A-2300 Case Disposition
A-2310, Notice to Applicants
Body
Revision 26-1; Effective Jan. 1, 2026
All Programs
The Eligibility Determination Group (EDG) disposition produces the person's notice of eligibility status. After the interview or during processing of the application or renewal form, the EDG is pended, certified, sustained or denied. After disposition, provide one or more of the following notices, as applicable:
- Form H1020, Request for Information or Action , tells the applicant the:
- reason the case is pending;
- action the applicant or staff must take;
- date when the applicant or staff must take action; and
- date staff must deny the application or EDG if the person does not take action, if applicable.
Note: For those who are Spanish speaking only, make sure all comments provided on the H1020 are in Spanish. Refer to Form H1020 instructions for translation of common pending phrases.
- Form TF0001, Notice of Case Action
- If benefits were approved, the notice informs the person of:
- the date benefits begin or Medicaid effective date;
- the amount of benefits;
- the length of certification for Supplemental Nutrition Assistance Program (SNAP) EDGs; and
- the remaining federal and state time limit months for Temporary Assistance for Needy Families (TANF), if applicable;
- If benefits were denied, terminated or reduced, the notice informs the person:
- the reason for the denied application, denied EDG or reduced benefits;
- that a protective payee is required for TANF;
- the effective date of the action;
- the person's right to appeal;
- the address and phone number of free legal services available in the area; and
- that staff used a credit report resulting in less benefits than the person would have received.
- If benefits were approved, the notice informs the person of:
The credit report information is only included on the TF0001 if applicable to the case action. If an application is denied because a person failed to keep an appointment or provide information, inform the person through the notice of what they must do to reuse the application.
Notes:
- Eligibility for multiple programs is determined independently. Do not deny an application for one program based solely on the denial of other programs unless the household fails to meet the eligibility requirements.
- When the continuous eligibility period ends, staff must retest the individual’s eligibility for all appropriate Medicaid or Medicare Savings Program (MSP) and transfer coverage if eligible without requiring a new application.
Related Policy
Reuse of an Application Form After Denial, B-111
Denied for Missed Appointments, B-122.3.1
Denied for Failure to Provide Information/Verification, B-122.3.2
A–2311 General Information for Denials and Terminations
Revision 26-1; Effective Jan 1, 2026
All Programs
Denials and terminations are different types of adverse case actions.
- A denial refers to a determination of ineligibility for a person not currently receiving benefits. A denial action may occur when processing an application or a request for a new type of benefit program.
- A termination refers to a determination of ineligibility for ongoing benefits. A termination action may occur when a person no longer meets the program requirements during the certification period or when processing a redetermination based on changes in circumstances.
Note: Unless otherwise specified, the following policy applies to denials and terminations.
Procedural Denials
A procedural denial occurs when a person fails to provide all the information needed to determine eligibility. Examples of procedural denial reasons on Form TF0001, Notice of Case Action, include recipients who were sent forms to renew benefits but failed to return them by the due date. The person failed to provide the missing information by the due date.
Non-Procedural Denials
A non-procedural denial occurs when a person is not eligible for benefits based on the information provided. They do not meet one or more specific financial or non-financial eligibility requirements, and there are no exceptions that would make them eligible. Examples of non-procedural denial reasons on the Form TF0001 notice include:
- The income a person gets is more than allowed for this program. Applicant did not provide proof showing that they live in Texas.
- Applicant has not verified they are either a citizen or non-citizen who qualifies to receive benefits.
Medicaid Eligibility on All Bases
HHSC must determine if an applicant or recipient is eligible for any other type of medical benefit before determining ineligibility. Determine the person’s eligibility for both Modified Adjusted Gross Income (MAGI) and non-MAGI types of assistance (TOAs).
If the applicant is eligible for another type of medical benefit, transfer them to the new TOA without requiring a new application. Only send Form H1020, Request for Information or Action, to request the information or verification needed if more information is needed to determine eligibility for other TOAs. Do not request a new application or verification of information available through electronic data sources.
