OPTION 2: Start an Application Online You can start the application process online. If you already get SNAP benefits, you will not be eligible for Disaster SNAP. The program reimburses the policy holder for private health insurance payroll deductions for Medicaid-eligible persons when HHSC determines that it is cost-effective. Qualified expenses include purchased books, supplies, equipment and other classroom materials. See Cascade Logic. It is used to apply cascade logic by reforming EDGs until establishing eligibility. is the guardian of a victim of a violent crime. It gives Supplemental Security Income (SSI) and Medicaid information on Texas Health and Human Services Commission (HHSC) people. Medicaid Card An identification card issued to people determined eligible for Medicaid that verifies Medicaid coverage. 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. Apply online and make a Your Texas Benefitsaccount so you can start, save and go backto your online application at any time. Medical Support Health insurance that absent parents will be ordered to obtain for their children who receive Medicaid when it is available at reasonable cost. TANF-State Program (SP) A child who lives with both parents, or a parent and stepparent, and both parents and stepparent (if included in the certified group) receive TANF benefits. Electronic Benefit Transfer (EBT) System A system HHSC staff with security access use to issue and replace Lone Star Cards. For your convenience, the Help Center will open in a new window. Find Texas health insurance options at many price points. The Marketplace in Texas is operated by the U.S. Department of Health and Human Services. Supplemental Nutrition Assistance Program (SNAP) applicants and individuals in these counties are not subject to SNAP federal time limits because of the job market. Be receiving disability-related assistance or benefits. Qualified entities that are also Breast and Cervical Cancer Services (BCCS) contractors with the DSHS may make presumptive eligibility determinations for Medicaid for Breast and Cervical Cancer (MBCC) applicants. For non-federal governmental group health plans and church plans that are group health plans, Blue Cross and Blue Shield of Texas at 1-888-907-7880 or www.bcbstx.com or contact the Texas Department of Insurance, Consumer Protection at 1-800-252-3439 or That means bringing some manufacturing back home, or "reshoring" and moving some of it . 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. Apply for TANF. Answer some basic questions in our prescreening tool to find which benefits and support services you might be able to get. Those who see several doctors each month and make questionable visits to hospital emergency rooms are limited to seeing one doctor or using one pharmacy for a minimum of six months. 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. Your case visibility account has been disabled because of inactivity. It is used to issue Electronic Benefit Transfer (EBT) cards and replacements. Eligibility Determination Benefit Calculation (EDBC) The process of applying program policy to household, non-financial, resource, income and deduction information entered in the Data Collection functional area. Self-Employment Income Earned or unearned income available from one's business, trade or profession rather than from an employer. Good Cause A term used to indicate that a person has an acceptable reason for not complying with a program requirement. They are also subject to disciplinary action from the Texas Health and Human Services Commission (HHSC). Third-Party Resource A source of payment of medical expenses other than the recipient or the Texas Health and Human Services Commission (HHSC). Unreimbursed Assistance Money paid in prior months in the form of public assistance under the Title IV-A program (that is, under the current Temporary Assistance for Needy Families [TANF] program or the former Aid to Families with Dependent Children [AFDC] program) that has not yet been recovered from collections that are applied to assigned arrears. A petition for judicial review must be filed by the appellant in a district court in Travis County within 30 calendar days after the date the administrative decision is issued. 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. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. Eligibility Determination Group (EDG) Members of a household whose needs, resources, income and deductions are considered in determining eligibility for benefits. Child support may be: Child Support Disregard The first $75 of the total child support collected in a month that is subtracted before determining TANF eligibility or benefits. Social Security Number A unique nine-digit number assigned to a person by the Social Security Administration (SSA). Be ready to answer questions abouteveryone applying such as: Check the status of your benefits ormanage your benefits. Overrides always require Second Level Review before they can be disposed. Electronic Benefit Transfer (EBT) Account A benefit account established by the EBT system where HHSC deposits the household's benefits. The goal of ESP is to prepare recipients for employment and help them find and keep a job. Canceled Debts Debts that have been canceled, forgiven, or discharged. past, present or future physical, mental health condition of the person; provision of health care to the person; or. the value of in-kind assistance provided by the sponsor or others. Permissible Purpose A federal requirement that allows staff to legally request a credit report from the Data Broker system for the sole purpose of determining eligibility. Disqualified Person Someone who is normally considered a participating