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Part A, Determining Eligibility
Section 100 Application Processing
- A-100 Application Processing
- A-110 Application Procedures
- A-111 Pre-Application Process
- A-112 Application Assistance
- A-113 Application Requests and Submissions
- A-114 Applications Causing Conflicts of Interest
- A-115 Applications Filed in Hospitals and Clinics
- A-116 Special Application Processes
- A-116.1 Reserved for Future Use
- A-116.2 Applications from Residents of a Homeless Shelter
- A-116.3 Applications for Babies Born to Women in Prison
- A-116.4 Reserved for Future Use
- A-116.5 Food Distribution Program on Indian Reservation (FDPIR)
- A-116.6 Joint SSI-SNAP Applications
- A-116.7 Types of Assistance Administered by Centralized Benefit Services (CBS)
- A-116.7.1 SNAP-CAP and SNAP-SSI
- A-116.7.2 Applications for SNAP-CAP
- A-116.7.3 Medicaid for Transitioning Foster Care Youth (MTFCY) (TP 70)
- A-116.7.4 Medicaid Coverage for Children Placed in or Released from a Juvenile Facility
- A-116.7.5 Medicaid for Breast and Cervical Cancer (MBCC)
- A-116.7.6 Refugee Medical Assistance (RMA)
- A-116.7.7 Former Foster Care in Higher Education (FFCHE) (TA 77)
- A-116.7.8 Former Foster Care Children (FFCC)
- A-117 Applications Filed Online through YourTexasBenefits.com
- A-118 Coordination with the Federal Marketplace
- A-119 Correspondence Options
- A-120 Office Procedures
- A-121 Receipt of Application
- A-122 Filing the Application
- A-123 Withdrawal of an Application
- A-124 Processing Presumptive Eligibility Applications
- A-124.1 Eligible Groups
- A-124.2 File Clearance
- A-124.3 Task List Manager
- A-124.4 Application Processing
- A-124.5 Verifications
- A-124.6 Medical Effective Date
- A-124.7 Periods of Presumptive Eligibility
- A-124.8 Fair Hearings
- A-124.9 Questions About the Presumptive Eligibility Process
- A-124.10 Presumptive Eligibility Forms
- A-125 TP 45 Provider Referral Process
- A-126 Processing Children's Insurance Applications
- A-127 Prior Medicaid Coverage
- A-128 Processing Applications for Pregnant Women
- A-129 Data Broker Requirements
- A-130 Interview Procedures
- A-140 Expedited Service
- A-141 Expedited Eligibility Criteria
- A-142 Limit on Expedited Certification
- A-143 How to Determine Eligibility for Expedited Service
- A-144 Expedited Verifications
- A-144.1 Social Security Numbers (SSNs)
- A-144.2 Work Registration
- A-144.3 Citizenship
- A-144.4 Reserved for Future Use
- A-144.5 Pregnancy
- A-145 Expedited Certification Procedures
- A-146 Expedited Policy for Migrant or Seasonal Farmworkers
- A-147 Expedited Eligibility and Enrollment of Active Duty Military Members and Their Dependents
- A-150 Combined Allotment Policy
- A-160 Joint TANF-SNAP Applications
- A-170 Authorized Representatives (AR)
- A-180 Verification Requirements
- A-190 Documentation Requirements
- A-110 Application Procedures
Section 200 Household Composition
- A-200 Household Composition
- A-210 General Policy
- A-220 TANF
- A-230 Supplemental Nutrition Assistance Program (SNAP)
- A-240 Medical Programs
- A-250 Verification Requirements
- A-260 Documentation Requirements
Section 300 Citizenship
- A-300 Citizenship
- A-310 General Policy
- A-320 Definitions of Military Connection
- A-330 Lawful Permanent Resident (LPR) and 40 Qualifying Quarters of Social Security Coverage
- A-340 Qualified Alien Status Eligibility Charts
- A-350 Verification Requirements
- A-351 Verification of Citizenship
- A-352 Verification of Alien Status
- A-353 Verification of Military Connections
- A-354 Verifying 40 "Qualifying Quarters"
- A-355 Verifying Alien's USCIS Documents
- A-356 Verifying Alien's Date of Entry
- A-357 Verifying Alien's Continuous Presence
- A-358 Verification Sources
- A-360 Documentation Requirements
Section 400 Social Security Number
Section 500 Age/Relationship
Section 600 Identity
Section 700 Residence
Section 800 Medicaid Eligibility
- A-800 Medicaid Eligibility
- A-810 General Policy
- A-820 Regular Medicaid Coverage
- A-830 Medicaid Coverage for the Months Prior to the Month of Application
- A-831 Three Months Prior Coverage
- A-831.1 How to Apply for Three Months Prior Coverage
- A-831.2 Eligibility for Three Months Prior Coverage
- A-831.3 Income Computation
- A-831.4 Determining the Appropriate Type Program for the Prior Month
- A-831.5 Medical Eligibility Date for Three Months Prior Coverage
- A-831.6 Applications Based on Incapacity
- A-832 Continuous Medicaid Coverage
- A-833 TP 45 Retroactive Coverage
- A-834 Retroactive Medicaid Coverage for Abandoned Children
- A-831 Three Months Prior Coverage
- A-840 Transitional Medicaid Coverage
- A-841 General Eligibility Information
- A-842 TP 07 Transitional Medicaid
- A-843 Reserved for Future Use
- A-844 Transitional Medicaid Reporting Requirements for TP 07
- A-845 Reinstatement of Denied Transitional Coverage
- A-846 Special Household Composition Policies for Transitional Medicaid
- A-847 Other EDG Actions
- A-850 TP 20 Spousal Support Post Medicaid Coverage
- A-860 Third-Party Resources (TPR)
- A-861 Third-Party Resources (TPR) and Accidents
- A-861.1 Reporting the Accident to the Third-Party Resources (TPR) Unit
- A-861.2 Responding to Third-Party Resources (TPR) Unit Noncooperation Notices
- A-861.3 Third-Party Resources (TPR) Reimbursements
- A-861.4 Responding to Third-Party Resources (TPR) Unit Recovery Requests
