Revision 12-1; Effective January 1, 2012
C—210 TANF Codes
Revision 08-1; Effective January 1, 2008
C—211 Opening Codes
Revision 02-3; Effective April 1, 2002
TANF
Select a code for the occurrence during the six months prior to certification that is the primary reason the household needs Temporary Assistance for Needy Families (TANF). Use these codes only in Item 132 on Form H1000-A, Notice of Application.
| 024 |
Period of Lump Sum Ineligibility Shortened Use this code to open a case previously denied because of a lump sum if the household becomes eligible because its period of ineligibility is shortened. |
|---|
Earnings Lost or Reduced in the Last Six Months Because ...
| 025 |
Father Incapacitated Earnings of the father in the home have terminated or decreased because of his illness, injury, or impairment. The onset of the disability may have occurred prior to the last six months. The disabled father must be in the home unless he is receiving medical treatment out of the home. |
|---|---|
| 026 |
Mother Incapacitated Earnings of the mother in the home have terminated or decreased because of her illness, injury, or impairment. |
| 027 |
Other Caretaker Incapacitated Earnings of the children's caretaker in the home, other than the father or mother, have terminated or decreased because of the caretaker's illness, injury, or impairment. Use this code if the caretaker had been supporting the children before the loss of or decrease in earnings. |
| 028 |
Father Laid Off Earnings of the children's father in the home have terminated or decreased because he has been laid off or discharged from his job or discontinued his self-employment. |
| 029 |
Mother Laid Off Earnings of the children's mother in the home have terminated or decreased because she has been laid off or discharged from her job, or discontinued her self-employment. |
| 030 |
Other Caretaker Laid Off Earnings of the children'scaretaker in the home, other than the children's mother or father, have terminated or decreased because the caretaker has been laid off or discharged from a job, or discontinued self-employment. Use only if the caretaker had been supporting the children before the loss or decrease in earnings. |
Support from the Caretaker Lost or Reduced in the Last Six Months Because the Caretaker ...
| 031 |
Died Use to indicate death of the caretaker who supported the children during the six months prior to death. |
|---|---|
| 032 |
Left Home Use if the caretaker supported the children during the six months prior to leaving and has not provided sufficient support since leaving. |
| 033 |
Was Incarcerated Use if the caretaker supported the children during the six months prior to incarceration. |
Support from Person in the Home Other Than Father, Mother, or Other Caretaker Was Lost or Reduced in the Last Six Months Because the Person ...
| 034 |
Died Use to indicate death of the person who supported the children during the six months prior to death. |
|---|---|
| 035 |
Left Use if the person supported the children during the six months prior to leaving and has not provided sufficient support since leaving. |
| 036 |
Is Incapacitated Use if the person is unable to continue supporting the children because of the person's disability. |
| 037 |
Is Laid Off Use if the person is unable to continue supporting the children because of a change in employment status. |
Support from Person Outside the Home Lost or Reduced in the Last Six Months Because ...
| 039 |
Absent Father Discontinued or Reduced the Children's Support Payments Use if the children's father has been absent for the past six months; if father left home in the past six months, use code 032. |
|---|---|
| 040 |
Another Person Discontinued or Reduced the Children's Support Payments Use if someone outside the home other than the children'sfather stopped or reduced the children's support payments. |
Other Income Lost or Reduced in the Last Six Months Because ...
| 041 |
TANF Father, Mother, or Other TANF Caretaker Lost or had a Reduction in Income Not Listed in Codes 025-040 Examples of income include RSDI; allowance, pension, or other payment connected with military service; unemployment benefits; workers' compensation; and rental income. Do not include the loss of any income based on need. |
|---|
Depletion of the Family's Assets in the Last Six Months Because of ...
| 042 |
Medical Care Cost Medical care cost includes all items for medical or remedial care, including care in nursing facilities. |
|---|---|
| 043 |
Other Living Costs These costs do not include medical care costs. |
| 044 |
Other Material Change Examples of circumstances include loss of investments through business failure or loss of home or other buildings by fire. Do not use if the assets produced income that provided full or partial support. Use code 041, loss of or reduction in other income. Use if the household was previously certified under the real property exemption based on good faith effort to sell, and the family sold the property or it is no longer accessible. |
No Change in Income or Resources During the Last Six Months. The Only Change in the Last Six Months Is ...
| 046 |
Increased Need or Other Budget Items A change in household composition or living arrangements resulted in increased needs for the TANF family. |
|---|---|
| 047 |
No Proration of Benefits TP 01, use this code when certifying
When used,
|
No Change in Income or Resources During the Last Six Months. The Only Change in the Last Six Months Is ...
| 049 | The Applicant Met the Eligibility Requirement for Residence |
|---|---|
| 050 | The Applicant Met the Eligibility Requirement for Citizenship |
| 052 | The Applicant Met Another Technical Eligibility Requirement |
| 053 | The Applicant Applied for Assistance |
| 056 |
A Change That Cannot Be Related to Codes 045-053 Example is the departure of an unemployed caretaker who has not provided support. |
Administrative Opening Codes
| 054 |
Post (Child Support) or Transitional Medicaid Reinstatement Use to reinstate a denied
|
|---|---|
| 055 |
Denied in Error Use to reopen a case or application that was denied by mistake. |
| 057 |
Medicaid Administrative Opening Code Use to open a
When the TP 01 or TP 61 case on hold was denied, instead of transferred, in order to prevent the automated systems from counting a month(s) toward anindividual's time limit. "Person(s) meet Medicaid eligibility requirements." "Persona(s) llena los requisitos de elegibilidad de Medicaid." For TPs 07, 29, and 37, also include the following message: "While receiving transitional Medicaid, you must report to HHSC within 10 days after you move and after anyone moves in or out of your household." "Mientras reciba Medicaid de transición, tiene que avisar a la HHSC dentro de los 10 días de su cambio de case o del cambio del número de personas de su casa." |
C—212 Denial Codes
Revision 12-1; Effective January 1, 2012
TANF
Reasons for denying cases and applications are classified into three groups:
- ineligibility because of death of a member;
- need; and
- miscellaneous reasons.