member of a household but whose needs are not considered because they failed to meet or comply with a program requirement. Purchasing a product with SNAP benefits with a container requiring a return deposit. Sanction Either a disqualification or a penalty applied to a case or program because a person failed to follow a program requirement. Authorization Code A code that identifies a retailer as a Food and Nutrition Service (FNS)-participating store. The person's must have no vested interest in the household's situation. SeeBatch Scheduling. This information is used in the EDBC process to build Eligibility Determination Groups (EDGs) and determine eligibility for programs and types of assistance. Cardholders Persons authorized to use the Lone Star Card to access benefits in the household's Electronic Benefit Transfer (EBT) account(s). Non-Traditional Retailer A food retailer who operates in a farmer's market or as a roadside vendor. See Permissible Purpose. able to apply for Medicaid on the child's own behalf; or. The employer does not match the money contributed by the employee until the defined period of time ends. Your application visibility account has been disabled because of inactivity. Ongoing Benefits Benefits issued for months after the initial benefit month. The notice contains programmed information based on the program, type of assistance, and eligibility result. 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. HHSC The Texas Health and Human Services Commission. Combat Pay Supplemental incentive payments for hazardous duty and special pay for duty subject to hostile fire or imminent danger. A household may designate a secondary cardholder who has a Lone Star Card and access to the household's Electronic Benefit Transfer (EBT) account. The amount the employer pays is counted as part of the person's gross income. This process occurs without staff action. 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. temporary quarters in another person's residence for 90 days or less. The User Guide includes information about numerous TIERS topics. You'll get an email or text when there'sa form or notice available online in yourMessage Center. ITIN holders pay taxes. 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. Battered Alien A battered spouse, battered child or parent, or child of a battered person with a pending petition with the U.S. Restored Benefits Full or partial months of benefits for a past month that are owed to a household due to an agency error. Manage Office Resources (MOR) The functional area that supports the administrative structure in the Texas Integrated Eligibility Redesign System (TIERS) and relationships between regional offices and their local offices, units, and employees. The final digit of your SNAP EDG (Eligibility Determination Group) number indicates the day on which you will receive benefits. Excluded Provider A Medicaid provider who is not allowed to continue participating in the Texas Medicaid program for a period of time because of fraud conviction, program abuse and other reasons. The money contributed to these accounts is not subject to federal income tax at the time of deposit. The Food and Nutrition Act of 2008 limits eligibility for SNAP benefits to U.S. citizens and certain lawfully present non-citizens. 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. 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. These people must have parental consent or court permission. lives with another person and they represent themselves to the community as married. State and federal government websites often end in .gov. placing the patient's health in serious jeopardy; seriously impairing the patient's bodily functions; or. 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. Also formally known as (adult) probation. Suspended Benefits The Eligibility Determination Group (EDG) is flagged to prevent the ongoing issuance of benefits until eligibility staff review the EDG. These households may bypass the income and resources tests and are deemed financially eligible. Children's Medicaid Medical coverage for children whose family income is under the applicable income limit. Personal Identification Number (PIN) A four-digit numeric code assigned to each cardholder and used to control access to the person's account. Vendor Payment Payment made directly to the individual's creditor or person providing the service by a person or organization outside the household. A same-sex marriage that occurred on or after June 26, 2015, is considered valid on the date it occurred. 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. past, present or future payment for the provision of health care to the person. Pending Correspondence Forms or notices that have been generated on a case and are waiting to be processed in batch. Sentences are served in the community rather than in jail or prison. Bona Fide Agent A person who is familiar with an applicant and knowledgeable of the person's financial affairs. Cuban or Haitian Entrant Admitted under Section 501(e) of the Refugee Education Assistance Act of 1980. Waiver Counties Texas counties with an unemployment rate over 10 percent. Alimony Paid Payments to a spouse or former spouse under a divorce or separation decree. Note:See Publicly Operated Community Residence for additional information about a public facility not considered to be a public institution. Note: A licensed vocational nurse or licensed practical nurse does not meet the definition of practitioner. The mortgage company uses money in the account to pay annual property taxes, home insurance premiums and sometimes homeowner association fees on behalf of the homeowner.

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