- A-861.5 Remitting Cash Medical Support Payments to the Third-Party Resources (TPR) Unit
- A-862 Third-Party Resources (TPR) Reporting System
- A-863 Health Insurance Premium Payment (HIPP) Program
- A-861 Third-Party Resources (TPR) and Accidents
- A-870 Verification Requirements
- A-880 Documentation Requirements
Section 900 Domicile
Section 1000 Deprivation
- A-1000 Deprivation
- A-1010 General Policy
- A-1020 Establishing Deprivation for Children of Unwed Parents
- A-1030 Deprivation Based on Death of a Parent
- A-1040 Deprivation Based on Absence from the Home
- A-1050 Deprivation Based on Incapacity
- A-1060 Deprivation Based on Unemployment
- A-1070 TANF-State Program (SP)
- A-1080 Disability Verification
- A-1090 Documentation Requirements
Section 1100 Child Support
Section 1200 Resources
- A-1200 Resources
- A-1210 General Policy
- A-1220 Limits
- A-1230 Types of Resources
- A-1231 Accounts
- A-1232 Government Payments
- A-1232.1 Crime Victim's Compensation Payments
- A-1232.2 Federal Tax Refunds and Earned Income Tax Credits (EIC)
- A-1232.3 Energy Assistance Payments
- A-1232.4 Government Disaster Payments
- A-1232.5 Transitional Living Allowance
- A-1232.6 Native and Indian Claims
- A-1232.7 Payments to Children of Vietnam Veterans
- A-1232.8 Payments to Civilians Relocated During Wartime
- A-1232.9 Payments to Victims of Nazi Persecution
- A-1232.10 Radiation Exposure Compensation Act Payments
- A-1232.11 Payments to World War II Filipino Veterans and Spouses
- A-1232.12 Relocation Assistance
- A-1232.13 Relative amd Other Designated Caregiver Program Payments
- A-1233 Insurance
- A-1234 Noneducational Loans
- A-1235 Personal Possessions
- A-1236 Property
- A-1237 Trust Funds
- A-1238 Vehicles
- A-1240 Determining Countable Resources in Special Situations
- A-1241 Inaccessible Resources
- A-1242 Lump-Sum Payments
- A-1243 Payments Exempt as a Resource While Being Considered Income
- A-1244 Reimbursements
- A-1245 Resources of an Alien's Sponsor
- A-1246 Resources of Residents in Shelters for Battered Persons
- A-1247 Resources of Stepparents
- A-1248 Resources of TANF and SSI Recipients
- A-1249 Resources Resulting from Earnings
- A-1250 Verification Requirements
- A-1260 Documentation Requirements
Section 1300 Income
- A-1300 Income
- A-1310 General Policy
- A-1320 Types of Income
- A-1321 Disability Benefits
- A-1322 Education and Training
- A-1323 Employment and Self-Employment Income
- A-1323.1 Children's Earned Income
- A-1323.2 Contractual Earnings
- A-1323.3 Military Pay Allotments and Allowances
- A-1323.3.1 Family Subsistence Supplemental Allowance (FSSA)
- A-1323.4 Self-Employment
- A-1323.4.1 Types of Self-Employment Income
- A-1323.4.2 Property Income
- A-1323.4.3 Noncommercial Roomer/Boarder Payments
- A-1323.4.4 Determining the Amount of Self-Employment Income
- A-1323.4.5 Allowable Costs of Producing Income
- A-1323.4.6 Computation Methods
- A-1323.4.7 Determining Net Self-Employment Income
- A-1323.4.8 Changes in Annual or Seasonal Self-Employment Income
- A-1323.4.9 Rebudgeting Income and Expenses
- A-1323.5 Wages, Salaries, Commissions, and Tips
- A-1323.6 Temporary Census Income
- A-1324 Government Payments
- A-1324.1 Adoption Assistance
- A-1324.2 Crime Victim's Compensation Payments
- A-1324.3 Government Disaster Payments
- A-1324.4 Government Housing Assistance
- A-1324.5 Transitional Living Allowance
- A-1324.6 Reserved for Future Use
- A-1324.7 National and Community Service Act of 1990 (NCSA)
- A-1324.8 Native and Indian Claims
- A-1324.9 Nutrition Programs
- A-1324.10 One-Time Grandparent Payments
- A-1324.11 One-Time Temporary Assistance for Needy Families (OTTANF)
- A-1324.12 Payments to Vietnam Veterans' Children
- A-1324.13 Payments to Victims of Nazi Persecution
- A-1324.14 Payments to World War II Filipino Veterans and Spouses
- A-1324.15 Relocation Assistance
- A-1324.16 Retirement, Survivors and Disability Insurance (RSDI)
- A-1324.17 Supplemental Security Income (SSI)
- A-1324.18 Temporary Assistance for Needy Families (TANF)
- A-1324.19 Unemployment Compensation
- A-1324.20 Veterans Benefits
- A-1324.21 Relative and Other Designated Caregiver Program Payments
- A-1324.22 Healthy Marriage Development Program Payments
- A-1324.23 Railroad Retirement Benefits
- A-1325 Income from Property
- A-1326 Other
- A-1326.1 Cash Gifts and Contributions
- A-1326.2 Child Support
- A-1326.3 Energy Assistance
- A-1326.4 Foster Care and Permanency Care Assistance (PCA) Payments
- A-1326.5 In-Kind Income
- A-1326.6 Interest
- A-1326.7 Loans (Noneducational)
- A-1326.8 Plan for Achieving Self-Sufficiency (PASS)
- A-1326.9 Pensions
- A-1326.10 Trust Funds
- A-1326.11 Resettlement-Reception and Placement (R&P)
- A-1326.12 Refugee Cash Assistance (RCA)
- A-1326.13 Match Grant
- A-1326.14 Spousal Diversion and Dependent Allowance
- A-1326.15 Income Legally Obligated to Children in Department of Family and Protective Services (DFPS) Conservatorship
- A-1326.16 Reserved for Future Use
- A-1326.17 Alimony (Spousal Support) Received
- A-1326.18 Annuity
- A-1326.19 Capital Gains
- A-1326.20 Housing Allowance
- A-1326.21 Life Estate
- A-1326.22 Jury Duty Pay
- A-1326.23 Court Awards
- A-1326.24 Canceled Debt
- A-1326.25 Achieving a Better Life Experience (ABLE) Accounts
- A-1326.26 School-Based Savings Accounts
- A-1326.27 MyGoals Payments
- A-1326.28 Texas Lottery Commission
