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. You are exiting this workflow before finishing. a supervised shelter that provides temporary living quarters; a place not intended for regular sleeping quarters; or. This process occurs without staff action. 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. System-Generated Created by a computer system programmed with given parameters. 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. Non-Public Assistance (NPA) Household Supplemental Nutrition Assistance Program (SNAP) households where no one receives Temporary Assistance for Needy Families (TANF) or only some of the members receive TANF. 1-877-541-7905. Correspondence The functional area in which system and user-generated notices and forms are processed and stored. Second Chance Home An adult-supervised living arrangement that provides independent living services to teen mothers and their children. Child A child is an adoptive, step, or natural child who is under 19. For example, a user can: User Guide A Texas Integrated Eligibility Redesign System (TIERS) help tool accessed by clicking on the Help icon in the upper right corner of TIERS pages. 24/7, confidential support is always available. Apply online and make a Your Texas Benefitsaccount so you can start, save and go backto your online application at any time. The EDG is built and eligibility is established at the highest level. Carryover Standby List Applicants from a previous day's standby list who have not been interviewed. SeeEDBC and Driver Flow. (FPL). is not needed to process a redetermination. createcorrespondence and reports based on system-requested and user-requested criteria. Marriage A legally or formally recognized union between two people. 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. HHSC expunges these benefits at the end of each state fiscal year (Aug. 31). It is used to issue Electronic Benefit Transfer (EBT) cards and replacements. Reinstatement Process of providing Transitional Medical Assistance (TMA) to a household denied because of failure to return a complete Medicaid Report. These plans are offered through the Health Insurance Marketplace, or the Exchange, where individuals can research, compare, and purchase health plans. 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. Redetermination A complete action to determine eligibility for a new certification period in a program. Availability Date The date that benefits are deposited into the recipients Electronic Benefit Transfer (EBT) account. Questionable Information Information that is contradictory or incomplete. Supplemental Security Income (SSI) A needs-tested program administered by the Social Security Administration. Certified Group The members in an Eligibility Determination Group (EDG) who are eligible for a given program. Call us at 1-800-777-7328 if you can't locate it. Eligibility staff access BVS as a source to verify age, relationship and citizenship. the prevention and treatment of substance abuse; Women, Infants, and Children (WIC) nutrition. Agriculturally Related Activities Employment: Aid A benefit, coverage or service in programs that HHSC administers. Supplemental Nutrition Assistance Program (SNAP) applicants and individuals in these counties are not subject to SNAP federal time limits because of the job market. Electronic Benefit Transfer (EBT) A system that uses electronic technology to complete some of a benefit program's functional requirements. See User-Generated. on a farm or ranch performing field work about planting, cultivating or harvesting operations; or. Secure Facility Secure boot camp settings. A request for an administrative review must be submitted in writing within 30 calendar days from the date of the hearing officer's decision. 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. Citizenship and Immigration Services (USCIS) The government agency that oversees lawful immigration to the U.S. Do you want to keep working on your application, or start a new one? 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. Homeless Household Households that have no regular nighttime residence or that live in: Hotline (TANF/SNAP Complaints) Toll-free number (877-787-8999) where staff receive complaints for Temporary Assistance for Needy Families (TANF) and Supplemental Nutrition Assistance Program (SNAP) cases. Discovery Date The date a person learns of a change. All rights reserved. This procedure can be used when policy has changed and TIERS has not yet been updated to process the policy change correctly. The official document indicates to and for whom the support is paid, the frequency and the amount of payment. Budgeting The method used to determine eligibility and benefits for Temporary Assistance for Needy Families (TANF), Medical Programs, and the Supplemental Nutrition Assistance Program (SNAP) by calculating income and deductions. After certification, the Office of Attorney General (OAG) sends the person the first $75 received on monthly child support collections. Disaster SNAP (D-SNAP) gives short-term food benefits to people recovering from a disaster. Seedefinitions of Eligibility Determination Benefit Calculation(EDBC), rebuild EDG,run EDBCandWrap Up. 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. Before sharing sensitive information, make sure youre on an official government site. 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. Annulment A court order declaring a marriage invalid. 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. Fixed Income Unearned income that does not vary. Underpayment Issuance of fewer benefits than an individual is entitled to receive. Health Savings Account A savings account for medical-related expenses that is available to taxpayers. Falsified Interview An interview with agency personnel at which time the individual does not report all current income or accurate circumstances. General Residential Operations Facility Residential care facilities that provide a live-in house parent model of care for children under their care. SeeCase Mode. Certification Date The date that eligibility staff dispose the Eligibility Determination Group (EDG) to certify an applicant. Participation Status The designation of an Eligibility Determination Group (EDG) member as an eligible or ineligible member of the certified group. Duplicate Application An application filed after another application has already been filed and the new application: Earned Income Income a person receives for a certain activity or work. Or send an e-mail to: [email protected]. Primary Cardholder (PCH) The person designated to receive and be responsible for the household's Lone Star Card. 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. Processing Time Frames Number of days eligibility staff must complete a particular action. Welcome to UnitedHealthcare Individual Exchange plans, also referred to as Individual and Family plans. Waiver of Continued Benefits An individual option to allow eligibility staff to process an adverse action during the individual's appeal process. 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. 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. This guide will explain the different types of . Marketplace The governmental entity that makes qualified health plans available to qualified people, qualified employers or both. SeeBatch Scheduling. Unemployment Benefits Services allows individuals to submit new applications for unemployment benefits, submit payment requests, get claim and payment status information, change their benefit payment option, update their address or phone number, view IRS 1099-G information, and respond to work search log requests. 