Texas Health and Human Services Commission
Texas Works Handbook
Revision: 12-1
Effective: January 1, 2012

Part A — Section 2300

Case Disposition

A—2310  Notice to Applicants

Revision 04-5; Effective July 1, 2004

All Programs

Case disposition is the client's notice of eligibility status. At the close of the interview or during processing of Form H1014, Application Information for Children's Health Insurance Program (CHIP), Children's Medicaid, and CHIP Perinatal Coverage, or Form H1015, Children's Medicaid Renewal, the case is pended, certified, sustained, or denied. Give the client one or more of the following notices:

  • Form H1020, Request for Information or Action — Form H1020 tells the client the
    • reason the case is pending;
    • action the client or advisor must take;
    • date by which the client or advisor must take action; and
    • date the advisor must deny the application/case if the client does not take action, if applicable.

      Provide the appropriate page(s) of Form H1020-A, Sources of Proof, anytime you provide a Form H1020.

      Note: For Spanish-speaking only clients, comments included on the GWS or manual notice must be in Spanish. See Form H1020 instructions for translation of common pending phrases.

  • Form H1009, TANF/Food Stamp Benefits Notice of Eligibility — Form H1009 tells the client:
    • the date benefits begin;
    • the amount of benefits;
    • about his right to appeal;
    • the address and phone number of free legal services available in the area;
    • that the advisor used a credit report if its use resulted in fewer benefits than the client would have otherwise received;
    • the length of certification for Supplemental Nutrition Assistance Program (SNAP) cases;
    • the verification needed and the due date for SNAP expedited clients with postponed verification; and
    • that SNAP benefits may change if a TANF application is pending.

      Provide Form H1009-A, TANF/Food Stamp Notice of Eligibility - Client Rights/Responsbilities Information, anytime you provide a GWS-generated Form H1009.

      Note: For Spanish-speaking only clients, ensure that all comments provided must be in Spanish.

  • Form H1017, Notice of Benefit Denial or Reduction — Form H1017 tells the client:
    • the reason the advisor denied the application, denied the case, or reduced benefits.

      Note: You must cite the specific handbook reference for SNAP and TANF denials due to excess income or excess resources. Refer to charts in C-240, Expanded Denial Code Reference Charts;

    • that a protective payee is required for TANF;
    • the effective date of the action;
    • about his right to appeal;
    • the address and phone number of free legal services available in the area; and
    • that the advisor used a credit report if its use resulted in fewer benefits than the client would have otherwise received.

      If you deny an application because a client failed to keep an appointment or furnish information, include what he must do to reopen the application.

      Note: Determine eligibility for multiple programs independently of each other. Do not deny an application for one program based solely on the denial of another program unless the household fails to meet the eligibility requirements.

      If you issued a Form H1009 for the one-time grandparent but State Office Database Support notifies you that the client is not eligible, issue Form H1017 to notify the household they are not eligible because they previously received the payment.

      Provide Form H1017-A, Notice of Benefit Denial or Reduction - Client Rights/Responsibilities, anytime you provide a GWS-generated Form H1017. Also provide Form H1017-B, Transitional Medicaid, when you transfer a TANF TP 55 or TP 29 case to Transitional Medicaid.

      Note: For Spanish-speaking only clients, ensure that all comments provided are in Spanish.

  • Form H1017-P, Notice of Benefit Denial/Personal Responsibility Agreement (PRA) Reasons — Use this form when a client is sanctioned due to noncooperation with the PRA. Form 1017-P tells the client:
    • the month they failed to cooperate with the PRA;
    • the type of PRA noncooperation;
    • the month they must cooperate; and
    • they have forfeited a month of cash assistance and Medicaid.
  • Form H1122, Medicaid Action Notice — Form H1122 tells the client:
    • the date benefits begin if there is no spend down, or the amount of spend down and the months of potential eligibility;
    • about his right to appeal; and
    • the address and phone number of free legal services available in the area.

      Provide Form H1122-A, Medicaid Information - Client Rights/Responsibilities, anytime you provide a GWS-generated Form H1122.

      Note: For Spanish-speaking only clients, ensure that all comments provided are in Spanish.

A—2320  Eligibility Dates and Benefit Amounts

Revision 08-1; Effective January 1, 2008

A—2321  Date Eligibility Begins

Revision 04-5; Effective July 1, 2004

TANF

TANF financial eligibility begins the earlier of the:

  • certification date; or
  • 30th day after the file date.