Examples:
- A person submits a Form H1200 to apply for Medicaid for their minor child. Staff process the Form H1200 application, and TIERS cascades to a Children’s Medicaid (CMA) EDG. Staff should review the Children’s Medicaid EDG for accuracy and request any other information necessary to complete the CMA eligibility determination, without requiring the person to complete a Form H1010 or other acceptable TW application.
- An elderly person submits a Form H1010 to apply for Medicaid. Staff process the form H1010 application and TIERS cascades to a Medicaid Savings Program (MSP) EDG. Staff should review the MSP EDG for accuracy and request additional information necessary to complete the MSP eligibility determination, without requiring the person to complete a form H 1200 or other acceptable application.
Note: Form H1010 does not capture resources. When a Form H1010 is used to determine eligibility for MEPD programs, submit a request for the Asset Verification System (AVS) and obtain consent to explore resources.
Related Policy
Notice to Applicants, A-2310
Denial of an Application, A-2341
Denial at Redetermination, A-2342
A-2320, Eligibility Dates and Benefit Amounts
Body
Revision 08-1; Effective January 1, 2008
A—2321 Date Eligibility Begins
Revision 22-3; Effective July 1, 2022
TANF
TANF financial eligibility begins the earlier of the:
- certification date; or
- 30th day after the file date.
The certification date is the date staff dispose the TANF EDG. An applicant must receive benefits for the month that falls within 30 days of the file date, unless benefits prorate to less than $10.
Timeliness standards are the same for one-time payments. Proration does not apply to one-time payments.
The following examples show possible beginning dates for eligibility:
Example 1: A family applies on April 9. The certification date is April 21. Benefits are prorated from April 21.
Example 2: A family applies on April 30. The certification date is May 29, and because of proration, benefits for May are less than $10. The grant effective date is June 1.
Example 3: A family applies on April 9, but there is a delay in certification until May 15. Benefits are prorated from May 9 (30th day from the file date).
Related Policy
OTTANF, A-2411
One-Time TANF for Relatives, A-2412
SNAP
SNAP eligibility begins on the day HHSC receives a valid application, unless:
- the application is received outside of business hours, such as after hours, weekends or holidays. In these instances, SNAP eligibility begins on the next business day;
- benefits prorate to less than $10;
- the household already received benefits that month; or
- the household is not eligible for the month of application but eligible for ongoing months.
Medicaid Programs
See related policy for dates Medicaid eligibility begins.
Related Policy
Regular Medicaid Coverage, A-820
Medicaid Coverage for the Months Prior to the Month of Application, A-830
A—2322 Benefits
Revision 26-2; Effective April 1, 2026
TANF
Staff must:
- base the benefit amount on household size and net income;
- issue benefits for less than $10 only for:
- supplemental payments; and
- payments made after recoupment is processed;
- issue One-Time TANF (OTTANF) benefits for $1,000 to eligible households, regardless of household size or income; and
- issue One-Time TANF for Relatives payments of $1,000 to eligible households, regardless of the household size or income.
SNAP
Staff must:
- Base the household allotment on household size and net income. Exception: Different rules apply to SNAP Combined Application Project (SNAP-CAP) participants.
- Not issue an initial month's prorated benefits for less than $10.
- Deny the EDG if net income results in zero allotment for the initial and ongoing months.
- Issue a combined allotment when:
- benefits are prorated;
- the household is eligible for the application month and following month; and
- the application file date is after the 15th of the month; or
- the redetermination file date is after the certification period between Day 16 through Day 30.
Related Policy
Combined Allotments, A-150
Supplemental Nutrition Assistance Program Combined Application Project (SNAP-CAP), B-475
A—2323 Proration
Revision 22-3; Effective July 1, 2022
TANF and SNAP
Do not issue prorated benefits of less than $10.
TANF
To calculate the prorated amount:
- determine the household's whole monthly benefit based on household size and net income;
- determine the earlier of the certification date or the 30th day after the file date; and
- follow additional instructions in the related policy section which describes how to prorate TANF grants.
Note: Do not prorate OTTANF or One-Time TANF for Relatives payments.