Select the code reflecting the primary reason for denial. If a reason related to need and another reason occur at the same time, use the need code. Enter in Item 132 of Form H1000-A, Notice of Application, and Form H1000-B, Record of Case Action.
Death (058-059)
| 058 |
Death of Caretaker No Notice. |
|---|---|
| 059 |
Death of Child – A-500, Age/Relationship "You no longer have children in your home who are eligible for assistance." "Ya no hay niños en su casa que califican para asistencia." |
Need (060-075)
| 060 |
Earnings of Father, Legal or Stepfather — A-1323.5, Wages, Salaries, Commission and Tips Use for applications and ongoing cases that are not eligible for post-medical coverage. "Earnings of father meet needs that can be recognized by this agency." "El padre gana suficiente para cubrir las necesidades reconocidas por esta agencia." |
|---|---|
| 061 |
Earnings of Mother, Legal or Stepmother — A-1323.5, Wages, Salaries, Commission and Tips Use for applications and ongoing cases that are not eligible for post-medical coverage. "Earnings of mother meet needs that can be recognized by this agency." "La madre gana suficiente para cubrir las necesidades reconocidas por esta agencia." |
| 062 |
Earnings of TANF Child – A-1323.1, Children's Earned Income Use for applications and ongoing cases that are not eligible for post-medical coverage. "Earnings of child meet needs that can be recognized by this agency." "Su hijo/hija gana suficiente para cubrir las necesidades reconocidas por esta agencia." |
| 063 |
Earnings of Non-Parent Caretaker — A-1323.5, Wages, Salaries, Commission and Tips Use for applications and ongoing cases that are not eligible for post-medical coverage. "Earnings of other person in your home meet needs that can be recognized by this agency." "Una persona que vive en su casa gana suficiente para cubrir las necesidades reconocidas por esta agencia." |
| 064 |
Support from Absent Father — A-1326.1, Cash Gifts and Contributions; A-1326.2, Child Support; A-1334, Vendor Payments (See chart in C-241, TANF and Medical Programs Chart, for appropriate reference codes.) "Income from children's father who is outside the home meets needs that can be recognized by this agency." "El padre que no vive en la misma casa manda suficiente dinero para cubrir las necesidades reconocidas por esta agencia." |
| 065 |
Pursuit of Texas Works Activities — A-1527, The Texas Works Message "You have chosen to pursue employment opportunities and/or save your time-limited benefits for another time." "Usted decidió buscar empleo y/o usar sus beneficios de tiempo limitado en ortra occasión." |
| 066 |
Support from Other Person Outside the Home, Including Mother — A-1326.2, Child Support; A-1334, Vendor Payments (See chart in C-241, TANF and Medical Programs Chart, for appropriate reference codes.) "Income available to you from a person outside the home meets needs that can be recognized by this agency." "El dinero que recibe de un pariente fuera de su casa es suficiente para cubrir las necesidades reconocidas por esta agencia." |
| 067 |
RSDI — A-1324.15, Retirement, Survivors, and Disability Insurance(RSDI) "Income available to you from social security benefit meets needs that can be recognized by this agency." "El cheque que usted recibe ahora, o va a recibir, del seguro social es suficiente para cubrir las necesidades reconocidas por esta agencia." |
| 068 |
Other Federal Benefits — A-1324.19, Veterans Benefits "Income available to you from federal benefit or pension meets needs that can be recognized by this agency." "El dinero que usted recibe ahora de beneficios o pensiones federales es suficiente para cubrir las necesidades reconocidas por esta agencia." |
| 069 |
State and Local Benefits — A-1326.9, Pensions; A-1324.18, Unemployment Compensation; A-1321.4, Workers Compensation(See chart in C-241 for appropriate reference codes.) Includes workers' compensation, unemployment compensation, state and local government retirement benefits. "Income available to you from state or local benefit or pension meets needs that can be recognized by this agency." "El dinero que usted recibe de beneficios o pensiones de gobierno local o del estado es suficiente para cubrir las necesidades reconocidas por esta agencia." |
| 070 |
Non-Governmental Benefits — A-1326.9, Pensions "Income available to you from pension or benefit meets needs that can be recognized by this agency." "El dinero que recibe usted de pensiones or beneficios es suficiente para cubrir las necesidades reconocidas por esta agencia." |
| 071 |
Income Not Codes 060 — 070 — A-13XX (See chart in C-241, TANF and Medical Programs Chart, for appropriate reference codes.) A-800, Medicaid Eligibility, for TP 07/37 "Income available to you meets needs that can be recognized by this agency." "El dinero que gana o recibe usted es suficiente para cubrir las necesidades reconocidas por esta agencia." |
| 072 |
Resources — A-12XX (See chart in C-241, TANF and Medical Programs Chart, for appropriate reference codes.) "Resources available to you from other property meets needs that can be recognized by this agency." "Los recursos que tiene usted en propiedades or dinero son suficientes para cubrir las necesidades reconocidas por esta agencia." |
| 074 |
Fewer Members in Certified Group — A-1341, Income Limits and Eligibility Tests "No unmet need for the current family size." "Ahora que usted tiene menos familia, sus entradas son suficientes para cubrir las necesidades reconocidas por esta agencia." |
| 075 |
Conflicting Information on Management — A-1700,Management "Information on management indicates additional income." "Según la información que tenemos acerca de su situación económica, parece ser que usted no reportó toda su entrada." |
| 076 |
Refusal to Furnish Information — B-100, Processes and Processing Time Frames Use only if a Form H1010-B, Application for Assistance -Part B: Information We Need Know, is on file. Use code 091 for failure to return Form H1010-B. "You did not wish to furnish enough information for this agency to establish eligibility for assistance." "Usted no quiso darnos suficiente información para poder establecer su calificación para asistencia." |
