Capital Gains A profit from the sale of property or an investment when the sale price is higher than the initial purchase price. 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. Override A Texas Integrated Eligibility Redesign System (TIERS) procedure that allows the user to make a change to the system-determined Eligibility Determination Group (EDG) results. Contact the Texas Department of Insurance's Consumer Health Three Months Prior The three-month period before the Medicaid application month. Children's Medicaid Medical coverage for children whose family income is under the applicable income limit. 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. Managing Conservator A person designated by a court to have daily legal responsibility for a child. This results in: Administrative Review A desk review of the fair hearing record by a Texas Health and Human Services (HHS) attorney to determine if the hearing officer's decision is correct. 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. Scheduling The functional area that manages eligibility appointments. After certification, the Office of Attorney General (OAG) sends the person the first $75 received on monthly child support collections. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. Third-Party Resource A source of payment of medical expenses other than the recipient or the Texas Health and Human Services Commission (HHSC). Eligibility Determination Group (EDG) Members of a household whose needs, resources, income and deductions are considered in determining eligibility for benefits. Reimbursement Repayment for a specific item or service. The Veterans Land Board (VLB) Land Loan Program provides financing on tracts for eligible veterans up to $150,000 with a minimum 5% down payment and a fixed-rate 30-year loan term. System-Generated Created by a computer system programmed with given parameters. We recommend creating an account so you can: Get alerts about updates to your application. SeeCorrespondence,Print ModeandPrint Type. Appeal A request for a fair hearing concerning an HHSC action. 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. The driver flow is determined by the programs, types of assistance, and answers to questions as the case is worked. For your convenience, the Help Center will open in a new window. These are given to a SNAP household that either incurs a heating or cooling cost separate from the rent or received a Low-Income Home Energy Assistance Program (LIHEAP) payment. Payee A person that the Temporary Assistance for Needy Families (TANF) benefits are issued to if no one in the household qualifies or wants to be a caretaker. SeeEDBC and Driver Flow. provides health coverage to eligible low-income adults, children, pregnant women, and people who are older or who have disabilities. Married Minor An person, age 14-17, who is married. HHSC expunges these benefits at the end of each state fiscal year (Aug. 31). Health Savings Account A savings account for medical-related expenses that is available to taxpayers. A household may designate a secondary cardholder who has a Lone Star Card and access to the household's Electronic Benefit Transfer (EBT) account. You'll get the Lone Star Card once you're approved for benefits. and Texas Human Resources Code, Title 2, Subtitle C, Chapter 32, that pays for certain medical and health care costs for people who qualify. Workforce Innovation and Opportunity Act A federal program to streamline state workforce development systems combining job training, adult education and literacy, and vocational rehabilitation. Self-Employment Income Earned or unearned income available from one's business, trade or profession rather than from an employer. Unemployment benefits is an employer-paid program that provides temporary financial assistance to workers who are unemployed through no fault of their own and meet Texas' eligibility requirements. The number is used to record covered wages, track Social Security benefits and for other identification purposes. 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. The discovery date is compared with the report date to determine whether a change is reported timely. If you can't find it, call us at 800-777-7328. Blocked Time periods that are designated for specific purposes. The amount the employer pays is counted as part of the person's gross income. Inaccessible Resources Resources not legally available to the person. Ten-Ten-Thirteen Concept Time periods used to determine the first month of an over-issuance claim. a supervised shelter that provides temporary living quarters; a place not intended for regular sleeping quarters; or. The primary cardholder is usually the Eligibility Determination Group (EDG) name, but the EDG may have an alternate payee who is the primary cardholder. 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. 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. Do you want to keep working on your application, or start a new one? 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. 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. Activity Fee An additional cost incurred by the household associated with a structured dependent care program. 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. Evaluative Conclusion An advisor's decision, subject to supervisory approval, to accept something other than a birth or hospital certificate or baptismal record as proof of age and relationship. TANF provides families with financial assistance and support services. The Food and Nutrition Act of 2008 limits eligibility for SNAP benefits to U.S. citizens and certain lawfully present non-citizens. 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. People with Application Visibility accounts may only apply for benefits and view and modify applications created under their username. Seedispose. Residents of a publicly operated community residence are potentially eligible for Temporary Assistance for Needy Families (TANF) and Medicaid. SeeEDBC. ), advanced nurse practitioner (A.N.P.) If the total collection is less than $75, then the amount of the collection is sent to the person . Citizenship and Immigration Services (USCIS) The government agency that oversees lawful immigration to the U.S. The benefit is funded by taxes collected from businesses. Get an online quote today. Pick or change your PIN. Modified Adjusted Gross Income (MAGI) Household Composition The people whose income and needs are considered when determining eligibility for an applicant or recipient for certain Medical Programs based on tax status, tax relationships, living arrangement, and family relationships. Batch Processing Actions postponed until a later time when they can be processed by the system more efficiently. Immigration and Customs Enforcement handles immigration