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The employer does not match the money contributed by the employee until the defined period of time ends. Where is the individual number for Texas Benefits located? This gives a source of citizenship or alien status verification for certain Medical Programs. 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. 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. 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. The payee must be within the required degree of relationship. Agriculturally Related Activities Employment: Aid A benefit, coverage or service in programs that HHSC administers. perform initial self-screening to check for potential eligibility; view general benefit program information. CHIP Perinatal Medical services to unborn children of pregnant women ineligible for Medicaid due to income or alien status. If you already get SNAP benefits, you will not be eligible for Disaster SNAP. Notice of Adverse Action A notice provided to the household on TF 0002 that includes explaining the proposed adverse action, reason for the action, right to a fair hearing, availability of continued benefits. Third Party Person or organization outside the certified household. Business Day Monday through Friday from 8 a.m. to 5 p.m. local time. 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). Falsified Interview An interview with agency personnel at which time the individual does not report all current income or accurate circumstances. Not all Texas Health and Human Services Commission (HHSC) programs and types of assistance have certification periods. Complete Review A re-evaluation of ongoing eligibility. For your convenience, the Help Center will open in a new window. In this system, patients go to their primary care physician to obtain other health services such as specialty medical care, surgery or physical therapy. 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. A same-sex marriage that occurred on or after June 26, 2015, is considered valid on the date it occurred. Your unique Medicaid numberwill be displayed on the Texas Health and Human Services Commission's 'Your Texas Benefits' card. A household member may be charged with an IPV even if the person has not actually received benefits to which they are not entitled. During this step, information from electronic data sources is automatically requested and a reasonable compatibility test is run. This process occurs without staff or specialist action. 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. Restored Benefits Full or partial months of benefits for a past month that are owed to a household due to an agency error. Waiver Counties Texas counties with an unemployment rate over 10 percent. 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. Special Immigrant Conditional Permanent Resident (SI CPRs) Qualified noncitizens granted special immigrant status. 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. These include a county holding facility for juveniles or a facility that a government unit exercises final administrative authority. Self-Employment Income Earned or unearned income available from one's business, trade or profession rather than from an employer. 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. Initial Benefits Benefits issued for the first month of eligibility. These issuances are available to the person the same day the Eligibility Determination Group (EDG) is disposed. After 90 days in the same person's residence, the household is no longer considered homeless. Normal Living Expense Items necessary for a Supplemental Nutrition Assistance Program (SNAP) household to carry on its normal daily activities. What is the difference between a Medicaid number and a case number Moving Expenses Federal income tax deductible expenses an active duty member of the military may claim for relocating to a new duty station. These households may bypass the income and resources tests and are deemed financially eligible. The buying, selling, stealing, or otherwise effecting an exchange of SNAP benefits for cash or consideration other than eligible food, either directly, indirectly, in complicity or collusion with others, or acting alone. Download it in the Google Play oriTunes App Store. See, is a member of a Supplemental Nutrition Assistance Program [SNAP] Eligibility Determination Group [EDG] where a household member is under 18; or. The two levels of service are: Claim An amount owed by a person for an overpayment of benefits. Helps people with daily living needs, caregivers, and people with mental health, drug or alcohol issues. A boarder can receive Supplemental Nutrition Assistance Program (SNAP) benefits only with the household where they board. See Cascade Logic. Personal Identification Number (PIN) A four-digit numeric code assigned to each cardholder and used to control access to the person's account. Residents of a publicly operated community residence are potentially eligible for Temporary Assistance for Needy Families (TANF) and Medicaid. 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. The money contributed to these accounts is not subject to federal income tax at the time of deposit. After certification, the Office of Attorney General (OAG) sends the person the first $75 received on monthly child support collections. A household may designate a secondary cardholder who has a Lone Star Card and access to the household's Electronic Benefit Transfer (EBT) account. Falsified DocumentForm H1010, Texas Works Application for Assistance Your Texas Benefits;Form H1019, Report of Change; or another signed and dated document that does not report all current income or circumstances. Cuban or Haitian Entrant Admitted under Section 501(e) of the Refugee Education Assistance Act of 1980. 