| 077 |
Refusal to Follow Agreed Plan — A-1311, Requirement to Pursue Income Use to deny ongoing cases when an individual fails to pursue potential sources of income or resources that would be made available through the individual's efforts. "You did not wish to follow agreed plan so that eligibility for assistance could be continued." "Usted ya no califica para asistencia porque no quiso utilizar, según el plan que hablamos, otros posibles recursos." |
| 078 |
Earnings/Child Support Payments Terminate — A-800, Medicaid Eligibility Use to deny Medicaid coverage before the end of the four- or twelve-month period for
"Como fue acordado al terminar su concesión, su calificación para los beneficios de Medicaid termina ahora." |
| 083 |
Federal Time Limits — A-1900, Federal Time Limits (FTLs) Use to deny an application or ongoing case because a household member has received 60 months of TANF assistance. "Your household is ineligible for TANF due to federal time limits, because the following person has received 60 months of TANF cash assistance. Your family may still be eligible for Medicaid. Contact your local office for information." "Debido alos límites de tiempo federal su unidad familiar no tiene derecho a TANF porque la siguiente persona ha recibido asistencia económica de TANF 60 meses. Es posible que sue familia todavía tenga derecho a Medicaid. Comuníquese con la oficina local para recibir información." |
| 086 |
Child Admitted to Institution, Including Foster Care —A-900,Domicile "Your child has been admitted to an institution." "Su niñoha sido admitido a un hospital u otra institución." |
| 087 |
No Eligible Child – A-900, Domicile, or A-800, Medicaid Eligibility, for TP 07/37 Use to deny applications or ongoing cases because the child does not meet relationship requirements or is no longer in the home. "You no longer have children in your home who are eligible for assistance." "Usted ya no tiene niños en su casa que califican para asistencia." |
| 088 |
Residence Requirement Not Met — A-700, Residence Use for applications and for ongoing cases when the household moves out of state. "Residence requirements are not met." "Sus niños no califican para asistencia porque no cumplen con el requisito de residencia en el estado." |
| 089 |
Citizenship or Acceptable Alien Status — A-300, Citizenship "Your children do not meet acceptable alien status or citizen requirements for assistance." "Sus niños no son elegibles para asistencia porque no cumplen con el requisito de ciudadanía ni de inmigrante elegible." |
| 090 |
Prior Eligibility — A-800, Medicaid Eligibility; A-1900, Federal Time Limits (FTLs); A-2400, One Time Payments
|
| 091 |
Failure to Furnish Information — B-100, Processes and Processing Time Frames Use this code if the applicant/individual fails to return the application form. "You failed to complete and return the necessary eligibility form." "Usted no ha entregado la forma completa que necesitamos para determinar su elegibilidad para asistencia." |
| 092 |
Other Eligibility Requirements — A-132, Eligibility Factors Use to deny applications and ongoing cases for reasons other than need but not covered by codes 076-091. It cannot be entered by advisors to deny medical assistance only cases. "You do not meet eligibility requirements for assistance." "Usted no califica para asistencia." Note: SAVERR enters this code at the end of the Medicaid period for TP 07, TP 20 and TP 37. "Your Medicaid coverage has ended." "Su cobertura de Medicaid ha terminado." |
| 093 |
Adult Earnings (Refugee Only) — R-700, Age/Relationship Use to deny RCA applications and ongoing cases that are not eligible for post medical coverage. Use only if the case is an adult case with no children. "You will not be eligible for Medicaid after mm/dd/yy." "La elegibilidad para Medicaid termina el mm/dd/yy." |
| 094 |
Appointment Not Kept, Application/Review — B-100, Processes and Processing Time Frames "You failed to keep your appointment." "Usted no vino a la cita que le dimos." |
| 095 |
Unable to Locate — A-700, Residence "You cannot be located." "No podemos localizar al solicitante." |
| 096 |
Refugee Exceeds Eight-Month Limit — R-100, RCA/RMA Use to deny an RCA application or ongoing case because the household members entered the U.S. more than eight months ago. "You will not be eligible for TANF after mm/dd/yy." "La elegibilidad para Medicaid termina el mm/dd/yy." |
| 097 |
Filed In Error — No Notice Use to deny a Notice of Application (NOA) that was created erroneously. |
| 098 |
Voluntary Withdrawal — A-100, Application Processing Use only if an applicant requests that the application be withdrawn, or a current recipient requests that HHSC discontinue the case and the advisor cannot determine the reason. Otherwise use the applicable code. "You have advised us that you no longer want to apply for TANF." "Usted nos avisó que ya no desea solicitar TANF." "You have advised us that you no longer want to receive TANF." "Usted nos avisó que ya no desea recibir TANF." |
| 099 |
Other Miscellaneous — A-1000, Deprivation
|
| 134 |
Refusal to Assign Child Support Rights — A-1100, Child Support Use to deny an application or ongoing case because the caretaker's needs are removed for refusal to make assignment and income meets the needs of the remaining members. "You did not wish to assign support rights to the state." "No quiso usted conceder al estado el derecho de cobrar sostenimiento." |
| 135 |
Provide AP's Info or Location — A-1100, Child Support Use to deny an application or an ongoing case because the caretaker's needs are removed for refusal to provide information on the absent parent or cooperate in locating the absent parent, and income meets the needs of the remaining members. "You did not supply information on the absent parent or assist support officer in locating the absent parent." "Usted no dio información sobre el padre o la madre ausente, o no ayudó al funcionario de manutención de niños a localizar a dicha persona." |
| 136 |