Related Policy
How to Prorate TANF Grants, C-112
SNAP
Base proration on the number of days between the file date and the end of the month. To calculate the prorated amount, determine the:
- household's whole monthly benefit based on household size and net income; and
- prorated allotment from the Proration Multiplier Chart table using the whole monthly allotment and date of application.
Note: Never prorate benefits for any month after the application month.
To calculate prorations over $300:
- Subtract the date of application from 31.
- Multiply the difference by the amount of the whole monthly allotment.
- Divide that amount by 30.
- Drop all cents.
If the date of application is the 30th or 31st, divide the whole allotment by 30.
Example: A household applies June 17. The household's whole monthly allotment is $395.
- 31 - 17 = 14
- $395 × 14 = $5,530
- $5,530 ÷ 30 = $184.33
- Round to $184. The household's prorated allotment for June is $184.
Do not prorate benefits if the household includes a member who meets both of the following criteria:
- is a seasonal or migrant farm worker (in or out of the workstream); and
- was certified for SNAP, in Texas or another state, the month before the household applied.
Related Policy
Prorated SNAP Allotments by Application Date, C-1432
A—2324 Length of Certification
Revision 25-1; Effective Jan. 1, 2025
TANF
TANF does not have a certification period. The EDG remains open until denied.
The eligibility determination system calculates the TANF periodic review due date from the date staff dispose the EDG as follows:
- Applications:
- 11 months for payee EDGs with income of less than $3; or
- five months for other EDGs.
- Reviews:
- 12 months for payee cases with income of less than $3; or
- six months for other cases.
One-Time Payments
OTTANF EDGs are not subject to periodic reviews. Applicants must reapply for subsequent TANF benefits after the ineligibility period. One-Time TANF for Relatives EDGs do not require further action.
Related Policy
One Time Payments, A-2400
SNAP
Non-Public Assistance (NPA) Households
Assign households the longest certification period possible based on their eligibility and the predictability of their circumstances, per the following table:
| If the household | then certify the household for |
|---|---|
| meets the streamlined reporting (SR) criteria, | six months. Exception: Certify SNAP for four or five months, if necessary, so the new SNAP certification period ends one month before the end of the Children’s Medicaid certification period. This allows state office to mail only one redetermination packet for both programs. |
| consists entirely of unemployable or elderly people with stable circumstances and the household does not meet the SR criteria, | six to 12 months. Example: Households whose members receive Retirement, Survivors and Disability Insurance (RSDI), Supplemental Security Income (SSI), retirement pensions or disability payments may be certified up to 12 months if other household circumstances are expected to remain stable. Exception: Texas Simplified Application Project (TSAP) and SNAP-Combined Application Project (SNAP-CAP) participants receive a 36-month certification period. |
| does not meet the SR criteria and circumstances are unstable. This includes households with an able-bodied adult without dependents (ABAWD), | three to six months. |
| is likely to become ineligible in the next two months due to an expected change and the household does not meet the SR criteria, | one or two months. Example: The household does not meet SR criteria and the person indicates during the interview that someone in the household will start a new job, begin receiving unemployment benefits or move out of, or into, the household. Exception: If the household is certified for one or two months and the certification occurs after the 15th day in the last month of certification, extend the certification to the following month, unless the household is ineligible based on a change known at certification. |
Notes:
- If a household meets the SR criteria, assign a six-month certification period. This includes households with self-employment income.
- Staff must give the person Form H1010, Texas Works Application for Assistance — Your Texas Benefits (PDF), and Form H1830-R, Texas Works Renewal Notice (PDF), at recertification when assigning a:
- one- or two-month certification period; or
- three-month certification period and the case is certified after cutoff in the first benefit month.
Related Policy
Streamlined Reporting Households, A-2350
Public Assistance (PA) Households
Most SNAP EDGs with associated TANF EDGs meet the SR criteria.
For non-SR households, assign a certification period that meets the requirements listed above for non-PA households and corresponds to the redetermination due date of the associated TANF EDG.