- A-1330 Types of Payments
- A-1340 Income Limits
- A-1350 Calculating Household Income
- A-1351 Irregular and Unpredictable Income
- A-1352 Terminated Income
- A-1353 How to Convert Income to Monthly Amounts
- A-1354 How to Budget Actual Income
- A-1355 How to Project Income
- A-1356 Income Received Less Often Than Monthly
- A-1357 Computing Benefits by EDG Action Type
- A-1358 How to Budget Expenses
- A-1359 How to Determine Spend Down
- A-1360 Determining Countable Income in Special Household Situations
- A-1361 Alien Sponsor's Income
- A-1362 Disqualified Members
- A-1362.1 TANF — Budgeting for a Legal Parent Disqualified for Alien Status, Failure to Prove Citizenship, Noncompliance with the Unmarried Minor Parent Domicile Requirement or State Time Limits
- A-1362.2 TANF — Budgeting for a Household Member Disqualified for Noncompliance with SSN, TPR, Failure to Timely Report a Certified Child's Temporary Absence, Intentional Program Violation, Being a Fugitive or a Felony Drug Conviction
- A-1362.3 SNAP — Budgeting for Members Disqualified for Citizenship, SNAP ABAWD Work Requirement or Noncompliance with Social Security Number Requirements
- A-1362.4 SNAP — Budgeting for Persons Disqualified for Intentional Program Violations, SNAP Employment Services Noncompliances, Felony Drug Convictions or Being a Fugitive
- A-1363 Diverting Income
- A-1364 Migrant Farm Workers in the Workstream
- A-1365 Unmarried Minor Parent Income
- A-1366 Stepparent EDGs
- A-1367 Strikers
- A-1368 New TANF Spouse's Earnings
- A-1370 Verification Requirements
- A-1380 Documentation Requirements
Section 1400 Deductions
- A-1400 Deductions
- A-1410 General Policy
- A-1420 Types of Deductions
- A-1421 Child Support Deductions
- A-1422 $75 Disregard Deduction
- A-1423 Dependent Care Deduction
- A-1424 Diversions, Alimony, and Payments to Dependents Outside the Home
- A-1425 Earned Income Deductions
- A-1426 Reserved for Future Use
- A-1427 Homeless Shelter Standard
- A-1428 Medical Deduction
- A-1429 Shelter Costs
- A-1430 Standard Deduction
- A-1440 Verification Requirements
- A-1450 Documentation Requirements
Section 1500 Reminders
- A-1500 Reminders
- A-1510 General Reminders
- A-1520 Special Reminders
- A-1530 Medical and Dental Benefits
- A-1540 Redeterminations
- A-1550 Issuance and Use of Benefits
- A-1560 Documentation Requirements
Section 1600 School Attendance
Section 1700 Management
Section 1800 Employment Services
- A-1800 Employment Services
- A-1810 General Policy
- A-1820 Employment Services Programs (ESP) Procedures
- A-1821 Choices
- A-1822 E&T Procedures
- A-1823 Work Registration Status Changes
- A-1824 Information Transmittal from Choices or E&T Staff
- A-1830 ESP Actions
- A-1840 Noncooperation with ESP
- A-1850 Voluntary Quit
- A-1860 Determining Good Cause
- A-1870 Appeals
- A-1880 Verification Requirements
- A-1890 Documentation Requirements
Section 1900 Federal Time Limits (FTLs)
- A-1900 Federal Time Limits (FTLs)
- A-1910 General Policy
- A-1920 Determining the Number of FTL Months Used
- A-1930 Extended TANF and Hardship Exemptions
- A-1940 SNAP ABAWD Work Requirements
- A-1950 Counting Months Toward Time-Limited Eligibility
- A-1960 Regaining Eligibility
- A-1970 Verification Requirements
- A-1980 Documentation Requirements
Section 2000 Identifying Applicants Interviewed by Phone and Prevention of Duplicate Participation
- A-2000 Identifying Applicants Interviewed by Phone and Prevention of Duplicate Participation
- A-2010 General Policy
- A-2020 Authenticating a Caller
- A-2020.1 Authentication Questions and Verification Sources
- A-2020.2 Actions When Unable to Authenticate the Caller
- A-2020.3 Actions on Inaccurate Responses to the Questions
- A-2020.4 Claiming Hardship for Coming to the Office
- A-2020.5 Actions When Verification Is Provided at the Local Office
- A-2020.6 Denial for Failure to Authenticate Identity
- A-2030 Prevention of Duplicate Participation
- A-2040 Verification Requirements
- A-2050 Documentation Requirements
Section 2100 Personal Responsibility Agreement
- A-2100 Personal Responsibility Agreement
- A-2110 General Policy
- A-2120 Individual Responsibilities
- A-2121 Choices
- A-2122 Child Support
- A-2123 Voluntary Quit
- A-2124 Texas Health Steps Program
- A-2124.1 When the Person Signs Form H1073
- A-2124.2 At the First Complete Review After the Caretaker or Second Parent Signs Form H1073
- A-2124.3 Staff Action if the Overdue Month Is Before or In the Complete Review Interview Month
- A-2124.4 Texas Health Steps Overdue Month At Application
- A-2124.5 Good Cause for Texas Health Steps Noncooperation
- A-2124.6 Starting a Texas Health Steps Penalty
- A-2124.7 Ending a Texas Health Steps Penalty
- A-2125 Immunizations
- A-2126 School Attendance
- A-2127 Parenting Skills Training
- A-2128 Alcohol or Drugs
- A-2129 Good Cause
- A-2130 Form H1073, Personal Responsibility Agreement
- A-2131 Processing the PRA at Application
- A-2132 Processing Changes
- A-2132.1 Addition of a Caretaker or Second Parent at Incomplete Review
- A-2132.2 Disqualification of a Caretaker or Second Parent
- A-2132.3 Removing a Penalized Member During the First Noncooperation Month
- A-2132.4 Removing a Penalized Member During the Second Noncooperation Month
- A-2132.5 Adding a Penalized Member to a Household
- A-2132.6 Certified Children Who Age Out Before/After the Caretaker or Payee Fails to Cooperate with PRA Requirements