Provide Verification of Citizenship — A-350, Verification Requirements Use to deny an application or ongoing case because all members in the certified group failed to provide verification of citizenship. "You did not provide proof of U.S. Citizenship." "Usted no presentó prueba de ciudadanía estadounidense." |
| 137 |
Refusal to Help to Establish Paternity — A-1100, Child Support Use to deny acase because the caretaker's needs are removed for refusal to cooperate in establishing paternity and income meets needs of remaining members. "You chose not to help in establishing paternity." "No quiso usted ayudar a establecer la paternidad." |
| 180 |
Increased Earnings from Employment Services — A-1323.5, Wages, Salaries, Commission and Tips Use to deny cases not eligible for post medical coverage if the denial results from employment or increased earnings within six months after participation in employment services. Also use to deny RCA cases because of failure to comply with employment/training requirements. "You are now ineligible due to increased earnings after employment services." "Usted no califica porque su salario aumentó después de su en el programa de servicios de empleo." |
| 181 |
Refusal to Comply With Employment Services, Caretaker —A-1800, Employment Services Use to deny a case because the caretaker'sneeds are removed for failure to comply and income meets needs of remaining members. "You are now ineligible due to caretaker's refusal to register for employment services." "Usted no califica porque no quiso inscribirse en el programa de servicios de empleo." |
| 196 |
Failed to Sign the Responsibility Agreement — A-2100, Personal Responsibility Agreement "Failure to sign the Responsibility Agreement." "Usted no firmó el Acuerdo de Responsabilidad Personal." |
| 200 |
Time Limit or Hardship Ends/Household Member Disqualified – A-2500, State Time Limits "You are ineligible for TANF because _____________'s needs were removed following time limit policies." "Usted no será elegible para TANF porque _____________ dejó de ser elegible según las normas de los límites de tiempo." |
| 201 |
OT Ineligibility Period – A-2400, One Time Payments "You are currently not eligible to receive TANF, OTTANF, or TANF-SP because you have received OTTANF during the past 12 months." "En este momento usted no es elegible para recibir TANF, OTTANF, ni TANF-SP porque usted ya recibió OTTANF que cubre los últimos 12 meses." |
| 217 |
Income Over 185% FPIL or No Earnings During the Fourth Month Transitional Reporting Period "Your transitional Medicaid will be shortened to six months because you had no income or your gross earnings meet the needs that can be recognized by this agency." "Su Medicaid de transición se recortará a seis meses porque usted no tuvo ingresos o su salario bruto es suficiente para cubrir las necesidades que este departamento puede reconocer." |
| 230 | Transitional Medicaid Expired at the End of the 12th Month — Computer Sent |
C—213 Reinvestigation Codes
Revision 02-8; Effective October 1, 2002
TANF
Select the code that best represents the reason for the case action. Enter it in Item 132, Form H1000-B, Record of Case Action, if taking action to raise, lower, sustain, or transfer a case to another type program.
Reasons for Raised Grants
| 101 | "Your available income or resources are less." "Usted tiene ahora menos ingresos o recursos." |
|---|---|
| 102 | "Needs this agency can include in your check are more." "Ahora usted tiene más necesidades que esta agencia puede cubrir con su cheque." |
| 103 | "Your income and needs have changed." "Sus ingresos y sus necesidades cambiaron." |
Reasons for Lowered Grants
| 104 | "Your available income or resources have increased." "Usted tiene ahora másingresos o recursos." |
|---|---|
| 105 | "Needs this agency can include in your check are less." "Ahora usted tiene menos necesidades que esta agencia puede cubrir con su cheque." |
| 106 | "Your income and needs have changed." "Sus ingresos y sus necesidades cambiaron." |
Reasons for Sustained Grants and Medical Assistance
| 107 | "Needs included in your check remain the same." "Las necesidades cubiertas por su cheque no han cambiado." |
|---|---|
| 108 | "Changes in income and needs do not affect check." "Los cambios en sus ingresos y en sus necesidades no afectan su cheque." |
| 109 | "You are receiving the maximum assistance check." "Usted recibe la máxima cantidad de assistencia que se da." |
| 110 | "You remain eligible for medical coverage." "Usted sigue siendo elegible para beneficios médicos." |
Reasons for Change in Assistance Status
| 111 | Use when transferring from TP 01 or 61 to any income assistance medical program. "You are now eligible for medical coverage only." "Usted es elegible ahora sólo para beneficios médicos." Use when transferring from TP 01 or 61 to TP 40 to provide continuous coverage for a pregnant woman. "The pregnant woman on your TANF case is eligible for continuous medical coverage." "La mujer de su caso de TANF que está embarazada es elegible para cobertura médica continua." |
|---|---|
| 112 | Use when transferring from any income assistance medical program to TP 01 or 61. "You are eligible for financial and medical assistance." "Usted es elegible para beneficios médicos y asistencia financiera." |
Reasons for Lowered Grants Because of Employment Services Program (ESP) Participation
| 115 | "Earnings after ESP training have increased." "Las entradas aumentaron después de su entrenamiento para empleo." |
|---|---|
| 116 | "Adult's needs removed due to refusal to participate in employment services." "Las necesidades del adulto que se negó a participar en los servicios de empleo no pueden ser consideradas." |
Transfers To and From Income Assistance Grant Programs
| 118 | "Your family is now eligible for TANF-SP benefits only." "Ahora su familia es elegible solamente para beneficios de TANF-SP." |
|---|---|
| 119 | "Your family is now eligible for regular TANF benefits only." "Ahora su familia es elegible solamente para beneficios regulares de TANF." |
Payee Change
| 120 | Use when changing the payee from one designated relative to another relative when there is no break in assistance to the TANF children included in the case. "You will now receive the assistance payment." "Ahora va a recibir el cheque de asistencia a nombre de usted." |