The certification date is the date the advisor signs and completes the TANF worksheet. An applicant must receive benefits for the month that falls within 30 days of the file date, unless benefits prorate to less than $10.

See A-2411, OTTANF and A-2412, Grandparent Payments.

The following examples show possible beginning dates for eligibility:

Example #1: A family applies 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 April 9, but the advisor delays certification until May 15. Benefits are prorated from May 9 (30th day from the file date).

SNAP

Supplemental Nutrition Assistance Program (SNAP) eligibility begins on the day the completed application is received in the correct office unless:

  • 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.

Eligibility for these clients begins the month after the application month. Begin the certification period on Form H1000-A, Notice of Application, Form H1000-B, Record of Case Action, and Form H1000-C, Secondary Client Input, with the first month of eligibility.

A—2322  Benefits

Revision 06-4; Effective October 1, 2006

TANF

  • 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 OTTANF benefits for $1,000 to eligible households, regardless of household size or income.
  • Issue a one-time grandparent payment of $1000 to eligible households, regardless of the household size or income.

SNAP

  • Base the household allotment on household size and net income.
  • Do not issue an initial month's prorated benefits for less than $10.
  • Issue a prorated initial month's allotment and the following month's allotment at the same time for households who apply after the 15th of the month. See Combined Allotment Policy, A-150.
  • Deny the case if net income results in zero allotment for the initial and ongoing months.

A—2323  Proration

Revision 04-5; Effective July 1, 2004

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 the instructions in C-112, How To Prorate TANF Grants.

Note: Do not prorate OTTANF or One-Time Grandparent payments.

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 table in C-1432 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:

  1. Subtract the date of application from 31.
  2. Multiply the difference by the amount of the whole monthly allotment.
  3. Divide that amount by 30.
  4. 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. Their whole monthly allotment is $395.

  1. 31 − 17 = 14
  2. $395 × 14 = $5530
  3. $5530 ÷ 30 = $184.33
  4. 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 the Supplemental Nutrition Assistance Program (SNAP), in Texas or another state, the month before the household applied.

A—2324  Length of Certification

Revision 10-4; Effective October 1, 2010

TANF, TANF Level Families and TP 55

TANF, TANF Level Families and TP 55 do not have certification periods. They remain open until denied.

The System for Applications, Verifications, Eligibility Reports and Referral (SAVERR) calculates the TANF, TANF Level Families or TP 55 periodic review date from the date the advisor signs Form H1000-A, Notice of Application, Form H1000-B, Record of Case Action, and Form H1000-C, Secondary Client Input, as follows:

  • Applications
    • 11 months for payee cases with income of less than $3; or
    • five months for other cases.
  • Reviews
    • 12 months for payee cases with income of less than $3; or
    • six months for other cases.

TP 30

Medicaid eligibility for TP 30 ends the earlier of either the end date of the emergency condition or the last day of the application month.

One-Time Payments

One-Time TANF (OTTANF) cases are not subject to periodic reviews. Applicants must reapply for subsequent benefits after the ineligibility period. See A-2400, One-Time Payments. Grandparent OTTANF are not subject to further action.

TP 40

The end date is the last day of the second month following the expected delivery date. See A-825, Medicaid Termination, for information on pregnancies that terminate early or late.

TP 43, TP 44, TP 47 and TP 48

SAVERR calculates an end date from the date the advisor signs Form H1000-A and Form H1000-B as follows.

  • Applications – five months.
  • Renewals – six months from the last review date.

Children under age 19 are continuously eligible for TP 43, TP 44, TP 47 and TP 48 for six months or through the month of their 19th birthday, whichever is earlier.

Related Policy
Medicaid Termination, A-825
What to Report, B-621
Actions on Changes, B-631

TP 45

SAVERR 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 his first birthday, as long as the child lives in Texas.

SNAP

Non-Public Assistance (PA) Households

Assign households the longest certification period possible based on their eligibility and the predictability of their circumstances.

If the household ... then certify the household for ...
meets the streamlined reporting (SR) criteria in A-2360, Streamlined Reporting Households, six months.
consists entirely of unemployable or elderly persons 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, 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.

Note: Pure SSI households who are assigned a 12-month certification period will be converted automatically to a 36-month certification period once transferred to the Centralized Benefit Services unit.

does not meet the SR criteria and circumstances are unstable (including households with an able-bodied adult without dependents), 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 client 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, designate the case as SR and assign a six-month certification period. This includes households with self-employment income.
  • Give the client Form H1010-B, Application for Assistance - Part B: Information We Need to Know, and Form H1830, Application/Review/Expiration/Appointment Notice, at recertification when assigning a:
    • one or two-month certification period, or
    • three-month certification period and the case is certified after cut-off in the first benefit month.
  • Regions may have specific procedures for certification periods for those households that do not meet the SR criteria. Regions must submit all regionally-developed certification criteria to the Office of Program Integrity for review and approval.

