Assistance Program (SNAP), Temporary Assistance for Needy Families (TANF) or Medicaid program. A user can click the plus sign next to a functional area or sub-functional areas to display the pages available within that area. Note:See Publicly Operated Community Residence for additional information about a public facility not considered to be a public institution. There are two types of cardholders: primary cardholders and secondary cardholders. 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. A boarder can receive Supplemental Nutrition Assistance Program (SNAP) benefits only with the household where they board. Managed Care A health care delivery system with the aim of controlling costs. Newborn Child A child receiving Type Program (TP) 45, Medical Assistance for Newborn Children, because the child's mother was eligible for and received Medicaid coverage at time of the child's birth or whose mother was eligible for and received Medicaid coverage retroactively for the time of the child's birth. Expenses of Fee-Basis Government Officials Federal income tax deductible employment-related expenses paid for or accrued by employees of a state or political subdivision who are compensated on a fee basis. a correctional or holding facility for people who: have been arrested or detained pending disposition of charges; or. 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. Seebatch processing,pending correspondence,print mode,print type,system-generatedanduser-generated. Aperson under18 may not be a party to an informal (common law) marriage. To continue working, click on Stay on page. Suspended Benefits The Eligibility Determination Group (EDG) is flagged to prevent the ongoing issuance of benefits until eligibility staff review the EDG. Military Member Aperson in the U.S. Armed Forces/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/Texas State Guard. A special review is conducted in Special Review mode. Access to this site and the information assets of this site are for official use only. The payee must be within the required degree of relationship. Timely Supplemental Nutrition Assistance Program (SNAP) application filed by the 15th of the last month of certification. These households may bypass the income and resources tests and are deemed financially eligible. The notice contains programmed information based on the program, type of assistance, and eligibility result. 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). Seedispose. See, is a member of a Supplemental Nutrition Assistance Program [SNAP] Eligibility Determination Group [EDG] where a household member is under 18; or. Molar Pregnancy Also known as hydatidiform mole, a molar pregnancy is considered a degenerating pregnancy. 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. 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. Call us at 1-800-772-1213 to make an appointment to file your application. Negative Management A household has negative management when its reported basic expenses exceed reported net income and resources plus support the HHSC excludes, such as vendor payments. Categorically Eligible Household Households where all members are either eligible for or receive benefits from Temporary Assistance for Needy Families (TANF), Supplemental Security Income (SSI), or state-financed general assistance programs. The notice of adverse action expires in 13 days. State Data Exchange (SDX) Computer tape from the Social Security Administration (SSA). or registered nurse (R.N.). The 5% down payment is subject to credit approval. Administrative Terminal Application (ATA) A software program accessible on one or more Texas Health and Human Services Commission (HHSC) desktop computers in each office. The number is used to record covered wages, track Social Security benefits and for other identification purposes. Medicaid A state and federal cooperative program authorized under Title XIX of the Social Security Act (United States Code [U.S.C. Traditional Medicaid Advanced Authentication Personal security questions generated by third-party software to perform authentication of an applicant's identity before granting the person an account through YourTexasBenefits.com (link is external) with Case Visibility. SeeDetail Page. The house parent assumes responsibility and acts in lieu of the parent in meeting the childrens ongoing needs. If you already have a Lone Star Card PIN, you can keep it or change it. 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. Call us at 1-800-777-7328 if you can't locate it. All system-generated correspondence is sent to pending correspondence, but it can be retrieved and printed locally. 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. Complete Review A re-evaluation of ongoing eligibility. Emancipated Minor A person 17 and under who has been married. Pick or change your PIN. Fair Hearing A meeting conducted by a regional hearing officer with an applicant or individual who disagrees with and wishes to appeal some action taken on the individual's case. Citizenship and Immigration Services (USCIS) and who has received a final order of deportation. Identical Application One or more exact copies of an application previously submitted by an applicant. 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. Each functional area contains pages that allow authorized staff to perform activities related to the business process. Overpayment The amount of benefits issued in excess of what should have been issued. This coverage is providedtemporarily while the Texas Health and Human Services Commission (HHSC) determines eligibility for regular Medicaid. Appeals are logged and updated in the Hearing functional area on the navigation bar. Self-Service Portal (SSP) A web-based application, atYourTexasBenefits.com. Derivative Citizenship U.S. citizenship that is claimed by a person born outside of the U. S. to one or both U.S. citizen parents. 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. Legal Parents Mother, by having given birth to the child, by proof of adoption, legal document or court adjudication or father, by proof of adoption, legal document, court adjudication or his acknowledgement of paternity. People with Application Visibility accounts may only apply for benefits and view and modify applications created under their username. Eligibility Determination Benefit Calculation (EDBC) uses the discovery and report dates to determine if a required report of change is reported timely. Asylee A person granted asylum under Section 208 of the Immigration and Nationality Act (INA). Convertible bonds are countable resources. Lock-in A status created by the Texas Health and Human Services Commission (HHSC) for certain people to help contain Medicaid costs, which allows additional review of high Medicaid users. 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.