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. Note: A licensed vocational nurse or licensed practical nurse does not meet the definition of practitioner. Enter this for various situations including: Real Property Land and any improvements on it. Cafeteria Plan Flexible fringe benefit plans offered to employees by their employers. Based on the criteria, TIERS generates a sample list. 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. Users cannot delete system-generated correspondence. ), osteopathic medical physician (D.O. 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. What Is The Contact Number For Texas Health Benefits 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. Annulment A court order declaring a marriage invalid. Here, you can access a variety of resources to help you work with us as you care for . Make payments to the surviving spouse, children, parents, grandchildren or grandparents when the affected person is deceased. Individual Exchange Plan Information for Providers | UHCprovider.com Electronic Benefit Transfer (EBT) Account A benefit account established by the EBT system where HHSC deposits the household's benefits. To have a payable claim, you must meet all of the following requirements: You have wages in more than one of the four base period calendar quarters. Beneficiary The person named to receive benefits. Undocumented Alien An alien living in the U.S. without the knowledge and permission of the U.S. receives Supplemental Nutrition Assistance Program (SNAP) benefits; is physically and mentally able to work at least an average of 20 hours per week; is not a member of a SNAP Eligibility Determination Group (EDG) where a household member on the SNAP EDG is under 18; and is not pregnant. In-Kind Contribution Any gain or benefit to a person that is not in the form of money paid directly to the person such as clothing, public housing or food. 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. Electronic Benefit Transfer (EBT) Vendor A company that performs EBT-related services for the state of Texas. Choices County Service Levels Counties designated by the Texas Workforce Commission (TWC) as Choices counties. Presumptive Eligibility (PE) Short-term Medicaid coverage provided to people determined potentially eligible for regular Medicaid by a qualified hospital or a qualified entity. Historical Correspondence Records of forms and notices that have been printed. Escrow An escrow account is an account a mortgage company sets up for the homeowner as part of their monthly mortgage payment. The term also applies to decisions for protective and restricted payments. Second Chance Home An adult-supervised living arrangement that provides independent living services to teen mothers and their children. Life Estate Income a person receives from ownership of property that they only possess for the duration of their life, such as rental income. It must take place before the person receives a seventh warrant. This category also includes Amerasians admitted under Section 584 of the Foreign Operations, Export Financing and Related Programs Appropriation Act of 1988. 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. Catchment Area The area covered by service. Home School A type of education in which children are taught by their parents, or someone acting in parental authority, at home, using a set curriculum. All members of a TSAP household must not receive earned income and must be either elderly or disabled as defined by SNAP program rules. State Data Exchange (SDX) Computer tape from the Social Security Administration (SSA). Helps cover visits to doctors, dentists, and hospitals. Monthly Obligation The amount of child support which the absent parent has been ordered to pay each month. 10 Best Veteran Benefits in Texas Explained (The Ultimate Guide) Examples of public institutions include county and city jails and Texas Department of Corrections prisons. Electronic Benefit Transfer (EBT) Site Coordinator An HHSC employee designated to ensure local offices comply with guidelines on security and accountability operations. Conditional Entrant A person granted conditional entry under Section 203(a)(7) of the INA as in effect before April 1, 1980. Electronic Benefit Transfer (EBT) System A system HHSC staff with security access use to issue and replace Lone Star Cards. Individual Number A unique nine-digit number that identifies any person known to the Texas Integrated Eligibility Redesign System (TIERS). Application Registration The functional area where a person's application for assistance is recorded. Reinstatement Process of providing Transitional Medical Assistance (TMA) to a household denied because of failure to return a complete Medicaid Report. Certification Period The period of eligibility established at disposition. 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. They cannot be used to schedule appointments using the Scheduling functional area. Contact the Texas Department of Insurance's Consumer Health 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. 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. Texas Workforce Commission's Unemployment Benefit Services - Help - Logon The Workforce Innovation and Opportunity Act replaced the Workforce Investment Act of 1998. Expunged Benefits Benefits that are removed from an EBT account by the issuer of the benefits. It compares an applicants statement of income against income provided by electronic data sources. 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. Emancipated Minor A person 17 and under who has been married. Citizenship and Immigration Services (USCIS) The government agency that oversees lawful immigration to the U.S. Account Transfer The way an applicants information moves between the Marketplace and the Texas Health and Human Services Commission (HHSC) when a person applies for health insurance or medical programs.

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