The .gov means its official. See Alternate Payee. Your session has ended. When an individual is added, File Clearance can be processed in Application Registration. Cardholders Persons authorized to use the Lone Star Card to access benefits in the household's Electronic Benefit Transfer (EBT) account(s). Individual Retirement Account (IRA) Deduction A federal income tax deduction for people who contributed to a traditional IRA. TANF provides families with financial assistance and support services. Users cannot delete system-generated correspondence. Practitioner A person who holds a license to practice medicine, including a physician (M.D. Summary Page A page that lists a summary of all records available for that Texas Integrated Eligibility Redesign System (TIERS) page. Medicaid is also known as the medical assistance program. Ten-Ten-Thirteen Concept Time periods used to determine the first month of an over-issuance claim. The PAN is not related to the persons Texas Health and Human Services Commission (HHSC) case number. Continuous Eligibility A period where a person remains eligible during a continuous eligibility period regardless of any change in circumstances, except for: Convertible Bond A bond that can be converted to cash according to program policy. Alert A system or user-generated reminder that action needs to be taken on a case or a notification that an action has already taken place. This is done by intentionally reselling the product purchased with SNAP benefits in exchange for cash or consideration other than eligible food. Each original correspondence is given a unique Correspondence ID (identifying number). Reasonable Opportunity The 95-day period following the date a notice is sent to a person. Treat an untimely reapplication the same as an initial application. 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. Historical Data Records of case, Eligibility Determination Groups (EDGs) and individual information. A household member may be charged with an IPV even if the person has not actually received benefits to which they are not entitled. Historical Correspondence Records of forms and notices that have been printed. 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. reinstating Transitional Medicaid Assistance (TMA); and. Identical Application One or more exact copies of an application previously submitted by an applicant. Redetermination A complete action to determine eligibility for a new certification period in a program. 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. ), dentist (D.D.S. Medicaid Card An identification card issued to people determined eligible for Medicaid that verifies Medicaid coverage. Texas State Profile Page. It is when a child lives with both legal parents and both parents are requesting and are eligible for coverage. Or you can call the Texas Department of Human Service (DHS) toll-free at: 1-877-541-7905. Health Insurance Premium Payment (HIPP) A reimbursement program administered by the Texas Health and Human Services Commissions (HHSCs) Third-Party Resource Unit, which pays for the cost of premiums, coinsurance, and deductibles. It must take place before the person receives a seventh warrant. provides health coverage to eligible low-income adults, children, pregnant women, and people who are older or who have disabilities. 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. 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. 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. 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. Personal Possessions Possessions that include furniture, appliances, jewelry, clothing, livestock, farm equipment, and other items that an applicant uses to meet personal needs essential for daily living. Data Broker An online portal used to obtain financial and other background information about applicants and recipients. We recommend creating an account so you can: Get alerts about updates to your application. Child A child is an adoptive, step, or natural child who is under 19. Your case visibility account has been disabled because of inactivity. The two levels of service are: Claim An amount owed by a person for an overpayment of benefits. 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. Supplemental Nutrition Assistance Program (SNAP) proration is based on the number of days between the file date and the end of the month. CHIP perinatal The mother and child will be certified on a single EDG during the month the child is born. all eligible members receive Temporary Assistance for Needy Families (TANF) or Refugee Cash Assistance (RCA); or. It'savailable to applicants and Community Partners assisting applicants to: Also referred to as YourTexasBenefits.com. Modified Adjusted Gross Income (MAGI) The rules used to determine financial eligibility for certain Medical Programs that are based on Internal Revenue Service (IRS) tax rules. This information is used in the EDBC process to build Eligibility Determination Groups (EDGs) and determine eligibility for programs and types of assistance. 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. Sanction Either a disqualification or a penalty applied to a case or program because a person failed to follow a program requirement. Voluntary Quit Leaving a job without good cause. 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). Before sharing sensitive information, make sure youre on an official government site. Nonconvertible bonds are exempt resources. Also, the act of trafficking in SNAP benefits. 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. Effective Month The first month benefits can be affected based on the monthly cutoff date or applicable policy for advance and adequate notice of adverse action. 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). Get an online quote today. Primary Cardholder (PCH) The person designated to receive and be responsible for the household's Lone Star Card. Public Assistance (PA) Household A Supplemental Nutrition Assistance Program (SNAP) Eligibility Determination Group (EDG) in which: Public Institution A facility that is either an organizational part of a governmental entity or over which a governmental unit exercises final administrative control. CEAP replaced the Home Energy Assistance Program (HEAP). intended to inflict emotional harm, including an act of emotional abuse. During this step, information from electronic data sources is automatically requested and a reasonable compatibility test is run. Medicaid & CHIP in . 401(k) A retirement plan allowing an employee to postpone receiving a portion of current income until retirement. Questionable Management A household has questionable management when reported basic expenses exceed reported net income and resources. Commingled Resources Resources of a Temporary Assistance for Needy Families (TANF) or Supplemental Security Income (SSI) recipient combined with those of a non-TANF or SSI household member. Interfaces The functional area that exchanges information with other systems and agencies. Carryover Standby List Applicants from a previous day's standby list who have not been interviewed. 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. Welfare-to-Work A federal program designed to support state and local efforts to move hard-to-employ Temporary Assistance for Needy Families (TANF) recipients into unsubsidized jobs and promote their self-sufficiency. See Alternate Payee. . The code is used to request permission to use the Lone Star Card in a transaction. Second Chance Home An adult-supervised living arrangement that provides independent living services to teen mothers and their children. Be ready to answer questions abouteveryone applying such as: Check the status of your benefits ormanage your benefits. Medicaid In Texas, there are 5 different types of Medicaid: STAR STAR+PLUS STAR Kids STAR Health Traditional Medicaid The type of Medicaid coverage you get depends on where you live and what kind of health issues you have. Refugee A person admitted to the U.S. under Section 207 of the INA. Off-Line Transaction The processing of Electronic Benefit Transfer (EBT) transactions using a manual voucher. The data broker vendor collects and combines information from many data sources. 