|---|
Transfers To and From Medical Programs for Families and Children
| 121 | Use when transferring from any medical assistance program to another medical assistance program. This includes TP 07, 20, 29, 37, 40, 42, 43, 44, 45, 47, 48, and 55. "You have been transferred to another type of medical assistance." "Le cambiaron de una categoria del programa médico aotra." Use when transferring from any medical assistance program to TP 40 to allow continuous coverage for a pregnant woman. This includes TPs 07, 29, 37, 47 or an active TP 55 to TP 40. "The pregnant woman on your Medicaid case is eligible for continuous medical coverage." "La mujer de su caso de Medicaid que está embarazada es elegible para cobertura médica continua." |
|---|
Reasons for Change in Transitional Medicaid Assistance Status
| 123 | Use for TP 07 and TP 37 when
"Sus beneficios de transición de Medicaid han cambiado debido a su reporte para Medicaid del cuarto mes." |
|---|
Reasons for Sustaining or Raising Benefits Because of Child Support
| 125 | Removal of child's needs due to child support from absent parent, and income changes do not affect check. Use when removing a child's needs from the budget because of child support but other household income changes result in no grant change. |
|---|---|
| 126 | Sustained benefits. "Child support activities do not affect your TANF or Medicaid benefits." "Las actividades relacionadas con sostenimiento para niños no afectan sus beneficios de TANF ni de Medicaid." |
| 127 | Child's needs removed due to child support and your income has changed. Use when
|
| 128 | Raised grant. "Your needs have increased and child support no longer exceeds the grant." "Sus necesidades han aumentado y el pago de sostenimiento para niños que recibe ya no sobrepasa la cantidad de la concesión." |
Reasons for Lowering Benefits Because of Child Support
| 129 | Child's needs removed due to child support received from absent parent. Use when lowering a grant because the needs of a child who is receiving child support from an absent parent are removed from the budget. |
|---|---|
| 130 | "You did not wish to assign support rights to the state." "No quiso usted conceder al estado el derecho de cobrar sostenimiento." |
| 131 | "You did not wish to supply information on absent parent." "No quiso usted dar informes acerca del padre/de la madre ausente." |
| 132 | "You chose not to cooperate with the child support officer." "No quiso usted colaborar con el encargado de los cobros de sostenimiento para niños." |
| 133 | "You chose not to assist in establishing paternity." "No quiso usted ayudar aaclarar la paternidad." |
| 139 | "Your grant has been reduced because a household member became eligible for SSI or SSA disability." |
Reason/Message for Lowered Grant Because of Time Limits
| 138 | Time Limit or Hardship Ends/Household Member Disqualified "Your grant was lowered because __________'s needs were removed following time-limit policies." "Se redujo su pago mensual porque _________ dejó de ser elegible según las normas de los límites de tiempo." |
|---|
Reason/Message for Raised Grant Because of Time Limits
| 150 | Time Limit or Hardship Ends/Household Member Disqualified "Your grant was raised. However, _________'s needs were removed following time-limit policies." "Se sebió su pago mensual. Sin embargo, __________ dejó de ser elegible según las normas de los límites de tiempo." |
|---|
Reason/Message for Sustained Grant and Medical Assistance Because of Time Limits
| 160 | Time Limit or Hardship Ends/Household Member Disqualified Use when sustaining TP 01 or 61. "Your grant remains the same. However, ____________'s needs were removed following time-limit policies." "Su pago mensual seguirá igual. Sin embargo, __________ dejó de ser elegible según las normas de los límites de tiempo." |
|---|
Reason/Message for Change in Assistance Status Because of Time Limits
| 170 | Time Limit or Hardship Ends/Household Member Disqualified Use when transferring from TP 01 or 61 to any income assistance medical program. "You are eligible for medical assistance only. You are ineligible for a TANF grant because__________'s needs were removed following time-limit policies." "Usted es elegible para recibir solamente ayuda médica. Dejó de ser elegible para pagos mensuales de TANF porque ____________ dejó de ser elegible según las normas de los límites de tiempo." When transferring to TP 29, also include the following message: "While receiving transitional Medicaid, you must report to HHSC within 10 days after you move and after anyone moves in or out of your household." "Mientras reciba Medicaid de transición, tiene que avisar a HHSC dentro de los 10 días de su cambio de casa o del cambio del número de personas de su casa." |
|---|
C—220 Supplemental Nutrition Assistance Program (SNAP) Codes
Revision 09-3; Effective July 1, 2009
C—221 Denial Codes
Revision 12-1; Effective January 1, 2012
SNAP
| 601 |
Excess Income, see C-242 for appropriate reference codes "The amount of money you get each month is over the allowed amount." "La cantidad de dinero que recibe cada mes sobrepasa la cantidad límite." |
|---|---|
| 602 |
Excess Resources, see C-242 for appropriate reference codes "The value of the things you own (resources) goes over the allowed amount." "El valor de las cosas de las que es dueño (recursos) sobrepasan la cantidad límite." |
| 603 |
Transferred Resources — A-1212 "You knowingly transferred resources to qualify for SNAP food benefits." "Transfirio sus recursos con la intención de recibir beneficios de comida del Programa SNAP." |
| 604 |
Death No notice will be sent. |
| 605 |
Program Violation No notice will be sent. |
| 606 |
Ineligible Students — A-200 "All members of your household are ineligible students." "Todos los miembros de su casa son estudiantes inelegibles." |
| 607 |
Refusal to Cooperate — C-920 "You refused to cooperate." "Usted se negó a cooperar." |
| 608 |
Voluntary Withdrawal — A-100 "You have advised us that you no longer wish to receive SNAP food benefits." "Nos dijo que ya no quiere recibir beneficios de comida del Programa SNAP." |
