Jury Duty Pay Taxable income received as compensation for jury duty. Court Awards Taxable money that a person receives as the result of a lawsuit, such as compensation for lost wages or punitive damages awards. Suspended Benefits The Eligibility Determination Group (EDG) is flagged to prevent the ongoing issuance of benefits until eligibility staff review the EDG. The system generates an alert when the SSA Benefit amount on file does not match the information on the BENDEX file. The: User-Generated Action generated directly by an individual's computer input. Normal Living Expense Items necessary for a Supplemental Nutrition Assistance Program (SNAP) household to carry on its normal daily activities. temporary quarters in another person's residence for 90 days or less. Cuban or Haitian Entrant Admitted under Section 501(e) of the Refugee Education Assistance Act of 1980. Overpayment The amount of benefits issued in excess of what should have been issued. After certification, the Office of Attorney General (OAG) sends the person the first $75 received on monthly child support collections. Excess Payment A payment sent to a TANF recipient by the Office of the Attorney General (OAG). Community Supervision The placement of a misdemeanor or felony offender under supervision for a specified length of time ordered by the court. 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. Change Action A data collection interview mode that allows eligibility staff to navigate to pages on which they want to update or record information. Noncompliance with the PRA results in a sanction. Time Limit The functional area where Temporary Assistance for Needy Families (TANF) state and federal time-limited months can be viewed. Children's Medicaid Medical coverage for children whose family income is under the applicable income limit. Copyright 2016-2023. Meal delivery services A non-profit establishment approved by Food and Nutrition Services (FNS) that prepares and delivers meals to elderly people or people who are housebound, have a physical handicap, or otherwise have a disability that prevents the person from adequately preparing all their meals. ITIN holders pay taxes. Questionable Management A household has questionable management when reported basic expenses exceed reported net income and resources. 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. or registered nurse (R.N.). In this system, patients go to their primary care physician to obtain other health services such as specialty medical care, surgery or physical therapy. there are other alternatives and options for the applicant instead of TANF benefits; an applicant should consider jobs and other resources (such as child support) before pursuing TANF; if an applicant chooses to apply for assistance, the person is requesting help finding a job; and. The User Guide includes information about numerous TIERS topics. Interview staff Eligibility staff responsible for interviewing applicants and recipients to establish program eligibility. Availability Period For TANF, the availability period is two fiscal years after the benefit was issued. 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. Office of Inspector General (OIG) A division of the Texas Health and Human Services Commission (HHSC) created by the 78th Texas Legislature, Regular Session, 2003, to prevent and reduce waste, abuse, and fraud within the Texas Health and Human Services system. 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. Quality Control The functional area that supports the state's approach to quality control and allows authorized staff to enter sample selection criteria. Examples include loan foreclosures and canceled credit card debt. Overrides always require Second Level Review before they can be disposed. Incidentals include such things as normal day-to-day transportation, phone, laundry, medical supplies not paid by Medicaid, home remedies, recreation, and household equipment. 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. 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. Initial Benefits Benefits issued for the first month of eligibility. 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. 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. Alternate Payee A person who receives the benefits for the EDG when people on the EDG are unable or ineligible to receive them. Health Savings Account A savings account for medical-related expenses that is available to taxpayers. Administrative Renewal The method used to redetermine eligibility for most Medical Programs, including Medicaid for the Elderly and People with Disabilities (MEPD) and the Childrens Health Insurance Program (CHIP). SDX information can be used as a source of verification and is available in the Texas Integrated Eligibility Redesign System (TIERS). Medical Programs that follow modified adjusted gross income (MAGI) rules, except Childrens Health Insurance Program (CHIP) perinatal Only one person is certified on the EDG. It is when a child lives with both legal parents and both parents are requesting and are eligible for coverage. The money contributed to these accounts is not subject to federal income tax at the time of deposit. Doctors and pharmacies use this number for billing. 4, Disqualified Members, unless that disqualification is due to not meeting citizenship requirements. 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. Non-Traditional Retailer A food retailer who operates in a farmer's market or as a roadside vendor. Educational Expenses/Student Loan Interest A federal income tax deduction for people paying interest on student loans or for people with education expenses such as tuition, fees, room and board, books and other supplies. In some interview modes, staff cannot advance to pages that have not yet been accessed as part of the driver flow. Your total base period wages are at least 37 times your weekly benefit amount. With an account, you will also be able to save your support service screening forms and check the status of any you have already filled out. You can still manage your benefits online.Once we review your application you will be able to see your information on Your Texas Benefits. 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. 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. You can buy individual coverage through: An insurance company or health maintenance organization (HMO) A licensed health insurance agent who has a relationship with one or more insurance companies ; Healthcare.gov, the online federal health insurance Marketplace ; The Plan Finder on Healthcare.gov for individuals and small businesses Complete Review A re-evaluation of ongoing eligibility. Adequate Notice A notice of adverse action that expires the same day it is sent. SeeCase Mode. intended to inflict emotional harm, including an act of emotional abuse. If you can't find it, call us at 800-777-7328. SeeBatch Scheduling. 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. Electronic Benefit Transfer (EBT) Card A plastic card called the Lone Star Card issued to primary and secondary cardholders that allows the cardholders access to the benefits in the EBT system. 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. Sibling Brother or sister, including legally adopted and half-brothers and half-sisters. 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. Fixed Income Unearned income that does not vary. 