- A-2140 Full-Family Sanction
- A-2141 When to Start a Full-Family Sanction
- A-2142 Applying a Full-Family Sanction to Multiple TANF EDGs
- A-2143 Reinstating Cash Assistance After Cooperation
- A-2144 Imposing a Penalty
- A-2144.1 Failing to Impose a Full-Family Sanction
- A-2145 Ending an Open Penalty
- A-2146 Action When a Person Fails to Cooperate with the PRA at Complete or Incomplete Review
- A-2147 Action When the Individual Cooperates with the PRA Requirements Before the End of the Second Noncooperation Month
- A-2148 Reserved for Future Use
- A-2149 Individual Notices
- A-2150 Pay for Performance
- A-2160 Verification Requirements
- A-2170 Documentation Requirements
Section 2200 Workforce Orientation
- A-2200 Workforce Orientation
- A-2210 Requirements
- A-2220 Verification Requirements
- A-2230 Documentation Requirements
Section 2300 Case Disposition
- A-2300 Case Disposition
- A-2310 Notice to Applicants
- A-2320 Eligibility Dates and Benefit Amounts
- A-2330 Setting Special Reviews
- A-2340 Adverse Action
- A-2350 Streamlined Reporting Households
- A-2360 Documentation Requirements
Section 2400 One Time Payments
Section 2500 State Time Limits
- A-2500 State Time Limits
- A-2510 General Policy
- A-2520 Time Limit Tiers
- A-2530 Counting TANF Months Toward State Time Limit
- A-2540 State Time Limit Five-Year Freeze-Out Period
- A-2550 Notices
- A-2560 TANF-SP 60-Month Time Limit
- A-2570 Verification Requirements
- A-2580 Documentation Requirements
Part B, Case Management
Section 100 Processes and Processing Time Frames
- B-100 Processes and Processing Time Frames
- B-110 Applications
- B-120 Redeterminations
- B-121 Notice of Redetermination/Certification Expiration
- B-122 Processing Redeterminations
- B-122.1 SNAP Redeterminations Following a Short Certification
- B-122.2 HHSC Delays in Processing All Timely Redeterminations
- B-122.3 Delays Caused by Households
- B-122.4 Medical Program Administrative Renewals
- B-123 Processing Children's Medicaid Redeterminations
- B-123.1 Children's Medicaid Redetermination Due Dates
- B-123.2 Children's Medicaid Redetermination Processing Time Frames
- B-123.3 Reuse of Form H1206 After Denial
- B-123.4 Eligibility Transition from Medicaid to CHIP
- B-123.5 Processing a Redetermination for TP 45 - Transfer to TP 48
- B-123.6 Children's Medicaid Redetermination Expectations
- B-124 Processing Untimely Redeterminations
- B-125 Processing Special Reviews
- B-126 Processing Desk Reviews
- B-130 Changes
- B-140 Summary of Due Dates for Form H1020, Request for Information or Action
- B-150 Avoiding Invalid Denials Related to Missing Information and Missed Appointments
- B-160 SNAP Timeliness Charts for Applications and All Redeterminations
- B-170 Documentation Requirements
Section 200 Issuing Benefits
- B-200 Issuing Benefits
- B-210 General Policy
- B-220 Benefits
- B-230 Electronic Benefit Transfer (EBT)
- B-231 Establishing the Primary Cardholder (PCH)
- B-232 Establishing a Secondary Cardholder
- B-233 Issuing a Lone Star Card
- B-233.1 When to Reuse a Lone Star Card
- B-233.2 Issuing Lone Star Cards for PCHs
- B-233.3 Issuing Lone Star Cards to EBT Representatives
- B-233.4 Issuing Lone Star Cards to Secondary Cardholders
- B-233.5 Card Registration
- B-234 Personal Identification Number (PIN) Selection and Issuance
- B-235 Lone Star Card Replacement
- B-236 PIN Replacement
- B-237 Returned Lone Star Cards and PIN Packets
- B-238 Erroneous PIN Entry
- B-239 Client EBT Training Policy
- B-240 Special Certification Situations
- B-250 EBT Benefit Issuance
- B-251 Monthly Benefit Issuance Schedule
- B-252 Benefit Issuance on Applications
- B-253 Methods for Sending Benefit Records
- B-254 Benefit Issuance When TIERS Is Unavailable
- B-255 Priority Issuances Using the Administrative Terminal Application (ATA)
- B-256 Discrepancies on Benefit Records Sent via the ATA
- B-260 Administrative Terminal Application (ATA)
- B-261 ATA Functions
- B-261.1 Issuing a Lone Star Card and PIN or Enabling PIN Self-Selection
- B-261.2 Creating a Cardholder Record
- B-261.3 Splitting and Merging Primary Cardholder Records
- B-261.4 Updating a Primary Cardholder Record
- B-261.5 Creating a SNAP Benefit Record
- B-261.6 Performing ATA Inquiry
- B-261.7 Changing an EDG Number
- B-261.8 Requiring Card Registration or Registering a Lone Star Card
- B-261.9 Reactivating a Lone Star Card
- B-262 Reconciliation
- B-262.1 Reconciliation Administrative Terminal Application (ATA) Benefit Records to Forms H1175
- B-262.2 Reconciliation Benefit Records
- B-262.3 Reconciliation ATA Card Issuances to Form H1172
- B-262.4 TF-36, More Than One SNAP Benefit Authorized
- B-262.5 TF-07E-01, EBT Reconciliation Exception
- B-263 Security
- B-261 ATA Functions
- B-270 Management of Automation Processes
- B-280 EBT Material Inventory/Distribution
Section 300 Account Maintenance
- B-300 Account Maintenance
- B-310 General Policy
- B-330 Cancelling Benefits
- B-340 Replacing Benefits
- B-350 Using Benefits Out of State
- B-360 Dormant Accounts
- B-370 Expunged Benefits
- B-380 EBT Problem Resolution
- B-390 Documentation Requirements
Section 400 Special Households
- B-400 Special Households
- B-410 Students in Higher Education
- B-420 Other Special Situations
- B-430 Households with Elderly Members or Members with a Disability
- B-440 Drug and Alcohol Treatment (D&A)/Group Living Arrangement (GLA) Facilities