| 609 |
Failure to Provide Information — B-100 and C-900 "You did not provide enough information for this office to determine eligibility for SNAP food benefits." "No nos dio información suficiente para determinar si puede recibir beneficios de comida del Programa SNAP." |
| 610 |
Work Registration — A-1800 See Form H1017, Notice of Benefit Denial or Reduction, instructions for specific individual messages. |
| 611 |
Voluntary Quit — A-1800 "The household's primary wage earner voluntarily left his most recent job without good cause." "La persona que mantenia la casa dejó su empleo voluntariamente sin tener una razón aceptable." |
| 612 |
Unable to Locate — A-700 "You cannot be located at the address you gave us." "En la dirección que usted nos dió, no se le puede localizar." |
| 613 |
Moved from State — No notice will be sent. |
| 614 |
Other, enter the appropriate reference Indicate the specific reason. |
| 615 |
Missed Appointment — B-100 "You failed to keep your appointment after submitting an application for SNAP food benefits." "No se presento´ a la cita que le demos despues de presentar la solicitud de beneficios de comida del Programa SNAP." |
| 616 |
No Citizens or Eligible Aliens — A-300 "No member of the household is a U.S. citizen or an alien eligible for SNAP food benefits." "Ninguno de los miembros de su familia es ciudadano de los Estados Unidos o, elegible para recibir beneficios de comida del Programa SNAP." |
| 617 |
Application Filed in Error — No Notice Use to deny a Notice of Application (NOA) that was created erroneously. |
| 621 |
Work Registrant Earnings — A-1323.5 "The amount of money you got from jobs (wages) goes over the allowed amount." "La cantidad de dinero que recibio de trabajos (salario) sobrepasa el limite establecido." |
| 622 |
Postponed Verification Not Provided – Expedited – A-145 "Your benefits were denied because you failed to provide the proof we requested when you were certified for expedited (emergency) services." "Esta negación de beneficios se debe a que usted nunca entregó las pruebas que se le pidieron cuando le declararon elegible para los beneficios de emergencia." |
| 625 |
State Office Use Only (SAVERR default code – open/close) No notice. |
| 626 |
State Office Use Only (CCDMI/permanent move) No notice. |
| 627 |
18-50 Denial — A-1900 "You have been disqualified for failing to meet the requirement for working 20 hours per week. To avoid the denial of benefits, you must begin working an average of 20 hours per week." "Usted ha sido descalificado por no satisfacer el requisito de trabajar 20 horas por semana. Para evitar la negación de beneficios, usted tiene que comenzar a trabajar un promedio de 20 horas por semana." |
| 630 |
State Office Use Only (Certification period expired) No notice. |
C—230 Medical Programs Codes
Revision 02-6; Effective July 1, 2002
C—231 Opening Codes
Revision 02-6; Effective July 1, 2002
Medical Programs
| 048 |
TP 40 Use when providing continuous coverage for pregnant woman on TP 40 using Form H1000-A. "The pregnant woman in your household is eligible for continuous medical coverage." "La mujer de su caso de Medicaid que está embarazada es elegible par cobertura médica continua." TP 43, TP 44, TP 47 and TP 48 Use when providing continuous coverage for a child on TP 43, 44, 47, or 48. "The following people in your household are eligible for continuous medical coverage." "Las siguientes personas de su casa son elegibles para cobertura medica continua." |
|---|---|
| 052 |
TPs 40, 43, 44, 45, 48, and 55 without spenddown "Meets eligibility requirements." "Llena los requisitos de elegibilidad." |
| 055 |
TPs 40, 43, 44, 45, 48, and 55 without spenddown Use to reopen a case or application that was denied by mistake. "Denied in error." "Se negó por equivocación." |
| 057 |
TPs 40, 43, 44, 45, 48, and 55 without spenddown Use when opening a case instead of transferring from TP 01 or 61 in order to prevent the automated systems from counting a month(s) toward a individual's time limit. "Person(s) meet Medicaid eligibility requirements." "Persona(s) llena los requisitos de elegibilidad de Medicaid." |
C—232 Denial Codes
Revision 09-3; Effective July 1, 2009
Medical Programs
| 059 |
Death of Child (TPs 43, 45, 44, and 48) — A-500 "You no longer have children in your home who are eligible for assistance." "Ya no hay niños en su casa que califican para asistencia." |
|---|---|
| Earnings (TPs 43, 44, 47, 48, and 55) | |
| 060 |
Earnings of Father — A-1323.5 "Earnings of father meet needs that can be recognized by this agency." "El padre gana suficiente para cubrir las necesidades reconocidas por esta agencia." |
| 061 |
Earnings of Mother — A-1323.5 "Earnings of mother meet needs that can be recognized by this agency." "La madre gana suficiente para cubrir las necesidades reconocidas por esta agencia." |
| 062 |
Earnings of Child – A-1323.1 "Earnings of child meet needs that can be recognized by this agency." "Su hijo/hija gana suficiente para cubrir las necesidades reconocidas por esta agencia." |
| 063 |
Earnings of Non-Parent Caretaker — A-1323.5 "Earnings of other person in your home meet needs that can be recognized by this agency." "Una persona que vive en su casa gana suficiente para cubrir las necesidades reconocidas por esta agencia." |
| Financial Support (TPs 43, 44, 47, 48, and 55) | |
| 064 |
Support from Absent Father — A-1300 "Income from children's father who is outside the home meets needs that can be recognized by this agency." "El padre que no vive en la misma casa manda suficiente dinero para cubrir las necesidades reconocidas por esta agencia." |
| 065 |
Support from Relative in Household "Income from relative in your household meets needs that can be recognized by this agency." "El dinero que recibe de un pariente que vive en su casa es suficiente dinero para cubrir las necesidades reconocidas por esta agencia." |
| 066 |
Support from Person Outside the Home "Income available to you from a person outside the home meets needs that can be recognized by this agency." "El dinero que recibe de un pariente fuera de su casa es suficiente para cubrir las necesidades reconocidas por esta agencia." |
