Revision 17-2; Effective April 1, 2017

 

The Texas Health and Human Services Commission (HHSC) must accommodate reasonable requests to receive communications by alternative means or at alternate locations.

The individual must specify in writing the alternate mailing address or means of contact and include a statement that using the home mailing address or normal means of contact could endanger the individual. The following forms allow individuals to provide a confidential mailing address and/or telephone number:

  • Form H1867/H1867-S, Healthy Texas Women Application Form;
  • Form H1867-R/H1867-RS, Healthy Texas Women Renewal;
  • Form H1871, HTW Client Turing 18 Years Old; and
  • Form H1872, HTW Opting Out and Reporting Confidential Address.

Staff must not provide any information regarding Healthy Texas Women (HTW) to anyone other than the certified household member or the parent/legal guardian of an HTW minor.

 

W—2410 Applications

Revision 17-2; Effective April 1, 2017

 

When a woman submits an HTW application and provides a mailing/confidential address, staff must determine if the current mailing address, if any, on the Texas Integrated Eligibility Redesign System (TIERS) is the same as the mailing/confidential address on the HTW application.

If the current mailing address is:

  • Different from the address provided on the HTW application or no case information exists in TIERS, enter the mailing/confidential address provided on the HTW application in the Issuance Address page for the HTW Eligibility Determination Group (EDG).
  • The same as the address provided on the HTW application, no action is required.

If the physical address is different on the HTW application than what is verified in TIERS, report the new address using current change processes for the other EDGs.

Related Policy
How to Report a Change, W-2110
Changes, B-600

 

W—2420 Renewals

Revision 17-2; Effective April 1, 2017

 

TIERS mails out Form H1867-R/H1867-RS, Healthy Texas Women Renewal, or Form H1831, Adjunctive Eligibility Letter, in the 10th month of the 12-month certification period. TIERS uses the Form TF0001, Notice of Case Action, address hierarchy when mailing these correspondences.

When staff receive Form H1867-R/H1867-RS or Form H1831, staff must determine if the individual has provided a new mailing/confidential address for the HTW EDG. Staff perform an inquiry in the Issuance Address page to determine if the mailing/confidential address has changed or was not entered.

Staff must also determine if the individual has a different mailing address for the HTW renewal than the other EDGs.

If the mailing/confidential address:

  • is different from the other EDGs, then enter the mailing/confidential address into the Issuance Address page for the HTW EDG;
  • is different from the Issuance Address page, enter the new mailing/confidential address into the Issuance Address page for the HTW EDG;
  • was never provided, enter the mailing/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 or the adjunctive eligibility letter than what is verified in TIERS, report the new address using current change processes for the other EDGs.

Related Policy
How to Report a Change, W-2110
Changes, B-600

 

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 17-2; Effective April 1, 2017

 

Follow the steps listed below to determine if a new case is needed when a woman applies for HTW. Perform an inquiry for every woman applying for HTW to determine if she is included in an existing EDG.

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 HTW 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 HTW application with the new case.

Because of the confidentiality issues with HTW, staff must correctly determine and create a separate case. Failure to correctly create a separate HTW case will cause TIERS to send Form TF001W, Notice of Case Action, to an incorrect address and include the HTW information on the notice.