W-2400, Confidentiality
Revision 21-3; Effective July 1, 2021
The Texas Health and Human Services Commission (HHSC) must accommodate reasonable requests to receive communications by alternative means or at alternate locations.
The person must specify in writing the alternate mailing address or means of contact. They must include a statement that using the home mailing address or normal means of contact could endanger them. Medicaid applications and renewal forms and the forms listed below allow women to provide a confidential mailing address and phone number for their Healthy Texas Women (HTW) Eligibility Determination Group (EDG):
- Form H1871, HTW Client Turing 18 Years Old; and
- Form H1872, HTW Opting Out and Reporting Confidential Address.
Do not provide any information regarding Healthy Texas Women (HTW) to anyone other than the certified household member, the authorized representative (AR) of an HTW certified woman, or the parent or legal guardian of an HTW minor.
Related Policy
Authorized Representatives (AR), A-170
W-2410, Applications
Revision 21-3; Effective July 1, 2021
If there is a current mailing address in the Texas Integrated Eligibility Redesign System (TIERS), determine if it is the same as the mailing or confidential address on the woman’s application.
| If ... | then ... |
|---|---|
| the current mailing address is different from the address provided on the HTW application or no case information exists in TIERS | enter the mailing or confidential address provided on the HTW application in the Issuance Address LUW for the HTW EDG. |
| the current mailing address is the same as the address provided on the HTW application | no action is required. |
If the physical address is different on the application than what is verified in TIERS, report the new address using current change processes for the other EDGs.
Related Policy
W-2420 Renewals
Revision 21-3; Effective July 1, 2021
TIERS mails out the HTW renewal application in the 9th month of the 12-month certification period. TIERS uses the Form TF0001, Notice of Case Action, address hierarchy when mailing this correspondence.
Determine if the HTW recipient has provided a new mailing or confidential address for the HTW EDG on their HTW renewal application. Perform an inquiry in the Issuance Address page to determine if the mailing or confidential address has changed or was not entered.
Determine if the person has a different mailing address for the HTW renewal than their other EDGs.
If the mailing or confidential address:
- is different from their other EDGs, then enter the mailing or confidential address into the Issuance Address page for the HTW EDG;
- is different from the Issuance Address page, enter the new mailing or confidential address into the Issuance Address page for the HTW EDG;
- was never provided, enter the mailing or confidential address into the Issuance Address page; and
- is the same as the current mailing address for the other EDGs, no action is required.
If the physical address is different on the HTW renewal packet than what is verified in TIERS, report the new address using current change processes for the other EDGs.
Related Policy
Medical Program Administrative Renewals, B-122.4
Changes, B-600
How to Report a Change, W-2110
W-2430, Telephone Numbers
Revision 17-2; Effective April 1, 2017
Staff must determine if the telephone number provided by the HTW applicant is different than what was provided for the other EDGs.
If the telephone number is different, document the following in the case comments:
Use (insert telephone number) when contacting the individual regarding HTW EDG information.
W-2440, Creating Separate Cases
Revision 21-3; Effective July 1, 2021
Determine if a new case is needed when a woman is tested for HTW eligibility.
| If the applicant … | and … | then … |
|---|---|---|
| does not have an existing HTW EDG, | she or her spouse (or non-spouse with mutual children in the budget group) is the case name on an existing case, | associate her application with that case. |
| does not have an existing HTW EDG, | she is included in an EDG in someone else’s case such as her mother, father, non-spouse with no mutual children, etc., | create a new case for her and associate the application with the new case. |