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. SeeCorrespondence,Print ModeandPrint Type. Time Limit The functional area where Temporary Assistance for Needy Families (TANF) state and federal time-limited months can be viewed. See Taxpayer. Non-Secure Facility A publicly operated community residence that serves no more than 16 residents, such as a county emergency shelter or non-public group or foster home. Restored Benefits Full or partial months of benefits for a past month that are owed to a household due to an agency error. 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 PAN is not related to the persons Texas Health and Human Services Commission (HHSC) case number. 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. Medicaid A state and federal cooperative program authorized under Title XIX of the Social Security Act (United States Code [U.S.C. One program is the Choices program for TANF recipients, and the other is the SNAP Employment and Training (E&T) program for SNAP recipients. past, present or future payment for the provision of health care to the person. The notices and forms processed in this functional area are also called correspondence and linked to a specific case. Contact the Texas Department of Insurance's Consumer Health This number may be found on the paperwork we gave you informing you that you are eligible for SNAP assistance. The LUW is represented by a set of tabs at the top of a TIERS page. 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. 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. To exit from this workflow, click on Exit. Budgetary Needs The full basic needs amount as defined by Texas Health and Human Services Commission (HHSC) necessary for a family to obtain food, clothing, housing, utilities, and incidentals such as phone, laundry, and recreation. 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. Availability Period For TANF, the availability period is two fiscal years after the benefit was issued. Reactivation Date The effective date to reinstate benefits for an Eligibility Determination Group (EDG). Sibling Brother or sister, including legally adopted and half-brothers and half-sisters. 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. The Eligibility Determination Group (EDG) name must be within the required degree of relationship to the dependent child. 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. 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. All system-generated correspondence is sent to pending correspondence, but it can be retrieved and printed locally. For more information, including who is eligible, click HERE. Identical Application One or more exact copies of an application previously submitted by an applicant. 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. Personal Identification Number (PIN) A four-digit numeric code assigned to each cardholder and used to control access to the person's account. Interview staff Eligibility staff responsible for interviewing applicants and recipients to establish program eligibility. 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. TSAP provides a 36-month certification period. Temporary Assistance for Needy Families (TANF) Certified Child A child who is included in a TANF grant. 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. This gives a source of citizenship or alien status verification for certain Medical Programs. The exchange of firearms, ammunition, explosives, or controlled substances, defined in Section 802 of Title 21, United States Code, for SNAP benefits. are received for a minimum of three months. You tried to login 3 times in a row with either the wrong user name or password. are intended for expenses other than room and board. 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. Coordination of benefits (COB) allows plans that provide health and/or prescription coverage for a person with Medicare to determine their respective payment responsibilities (i.e., determine which insurance plan has the primary payment responsibility and the extent to which the other plans will contribute when an individual is covered by more Administrative Terminal Application (ATA) A software program accessible on one or more Texas Health and Human Services Commission (HHSC) desktop computers in each office. Unreimbursed Assistance Money paid in prior months in the form of public assistance under the Title IV-A program (that is, under the current Temporary Assistance for Needy Families [TANF] program or the former Aid to Families with Dependent Children [AFDC] program) that has not yet been recovered from collections that are applied to assigned arrears. 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. Interview Mode A designation in TIERS Data Collection that queues the driver flow through appropriate pages according to the type of action. A calendar tax year is 12 consecutive months beginning Jan. 1 and ending Dec. 31. 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. To login again, click on either "Forgot user name" or "Forgot password" in the login box. 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. Once correspondence is printed, whether in batch or locally, the record of the printing is stored in History Correspondence functional area. Access to this site and the information assets of this site are for official use only. Answer some basic questions in our prescreening tool to find which benefits and support services you might be able to get. in canning, packing, ginning, seed conditioning or related research or processing operations. Apply for benefits online at Unemployment Benefits Services by logging on and selecting Apply for Benefits, or call a Texas Workforce Commission . You need to pass a few authentication questions. 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. 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. Report Date The date information is reported to the Texas Health and Human Services Commission (HHSC). Interfaces The functional area that exchanges information with other systems and agencies. Application Visibility Type of YourTexasBenefits.com account given to an applicant who has selected not to go through Advanced Authentication. 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. Left Navigation The list of functional areas that appears on the left side of the Texas Integrated Eligibility Redesign System (TIERS) page. Adverse Action Any HHSC action resulting in denial, suspension, reduction or termination of assistance. Also, the act of trafficking in SNAP benefits. Passive Renewal A process by which the Texas Integrated Eligibility Redesign System (TIERS) automatically recertifies a Former Foster Care in Higher Education (FFCHE) active Eligibility Determination Group (EDG) for another certification period. 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. Qualified Hospital (QH) A Medicaid provider that notifies HHSC of its intent to make presumptive eligibility determinations and agrees to make PE determinations per HHSC policies and procedures. Historical Correspondence Records of forms and notices that have been printed. Sanction Either a disqualification or a penalty applied to a case or program because a person failed to follow a program requirement. HHSC The Texas Health and Human Services Commission. You can check the status of your application or you can start a new one. Dispose To authorize an Eligibility Determination Group (EDG) so eligibility is established or denied. Fair Market Value Amount of money an item would bring if sold in the current local market. The: User-Generated Action generated directly by an individual's computer input.
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