TAMENU SAVERR Inquiry Reference Guide - Texas Workforce ...
TAMENU SAVERR Inquiry Reference Guide - Texas Workforce ...
TAMENU SAVERR Inquiry Reference Guide - Texas Workforce ...
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<strong>SAVERR</strong> <strong>Inquiry</strong> <br />
<strong>Reference</strong> <strong>Guide</strong><br />
April 2009
<strong>Texas</strong> <strong>Workforce</strong> Commission<br />
The Automation Training Unit of the Training and Development Department would like to<br />
acknowledge the following persons for their support and hard work in completing the updated<br />
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong>.<br />
Training and Development Department<br />
Louis LeDoux, Training Director<br />
Richard Guilbeau, Training Supervisor<br />
Nancy Baker, Editor<br />
Deborah Reyes, Curriculum Developer/Training Specialist<br />
Deborah Cook, Curriculum Developer/Training Specialist<br />
Carolyn Vidrine, Curriculum Developer/Training Specialist<br />
Deborah Aker, Systems Support Specialist<br />
<strong>Workforce</strong> Data Processing<br />
Linda Burmeister<br />
TWIST Support<br />
Jackie Coley<br />
Maureen Fuentes<br />
Poonam Goel<br />
Sharon Helphenstine<br />
Lorraine Johnson<br />
Sara Sarabia<br />
<strong>Workforce</strong> Policy<br />
Loretta Robertson<br />
Sharon Roland<br />
TWC Design Services<br />
Miguel Hernandez IV<br />
HHSC Curriculum Support<br />
John Driggers<br />
Ricardo Herrera<br />
Don Nagel
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong><br />
<strong>Reference</strong> <strong>Guide</strong><br />
April 2009<br />
Table of Contents<br />
Section One: Access to <strong>TAMENU</strong><br />
Introduction ............................................................................................................1-1<br />
Using This <strong>Reference</strong> <strong>Guide</strong>..................................................................................1-2<br />
Adding HHSC Session to TWC System.................................................................1-3<br />
Initial Sign-on to <strong>TAMENU</strong> .....................................................................................1-3<br />
Regular Sign-on to <strong>TAMENU</strong>.................................................................................1-7<br />
Exiting <strong>TAMENU</strong>..................................................................................................1-10<br />
Section Two: Navigating in <strong>TAMENU</strong><br />
General Information about Key Functions in <strong>TAMENU</strong>..........................................2-1<br />
General Navigation in <strong>TAMENU</strong> ............................................................................2-2<br />
Screen Views.........................................................................................................2-2<br />
Main Menu—TDHS (HHSC) <strong>SAVERR</strong> <strong>Inquiry</strong> Menu .............................................2-4<br />
Definitions of Entry Fields on TDHS (HHSC) <strong>SAVERR</strong> <strong>Inquiry</strong> Menu Screen .......2-5<br />
Performing an <strong>Inquiry</strong> Using Name Cross <strong>Reference</strong> ............................................2-6<br />
Performing an <strong>Inquiry</strong> Using SSN Cross <strong>Reference</strong> ..............................................2-7<br />
X Ref Screen 1 Field Descriptions and Entries ......................................................2-8<br />
Accessing Client Screens ....................................................................................2-10<br />
Performing an <strong>Inquiry</strong> Using Case Number/Client Number..................................2-13<br />
Section Three: Detailed Field Descriptions <br />
General Information ...............................................................................................3-1<br />
Client Screens........................................................................................................3-1<br />
Client Screen 1—Primary ......................................................................................3-2<br />
Client Screen 2—Medical History ..........................................................................3-4<br />
Client Screen 4—Case History ..............................................................................3-6<br />
Client Screen 5—Alias Information ........................................................................3-7<br />
Client Screen A—Welfare Reform Data.................................................................3-8<br />
Client Screen B—Time Limited Months ...............................................................3-12<br />
Client Screen C—Penalty/Good Cause History ...................................................3-14<br />
Client Screen E—SNAP Disqualifications and Work Requirement Data..............3-16<br />
SNAP Case Screens............................................................................................3-19<br />
SNAP Case Screen 1—Primary...........................................................................3-20<br />
SNAP Case Screen 2—Active Client List ............................................................3-23<br />
SNAP Case Screen 3—Budget ...........................................................................3-24<br />
SNAP Case Screen 4—Miscellaneous ................................................................3-26<br />