PA Cases

Most Supplemental Nutrition Assistance Program (SNAP) cases with associated TANF cases meet the SR criteria.

For non-SR cases, assign a certification period that meets the requirements listed above for non-PA cases and corresponds to the periodic review of the associated TANF case.

For SR cases, assign a six-month certification period regardless of whether the certification period corresponds to the periodic review of the associated TANF case.

A—2324.1  Lengthening Certification Periods

Revision 04-1; Effective January 1, 2004

SNAP

Advisors may lengthen a non-SR household's current certification period once it has been established, as long as the total months of the certification period do not exceed 12 months. The advisor should use prudent judgement in determining when to extend a certification period. Note: Regions may choose to limit extensions to no more than three additional months.

When extending the certification period, the advisor must

  • pull the Supplemental Nutrition Assistance Program (SNAP) case into their WIP as an incomplete review;
  • select Case Disposition, and tab the appropriate case status (benefits raised, benefits sustained, benefits decreased);
  • modify the last benefit month, as appropriate;
  • document the reason for extending the certification period in F/5 screen; and
  • send the client Form H1009, TANF/Food Stamp Benefits Notice of Eligibility.

When extending a certification period and decreasing benefits, document in the comments section of Form H1017, Notice of Benefit Denial or Reduction, that the certification period has been extended. See Form H1017 instructions for examples.

A—2330  Case Associations

Revision 03-3; Effective April 1, 2003

All Programs

If any member of a Supplemental Nutrition Assistance Program (SNAP) household receives TANF or Medical Programs benefits, enter the TANF/Medical Programs case number(s) on the SNAP Form H1000-A, Notice of Application, Form H1000-B, Record of Case Action, and Form H1000-C, Secondary Client Input, and the SNAP case number on each associated TANF/Medical Programs Form H1000-A, Form H1000-B and Form H1000-C. If

  • only one TANF/Medical Programs case is associated with the SNAP case, enter the TANF/Medical Programs case number in Item 112 of the SNAP Form H1000-A, Form H1000-B and Form H1000-C.
  • two or more TANF/Medical Programs cases are associated with the SNAP case, select two TANF/Medical Programs cases and enter the case numbers in Items 112 and 113. If one of the TANF/Medical Programs cases has the same case name as the SNAP case, enter that TANF/Medical Programs case number in Item 112, if possible.

A—2340  Setting Special Reviews

Revision 10-4; Effective October 1, 2010

TANF, TANF Level Families and TP 55

Assign a special review when certifying a household that anticipates a change affecting eligibility before the next review or recertification.

SNAP, TANF, TANF Level Families and TP 55

Set special reviews when the household:

  • has questionable circumstances, or
  • includes a pregnant household member whose baby is expected before the next review or recertification. Schedule the special review on the first day of the month after her baby is due.

Exception: Do not set a special review for SNAP SR households.

Medical Programs

Assign a special review that coincides with the original TANF periodic review when certifying a medical programs case, after TANF denial, without Form H1010-B, Application for Assistance - Part B: Information We Need to Know.

Exception: For TP 43, TP 44, TP 45, TP 47 and TP 48 cases, assign a new 6-month period when certifying a child for Medicaid after TANF denial, without Form H1010-B. Use type review code "C" in Item 131 to generate an end date.

SNAP

For households ... assign a special review ...
not designated as streamlined reporting, when the household anticipates a change affecting eligibility before the next recertification.
designated as streamlined reporting,
  • when the household anticipates they will have an increase in income that will cause the household to exceed 130% of the Federal Poverty Income Limits (FPIL);
  • if at certification, the advisor is aware a household member will gain or lose alien status eligibility sometime during the certification period (for example, an lawful permanent resident (LPR) will reach the 5 years of qualifying immigrant status during the certification period); or
  • when the household reports that an able-bodied adult without dependents (ABAWD) who is currently eligible but is not meeting the 20 hours per week work/training requirement moves into the SR household and will exhaust his time limits and become ineligible on or before the last month of the certification period.

A—2340.1  Special Reviews for Known Changes

Revision 06-4; Effective October 1, 2006

SNAP

A known change is a change that the household reasonably anticipates will occur during the certification period.