| 067 |
RSDI (TPs 40, 43, 44, 47, and 48) — A-1324.15 "Income available to you from social security benefit meets needs that can be recognized by this agency." "El cheque que usted recibe ahora, o va a recibir, del seguro social es suficiente para cubrir las necesidades reconocidas por esta agencia." |
| 068 |
Other Federal Benefits (TPs 43, 44, 47, 48, and 55) —A-1324.19 "Income available to you from Federal benefit or pension meets needs that can be recognized by this agency." "El dinero que usted recibe ahora de beneficios o pensiones Federales es suficiente para cubrir las necesidades reconocidas por esta agencia." |
| 069 |
State and Local Pensions or Benefits (TPs 43, 44, 47, 48, and 55) —A-1300 "Income available to you from state or local benefit or pension meets needs that can be recognized by this agency." "El dinero que usted recibe de beneficios o pensiones del gobierno local o del estado es suficiente para cubrir las necesidades reconocidas por esta agencia." |
| 070 |
Non-Governmental Pensions or Benefits (TPs 43, 44, 47, 48, and 55) —A-1326.9 "Income available to you from pension or benefit meets needs that can be recognized by this agency." "El dinero que recibe usted de pensiones o benficios es suficiente para cubrir las necesidades reconocidas por esta agencia." |
| 071 |
Excess Assets Income (TPs 40, 43, 44, 47, and 48) — A-13XX (See chart in C-241 for appropriate reference codes.) "Income available to you meets needs that can be recognized by this agency." "El dinero recibe ustedes suficiente para cubrir las necesidades reconocidas por esta agencia." (TPs 55 and 30) — A-13XX (See chart in C-241 for appropriate reference codes.) "Income available to you exceeds the medically needy needs allowance and you have no medical expenses to spend down your income." "Usted dispone de ingresos que sobrepasan el limite para ser elegible para beneficios por necesidad médica yusted no tiene gastos médicos que se pudieran desontar de sus ingresos." |
| 072 |
Excess Assets — Resources (TPs 43, 44, 47, 48, and 55) — A-12XX (See chart in C-241 for appropriate reference codes.) "Resources available to you from other property meets needs that can be recognized by this agency." "Los recursos que tiene usted en propiedades o dinero son suficientes para cubrir las necesidades reconocidas por esta agencia." |
| 074 |
Fewer Members in Certified Group (TPs 40, 43, 44, 47, 48, and 55) —A-1341 "No unmet need for the current family size." "Ahora, que usted tiene meno familia, sus entradas son suficientes para cubrir las necesidades reconocidas por esta agencia." |
| 075 |
Conflicting Information on Management (TPs 40, 43, 44, 47, 48, 55, and 30)— A-1700 "Information on management indicates additional income." "Según la información que tenemos, acerca de su situacióneconómica, parece ser ue usted no reportó toda su entrada." |
| 076 |
Refusal to Furnish Information (TPs 40, 45, 43, 44, 47, 48, 55, and 30)— B-100 "You did not wish to furnish enough information for this agency to establish eligibility for assistance." "Usted no quiso darnos suficiente información para poder establecer su calificación para asistencia." |
| 077 |
Refusal to Follow Agreed Plan (TPs 40, 43, 44, 47, and 48) —A-1311 "You did not wish to follow agreed plan so that eligibility for assistance could be continued." "Usted ya no califica para asistencia porque no quiso utilizar, según el plan que hablamos, otros posibles recursos." |
| 078 |
Automatic Denial (TP 40) Automatic denial because of anticipated pregnancy termination. |
| 079 |
Refusal to Obtain Medical Information for Pregnancy or Disability Determinations (TPs 40, 55, and 30) — A-800 "You did not wish to obtain required medical verification." "Usted no quiso obtener la verificación médica requerida." |
| 080 |
Parent Not Incapacitated (TPs 55 and 30) — A-1000 "You do not meet the agency's definition of incapacity." "Según la definición de 'incapacidad' de esta agencia, usted no califica." |
| 082 |
Legal Marriage (TPs 40 and 55) "Your children are not deprived of parental support. The primary wage earner does not meet the employment or work history requirements." "A sus niños no les falta el sostenimineto paterno. El sostén principal de la casa no cumple con los requisitos con respecto a desempleo." |
| 086 |
Child Admitted to Institution (TPs 40, 45, 43, 44, 47, 48, 55, and 30)— A-900 "Your child has been admitted to an institution." "Su niño ha sido admitido a un hospital u otra institución." |
| 087 |
No Eligible Child (TPs 40, 45, 43, 44, 47, 48, and 55) —A-900 "You no longer have children in your home who are eligible for assistance." "Usted ya no tiene niños en su casa que califican para asistencia." |
| 088 |
Residence (TPs 40, 45, 43, 44, 47, 48, 55, and 30) —A-700 "Residence requirements are not met." "Sus niños no califican para asistencia porque no complen con el requisito de residencia en el estado." |
| 089 |
Citizenship or Acceptable Alien Status (TPs 40, 45, 43, 44, 47, 48, 55, and 30) — A-300 "Citizenship or acceptable alien status requirements are not met." "No cumplen con los requisitos de ciudadanía ni de inmigrante elegible." |
| 090 |
Open/Close Coverage (TPs 40, 45, 43, 44, 47, 48, 55, and 30) "Assistance was granted during a prior period, but you are not eligible now for medical assistance." "Usted calificó anteriormente para asistencia pero ahora ya no califica para beneficios médicos." |
| 091 |
Failure to Furnish Information (TPs 40, 45, 43, 44, 47, 48, 55, and 30)— B-100 "You failed to complete and return the necessary eligibility form." "Usted no ha entregado la form completa que necesitamos para determinar su elegibilidad." |
| 092 |
Other Eligibility Requirements (TPs 40, 45, 43, 44, 47, 48, 55, and 30)— A-100 Use for denying TP 45 because
"Usted no califica para asistencia." |
| 094 |
Appointment Not Kept (TPs 40, 45, 43, 44, 47, 48, 55, and 30) —B-100 "You failed to keep your appointment." "Usted no vino a la cita que le dimos." |
| 095 |
Unable to Locate (TPs 40, 45, 43, 44, 47, 48, 55, and 30) —A-700 "You cannot be located." "No lo podemos localizar a usted." |
| 096 | Refugee Exceeds Eight-Month Limit (TP 55) — R-430 |