SNAP Case Screen 5—Client History ..................................................................3-27<br />
SNAP Case Screen 6—Overpayment .................................................................3-28<br />
SNAP Case Screen 7—Benefit Summary ...........................................................3-29<br />
SNAP Case Screen 8—Benefit History................................................................3-31<br />
i
Section Three: Detailed Field Descriptions (continued)<br />
Public Assistance Case Screens .........................................................................3-33<br />
PA Case Screen 1—Primary ...............................................................................3-35<br />
PA Case Screen 2—Active Clients List................................................................3-37<br />
PA Case Screen 5—Client History.......................................................................3-38<br />
PA Case Screen 7—Benefit Summary ................................................................3-39<br />
PA Case Screen 8—Benefit History.....................................................................3-41<br />
PA Case Screen 9—Sanction Information ...........................................................3-43<br />
Appendix<br />
Request for User Access to HHSC Systems Form and Instructions................. A<br />
Request for User Access to HHSC Systems Example Completed Form .......... B<br />
HHS Enterprise Architecture & Security Management<br />
Security and Privacy Agreement (SPA) Form and Instructions .................. C<br />
HHSC Code Summary (C— 540) ................................................................... D<br />
HHSC and TWC County, HHSC Region, and WDA Codes .............................. E<br />
Medicaid Type Programs Chart (C—1116) ..................................................... F<br />
ii
Section One:<br />
Access to <strong>TAMENU</strong>
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong><br />
<strong>Reference</strong> <strong>Guide</strong><br />
Section One: Access to <strong>TAMENU</strong><br />
Introduction<br />
<strong>TAMENU</strong> is a set of screens that allows limited inquiry<br />
to the Systems for Applications of Verifications,<br />
Eligibility, Referral, and Reports (<strong>SAVERR</strong>) from the<br />
Health and Human Services Commission (HHSC),<br />
previously <strong>Texas</strong> Department of Human Services<br />
(TDHS), production mainframe computer system. The<br />
production mainframe computer system continues to<br />
reference <strong>Texas</strong> Department of Human Services<br />
(TDHS); therefore, this curriculum does also. The<br />
<strong>TAMENU</strong> allows users to access information regarding<br />
a partcipant‘s Temporary Assistance for Needy<br />
Families (TANF), Supplemental Nutrition Assistance<br />
Program (SNAP) (formerly known as Food Stamps),<br />
and Social Security status and history. <strong>Texas</strong><br />
<strong>Workforce</strong> Commission (TWC) staff and their partners<br />
needing access must submit HHS Enterprise<br />
Architecture & Secuity Manangement Security and<br />
Privacy Agreement (EASM_SM_002 – SPA form) and<br />
Request for User Access to HHSC Systems for TIERS,<br />
<strong>TAMENU</strong>, and TVCC. A copy of these forms is<br />
included in the appendix.<br />
NOTES: Use The <strong>Workforce</strong> Information System of <strong>Texas</strong><br />
(TWIST) as the primary source for HHSC (TDHS)<br />
information. <strong>TAMENU</strong> inquiries incur a charge for each<br />
inquiry.<br />
As of April 1, 2009 the Food Stamp Program is known as<br />
Supplemental Nutrition Assistance Program (SNAP). All the<br />
―screen views‖ continue to list SNAP as Food Stamp, Food<br />
Stamps, FS or F.<br />
April 2009_v.4.0 Access to <strong>TAMENU</strong> Page 1-1
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
Using This<br />
<strong>Reference</strong> <strong>Guide</strong><br />
This guide contains three sections and an appendix.<br />
<br />
Section 1 provides access to <strong>TAMENU</strong> information<br />
about how to appropriately sign on and sign off the<br />
system.<br />
<br />
<br />
<br />
Section 2 provides General Instructions on how to<br />
access information using client name, social<br />
security number, case number, and client number.<br />
Section 3 provides detailed field descriptions by<br />
type of screen.<br />
The appendix includes the SPA and Request for<br />
User Access Forms; HHSC Code Summary; HHSC<br />
and TWC County, HHSC Region, and WDA Codes;<br />
and Medicaid Type Programs Chart.<br />
Section 3 references HHSC Code Summary. This<br />
Code Summary is a Desk <strong>Reference</strong> and references<br />
Section C-540 of the <strong>Texas</strong> Works Handbook.<br />
This HHSC Code Summary references TANF and<br />
SNAP Codes related to TWC‘ s limited <strong>TAMENU</strong><br />
<strong>Inquiry</strong> use.<br />
Page 1-2 Access to <strong>TAMENU</strong> April 2009_v.4.0
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
Adding HHSC<br />
Session to TWC<br />
System<br />
Check with your supervisor or system administrator for<br />
instructions in setting up and accessing the HHSC<br />
Session (<strong>TAMENU</strong>) on your computer.<br />
As of January 28, 2008,<br />
Host/IP Address = 147.80.2.51<br />
Port = 1029<br />