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. Medicaid Report (Form H1146) A form completed by a transitional Medicaid household in the fourth, seventh and tenth months of medical coverage to report earnings and household composition changes. Inquiry Refers to the functional area that allows users to view case, Eligibility Determination Group (EDG), and individual information. 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. past, present or future payment for the provision of health care to the person. Legally Obligated Child Support Court order or a legally recorded document requiring the payments of child support to be made in the form of cash, medical support, or to a third party. This information is used in the EDBC process to build Eligibility Determination Groups (EDGs) and determine eligibility for programs and types of assistance. Adverse Action Any HHSC action resulting in denial, suspension, reduction or termination of assistance. Representative Payee In Temporary Assistance for Needy Families (TANF), a person designated to receive and manage the household's benefits for someone who is incapacitated or incompetent. All system-generated correspondence is sent to pending correspondence, but it can be retrieved and printed locally. These databases contain information for individuals who are currently on assistance and for individuals who have applied for or received assistance in the past. Reshoring replaces offshoring. Second Chance Home An adult-supervised living arrangement that provides independent living services to teen mothers and their children. Traditional Medicaid 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. This category also includes Amerasians admitted under Section 584 of the Foreign Operations, Export Financing and Related Programs Appropriation Act of 1988. does not include a request for programs different from programs requested on the initial application ; does not include a request for programs different from programs currently received by the applicant; and. The driver flow is determined by the programs, types of assistance, and answers to questions as the case is worked. Each state has its own rules about who's eligible, and what Medicaid covers. Download it in the Google Play oriTunes App Store. Citizenship and Immigration Services (USCIS). Individual Retirement Account (IRA) Deduction A federal income tax deduction for people who contributed to a traditional IRA. 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. This process occurs without staff or specialist action. Workforce Innovation and Opportunity Act A federal program to streamline state workforce development systems combining job training, adult education and literacy, and vocational rehabilitation. Scheduling The functional area that manages eligibility appointments. Royalty A payment to a person for permitting another to use or market property. Hearing The functional area where individual appeals are recorded and tracked. The current Land Loans interest rate for Texas veterans is 6.95%. Be receiving disability-related assistance or benefits. Legal Parents Mother, by having given birth to the child, by proof of adoption, legal document or court adjudication or father, by proof of adoption, legal document, court adjudication or his acknowledgement of paternity. Instructions include not writing their PIN on the card sleeve or anything they carry in their purse or wallet, not revealing their PIN to anyone, or letting anyone use their card. This process occurs through a mass update and does not require action. Processing Time Frames Number of days eligibility staff must complete a particular action. 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. Staff also use the EBT system to perform such functions as inquiry, account transaction update to the vendor database and, in certain very restricted situations, priority SNAP benefit authorization. For example, those with incomes over $200,000 had an average refund of $3,239 while those with incomes under $50,000 had an . See, is a member of a Supplemental Nutrition Assistance Program [SNAP] Eligibility Determination Group [EDG] where a household member is under 18; or. HHSC The Texas Health and Human Services Commission. Failure to report a required Texas Health and Human Services Commission (HHSC) program change in conjunction with one or more of these acts may be considered a basis to commit fraud. Refugee A person admitted to the U.S. under Section 207 of the INA. reinstating Transitional Medicaid Assistance (TMA); and. 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. ITIN holders are not eligible for all of the tax benefits and public benefits that U.S. citizens and other taxpayers can receive. Available at reasonable cost is usually defined as being available through the employer. Able Bodied Adult Without Dependents (ABAWD) A person, 18 through 50 who: The ABAWD age criteria begins the month after the person turns 18 and ends the month the person turns 50. 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). Falsified Interview An interview with agency personnel at which time the individual does not report all current income or accurate circumstances. The 5% down payment is subject to credit approval. The sleeve stores the card and protects the magnetic strip from being damaged by scratches. 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. 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. These issuances are available to the person the same day the Eligibility Determination Group (EDG) is disposed. You have already answered the required questions.If you want to start the questions over, go back to the home page of Your Texas Benefits. Special Immigrant Iraqi and Afghan (SIV) A special immigrant status under 101(a)(27) of the INA may be granted to Iraqi and Afghan people who have worked on behalf of the U.S. government in Iraq or Afghanistan. To exit from this workflow, click on Exit. 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. State and federal government websites often end in .gov. Eligibility Determination Group (EDG) Members of a household whose needs, resources, income and deductions are considered in determining eligibility for benefits. Mastectomy surgery is a significant life event for many people. Periodic Income Check (PIC) The process to determine whether electronic data indicates that there has been a change in the Modified Adjusted Gross Income (MAGI) household income that could make the recipient ineligible for certain Medical Programs. Alternative Benefit Plan Eligibility; . Sufficient Employment Job earnings, other than seasonal work such as migrant or seasonal farm work, that would result in Temporary Assistance for Needy Families (TANF) ineligibility without including the 90 percent earned income disregard . 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. 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. Unearned Income Payments received without performing work-related activities, including benefits from other programs. See Alternate Payee. Low Income Home Energy Assistance Program (LIHEAP) The federal program that funds assistance for energy costs for low-income households. Note: A licensed vocational nurse or licensed practical nurse does not meet the definition of practitioner. Three Months Prior The three-month period before the Medicaid application month.
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