For SR households, assign a six-month certification period whether or not the certification period corresponds to the redetermination due date of the associated TANF EDG.
TP 08
TP 08 has a 12-month non-continuous eligibility certification period. Calculate the estimated eligibility end date as follows:
- applications — application month plus 11 months; and
- redeterminations — 12 months from the last review date.
TP 43, TP 44 and TP 48
The certification period for a child is the earliest of:
- 12 months; or
- through the month of the child’s 19th birthday.
These Types of Assistance (TOAs) have a 12-month continuous eligibility (CE) certification period. Calculate the estimated eligibility end date as follows:
- applications — application month plus 11 months; and
- redeterminations — 12 months from the last review date.
Emergency Medicaid
Emergency Medicaid ends either the end date of the emergency condition or the last day of the application month, whichever is earlier.
Note: Pregnant women certified for Emergency Medicaid receive coverage through the pregnancy and 12-month postpartum period, if applicable.
Children under 19 certified for Emergency Medicaid receive coverage for a continuous 12-month certification period.
During this time, only services needed for an emergency or life-threatening situations are covered. Services provided after the emergency condition becomes stable are not covered.
TP 40
The end date is the last day of the 12th month following the expected delivery date. Review Medicaid termination policy for information on pregnancies that terminate early or late.
Note: A child under 19 determined eligible and certified for TP 40 will receive continuous eligibility (CE) through her pregnancy and 12-month postpartum period regardless if the child turns 19 before the end of her postpartum period.
Related Policy
Medicaid Termination, A-825
What to Report, B-621
Actions on Changes, B-631
TP 45
The eligibility determination system calculates an end date that is 12 months from the child's birth date. A newborn is continuously eligible for TP 45 through the month of the child's first birthday, if the child lives in Texas.
A-2330, Setting Special Reviews
Body
Revision 24-3; Effective July 1, 2024
TANF and Medical Programs
Set a special review when the household:
- anticipates a change affecting eligibility before the next redetermination;
- has questionable circumstances; or
- includes a pregnant household member whose baby is expected before the next redetermination. Schedule the special review on the first day of the month after her baby is due.
SNAP
For streamlined reporting (SR) households designated as SR 1 or SR 2, set a special review when the household:
- anticipates a change affecting eligibility before the next redetermination, including if they anticipate an increase in income over 130 percent of the Federal Poverty Level (FPL) for the household’s size; or
- includes a member who does not meet the ABAWD work requirement. Set a special review for the month before the end of the ABAWD federal time limit (FTL) to disqualify the ABAWD or deny the EDG. Do not set a special review if meeting the work requirement.
For non-streamlined reporting households designated as SR 3, set a special review when the household anticipates a change affecting their eligibility determination.
Related Policy
Qualified Alien Status Eligibility Charts, A-340
ABAWD Work Requirement, A-1940
After the Three Months of Time-Limited SNAP Eligibility, A-1951
Streamlined Reporting Households, A-2350
What to Report, B-621
A—2330.1 Special Reviews for Known Changes
Revision 15-4; Effective October 1, 2015
SNAP
A known change is a change that the household reasonably anticipates will occur during the certification period.
Example: The individual has been employed in the past by the school district and will return to work at that job three months into the certification period.
Advisors must contact the household to confirm that a change occurred. If the household confirms that a change occurred, policy in B-600, Changes, applies. If the household confirms that no change occurred, the advisor must document in Case Comments the household's explanation to complete the special review.
If the advisor requests verification of the change on Form H1020, Request for Information or Action, Request for Information or Action, but the individual fails to respond, the advisor must consider the case situation questionable and follow procedures in B-635, Shortening Certification Periods as a Result of a Change, to shorten the certification period. Exception: Advisors must not shorten the certification period for SNAP SR households.
A—2330.2 Special Reviews for Questionable Changes
Revision 15-4; Effective October 1, 2015
SNAP
A questionable change is a change the household thinks may happen during the certification period or that the advisor expects to happen because the household's situation is unstable.
Example 1: The individual is unemployed at the time of the interview and is looking for work but does not have a definite job offer.