- B-441 Residents of Drug and Alcohol Treatment (D&A) Facilities
- B-442 Residents of Group Living Arrangement (GLA) Facilities
- B-443 HHSC Responsibilities
- B-444 Overview of Electronic Benefits Transfer (EBT) Processes for Residents of Drug and Alcohol Treatment/Group Living Arrangement (D&A/GLA) Facilities
- B-445 D&A/GLA Facility Responsibilities as Authorized Representatives
- B-446 Application Processing for Drug and Alcohol Treatment (D&A)/Group Living Arrangement (GLA) Facilities
- B-446.1 New Resident (or Denied Resident with No Benefits in an Electronic Benefit Transfer [EBT] Account) Who Moves into a D&A/GLA Facility and Applies for SNAP
- B-446.2 Resident Has an Active SNAP EDG (or a Denied-Ongoing SNAP EDG), No Benefits in the Food Account, and All SNAP Household Members Move into the D&A/GLA Facility
- B-446.3 All Other Situations
- B-447 Resident Moves Out of a Drug and Alcohol Treatment (D&A)/Group Living Arrangement (GLA) Facility
- B-448 Drug and Alcohol Treatment (D&A)/Group Living Arrangement (GLA) Facility Replaces the Authorized Representative (AR)
- B-449 Verification Requirements
- B-450 Residents in Family Violence Shelters
- B-460 Prepared Meal Services
- B-470 Categorically Eligible Households
- B-471 Eligibility Criteria
- B-472 Special Treatment for Households Meeting Categorical Eligibility Criteria
- B-473 Application Processing
- B-474 Centralized Benefit Services (CBS) Section
- B-474.1 Programs Administered by CBS
- B-474.2 Conversion of EDGs
- B-474.3 Methods of Reporting Changes
- B-474.4 Reserved for Future Use
- B-474.5 Replacement of Lone Star Cards/PINs/Medical Care IDs
- B-474.6 Moving Cases Out of CBS
- B-474.7 Denied EDGs
- B-474.8 Opportunity to Register to Vote
- B-475 Supplemental Nutrition Assistance Program Combined Application Project (SNAP-CAP)
- B-476 Joint Supplemental Security Income (SSI)-SNAP Applications
- B-480 A Household with Members on TANF, TANF-State Program (SP), TP 07, TP 08 and TP 20
- B-490 Determining Whether an Individual Who Resides in a Facility Is Institutionalized
Section 500 Medical Coverage for People Confined in a Public Institution
- B-500 Medical Coverage for People Confined in a Public Institution
- B-510 Termination of Medical Coverage for People Confined in a Public Institution
- B-520 Medicaid Suspension
- B-530 Medicaid Reinstatement
- B540 Centralized Benefit Services (CBS)
- B-541 Inpatient Services Provided to Inmates of the Texas Department of Criminal Justice (TDCJ)
- B-542 Persons Confined in a Texas County Jail
- B-543 Child Placed in a Juvenile Facility
- B-544 Child Placed in a Non-Secure Facility
- B-545 Notification of Anticipated Release from Juvenile Facility
- B-546 Notification of Actual Release from a Juvenile Facility
Section 600 Changes
- B-600 Changes
- B-610 General Policy
- B-620 Reporting Requirements
- B-630 Processing Requirements
- B-631 Actions on Changes
- B-632 Mass Changes
- B-633 Changes in Eligibility Test
- B-634 Changes in SNAP EDGs Jointly Processed with Supplemental Security Income (SSI)
- B-635 Shortening Certification Periods as a Result of a Change
- B-636 Change in Head of Household
- B-637 Periodic Income Checks
- B-638 Returned Mail
- B-640 Changes Affecting Benefits
- B-650 Correcting Incorrect Information
- B-660 Documentation Requirements
Section 700 Claims
- B-700 Claims
- B-710 General Policy
- B-720 When to File an Overpayment Referral
- B-730 How to File an Overpayment Referral
- B-740 Texas Works Responsibilities
- B-750 Office of Inspector General (OIG) Responsibilities
- B-760 Fiscal Management Services (FMS) - Accounts Receivable Responsibilities
- B-770 Filing an Overpayment Referral
Section 800 Restored Benefits
- B-800 Restored Benefits
- B-810 Entitlement to Restored Benefits
- B-820 Time Frames for Qualifying for Restored Benefits
- B-830 How to Determine the Amount of Restored Benefits
- B-840 Notice to the Household
- B-850 Disputed Benefits
- B-860 Method of Restoration
- B-870 Changes in Household Composition
- B-880 Procedure for Authorizing Restored Benefits
- B-890 Documentation Requirements
Section 900 Referrals for Intentional Program Violation (IPV)
- B-900 Referrals for Intentional Program Violation (IPV)
- B-910 General Policy
- B-920 When to File an IPV Referral
- B-930 How to File an IPV Referral
- B-940 Texas Works (TW) Responsibilities
- B-941 Disqualifying a Household Member with a Current SNAP Out-of-State IPV Disqualification
- B-942 Disqualifying a Household Member with a Current TANF Out-of-State IPV Disqualification
- B-943 Expiration of an IPV Disqualification Penalty
- B-944 Reinstatement of an IPV Disqualified Person
- B-945 Request for New Administrative Disqualification Hearing (ADH)
- B-950 OIG Responsibilities
- B-960 Fiscal Management Services (FMS) Responsibilities
- B-970 HHSC Employee Fraud
- B-980 Documentation Requirements
Section 1000 Fair Hearings
- B-1000 Fair Hearings
- B-1020 Time Period for Requesting Fair Hearing
- B-1030 Appeals Procedures
- B-1031 Local Office Procedures for Hearing Requests
- B-1032 Centralized Representation Unit (CRU)
- B-1033 Appeals Related to Decisions/Actions of an Electronic Benefit Transfer (EBT) Vendor
- B-1034 Appeals Related to Services for Medicaid Recipients
- B-1035 Appeals Related to Accounts Receivable Tracking System (ARTS)
- B-1040 Timely Action on Fair Hearings