Example: The client has been employed in the past by the school district and will return to work at that job three months into the certification period.

Contact the household to confirm that a change occurred. If the household confirms that a change occurred, follow policy in B-600, Chnages. If the household confirms that no change occurred, document the contact and submit Form H1000-B, Record of Case Action, to delete the special review.

If the advisor requests verification of the change on Form H1020, Request for Informtion or Action, but the client fails to respond, consider the case situation questionable and follow procedures in B-638, Shortening Certification Periods as a Result of a Change, to shorten the certification period. Exception: Do not shorten the certification period for streamlined reporting (SR) households.

A—2340.2  Special Reviews for Questionable Changes

Revision 06-4; Effective October 1, 2006

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 client 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 client cannot explain future management.

Contact the household to determine if a change occurred. If the household confirms that a change occurred, follow policy in B-600, Changes. If the household confirms that no change occurred, document the contact and submit Form H1000-B, Record of Case Action, to delete the special review.

Note: Do not set a special review due to questionable changes for streamlined reporting households.

Related Policy
Setting Special Reviews, A-2340
Streamlined Reporting Households, A-2360

A—2350  Adverse Action

Revision 03-7; Effective October 1, 2003

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
Fair Hearings, B-1000

A—2351  Denial of an Application

Revision 03-7; Effective October 1, 2003

All Programs

Denials are effective immediately. Provide the applicant with Form H1017, Notice of Benefit Denial or Reduction, stating the reason for the denial. Follow procedures and time frames in B-100, Processes and Processing Time Frames.

Notes:

  • Determine eligibility for multiple programs independently of each other. Do not deny an application for one program based solely on the denial of another program unless the household fails to meet the eligibility requirements.
  • You must cite the specific handbook reference for SNAP and TANF denials due to excess income or excess resources. Refer to the charts in C-200, Opening, Denial, and Reinvestigation Codes.

A—2352  Denial at Review/Recertification

Revision 10-4; Effective October 1, 2010

TANF and Medical Programs

Process TANF and Medical Program cases found ineligible at review following adverse action procedures.

Before denying TANF or TANF Level Families for:

  • a child under age one, determine if the child is eligible for newborn Medicaid coverage. If eligible, transfer the child to TP 45 through the month the child turns age one.
  • a pregnant woman because of excess income, determine if the pregnant woman is eligible for continuous coverage. If eligible, transfer the pregnant woman to TP 40 through the second month after the pregnancy terminates.
  • any other household member for a reason that does not cause Medicaid ineligibility, determine which Medical Program applies to each household member. If all eligibility requirements are met, certify each eligible member on the appropriate Medical Program.

You do not need an application or face-to-face interview. See the SAVERR transfer guidelines in C-700, Transfer Guidelines.

If the advisor already denied the TANF case, certify the child for TP 45 or the pregnant woman for TP 40 using Form H1000-A, Notice of Application. Use the date the advisor determines eligibility as the file date. Reminder: Neither TP 45 retroactive coverage (A-833) nor TP 40 continuous Medicaid coverage (A-832) are limited to three months before the application month.

TANF, TANF Level Families and TP 55

Before denying for missing a review appointment, determine if the case would transfer to 07 or 37 in the denial effective month. If so, allow the transfer to occur rather than denying the case. Exception: TP 55 is not eligible for TP 37.

TP 43, 44, 45, 47 and 48

Process a denial if the household fails to provide pending verification by the 30th day from the file date. Do not provide 13 days advance notice prior to denying the case.

Note: Denial must not occur earlier than cutoff of the 5th month of the continuous eligibility period.

SNAP

Denials are effective immediately. Provide the household with Form H1017, Notice of Benefit Denial or Reduction, stating the reason for denial.

Timely Reapplications — If a household applies by the 15th of the last month of their certification period and is ineligible, use policy and procedures in B-120, Reviews/Recertifications, to deny the case.

Untimely Reapplications — If a household applies after the 15th of the last month of their certification period and is ineligible, use policy and procedures in B-110, Applications, to deny the case.

A—2353  Advance Notice

Revision 03-3; Effective April 1, 2003

All Programs

After certification, give households advance notice of adverse actions to deny, lower, or restrict existing benefits except for reasons listed in A-2354.1, Form TF0001 Required (Adequate Notice), and A-2354.2, No TF0001 Required.