Example 2: The household expenses exceed income, and the individual cannot explain future management.
Advisors must contact the household to determine whether a change occurred. If the household confirms that a change occurred, the advisor follows policy in B-600, Changes. If the household confirms that no change occurred, the advisor documents the contact in Case Comments and the household's explanation to complete the special review.
Note: Advisors must not set a special review due to questionable changes for SNAP SR households.
Related Policy
Setting Special Reviews, A-2330
Streamlined Reporting Households, A-2350
A-2340, Adverse Action
Body
Revision 13-2; Effective April 1, 2013
All Programs
Any household receiving a notice of adverse action has the right to request a fair hearing. In some situations households may continue benefits pending an appeal.
Related Policy
A-2341 Denial of an Application
Revision 25-4; Effective Oct. 1, 2025
All Programs
Staff must provide the applicant with Form TF0001, Notice of Case Action, stating the reason for the denial. Staff must follow the policy for processing time frames. Denials are effective immediately.
Note: Staff determine eligibility for multiple programs independently of each other. They should not deny an application for one program based solely on the denial of other programs unless the household fails to meet the eligibility requirements.
Medical Programs
The eligibility system automatically sends applicants determined ineligible for Medicaid and the Children's Health Insurance Program (CHIP) at application to the Marketplace for an eligibility determination for federal health care coverage programs.
To qualify for the federal health care coverage programs, all applicants must first be determined ineligible for Medicaid and CHIP. Staff must test if an applicant is eligible for all Medical Programs. The Texas Works Medical Programs Hierarchy does this automatically for all applicants at application.
Notes:
- Staff must follow a manual process when retesting eligibility for a minor parent aging out of TP 44, a pregnant woman from TP 40 at the end of the certification period, or a recipient at the end of the Transitional Medicaid certification period, as explained in retesting eligibility policy.
- Pregnant woman whose TP 40 coverage terminates before the end of their original certification period may be eligible for automatic retesting of eligibility for all Medical Programs as explained in Medicaid termination policy.
- When the continuous eligibility period ends, staff must retest the recipient’s eligibility for all appropriate Medicaid and transfer coverage, if eligible, without requiring a new application.
Related Policy
General Information for Denials and Terminations, A116.1
Medical Programs Hierarchy, A-132.1
Medicaid Termination, A-825
Retesting Eligibility, A-2342.1
Processing Time Frames, B-100
A-2342 Denial at Redetermination
Revision 26-2; Effective April 1, 2026
TANF
Process TANF EDGs found ineligible at review following adverse action procedures.
SNAP
Staff provide the household with Form TF0001, Notice of Case Action, stating the reason for denial.
Timely Redeterminations — If a household renews by the 15th of the last month of their certification period and is determined ineligible, staff must use redetermination policy and procedures, to deny the EDG.
Untimely Redeterminations — If a household renews after the 15th of the last month of their certification period and is determined ineligible, staff must use the application policy and procedures to deny the EDG.
Medical Programs
The eligibility system automatically sends applicants determined ineligible for Medicaid and CHIP at redetermination to the Marketplace for an eligibility determination for federal health care coverage programs.
To qualify for federal health care coverage programs, all individuals must first be determined ineligible for Medicaid and CHIP. Staff must test if an applicant is eligible for all medical programs. The Texas Works Medical Programs Hierarchy does this automatically for all applicants at redetermination.
Notes:
- Staff must follow a manual process when retesting eligibility for a minor parent aging out of TP 44, a pregnant woman on TP 40 at the end of the certification period, or a recipient at the end of the Transitional Medicaid certification period, as explained in retesting eligibility policy.
- Pregnant women whose TP 40 coverage terminates before the end of their original certification period may be eligible for automatic retesting of eligibility for all Medical Programs as explained in Medicaid termination policy.
- When the continuous eligibility period ends, staff must retest the recipient’s eligibility for all appropriate Medicaid and transfer coverage, if eligible without requiring a new application.
TP 08
Staff must determine if the person is eligible for TP 07, Earnings Transitional, or TP 20, Alimony/Spousal Support Transitional, in the denial effective month. Staff provide TP 07 or TP 20 instead of denying the EDG if the person is found eligible.