- B-1050 Handling of Benefits During the Appeal Process
- B-1060 Fair Hearings Held by Telephone
- B-1070 Administrative and Judicial Reviews
- B-1080 Verification Requirements
- B-1090 Documentation Requirements
Section 1100 Reserved for Future Use
Section 1200 Confidentiality
- B-1200 Confidentiality
- B-1210 Disclosure of Information
- B-1220 Specific Information That May Be Released
- B-1230 Releasable Information for Medicaid Providers and Their Contractors
- B-1240 Preventing Disclosure of Information
- B-1250 Reporting Unauthorized Inspection or Disclosure of Social Security Administration (SSA)-Provided Information
- B-1260 Verification Requirements
- B-1270 Documentation Requirements
Section 1300 Nondiscrimination
Section 1400 Complaints
Part C, Appendix
Section 100 Income Limits and Proration Charts
Section 200 Opening, Denial, and Reinvestigation Codes (Retired)
Section 300 County Charts
Section 400 Reserved for Future Use
Section 500 Form H1000-A, Form H1000-B and Form H1000-C Instructions (Retired)
- C-500 Form H1000-A, Form H1000-B and Form H1000-C Instructions (Retired)
- C-510 General Information
- C-520 Form H1000-A and Form H1000-B Completion Instructions
- C-520.1 Section I, Items 01 - 31
- C-520.2 Section II, Items 32 - 39
- C-520.3 Section III, Items 40 - 50
- C-520.4 Section IV, Items 51 - 59
- C-520.5 Section V, Items 60 - 77B
- C-520.6 Section VI, Items 78 - 110
- C-520.7 Section VII, Items 111 - 126
- C-520.8 Section VIII, Items 127 - 152
- C-520.9 Section IX, Items 153 - 160
- C-520.10 Section X, Items 161 - 178
- C-520.11 Section XI, Items 179 - 187
- C-520.12 Section XII
- C-520.13 Section XIII
- C-520.14 Section XIV, Items 188 - 191
- C-530 Form H1000-C, Secondary Client Input Instructions
- C-540 Code Summary
Section 600 Form H1000-A and Form H1000-B Entries (Retired)
- C-600 Form H1000-A and Form H1000-B Entries (Retired)
- C-610 General Information
- C-620 Certification Entries
- C-630 Entries for Actions Taken During the Certification Period
- C-631 Entries for Case Name Changes
- C-632 Entries for Households Becoming Eligible for SSI
- C-633 Entries for Adjusting Certification Periods
- C-634 Miscellaneous Action Entries
- C-634.1 Death of an Active Client
- C-634.2 Canceling a Previous SNAP Issuance
- C-634.3 Households with Disqualified Members
- C-634.3.1 Households with Members Disqualified for Citizenship, or 18-50 Work Requirement, or Noncompliance with SSN Requirements
- C-634.3.2 Households with Members Disqualified for SNAP Employment Services Noncompliances, Felony Drug Convictions, Refusing to Cooperate with the Quality Control Process, or Being a Fugitive
- C-634.4 Reinstating a Person Disqualified for Intentional Program Violation When the Disqualification Expires
- C-634.5 Reporting Increases in Household Composition with More than 11 Persons
- C-634.6 Change of Payee or Caretaker
- C-634.7 Three Months Prior Medicaid – No Gap in Coverage on an Active Case
- C-634.8 Entering the 90% Earned Income Deduction and Child Care to Ensure Automatic Removal of the Deduction
- C-640 Denial Entries
Section 700 Reserved for Future Use
Section 800 Automated Support Systems
- C-800 Automated Support Systems
- C-810 Texas Integrated Eligibility Redesign System (TIERS)
- C-820 Data Broker
- C-821 Access Permission
- C-822 Data Broker Passwords
- C-823 Login Procedures – Data Broker Portal System
- C-824 Permissible Purpose
- C-825 Data Broker Combined Report Sources
- C-825.1 Driver License Information
- C-825.2 Persons at Entered Address
- C-825.3 Neighborhood Address Search
- C-825.4 Out-of-State Shopping (OSS) Report
- C-825.5 Texas Vehicle
- C-825.6 Reserved For Future Use
- C-825.7 Reserved For Future Use
- C-825.8 Reserved For Future Use
- C-825.9 Texas Marriage and Divorce
- C-825.10 Texas Criminal Convictions
- C-825.11 Reserved for Future Use
- C-825.12 Employer New Hire Report (ENHR) and National Directory of New Hires (NDNH) Report
- C-825.13 Texas Workforce Commission (TWC) Wages/Benefits
- C-825.14 Office of the Attorney General (OAG) Child Support
- C-825.15 SNAP Out-of-State IPV Disqualifications
- C-825.16 Alien Status/Systematic Alien Verification for Entitlements (SAVE)
- C-825.17 Inmate/Parolee Match
- C-825.18 Texas Lottery Commission
- C-826 Entry Instructions
- C-827 Data Broker Combined Report Sources With Credit Report
- C-828 Retention of Data Broker Reports and Providing Copies
- C-829 Case Actions
- C-830 Child Support Systems
- C-840 DataMart
- C-850 One-Time Grandparent Payment System
- C-860 Birth Verification System
- C-870 Other Systems
Section 900 Verification and Documentation
Section 1000 Procedures for Clearance of Income and Eligibility Verification System (IEVS) Reports and Internal Revenue Service (IRS) Federal Tax Information (FTI)
- C-1000 Procedures for Clearance of Income and Eligibility Verification System (IEVS) Reports and Internal Revenue Service (IRS) Federal Tax Information (FTI)
- C-1010 Clearance of IEVS Reports by the Office of Inspector General (OIG) that Do Not Include IRS FTI
- C-1020 Clearance of IEVS Reports by Texas Works Staff that Do Not Include IRS FTI
- C-1030 Clearance of IEVS Reports by OIG that Includes IRS FTI
- C-1040 Clearance of IEVS Reports by Texas Works that Includes IRS FTI
- C-1050 Additional IRS FTI Sources and Security Issues
- C-1060 Reporting a Security Incident Regarding Internal Revenue Service (IRS) Federal Tax Information (FTI)