| 097 |
Filed In Error (TPs 40, 45, 43, 44, 47, 48, 55, and 30) — No Notice Use to deny a Notice of Application (NOA) that was created erroneously. |
| 098 |
Voluntary Withdrawal (TPs 40, 45, 43, 44, 47, 48, 55, and 30) —A-100 "You have requested that your application for assistance be withdrawn." "Usted nos pidió que fuera retirada su solicitud osu concesión para asistencia." |
| 099 |
Other Miscellaneous (TPs 40, 45, 43, 44, 47, 48, 55, and 30) —A-100 "You do not presently meet eligibility requirements." "Usted presentemente no califica para asistencia." |
| 134 |
TP 55 without spenddown "You did not wish to assign support rights to the state." "No quiso usted conceder al estado el derecho de cobrar sostenimineto." |
| 135 |
Provide AP's Info or Location — (A-1100) Use to deny an application or an ongoing case because the caretaker's needs are removed for refusal to provide information on the absent parent or cooperate in locating the absent parent, and income meets the needs of the remaining members. "You did not supply information on the absent parent or assist support officer in locating the absent parent." "Usted no dio información sobre el padre o la madre ausente, o no ayudó al funcionario de manutención de niños a localizar a dicha persona." |
| 136 |
Provide Verification of Citizenship — (A-350) Use to deny an application or ongoing case because all members in the certified group failed to provide verification of citizenship. "You did not provide proof of U.S. Citizenship." "Usted no presentó prueba de ciudadanía estadounidense." |
| 137 |
TP 55 without spenddown "You chose not assist in establishing paternity." "No quiso usted ayudar a establecer la paternidad." |
| 195 |
Monthly Income Exceeds Maximum Limits (TPs 40, 43, 44, 47, and 48) "You are ineligible because your monthly income exceeds the needs recognized by this agency." "Usted no es elegible porque sus ingresos mensuales sobrepasan las necesidades reconocidas por esta agencia." |
C—233 Reinvestigation Codes
Revision 01-7; Effective October 1, 2001
Medical Programs
| 110 |
(TPs 40, 45, 43, 44, 47, 48, and 55 without spenddown) "You remain eligible for medical coverage." "Sigue siendo elegible para asistencia médica." |
|---|---|
| 120 |
(TPs 45, 43, 44, 47, 48, and 55 without spenddown) "You will now receive the medical coverage on behalf of the children." "Ahora usted va a recibir los beneficios médicos para sus hijos." |
| Use the following codes to clear Form H1708, Report of Noncooperation: | |
| 126 |
(TPs 45, 43, 44, 47, 48, and 55 without spenddown) "Child support activities do not affect your TANF or Medicaid benefits." "Las actividades con respecto a sostenimiento para niños no afectan sus beneficios de TANF y los de Medicaid." |
| 132 |
(TPs 45, 43, 44, 47, 48, and 55 without spenddown) "You chose not to cooperate with the child support officer." "No quiso usted colaborar con el encargado de los cobros de sostenimiento para niños." |
C—240 Expanded Denial Code Reference Charts
Revision 02-3; Effective April 1, 2002
C—241 TANF and Medical Programs Chart
Revision 02-3; Effective April 1, 2002
TANF and Medical Programs
| Action Code | GWS Screen | New Reference | |
|---|---|---|---|
| 060 Earnings of Father | Earned Income | A-1323.5 | Wages, Salaries |
| 061 Earnings of Mother | Earned Income | A-1323.5 | Wages, Salaries |
| 062 Earnings of TANF Child | Earned Income | A-1323.1 | Earnings of Child |
| 063 Earnings of Non-parent Caretaker | Earned Income | A-1323.5 | Wages, Salaries |
| 064 Support from Absent Father | Contributions, Child Support, or Vendor Payments |
A-1326.1 A-1326.2 A-1334 |
Gifts or Contributions Child Support Vendor Payments– Legally Obligated |
| 066 Support from Other Person Outside the Home, Including Mother | Contributions or Vendor Payments |
A-1326.1 A-1334 |
Gifts or Contributions Vendor Payments– Legally Obligated |
| 067 RSDI | RSDI | A-1324.15 | RSDI |
| 068 Other Federal Benefits | VA | A-1324.19 | VA Benefits |
| 069 State and Local Pensions or Benefits | Retirements Workers' Compensation Unemployment |
A-1326.9 A-1321.4 A-1324.18 |
Pensions Workers' Compensation Unemployment Benefits |
| 070 Non-Governmental Benefits | Retirements | A-1326.9 | Pensions |
| 071 Income Not Codes 060 - 070 Excess Assets – Income |
All Types of Countable Income |
A-1324.17 A-1326.1 A-1326.2 A-1326.6 A-1322.2 A-1331 A-1326.9 A-1324.15 A-1326.9 A-1323.4 A-1324.18 A-1334 A-1324.19 A-1323.5 A-1321.4 A-1310 |
Non-Generic TANF Gifts or Contributions Child Support Interest – Bank Account Unearned – WIOA Lump Sum Income Pensions RSDI RR Retirement Self Employment Income Unemployment Benefits Vendor Payments – Legally Obligated VA Benefits Wages, Salaries Workers' Compensation Other types of income which do not have a designated GWS screen. |
| 072 Resources Excess Assets – Resources |
All Countable Resources |
A-1210 A-1210 A-1232.2 A-1242 A-1231.4 A-1238 A-1200 |
Cash-on-Hand, Stocks, Bonds, Bank Accounts Land, Oil, and Mineral Rights, PASS Accounts Prepaid Burial Lump Sum Payments Retirement – Pensions Vehicles Includes all other types of resources which do not have adesignated GWS Screen. |
C—242 SNAP Chart
Revision 01-7; Effective October 1, 2001
SNAP
| Action Code | GWS Screen | New Reference | ||
|---|---|---|---|---|
| 601 | Excess Income | Income – Earned or Unearned |
A-1324.17 A-1326.1 A-1326.2 A-1322.1 A-1326.6 A-1322.2 A-1331 A-1326.9 A-1324.15 A-1324.16 A-1323.4 A-1324.18 A-1334 A-1324.19 A-1323.5 A-1321.4 A-1310 |
TANF Grant Gifts or Contributions Child Support Educational Assistance – Non Title IV Bank Accounts– Interest Unearned – WIOA Lump Sum Income Pensions RSDI SSI Self Employment Unemployment Benefits Vendor Payments– Legally Obligated VA Benefits Wages and Salaries Workers' Compensation Other income which does not have a designated GWS screen. |
| 602 | Excess Resources | Resources – Countable |
A-1210 A-1210 A-1242 A-1236.4 A-1231.4 A-1238 A-1200 |
Cash-on-Hand, Stocks, Bonds, Bank Accounts Land, Oil, and Mineral Rights Lump Sum Payments Real Property Retirement Accounts Vehicles Other resources not listed in this section because they do not have a designated GWS screen. |