A—2353.1  How to Take Adverse Action if Advance Notice Is Required

Revision 03-3; Effective April 1, 2003

All Programs

Provide 13 days advance notice to the household using Form H1017, Notice of Benefit Denial or Reduction, before taking action to reduce or terminate ongoing benefits.

The day Form H1017 is sent is day 0 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 workday), the household is eligible for the same level of benefits the month after the notice was sent. Do not put this case on hold.
  • expires between cutoff and the end of the month and the reduction or denial is effective the following month, send Form H1000-B, Record of Case Action, to place the case on hold on the same day you send Form H1017. This stops benefits from being issued the next month. Note: Do not place TP 40 cases on hold when taking adverse action for failure to provide postponed verification.

    To place the case on hold, follow instructions in C-500, Item 95 for Supplemental Nutrition Assistance Program (SNAP) cases, and C-500, Item 142 for TANF and Medical Program cases.

After allowing 13 days advance notice (plus two days mail time), either

  • submit Form H1000-B to deny the case; or
  • release benefits.

Related Policy
Holding Benefits, B-320
Form H1000-A, Form H1000-B and Form H1000-C Instructions, C-500

TANF

Provide 13 days advance notice to the household using Form H1017 before taking action to:

  • establish a protective payee, or
  • continue a protective payee because of mismanagement.

To establish a protective payee because the client mismanaged TANF benefits, follow adverse action policy above.

At complete review, re-evaluate the situation to determine if the protective payee should continue. If the decision is to continue, notify the client by Form H1017, Notice of Benefit Denial or Reduction, and send Form H1000-B simultaneously.

If the client appeals this decision, issue TANF benefits to a protective payee until the hearing is completed.

A—2354  Adverse Actions not Requiring Advance Notice

Revision 12-1; Effective January 1, 2012

A—2354.1  Form TF0001 Required (Adequate Notice)

Revision 12-1; Effective January 1, 2012

All Programs

In the following situations, send Form TF0001, Notice of Case Action, and Form H1000-B, Record of Case Action, simultaneously.

  • The client's location is unknown and the post office returns HHSC mail with no forwarding address.
  • The head of the household, authorized representative, or other responsible household member:
    • in the HHSC advisor's presence (in the office or by telephone) verbally volunteers to withdraw; or
    • gives HHSC a written, signed report of change, and the advisor determines the:
      • exact amount of the reduced benefits; or
      • household is ineligible.

      Note: This includes situations in which the advisor receives Form H1028, Employment Verification, signed by the client and completed by the employer.

  • The household reports in advance they will move out of state.
  • 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

In the following situations, send Form TF0001 and Form H1000-B simultaneously.

  • The advisor denies or reduces benefits when a client reaches the maximum age as described in A-220, TANF, and A-240, Medical Programs.
  • The advisor confirms the client's or payee's death when no relative is available to serve as new payee.
  • The advisor reduces the grant or denies a Medical Program client because the client received a new TANF or SSI grant.
  • The advisor imposes a full-family sanction because of noncooperation with child support or Choices.
  • The advisor denies a TP 55 or TP 29 client because of noncooperation with child support or medical support.
  • The client was admitted/committed to an institution and no longer qualifies for TANF or Medical Programs benefits.
  • The client was placed in skilled nursing care or intermediate care.
  • The advisor denies a TANF (TP 01) or TANF-SP (TP 61) case because the caretaker or second parent received their lifetime limit of 60 months.
  • HHSC verifies a client 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

In the following situations, send Form TF0001 and Form H1000-B simultaneously.

  • The household fails to provide verification postponed during expedited services, or provides postponed verification that results in lowered or denied benefits.
  • The advisor discovers 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 certified with postponed verification and the time the hold is released.
  • A drug and alcohol treatment/group living arrangement facility loses its status as authorized representative or loses its certification.
  • CBS contacts field staff to deny the Supplemental Nutrition Assistance Program (SNAP) case in order to certify the SNAP Combined Application Project (SNAP-CAP) case. Note: If the SNAP-CAP applicant is certified for SNAP with other household members, allow advance notice of adverse action before removing him from the SNAP case.

Related Policy
General Policy (Residence), A-710
Information Received During Expedited Application Processing, B-116.1

A—2354.2  No Form TF0001 Required

Revision 12-1; Effective January 1, 2012

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 client.

SNAP

Form TF0001 is not required in the following situations.