TP 43, TP 44 and TP 48
Staff must process a denial if the household fails to provide pending verification by the 30th day from the file date or by cutoff in the last benefit month of certification, whichever is later. Staff do not provide 13 days advance notice before denying the EDG.
Related Policy
General Information for Denials and Terminations, A116.1
Medical Programs Hierarchy, A-132.1
Medicaid Termination, A-825
Transitional Medicaid Coverage, A-841
TP 20 Alimony/Spousal Support Transitional Medicaid Coverage, A-850
Retesting Eligibility, A-2342.1
Applications, B-110
Redeterminations, B-120
A-2342.1 Retesting Eligibility
Revision 25-4; Effective Oct. 1, 2025
TP 44, TP 40, TP 07 and TP 20
Staff must retest the following applicants’ potential eligibility for other medical programs by manually running the Texas Works Medical Program Hierarchy explained in Medical Programs Hierarchy, starting policy, Step 1 in the following hierarchy:
- minor parents aging out of TP 44, children 6-18;
- recipients on TP 40, pregnant women, once their certification period ends; and
- recipients terminated from TP 07 or TP 20, transitional Medicaid programs.
All other recipients flow through the hierarchy to either the next available program or referred to the Marketplace if determined ineligible for all other medical programs. For example:
- A child aging out of TP 48 is automatically tested for TP 44.
- A non-parent child determined ineligible because of aging out of TP 44 is referred to the Marketplace.
The system does not terminate eligibility for the people listed above at the end of the certification period. Staff act to review the person’s eligibility and re-run the hierarchy to determine potential eligibility for other programs. Staff must use the first day of the last month of the current certification period as the file date. Staff should process the EDGs like a redetermination, without requiring a renewal form. Except in the case of TP 40, where there may be an application, staff process the EDG as they do redeterminations with renewal forms. Staff must verify information the way it is done in the redetermination process.
Do not re-evaluate the remaining people in the recipient’s household composition for eligibility during a continuous eligibility period. Changes to household composition such as a minor parent aging out, the end of a pregnancy, or the termination of Transitional Medicaid coverage, must be addressed once the person is no longer eligible for a program with 12-month continuous eligibility. This includes Children’s Medicaid (TP 44), Pregnant Women (TP 40), or Transitional Medicaid programs (TP 07 and TP 20). Once the continuous eligibility period ends, staff must re-evaluate the recipient’s eligibility for all appropriate Medicaid or MSP and transfer coverage, if eligible, without requiring a new application.
Note: An interview is required when testing for TP 08.
Related Policy
General Information for Denials and Terminations, A-116.1
Medical Programs Hierarchy, A-132.1
A-2343 Advance Notice
Revision 15-4; Effective October 1, 2015
All Programs
After approval, advisors give households advance notice of adverse actions to deny, terminate, lower, or restrict existing benefits except for reasons listed in A-2344.1, Form TF0001 Required (Adequate Notice), and A-2344.2, No Form TF0001 Required.
A-2343.1 How to Take Adverse Action if Advance Notice Is Required
Revision 20-4; Effective October 1, 2020
All Programs
TIERS provides 13 days advance notice to the household after informing them of a denial or termination of ongoing benefits using Form TF0001, Notice of Case Action. The day Form TF0001 is sent is day zero of the adverse action period.
If the 13-day advance notice period:
- does not expire until after the last day of the month (regardless of whether the 13th day is a business day), the household is eligible for the same level of benefits the month after the notice was sent.
- expires between cutoff and the end of the month, the reduction or denial is effective the following month. Note: Do not deny TP 40 EDGs when taking adverse action for failure to provide postponed verification.
TANF
Provide 13 days advance notice to the household using Form TF0001 before taking action to:
- establish a protective payee; or
- continue a protective payee because of mismanagement.
To establish a protective payee because the person mismanaged TANF benefits, follow advance notice policy above.