Section 1100 Other/Miscellaneous
- C-1100 Other/Miscellaneous
- C-1111 State Medicaid Agencies
- C-1112 Services Under the Texas Medical Assistance Program
- C-1113 Qualified Hospital/Qualified Entity Policy and Procedures for Presumptive Eligibility Determinations
- C-1113.1 Eligible Groups
- C-1113.2 Household Composition
- C-1113.3 Modified Adjusted Gross Income (MAGI) Methodology
- C-1113.4 Verifications
- C-1113.5 Medical Effective Dates
- C-1113.6 Periods of Presumptive Eligibility
- C-1113.7 Three Months Prior Coverage
- C-1113.8 Application Processing
- C-1113.9 Due Dates and Processing Time Frames
- C-1113.10 How to Become a Qualified Hospital or Qualified Entity
- C-1113.11 Presumptive Eligibility Forms
- C-1114 Guidelines for Providing Retroactive Coverage for Children and Medical Programs
- C-1115 Immunization Terms
- C-1116 Managed Care Plans
- C-1118 Health Care Orientation Quick Reference Guide
- C-1120 IRS Tax Code
- C-1130 Electronic Benefit Transfer (EBT) Charts and Guides
- C-1140 TANF and SNAP Overpayment Determination Chart
- C-1150 Type Programs (TP) and Type Assistance (TA)
- C-1111 State Medicaid Agencies
Section 1200 Reserved for Future Use
Section 1300 Reserved for Future Use
Other Medical Programs
Part D, Children's Health Insurance Program (CHIP)
Section 100 Overview
Section 200 Application Processing
Section 300 Household Composition
Section 400 Citizenship and Alien Status
Section 500 Social Security Number
Section 600 Identity
Section 700 Residency
Section 800 Child Support
Section 900 Resources
Section 1000 Income
Section 1100 Deductions
- D-1100 Deductions
- D-1110 General Policy
- D-1120 Reserved for Future Use
- D-1130 Verification Requirements
- D-1140 Documentation Requirements
Section 1200 Third-Party Resources
Section 1300 Case Disposition
Section 1400 Changes
- D-1400 Changes
Section 1500 Six-Month Income Check
Section 1600 Redeterminations
- D-1600 Redeterminations
- D-1610 General Policy
- D-1620 Notice of Expiration
- D-1630 Timely Redeterminations
Section 1700 Enrollment
- D-1700 Enrollment
- D-1710 General Information
- D-1720 Enrollment Process
- D-1721 Enrollment Packets
- D-1722 Children with Special Health Care Needs
- D-1723 Selecting a Health Plan
- D-1723.1 Enrollment Reminder Notification
- D-1723.2 Missing Information Processing for Enrollment Forms
- D-1723.3 Address Change While Pending Enrollment
- D-1723.4 Enrollment and Non-Sufficient Funds
- D-1723.5 Coverage Start Dates
- D-1723.6 Good Cause Exemptions for Children Subject to the 90-day Waiting Period
- D-1730 Continuous Enrollment Period
- D-1740 Health Plan Change
- D-1750 Dental Benefits
- D-1760 Disenrollment
Section 1800 Cost Sharing
Section 1900 Complaints and Request for Review
Section 2000 Confidentiality
Section 2100 Reserved for Future Use
Section 2200 Reserved for Future Use
Section 2300 Forms
Section 2400 Glossary
Part E, Former Foster Care Children (FFCC)
Section 100 Application Processing
Section 200 Household Composition
Section 300 Citizenship
Section 400 Social Security Number (SSN)
Section 500 Age
Section 600 Relationship
Section 700 Identity
Section 800 Residence
Section 900 Adequate Health Coverage (Third-Party Resource)
Section 1000 Medicaid Eligibility
Section 1100 Domicile
Section 1200 Deprivation
Section 1300 Child Support
Section 1400 Resources
Section 1500 Income
Section 1600 Deductions
Section 1700 School Enrollment
Section 1800 Management
Section 1900 Reminders
Section 2000 Case Disposition
Section 2100 Processing Time Frames
Section 2200 Changes
Section 2300 Fair Hearings
Section 2400 Automated Support
Part F, Former Foster Care in Higher Education (FFCHE)
Section 100 Application Processing
Section 200 Household Composition
Section 300 Citizenship
Section 400 Social Security Number (SSN)
Section 500 Age
Section 600 Relationship
Section 700 Identity
Section 800 Residence
Section 900 Adequate Health Coverage (Third-Party Resource)
Section 1000 Eligibility Begin Dates
Section 1100 Domicile
Section 1200 Deprivation
Section 1300 Child Support
Section 1400 Resources
Section 1500 Income
Section 1600 Deductions
Section 1700 School Enrollment
Section 1800 Management
Section 1900 Reminders
Section 2000 Case Disposition
Section 2100 Processing Time Frames
Section 2200 Changes
Section 2300 Request for Review
Section 2400 Automated Support
Part M, Medicaid for Transitioning Foster Care Youth (MTFCY)
Section 100 Application Processing
Section 200 Household Composition
Section 300 Citizenship
Section 400 Social Security Number (SSN)
Section 500 Age
Section 600 Relationship
Section 700 Identity
Section 800 Residence
Section 900 Adequate Health Coverage (Third-Party Resource)
Section 1000 Medicaid Eligibility
Section 1100 Domicile
Section 1200 Deprivation
Section 1300 Child Support
Section 1400 Resources
Section 1400 Resources
Section 1600 Deductions
Section 1700 School Enrollment
Section 1800 Management
Section 1900 Reminders
Section 2000 Case Disposition
Section 2100 Processing Time Frames
Section 2200 Changes
Section 2300 Fair Hearings
Section 2400 Automated Support
Part R, Refugee Medical Assistance (RMA)
Effective February 1, 2017, HHSC no longer determines eligibility for Refugee Medical Assistance (RMA) and benefits provided to Unaccompanied Refugee Minors (URM's) under Former Foster Care Children (FFCC) or Medicaid for Transitioning Foster Care Youth (MTFCY).