  • All members of a household have died.
  • The client'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 client on Form H1009, TANF/Food Stamp Benefits Notice of Eligibility, at the time of certification that his allotment will vary.
  • The client applied for TANF and Supplemental Nutrition Assistance Program (SNAP) at the same time and received SNAP while waiting for approval of the TANF grant. At the time of certification, inform the client on Form H1009 that his SNAP allotment may be reduced if the grant is approved.

A—2360  Streamlined Reporting HouseHolds

Revision 04-7; Effective October 1, 2004

SNAP

All Supplemental Nutrition Assistance Program (SNAP) households meet the Streamlined Reporting (SR) criteria with the following exceptions:

  • households that know (at application or recertification) they have a change that will make them ineligible within the next six months. For example, the household plans to move out of state due to a new job in two months. Note: Do not consider an anticipated change in household composition as a known change until it actually occurs.
  • households consisting of all elderly or disabled members and no member has earned income. These households include pure SSI and RSDI cases that normally receive a 12-month certification period. Use the criteria in B-430, Elderly or Disabled Households, to determine if a person is elderly or disabled for SR. If all household members meet the criteria in B-430, at least one member must have earned income to be designated as SR.
  • households containing at least one non-exempt ABAWD. For SR purposes, an adult age 18-50 is not considered an ABAWD if exempt from the 18-50 work requirement due to:
    • disability (work registration Code E-incapacitated);
    • having a child under age 18 (or is a member of a SNAP case where a household member is under age 18); or
    • pregnancy.

      Notes:

    • A single person household meets the SR criteria if he is disabled (work registration Code E) for E&T purposes. If the disability is not obvious, obtain Form H1836-A, Medical Release/Physician's Statement. This person does not have to meet the earned income stipulation to be designated as SR.
    • A single person ABAWD living in a waiver or non-E&T county does not meet the SR criteria.
    • In situations where a household member is working or training an average of 20 hours weekly and has a child under age 18 (or is a member of a SNAP case where a household member is under age 18), exempt the household member as having a child under age 18 in the 18-50 Work Requirement screen. Use the exemption code that is most likely to last throughout the certification period.

Determine if a household meets the SR criteria at application and recertification. Assign a six-month certification period to all SR households. Do not remove the SR designation at incomplete reviews. The household retains its SR designation throughout the certification period.

A—2361  Disqualified Members

Revision 04-7; Effective October 1, 2004

SNAP

Extend SR policy to households containing disqualified members. In a household containing all elderly and/or disabled members, the household can meet the SR criteria, even if the disqualified member is the only person with earnings.

Do not consider a disqualified member an ABAWD for purposes of determining SR status, even if disqualified due to exhausting his 18-50 time limit. Consider only eligible household members for this purpose.

A—2362  Designators and Overrides

Revision 04-7; Effective October 1, 2004

SNAP

Households that meet the SR criteria must have an entry in Item 28 on Form H1000-A, Notice of Application, Form H1000-B, Record of Case Action, and Form H1000-C, Secondary Client Input, to designate their SR status. On the GWS, case disposition automatically reflects the appropriate designator based on household composition and income. Advisors may override the designator by using the override tab and choosing "Y."

When processing cases manually, make an entry in Item 28 on Form H1000-A, Form H1000-B and Form H1000-C. See C-520.

If the advisor determines the SR code was set erroneously, modify the SR code within two workdays using manual Form H1000-B. Send the household another Form H1009, TANF/Food Stamp Benefits Notice of Eligibility, or Form H1017, Notice of Benefit Denial or Reduction, and Form H1019, Report of Change, to inform them of their applicable reporting requirement.

Related Policy
Monitoring Questionable Management, A-1731
Length of Certification, A-2324
Special Reviews, A-2340
Special Reviews for Known Changes, B-125.1
What to Report, B-621

A—2370  Documentation Requirements

Revision 11-2; Effective April 1, 2011

All Programs

Documentation must be sufficient to support the advisor's decision for placing a case on hold/suspense status or denying the case. Refer to C-940, Documentation, for requirements related to adverse action decisions.

If not obvious, document that:

  • adequate notice was allowed according to policy in A-2354.1, Form TF0001 Required (Adequate Notice); or
  • Form H1017, Notice of Benefit Denial or Reduction, was not required according to policy in A-2354.2, No Form TF0001 Required.

TANF and Medical Programs except TP 43, TP 44, TP 45, TP 47 and TP 48

Thoroughly document the reason for any special review, and explain any information needed and the acceptable verification required to clear the review.

SNAP

Document the:

  • length of certification;
  • 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-2340
Documentation, C-940
The Texas Works Documentation Guide for TIERS Users