At complete redetermination, re-evaluate the situation to determine whether the protective payee should continue. If the decision is to continue, notify the person by sending Form TF0001.
If the person appeals this decision, issue TANF benefits to a protective payee until the hearing is completed.
Medical Programs
A person applying for Medicaid who declares U.S. citizenship or an eligible alien status, but for whom verification is unavailable, receives a 95-day period of reasonable opportunity to provide verification of citizenship or alien status. The reasonable opportunity period expires on the 95th day from when the TF0001 was generated. Deny the person and provide 30 days advance notice of adverse action to the household if they do not provide verification of citizenship or alien status.
Related Policy
Reasonable Opportunity, A-351.1
A-2344 Adverse Actions Not Requiring Advance Notice
Revision 13-2; Effective April 1, 2013
A-2344.1 Form TF0001 Required (Adequate Notice)
Revision 26-2; Effective April 1, 2026
All Programs
The following situations require that the household is given adequate notice:
- The post office returns Texas Health and Human Services Commission (HHSC) mail with no forwarding address because the person's location is unknown.
- The head of the household, authorized representative or other responsible household member:
- verbally volunteers to withdraw in HHSC staff’s presence, either in the office or by phone; or
- gives HHSC a written, signed report of change, and staff determine the:
- exact amount of the reduced benefits; or
- that the household is ineligible.
Note: This includes situations when HHSC receives Form H1028, Employment Verification, signed by the household and completed by the employer.
- The household reports in advance they will move out of state.
- Employment and Training (E&T) noncooperation is received in the last benefit month.
Related Policy
How to Report, B-623
Sending Notice of Failure to Cooperate, A-1845.1
TANF and Medical Programs
Send Form TF0001, Notice of Case Action, without advance notice in the following situations:
- Staff deny or reduce benefits when a person reaches the maximum age described in A-220, TANF, and A-240, Medical Programs.
- Staff confirm the person’s or payee's death when no relative is available to serve as new payee.
- Staff reduce the grant or deny a Medical Program recipient because the person received a new TANF or SSI grant.
- Staff impose a full-family sanction because of noncooperation with one or more Personal Responsibility Agreement (PRA) requirements.
- Staff deny a TP 08 recipient because of noncooperation with medical support.
- The person was admitted or committed to an institution and no longer qualifies for TANF or Medical Programs benefits.
- The person was placed in skilled nursing care or intermediate care.
- Staff deny a TANF or TANF-State Program (SP) EDG because the caretaker or second parent received their lifetime limit of 60 months.
- HHSC verifies a person is certified for SSI or TANF in another state.
- A TANF or medical program child is removed from the home by court order or voluntarily placed in foster care by the legal guardian.
Related Policy
The Texas Works Message, A-1527
SNAP
Send Form TF0001 without advance notice in the following situations:
- The household fails to provide verification postponed during expedited services or provides postponed verification that results in lowered or denied benefits.
- Staff discover information an expedited household failed to report. The information:
- exists on the interview date;
- results in lowered or denied benefits; and
- is discovered between the time the application is approved with postponed verification and on or before the 30th day.
- A drug and alcohol treatment or group living arrangement facility loses its status as authorized representative or loses its certification.
- Centralized Benefit Services (CBS) contacts field staff to deny the SNAP EDG to certify the SNAP Combined Application Project (SNAP-CAP) EDG. Note: If the SNAP-CAP applicant is certified for SNAP with other household members, allow advance notice of adverse action before removing the person from the existing SNAP EDG.
Related Policy
A-2344.2 No Form TF0001 Required
Revision 15-4; Effective October 1, 2015
All Programs
Form TF0001, Notice of Case Action, is not required in the following situations:
- the state or federal government initiates mass changes that affect the entire caseload or significant portions of the caseload, such as the annual Social Security cost-of-living adjustment.
- the household moves out of state and reports it afterward.
- the household gives HHSC a written, signed request to voluntarily withdraw.
TANF
Form TF0001 is not required when child support collected by the Office of the Attorney General exceeded the amount of the grant plus the $75 disregard. In these cases, state office sends Form H1718, Notice of Benefit Denial, to the individual.
