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. Eligibility Determination Benefit Calculation (EDBC) uses the discovery and report dates to determine if a required report of change is reported timely. Cascade Logic A hierarchy of logic used to build Eligibility Determination Groups (EDGs) and evaluate eligibility for Texas Health and Human Services Commission (HHSC) programs and types of assistance. 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. Overpayment The amount of benefits issued in excess of what should have been issued. perform initial self-screening to check for potential eligibility; view general benefit program information. What is individual number for Texas benefits? Payments: Indian Tribal Household A household in which at least one household member is recognized as a tribal member by any Indian tribe. It is used to issue Electronic Benefit Transfer (EBT) cards and replacements. 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). Convertible bonds are countable resources. 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. cash contributions of the sponsor or others; and. Your Texas Benefits 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. This is a toll-free number (2-1-1 or 877-541-7905) that allows people to inquire on the status of their case, their next appointment time, or to determine if Texas Health and Human Services Commission (HHSC) received information. Your application visibility account has been disabled because of inactivity. You can check the status of your application or you can start a new one. 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. Electronic Benefit Transfer (EBT) A system that uses electronic technology to complete some of a benefit program's functional requirements. The Workforce Innovation and Opportunity Act replaced the Workforce Investment Act of 1998. Your information has not been sent. Additionally, a consumer assistance program can help you file your appeal. 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. Administrative Terminal Application (ATA) A software program accessible on one or more Texas Health and Human Services Commission (HHSC) desktop computers in each office. Sentences are served in the community rather than in jail or prison. 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. Lawful Permanent Resident (LPR) A person lawfully admitted for legal permanent residence in the U.S. Type Program (TP) 08, Parents and Caretaker Relatives Medicaid A person who supervises and cares for a dependent child. Interview staff Eligibility staff responsible for interviewing applicants and recipients to establish program eligibility. This person has access to the EBT account for the Eligibility Determination Group (EDG). Undocumented Alien An alien living in the U.S. without the knowledge and permission of the U.S. The matching funds are inaccessible to the person if the funds are paid directly to a bank or loan institution, a person selling a home, or a business account. Texas Integrated Eligibility Redesign System (TIERS) A computer system used to: Texas Simplified Application Project (TSAP) TSAP is a simplified application and certification process for SNAP. Questions About Your Benefits | Texas Health and Human Services ], Title 42, 1396 et seq.) Certification Date The date that eligibility staff dispose the Eligibility Determination Group (EDG) to certify an applicant. The newborn Medicaid coverage can continue through the month of the child's first birthday if the child continues to live in Texas. Individual Retirement Account (IRA) Deduction A federal income tax deduction for people who contributed to a traditional IRA. 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. If the total collection is less than $75, then the amount of the collection is sent to the person . 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. Summer P-EBT (June-August 2022) is a one-time benefit of $391 for each eligible child. Eligibility The functional area that supports Eligibility Determination Benefit Calculation (EDBC). Note: Not all aliens must obtain a sponsor before being admitted into the U.S. Alimony Payments received from a spouse or former spouse under a divorce or separation decree. 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. Parents and Caretaker Relatives Emergency (TA 31), Medically Needy with Spend Down Emergency (TP 32). 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. Qualified expenses include purchased books, supplies, equipment and other classroom materials. Accessibility Date The date that benefits are deposited into an Electronic Benefit Transfer (EBT) account. 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. This calculation is based on family size and is used in the Temporary Assistance for Needy Families (TANF) 100 percent budgetary needs gross income test. 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. Some people qualify for both Medicare and Medicaid. Inaccessible Resources Resources not legally available to the person. Certification Period The period of eligibility established at disposition. 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. Carryover Standby List Applicants from a previous day's standby list who have not been interviewed. 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. 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. You will need to login again. For more information, including who is eligible, click HERE. Standby List Applicants who are awaiting an interview without a specific appointment. Molar Pregnancy Also known as hydatidiform mole, a molar pregnancy is considered a degenerating pregnancy. The site is secure. The 5% down payment is subject to credit approval. Download it in the Google Play oriTunes App Store. a supervised shelter that provides temporary living quarters; a place not intended for regular sleeping quarters; or. Each reprint of an original has the same Correspondence ID as the original. temporary quarters in another person's residence for 90 days or less. Call us at 1-800-777-7328 if you can't locate it. Make payments to the surviving spouse, children, parents, grandchildren or grandparents when the affected person is deceased. Eligibility Determination Group (EDG) Members of a household whose needs, resources, income and deductions are considered in determining eligibility for benefits. Noncompliance with the PRA results in a sanction. Licensed Practitioner A person who has met certain educational requirements and passed an examination to be licensed in the state of Texas and regulated by a state board. Hearing The functional area where individual appeals are recorded and tracked. 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. These plans are offered through the Health Insurance Marketplace, or the Exchange, where individuals can research, compare, and purchase health plans. Waiver Counties Texas counties with an unemployment rate over 10 percent. 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. Off-Line Transaction The processing of Electronic Benefit Transfer (EBT) transactions using a manual voucher. Business day excludes Saturday, Sunday, and holidays designated by a federal or state agency. Low Income Home Energy Assistance Program (LIHEAP) The federal program that funds assistance for energy costs for low-income households. RSDI Retirement, Survivors and Disability Insurance benefits (RSDI) paid by the Social Security Administration. 