Part W, Healthy Texas Women (HTW)
Section 100 Application Processing
Section 200 Household Composition
Section 300 Citizenship
Section 400 Social Security Number (SSN)
Section 500 Age
Section 600 Relationship
Section 700 Identity
Section 800 Residence
Section 900 Health Care Eligibility
Section 1000 Domicile
Section 1100 Deprivation
Section 1200 Child Support
Section 1300 Resources
Section 1400 Income
- W-1400 Income
- W-1410 General Policy
- W-1411 Types of Income
- W-1411.1 Disability Benefits
- W-1411.1.1 Agent Orange Settlement Payments
- W-1411.1.2 Disability Insurance Benefits
- W-1411.1.3 Radiation Exposure Compensation Act Payments
- W-1411.1.4 Worker’s Compensation
- W-1411.3.1 Children’s Earned Income
- W-1411.3.2 Contractual Earnings
W-1411.3.3 Military Pay and Allowances
- W-1411.3.3.1 Family Subsistence Supplemental Allowance (FSSA)
- W-1411.3.3.2 Combat (Hazardous Duty) Payments
- W-1411.3.4.1 Types of Self-Employment Income
- W-1411.3.4.2 Property Income
- W-1411.3.4.3 Noncommercial Roomer/Boarder Payments
- W-1411.3.5.1 Federal Tax Refunds and Earned Income Tax Credits (EIC)
- W-1411.3.5.2 Flexible Fringe Benefits
- W-1411.3.5.3 Income from Tips
- W-1411.3.5.4 Vacation Pay
- W-1411.4.1 Adoption Assistance
- W-1411.4.2 Crime Victim’s Compensation Payments
- W-1411.4.3 Government Disaster Payments
- W-1411.4.4 Government Housing Assistance
- W-1411.4.5 Transitional Living Allowance
- W-1411.4.6 Reserved for Future Use
- W-1411.4.7 National and Community Services Act (NCSA)
- W-1411.4.8 Native and Indian Claims
- W-1411.4.9 Nutrition Programs
- W-1411.4.10 One-Time Grandparent Payments
- W-1411.4.11 One-Time Temporary Assistance for Needy Families (OTTANF)
- W-1411.4.12 Payments to Vietnam Veterans’ Children
- W-1411.4.13 Payments to Victims of Nazi Persecution
- W-1411.4.14 Payments to World War II Filipino Veterans and Spouses
- W-1411.4.15 Relocation Assistance
- W-1411.4.16 Retirement, Survivors, and Disability Insurance (RSDI)
- W-1411.4.17 Supplemental Security Income (SSI)
- W-1411.4.18 Temporary Assistance for Needy Families (TANF) W-1411.4.19 Unemployment Compensation
- W-1411.4.20 Veterans Benefits
- W-1411.4.21 DFPS Relative Caregiver Reimbursement Program Payments
- W-1411.4.22 Healthy Marriage Development Program Payments
- W-1411.6.1 Cash Gifts and Contributions
- W-1411.6.1.1 Contributions from Noncertified Household Members
- W-1411.6.1.2 Gifts from Tax-Exempt Organizations
- W-1411.6.3 Energy Assistance
- W-1411.6.4 Foster Care and Permanency Care Assistance (PCA) Payments
- W-1411.6.5 In-Kind Income
- W-1411.6.6 Interest
- W-1411.6.7 Loans (Noneducational)
- W-1411.6.8 Pensions
- W-1411.6.9 Trust Funds
- W-1411.6.10 Resettlement-Reception and Placement (R&P)
- W-1411.6.11 Refugee Cash Assistance (RCA)
- W-1411.6.12 Match Grant
- W-1411.6.13 Spousal Diversion and Dependent Allowance
- W-1411.6.14 Welfare-to-work Income
- W-1411.6.15 Alimony Received
- W-1411.6.16 Annuity
- W-1411.6.17 Capital Gains
- W-1411.6.18 Housing Allowance
- W-1411.6.19 Life Estate
- W-1411.6.20 Jury Duty Pay
- W-1411.6.21 Court Awards
- W-1411.6.22 Cancelled Debt
- W-1412 Types of Payments
- W-1413 Income Limits
- W-1414 Calculating Household Income
- W-1415 Determining Countable Income in Special Household Situations
- W-1411.1 Disability Benefits
- W-1411 Types of Income
- W-1420 Adjunctive Eligibility
- W-1430 Reserved for Future Use
- W-1440 Documentation Requirements
- W-1410 General Policy
Section 1500 Deductions
- W-1500 Deductions
- W-1510 General Policy
- W-1520 Verification Requirements
- W-1530 Documentation Requirements