SNAP
Form TF0001 is not required in the following situations:
- All members of a household have died.
- The individual's allotment changes from month to month during the certification period because of changes expected at the time of certification. In this situation, inform the individual on Form TF0001 at the time of certification that the household's allotment will vary.
- The individual applied for TANF and SNAP at the same time and received SNAP while waiting for approval of the TANF grant.
A-2350, Streamlined Reporting Households
Body
Revision 24-3; Effective July 1, 2024
SNAP
Streamlined reporting minimizes the information that households must report during the certification period to maintain their benefit level and eligibility. Households are subject to streamlined reporting criteria as follows.
SR 1 Households
Households with reported income below 130 percent of the federal poverty level (FPL) are designated as SR 1 and are subject to streamlined reporting criteria.
SR 2 Households
Households with reported income above the 130 percent FPL but below 165 percent of the FPL are designated as SR 2 and are subject to streamlined reporting criteria.
SR 3 Households
Households that do not meet the streamlined reporting criteria are designated as SR 3 and are not subject to streamlined reporting criteria. These households:
- are aware at application or redetermination of a change that will make them ineligible within the next six months. Note: Do not consider an anticipated change in household composition or residency as a known change until it actually occurs;
- contain at least one non-exempt ABAWD who is not meeting the ABAWD work requirement; or
- are certified for four months or less.
At application and recertification, use the following table to determine the household’s SR designation.
| Step | Question | If yes, | If no, |
|---|---|---|---|
| 1 | Is the household aware of a change that will make them ineligible for SNAP in the next six months? | designate the household as SR 3. | continue to step 2. |
| 2 | Does the household contain at least one non-exempt ABAWD who is not meeting the work requirement? | designate the household as SR 3. | continue to step 3. |
| 3 | Will the household be assigned a certification period of four months or less? | designate the household as SR 3. | continue to step 4. |
| 4 | Does the household have income below 130 percent of the FPL? | designate the household as SR 1. | designate the household as SR 2. |
The household retains its SR designation throughout the certification period. Do not remove the SR designation at incomplete reviews. For example, when a household designated as SR 1 or SR 2 reports a change where an ABAWD household member no longer meets the ABAWD work requirement, the household remains as SR 1 or SR 2 through the end of the certification period. Designate the household as SR 3 at their next redetermination.
Related Policy
ABAWD Work Requirement, A-1940
Length of Certification, A-2324
Supplemental Nutrition Assistance Program Combined Application Project (SNAP-CAP), B-475
Texas Simplified Application Project (TSAP), B-477
What to Report, B-621
A—2351 Disqualified Members
Revision 16-2; Effective April 1, 2016
SNAP
Advisors must extend SR policy to households containing disqualified members. In a household containing all elderly and/or members with a disability, the household can meet the SR criteria, even if the disqualified member is the only person with earnings.
Advisors do not consider a disqualified member an ABAWD for purposes of determining SR status, even if the member is disqualified due to exhausting the individual's SNAP ABAWD time limits. Advisors consider only eligible household members for this purpose.
A-2360, Documentation Requirements
Body
Revision 15-4; Effective October 1, 2015
All Programs
Documentation must be sufficient to support the advisor's decision for denying or terminating the EDG. Refer to C-940, Documentation, for requirements related to adverse action decisions.
If not obvious, advisors must document that:
- adequate notice was allowed according to policy in A-2344.1, Form TF0001 Required (Adequate Notice); or
- Form TF001, Notice of Case Action, was not required according to policy in A-2344.2, No Form TF0001 Required.
TANF and Medical Programs except Emergency Medicaid
Advisors must thoroughly document the reason for any special review and explain any information needed and the acceptable verification required to clear the review.
SNAP
Advisors must document the:
- reason for extending a certification period;
- reason for modifying the designators or override tab; and
- reason for setting a special review, thoroughly explaining why the special review was set, any information needed, and the acceptable verification required to clear the review.
Related Policy
Setting Special Reviews, A-2330
Documentation, C-940
The Texas Works Documentation Guide