Revision 17-2; Effective April 1, 2017

 

 

W—2110 How to Report a Change

Revision 17-2; Effective April 1, 2017

 

Healthy Texas Women (HTW) individuals can report changes:

  • via YourTexasBenefits.com;
  • via Your Texas Benefits Mobile App;
  • by calling or visiting a local Texas Health and Human Services Commission (HHSC) Benefits Office;
  • in writing, by mail or fax;
  • by completing Form H1019, Report of Change, or Form H1019-W, HTW Report of Change, and mailing or faxing the form to a local HHSC Benefits Office; or
  • by calling 2-1-1.

Note: When a change is reported by calling 2-1-1, staff must verify that the person speaking has the authority to report a change.

A woman is continuously eligible for HTW for 12 months or through the month of her 45th birthday, whichever is earlier.

Report the following changes:

  • an individual's change of address;
  • death of the individual;
  • voluntary withdrawal of the individual;
  • an individual's receipt of creditable health coverage; or
  • if the individual moves out of Texas.

Process all other changes, including the report of creditable health coverage and agency-generated changes, at the next renewal.

Exception: If the applicant/individual failed to report required information at the time of the application that causes the applicant/individual to be ineligible for HTW, advisors must deny the case.

 

W—2111 Changes Received via Telephone

Revision 17-2; Effective April 1, 2017

 

When an individual reports a change by telephone that includes a HTW Eligibility Determination Group (EDG) in the case, staff must verify that the person reporting the change is the HTW applicant/recipient, or for HTW minor recipients, the parent or legal guardian, before discussing any information regarding the HTW EDG.

If the individual is the HTW applicant/recipient or parent/legal guardian, ask the individual which EDGs the change pertains to – all EDGs including HTW, all EDGs excluding HTW or only HTW, and take the appropriate action.

If the individual is not the HTW applicant/recipient or parent/legal guardian, do not discuss the HTW EDG information with this person; only discuss the information regarding the other EDGs.

If the change is a mailing address change for only the HTW EDG, enter the mailing/confidential address into the Issuance Address page for the HTW EDG. Do not enter the new mailing address in the Address page, as this will change the Case Level Address for all of the other EDGs.

 

W—2112 Changes Received via Mail

Revision 17-2; Effective April 1, 2017

 

When an individual reports a change by mail and there is an HTW EDG in the case, staff must determine if the change pertains to all EDGs, including HTW, all EDGs excluding HTW or only HTW.

If the written change:

  • does not specifically state that the mailing address change is for only the HTW EDG, only take action on the appropriate EDGs, excluding the HTW EDG;
  • specifically states the change is for only the HTW EDG, only make changes to the HTW EDG and no other EDGs; or
  • specifically states the change is for all EDGs including the HTW, take action on all EDGs as stated by the HTW recipient.

Note: The written report of change must specifically state the name of the person reporting the change to process an HTW change. Compare the name provided to the HTW recipient, or parent/legal guardian for HTW minors. If this person is not the HTW recipient or parent/legal guardian, do not change the mailing/confidential address for the HTW EDG.

 

W—2113 Changes Received at a Local HHSC Benefits Office

Revision 17-2; Effective April 1, 2017

 

If an individual visits a local eligibility office, staff must determine the person is the HTW applicant/recipient or parent/legal guardian of an HTW minor.

If the individual is the HTW applicant/recipient or parent/legal guardian, ask the individual which EDGs the change pertains to – all EDGs including HTW, all EDGs excluding HTW or only HTW, and take the appropriate action.

If the individual is not the HTW applicant/recipient or parent/legal guardian, do not discuss the HTW EDG information with this person; only discuss the information regarding the other EDGs.

 

W—2120 Action on Changes

Revision 15-4; Effective October 1, 2015

 

If an individual reports a change or the advisor receives an agency-generated change during the 12-month continuous eligibility period and has:

  • No associated EDG, document the change and handle at renewal, unless it is a change of address, the certified woman dies, a voluntary withdrawal, or the individual moves out of Texas.
  • An associated EDG, document the change and handle at renewal unless it is a change of address, the certified woman dies, a voluntary withdrawal, or the individual moves out of Texas. Process the change for an associated EDG using current process.
  • A change of address, mail the individual Form H0025, HHSC Application for Voter Registration, to register to vote based on the new address. If the individual contacts the local eligibility office or 2-1-1 to decline the opportunity to register to vote after receipt of Form H0025, mail Form H1350, Opportunity to Register to Vote, to the individual for a signature. File Form H1350 in the case record when the individual returns the form and retain the form for at least 22 months.

Related Policy
Registering to Vote, A-1521

 

W—2130 Determining Whether New Income Information Is a Reported Change

Revision 17-2; Effective April 1, 2017

 

When an advisor processes a HTW application/renewal during a Temporary Assistance for Needy Families (TANF)/Medicaid/Supplemental Nutrition Assistance Program (SNAP) certification period and a household member's source of income currently budgeted on another active EDG has not changed, the advisor must determine whether the member is reporting a change in income. To do this, the advisor determines if the income verification the applicant provided with the HTW application/renewal is:

  • a more recent payment than previously verified; and
  • within the range of payments previously verified that are currently used in the budget for the associated active case(s), whether the individual provides only one or more than one payment.

If a change is reported during the HTW application/renewal, the advisor processing the HTW EDG must take action on the associated TANF/Medicaid/SNAP EDG. The file date is considered the report date for purposes of determining the effective date of the change. The date the advisor works the HTW EDG and becomes aware of the change is day zero for purposes of taking action on the change for the associated EDG. The individual must provide any requested verification by the due date on Form H1020, Request for Information or Action, to be considered timely verification.

For more information, see policy in B-623.1, Determining Whether New Income Information Is a Reported Change.