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. Radiation Exposure Payments A program to compensate a person for injury or death from exposure to radiation from nuclear testing and uranium mining. The qualified hospital may choose to make PE determinations for pregnant women, children under 19, parents and caretaker relatives of dependent children under 19, and former foster care children. SeeCase. 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. 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. 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. 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. Monthly Obligation The amount of child support which the absent parent has been ordered to pay each month. The site is secure. is the guardian of a victim of a violent crime. full service having a significant presence of Choices staff; or. Illegally Present Alien A non-citizen living in the U.S. without proper approval from the U.S. 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. Tuition or GI Bill Deduction A federal income tax deduction for people who paid qualified tuition fees to eligible post-secondary educational institutions for themselves, their spouse or their dependents. 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. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. The Marketplace in Texas is operated by the U.S. Department of Health and Human Services. 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. If you are deaf or hard of hearing, you can call us at TTY 1-800-325-0778. Fluctuating Income Income in which the amount varies because of an increase or decrease in hours worked, rate of pay, or inclusion of a bonus. Correspondence The functional area in which system and user-generated notices and forms are processed and stored. 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. 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. Grandparent Payment System (GPS) An electronic, web-based data system used to inquire about the issuance of archived TANF one-time Grandparent Payments. Legal Requirements The non- financial eligibility requirements for a Temporary Assistance for Needy Families(TANF) or Medicaid child, such as age, relationship, domicile, citizenship, Social Security number (SSN), and deprivation. The: User-Generated Action generated directly by an individual's computer input. Your case number is a 10-digit number that HHSC uses to bundle and process benefits you receive through their agency. Functions of the clearinghouse include: Collateral Contact A person the advisor can contact to verify a person's information. Citizenship and Immigration Services (USCIS) and who has received a final order of deportation. A molar pregnancy is considered a normal pregnancy that terminates early because of miscarriage or abortion. It is a medical condition (including emergency labor and delivery) manifesting itself by acute symptoms of sufficient severity (including severe pain) that the absence of immediate medical attention could reasonably have been expected to result in: Employable Household Member A person whose earnings are countable and who: Employer-Paid Taxes Taxes that are paid by the employer on behalf of the employee rather than deducting the tax amount from the employee's wages. They are not considered inmates of a public institution. Initial Benefits Benefits issued for the first month of eligibility. The Workforce Information System of Texas (TWIST) The computer system used by the Texas Workforce Commission (TWC) for intake, eligibility determination, assessment, service tracking, and reporting of TWC-administered programs, such as child care, Supplemental Nutrition Assistance Program (SNAP), Employment and Training, Choices, and the Workforce Innovation and Opportunity Act. Absent Parent A child's parent who is not living in the home. Combat Zone The geographic area or country to which a military member is deployed for combat. Card Sleeve A durable paper envelope folded to the dimensions of the plastic EBT card. All rights reserved. to file a federal income tax return for the taxable year in which Medical Program eligibility is requested; if married, to file a joint federal income tax return for the taxable year in which Medical Program eligibility is requested; that no other taxpayer will be able to claim the person or the couple as a tax dependent on a federal income tax return for the taxable year in which Medical Program eligibility is requested; or. reaching the maximum age for that specific program; state error in the eligibility determination; or, fraud, abuse, or perjury attributed to the people or persons representative, was the spouse, parent, sibling or adult child of a victim who died as a result of a violent crime; or. Blue Shield of Texas at 1-800-521-2227 or www.bcbstx.com or contact the Texas Department of Insurance, Consumer Protection at 1-800-252-3439 or www.tdi.texas.gov. 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. The individual number for Texas benefits can vary depending on the benefits you are receiving. causing serious dysfunction of any bodily organ or part. 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. This process occurs without staff action. To login again, click on either "Forgot user name" or "Forgot password" in the login box. Texas Health & Human Services Commission. Inmates of facilities that meet the definition of public institution are not eligible for Temporary Assistance for Needy Families (TANF) or Medicaid. Citizenship and Immigration Services (USCIS). Medicaid A state and federal cooperative program authorized under Title XIX of the Social Security Act (United States Code [U.S.C. are received for a minimum of three months. This coverage is providedtemporarily while the Texas Health and Human Services Commission (HHSC) determines eligibility for regular Medicaid. 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. Canceled Debts Debts that have been canceled, forgiven, or discharged. This includes legal parents and stepparents who are disqualified for one of the reasons listed inA-222, Who Is Not Included, No. It could take several weeks for your P-EBT card to arrive after claiming benefits. 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. Health Savings Account A savings account for medical-related expenses that is available to taxpayers. They cannot be used to schedule appointments using the Scheduling functional area. Temporary Assistance for Needy Families Non-Cash (TANF-NC) Consists of services for: Temporary Assistance for Needy Families (TANF) Redirect A Texas Works message to TANF applicants delivered up front by Texas Health and Human Services Commission (HHSC) staff before the application process begins, explaining that: Temporary Assistance for Needy Families State Program (TANF-SP) Cash assistance for families with a dependent child and at least two adults. In many instances, batch processing occurs overnight, when Texas Health and Human Services Commission (HHSC) offices are closed and the system is not being heavily used throughout the state. High School Diploma Certification issued by a state-accredited school to a student who successfully completes the curriculum requirements for secondary school as approved by the State Board of Education.