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. Understanding Your EDG Number: What It Is And How To Obtain It For Food 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. This includes, mineral rights, patents or copyrights. 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. 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. Employment Services Program (ESP) ESP consists of two programs. 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. The Department of Defense Appropriations Act of 2010, PL 111-118, enacted on Dec. 19, 2009, says SIV are eligible for all benefits to the same extent and the same period as refugees. Helps cover visits to doctors, dentists, and hospitals. This gives a source of citizenship or alien status verification for certain Medical Programs. It provides monthly income to aged people and persons who are blind or have a disability. Benefits. Card Sleeve A durable paper envelope folded to the dimensions of the plastic EBT card. Trust Property held by one person for the benefit of another. 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. Please look at the permit to find your number. Summary of Benefits and Coverage: What this Plan Covers & What You Pay The sleeve also has important information printed on it for easy reference, such as the Lone Star Help Desk number. 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. Cuban or Haitian Entrant Admitted under Section 501(e) of the Refugee Education Assistance Act of 1980. Your unique Medicaid numberwill be displayed on the Texas Health and Human Services Commission's 'Your Texas Benefits' card. 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. Helps pregnant, breastfeeding women and families with children younger than 5 buy healthy foods. Get help over the phone,from an HHSC benefit officeor community partner. After certification, the Office of Attorney General (OAG) sends the person the first $75 received on monthly child support collections. Expenses of Reservists Federal income tax deductible expenses for National Guard and military reserve members who traveled more than 100 miles from home for service. 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. You can find your EDG number on the TF0001 form we sent you saying that you can get SNAP benefits. 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. It gives Supplemental Security Income (SSI) and Medicaid information on Texas Health and Human Services Commission (HHSC) people. 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. SeeEDBCand Run EDBC. All members of a TSAP household must not receive earned income and must be either elderly or disabled as defined by SNAP program rules. Reactivation Date The effective date to reinstate benefits for an Eligibility Determination Group (EDG). collects information from throughout the Texas Integrated Eligibility Redesign System (TIERS); and. What is the difference between a Medicaid number and a case number The data broker vendor collects and combines information from many data sources. Special Review A procedure to explore one or more areas of eligibility. Case All the persons living together, and alien sponsors, who are related by Eligibility Determination Group (EDG) affiliation. Pick numbers that are easy for you to remember, but hard for others to guess. 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. SeeCorrespondence,Print ModeandPrint Type. Supplemental Nutrition Assistance Program (SNAP) and Temporary Assistance for Needy Families (TANF) Multiple people may be certified on a single EDG. Lone Star Card SeeElectronic Benefit Transfer (EBT) Card. This number may be found on the paperwork we gave you informing you that you are eligible for SNAP assistance. Retroactive Benefits Initial benefits issued for a month before the application is certified. Detail Page Click the Edit or View icon to edit or view details of a record listed on a Summary Page. Radiation Exposure Payments A program to compensate a person for injury or death from exposure to radiation from nuclear testing and uranium mining. These people must have parental consent or court permission. For example, if you are receiving disability benefits through the Social Security Administration, then your Social Security number is the individual number used by the state of Texas. These occupations include beauticians, waiters, valets and food delivery staff. EDGs denied because of new or increased earnings will receive a maximum of 12 months of coverage. 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. all eligible members receive Temporary Assistance for Needy Families (TANF) or Refugee Cash Assistance (RCA); or. These databases contain information for individuals who are currently on assistance and for individuals who have applied for or received assistance in the past. 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. It is also referred to as spousal support paid. 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. Report Date The date information is reported to the Texas Health and Human Services Commission (HHSC). The participation status indicates whether the person is considered an adult or a child according to policy. 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. createcorrespondence and reports based on system-requested and user-requested criteria. 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. Its given to an elderly household member, a household member with a disability, or both, who incur medical expenses of more than $35 but less than or equal to $137. Refugee A person admitted to the U.S. under Section 207 of the INA. Special Immigrant Conditional Permanent Resident (SI CPRs) Qualified noncitizens granted special immigrant status. You can still manage your benefits online.Once we review your application you will be able to see your information on Your Texas Benefits. 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. Texas Medicaid | Benefits.gov 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). Supplemental Nutrition Assistance Program (SNAP) Past name was the Food Stamp Program. They are also subject to disciplinary action from the Texas Health and Human Services Commission (HHSC). Agriculturally Related Activities Employment: Aid A benefit, coverage or service in programs that HHSC administers. They will become lawful permanent residents (LPRs) upon the removal of their conditions by the Department of Homeland Security (DHS). 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. Batch is correspondence managed by batch processing and printed at a central mail facility. Texas Health Insurance | Texas.gov The Food and Nutrition Act of 2008 limits eligibility for SNAP benefits to U.S. citizens and certain lawfully present non-citizens. This procedure can be used when policy has changed and TIERS has not yet been updated to process the policy change correctly. In most instances, Children's Medicaid relates to comprehensive policy for Type Programs (TPs) 43, 44, 45 and 48, unless specifically stated otherwise in a handbook section. Seecase modeandinterview mode. 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. Summary Page A page that lists a summary of all records available for that Texas Integrated Eligibility Redesign System (TIERS) page. A Supplemental Nutrition Assistance Program (SNAP) household whose members are all approved for TANF or SSI.