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During this step, information from electronic data sources is automatically requested and a reasonable compatibility test is run. These databases contain information for individuals who are currently on assistance and for individuals who have applied for or received assistance in the past. Pick numbers that are easy for you to remember, but hard for others to guess. 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. Four Months Post-Medical Medicaid coverage extended for a maximum of four months after denial of a case because of spousal support income. Electronic Benefit Transfer (EBT) Issuance Staff An HHSC employee who issues and registers EBT cards for people in the local HHSC office. 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. 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. Eligibility Determination Group (EDG) Members of a household whose needs, resources, income and deductions are considered in determining eligibility for benefits. 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. the value of in-kind assistance provided by the sponsor or others. Card Sleeve A durable paper envelope folded to the dimensions of the plastic EBT card. Eligibility The functional area that supports Eligibility Determination Benefit Calculation (EDBC). Child Support A payment made from a biological or adoptive parent to a biological or adoptive child. hold out to the public that they are a married couple. Seecase modeandinterview mode. The site is secure. 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. Modified Adjusted Gross Income (MAGI) The rules used to determine financial eligibility for certain Medical Programs that are based on Internal Revenue Service (IRS) tax rules. Residents of a publicly operated community residence are potentially eligible for Temporary Assistance for Needy Families (TANF) and Medicaid. You need to pass a few authentication questions. This is done by intentionally reselling the product purchased with SNAP benefits in exchange for cash or consideration other than eligible food. File Clearance compares the individual's demographic information against databases for potential matches. Spend Down The amount of excess income that the applicant must deplete with incurred medical bills before being certified as medically needy. This includes falsifying a document or a statement, or providing false information in an interview, with the intent to commit fraud. Trade Adjustment Assistance Act Program (TAAP) A program for workers displaced by foreign workers. Tip Income Income earned along with wages paid by patrons to people employed in service-related occupations. Jury Duty Pay Taxable income received as compensation for jury duty. Modified Adjusted Gross Income (MAGI) Household Size The number of people in an applicants or recipients MAGI household composition, including the number of unborn children, if applicable. Children's Medicaid Medical coverage for children whose family income is under the applicable income limit. Your case number is a 10-digit number that HHSC uses to bundle and process benefits you receive through their agency. 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. The notices and forms processed in this functional area are also called correspondence and linked to a specific case. Complete Review A re-evaluation of ongoing eligibility. Personal Identification Number (PIN) A four-digit numeric code assigned to each cardholder and used to control access to the person's account. Report Date The date information is reported to the Texas Health and Human Services Commission (HHSC). Falsified Statement A statement made by an individual, orally or in writing, that is not true, such as claiming to have been without worksince a certain date,when the individual was employed during that time period. Court Awards Taxable money that a person receives as the result of a lawsuit, such as compensation for lost wages or punitive damages awards. A transaction may also be pre-authorized by phone. 401(k) A retirement plan allowing an employee to postpone receiving a portion of current income until retirement. 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. 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. Management The way in which a household pays its expenses with available income. Emancipated Minor A person 17 and under who has been married. some eligible members receive TANF or RCA, and all other eligible members receive Supplemental Security Income (SSI), including SSI essential persons. Managed care includes the health maintenance organization (HMO) model. collects information from throughout the Texas Integrated Eligibility Redesign System (TIERS); and. Judicial Review A review of the fair hearing decision by a district court in Travis County to determine whether the agency decision is correct. 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. Trafficking Victims Victims admitted under the Trafficking Victims Protection Act of 2000. 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. Driver Flow The logical sequence of data collection pages that appear as a case is completed or read. 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. Bona Fide Agent A person who is familiar with an applicant and knowledgeable of the person's financial affairs. Or send an e-mail to: mail@dhs.state.tx.us. 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. 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. Interview Mode A designation in TIERS Data Collection that queues the driver flow through appropriate pages according to the type of action. 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. SeeInterview ModeandCase Mode. Parents and Caretaker Relatives Emergency (TA 31), Medically Needy with Spend Down Emergency (TP 32). Alerts A functional area on a navigation bar that allows eligibility staff to request alerts and view outstanding and processed alerts. To exit from this workflow, click on Exit. 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. Standard Medical Expense A $137 deduction applied to a Supplemental Nutrition Assistance Program (SNAP) budget. HHSC The Texas Health and Human Services Commission. Health Insurance Premium Payment (HIPP) A reimbursement program administered by the Texas Health and Human Services Commissions (HHSCs) Third-Party Resource Unit, which pays for the cost of premiums, coinsurance, and deductibles. Alternative Benefit Plan Eligibility; . To start a new session, you must close the browser window. perform initial self-screening to check for potential eligibility; view general benefit program information. Deductible Part of Self-Employment Tax A federal income tax deduction for self-employed people paying self-employment taxes. Recoupment Withholding part of a person's current benefit because of a previous overpayment. The EDG includes members who are eligible and may include members who are not certified for benefits. Quality Control The functional area that supports the state's approach to quality control and allows authorized staff to enter sample selection criteria. The user name or password is incorrect. Recognizable Needs The maximum needs amount allowed by the Texas Health and Human Services Commission (HHSC) when determining eligibility. Cost-Sharing Reductions Federal payments toward out-of-pocket costs made for an eligible person enrolled in a qualified health plan (QHP) through the Marketplace. Each reprint of an original has the same Correspondence ID as the original. Absent Parent A child's parent who is not living in the home. The canceled amount is included as countable income on federal income tax returns. The newborn Medicaid coverage can continue through the month of the child's first birthday if the child continues to live in Texas. Suspended Benefits The Eligibility Determination Group (EDG) is flagged to prevent the ongoing issuance of benefits until eligibility staff review the EDG. This process occurs without staff action. A household member may be charged with an IPV even if the person has not actually received benefits to which they are not entitled. Certified Group The members in an Eligibility Determination Group (EDG) who are eligible for a given program. Some people qualify for both Medicare and Medicaid. General Residential Operations Facility Residential care facilities that provide a live-in house parent model of care for children under their care. Explore health plans for you and your family, including short-term gap coverage and more. These plans are offered through the Health Insurance Marketplace, or the Exchange, where individuals can research, compare, and purchase health plans. SeeDetail Page. Incidentals include such things as normal day-to-day transportation, phone, laundry, medical supplies not paid by Medicaid, home remedies, recreation, and household equipment. The Marketplace is also known as the Exchange, Health Insurance Marketplace, and Federally Facilitated Marketplace (FFM). The Texas Workforce Commission (TWC) administers unemployment benefits, which provide temporary relief for eligible Texans who find themselves out of work or dealing with severely reduced work hours. Canceled Debts Debts that have been canceled, forgiven, or discharged. The sleeve stores the card and protects the magnetic strip from being damaged by scratches. Type of Assistance (TOA) The specific aid for one or more people in an Eligibility Determination Group (EDG). EDGs denied because of new or increased spousal support income will receive a maximum of four months of coverage. Answer some basic questions in our prescreening tool to find which benefits and support services you might be able to get. processeligibility determinations for multiple programs based on data provided through direct input and interfaces with other systems; assistusers in monitoring and managing workload; and.

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