enforcement; and. Transitional Medical Assistance (TMA) Medicaid coverage provided after denial of certain Eligibility Determination Groups (EDGs) because of new or increased earnings or new or increased spousal support income. Your information has not been sent. SeeBatch Scheduling. General Residential Operations Facility Residential care facilities that provide a live-in house parent model of care for children under their care. Persons with illnesses that require expensive treatment are not subject to lock-in status. are received for a minimum of three months. The participation status indicates whether the person is considered an adult or a child according to policy. Pick numbers that are easy for you to remember, but hard for others to guess. Non-Traditional Retailer A food retailer who operates in a farmer's market or as a roadside vendor. The payee must be within the required degree of relationship. Individual Retirement Account (IRA) An account in which a person contributes an amount of money to supplement retirement income, regardless of their participation in a group retirement plan. Supplemental Nutrition Assistance Program (SNAP) and Temporary Assistance for Needy Families (TANF) Multiple people may be certified on a single EDG. Catchment Area The area covered by service. RSDI Retirement, Survivors and Disability Insurance benefits (RSDI) paid by the Social Security Administration. Note:See Publicly Operated Community Residence for additional information about a public facility not considered to be a public institution. This includes, mineral rights, patents or copyrights. Case Mode Status of a case that identifies that: Case Number A unique 10-digit number that identifies a group of Eligibility Determination Groups (EDGs). Noncompliance with the PRA results in a sanction. 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. 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. Continued Benefits Continuing or restoring benefits to the level authorized immediately before the notice of adverse action. Assignable Time periods that are available to be used to schedule appointments using the Scheduling functional area. ), osteopathic medical physician (D.O. 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. Inmates of facilities that meet the definition of public institution are not eligible for Temporary Assistance for Needy Families (TANF) or Medicaid. Trafficking Victims Victims admitted under the Trafficking Victims Protection Act of 2000. Fast forward to 2023, and many companies in some cases spurred by massive government subsidies are taking big steps to diversify their supply chains, focusing on reliability and robustness over cost and efficiency. 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. Temporary Assistance for Needy Families (TANF) A child who meets the definition of deprivation and who lives with a relative who meets the relationship requirement. 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. reactivating an EDG without requiring a new application form. Subsistence Life supporting or survival. Examples of public institutions include county and city jails and Texas Department of Corrections prisons. Also, the act of trafficking in SNAP benefits. Payments: Indian Tribal Household A household in which at least one household member is recognized as a tribal member by any Indian tribe. Texas's EBT customer service number is 1-800-777-7328. Non-Immigrant An alien temporarily admitted to the U.S. for a purpose other than permanent residency, such as a religious worker or the fianc/fiance of a U.S. citizen. Alerts A functional area on a navigation bar that allows eligibility staff to request alerts and view outstanding and processed alerts. 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. Birth Verification System (BVS) The inquiry system includes birth records of people born in Texas. Underpayment Issuance of fewer benefits than an individual is entitled to receive. 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. 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. Unemployment benefits range from $69 per week to $521 per week. The site is secure. The Marketplace is also known as the Exchange, Health Insurance Marketplace, and Federally Facilitated Marketplace (FFM). Complete Review A re-evaluation of ongoing eligibility. past, present or future payment for the provision of health care to the person. A molar pregnancy is considered a normal pregnancy that terminates early because of miscarriage or abortion. Presumptive Eligibility (PE) Short-term Medicaid coverage provided to people determined potentially eligible for regular Medicaid by a qualified hospital or a qualified entity. Your unique Medicaid numberwill be displayed on the Texas Health and Human Services Commission's 'Your Texas Benefits' card. Essential Person The need for a particular member of a household to be in the home on a continuous basis because another member has a (certified) mental or physical impairment. Batch Scheduling Including an appointment date and time with eligibility staff within application packets mailed from the central mail facility. Migrant Farmworker in the Workstream Farmworkers who travel to work in agriculture or a related industry and who are presently employed away from their permanent residence or home base. 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. A transaction may also be pre-authorized by phone. If you don't know what type of Medicaid you have, call toll-free 800-964-2777. Correspondence The functional area in which system and user-generated notices and forms are processed and stored. Each state has its own rules about who's eligible, and what Medicaid covers. Canceled Debts Debts that have been canceled, forgiven, or discharged. Electronic Benefit Transfer (EBT) Issuance Staff An HHSC employee who issues and registers EBT cards for people in the local HHSC office. Manage your case usingthe Your Texas Benefitsapp on your phone. Self-Employed Health Insurance A federal income tax deduction for self-employed people paying for health insurance for themselves, their spouse, their tax dependents, or their child(ren) under 27. 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. Also covers medicines ordered by doctors and dentists. Sibling Brother or sister, including legally adopted and half-brothers and half-sisters. Modified Adjusted Gross Income (MAGI) Household Income The sum of every person's MAGI individual income within an applicants or recipients MAGI household composition, from which is subtracted the standard MAGI disregard. It must take place before the person receives a seventh warrant. 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. Marketplace The governmental entity that makes qualified health plans available to qualified people, qualified employers or both.