NOTE: The <strong>TAMENU</strong> screen displays in a Windows format.<br />
Windows features are not available to users. Do not use<br />
the mouse to navigate this screen! Using the mouse causes<br />
the system to FREEZE. Use the TAB key to move the<br />
cursor from field to field. Use the mouse to print a screen.<br />
Initial Sign-on to<br />
<strong>TAMENU</strong><br />
On January 28, 2008 and after, the Online Terminal<br />
Security (OTS) screen appears.<br />
April 2009_v.4.0 Access to <strong>TAMENU</strong> Page 1-3
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
Initial Sign-on to Type your existing IRIS userid (SSN) on the<br />
<strong>TAMENU</strong><br />
―ENTER USERID‖ line.<br />
(continued)<br />
TAB to the PASSWORD field.<br />
NOTE: Use the TAB key. Do not hit the ENTER key,<br />
because this transmits your user id with a null password<br />
to the system, and your violation counter increments in<br />
the system. If you do hit the ENTER key, start over and<br />
enter your userid again.<br />
<br />
Type your existing four-character IRIS password<br />
and ―1+23‖ on the ―PASSWORD‖ line.<br />
For example: If your password is ―BEAR,‖ the initial<br />
OTS password is ―BEAR1+23.‖<br />
<br />
Type your new eight-character password on the<br />
―NEWPASSWORD‖ line, and transmit (press<br />
ENTER).<br />
NOTE: Users are required to enter a new password the<br />
first time they sign on after the system change. Once the<br />
change is made, the new password becomes your<br />
password at the next sign-on. If you do not enter a new<br />
password the first time you sign on, a message displays<br />
―Password Longevity Has Expired—Please Re-enter.‖<br />
After completing the initial new password change, you do<br />
not need to fill in the ―NEWPASSWORD‖ field if you are<br />
not changing your password.<br />
Page 1-4 Access to <strong>TAMENU</strong> April 2009_v.4.0
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
Initial Sign-on to Additional password information:<br />
<strong>TAMENU</strong><br />
(continued) The system requires at least eight characters but<br />
no more than 12 characters.<br />
<br />
<br />
<br />
The password is not case sensitive.<br />
Some special characters that are not allowed in<br />
OTS password are ‗ ‗ (space), ―, #, ^, @, ], [, ‗,‘<br />
(comma), \, _, or the cent sign.<br />
Users are required to change their passwords every<br />
90 days.<br />
After successful sign-on, the screen shown on the<br />
following page displays.<br />
<br />
Transmit (press ENTER) which displays a blank<br />
screen.<br />
April 2009_v.4.0 Access to <strong>TAMENU</strong> Page 1-5
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
<br />
Type <strong>TAMENU</strong> for <strong>TAMENU</strong> <strong>Inquiry</strong> or TVCC for<br />
Child Care <strong>Inquiry</strong> and Transmit (press ENTER). If<br />
accessing <strong>TAMENU</strong>, the TDHS (HHSC) <strong>SAVERR</strong><br />
INQUIRY MENU page displays. (See example on<br />
next page.)<br />
NOTE: This guide does not include Child Care <strong>Inquiry</strong><br />
information.<br />
Page 1-6 Access to <strong>TAMENU</strong> April 2009_v.4.0
Regular Sign-on<br />
to <strong>TAMENU</strong><br />
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
The next time you sign-on to <strong>TAMENU</strong> after you<br />
changed your password successfully, the following<br />
screen appears:<br />
April 2009_v.4.0 Access to <strong>TAMENU</strong> Page 1-7
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
Regular Sign-on Type your existing IRIS userid (SSN) on the<br />
to <strong>TAMENU</strong><br />
―ENTER USERID‖ line.<br />
(continued)<br />
TAB to the PASSWORD field.<br />
NOTE: Use the TAB key. Do not hit the ENTER key,<br />
because this transmits your user id with a null password<br />
to the system, and your violation counter increments in<br />
the system. If you do hit the ENTER key, start over and<br />
enter your userid again.<br />
<br />
Type your new eight-character password on the<br />
―NEWPASSWORD‖ line, and transmit (press<br />
ENTER).<br />
After successfully signing on, the following screen<br />
displays<br />
<br />
Transmit (press ENTER) which displays a blank<br />
screen.<br />
Page 1-8 Access to <strong>TAMENU</strong> April 2009_v.4.0
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
<br />
Type <strong>TAMENU</strong> for <strong>TAMENU</strong> <strong>Inquiry</strong> or TVCC for<br />
Child Care <strong>Inquiry</strong> and Transmit (press ENTER). If<br />
accessing <strong>TAMENU</strong>, the TDHS (HHSC) <strong>SAVERR</strong><br />
INQUIRY MENU page displays. (See example<br />
below.)<br />
NOTE: This guide does not include Child Care <strong>Inquiry</strong><br />
information.<br />
April 2009_v.4.0 Access to <strong>TAMENU</strong> Page 1-9
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
Exiting <strong>TAMENU</strong><br />
To exit or end the <strong>TAMENU</strong> session:<br />
<br />
<br />
<br />
Press F12 or F15 = Shift F3. The screen clears and<br />
the cursor is positioned in the upper left corner.<br />
Type SINOF1 and press ENTER.<br />
Message displays ―Sign-off is Complete.‖<br />
SINOF1<br />
***SIGN OFF COMPLETE**<br />
<br />
Click File on the Menu Bar, and click EXIT,<br />
Or<br />
<br />
<br />
<br />
Click the ―X‖ at the top right corner of the screen.<br />
The following question appears ―Do you want to<br />
disconnect session HHSC MAINFRAME?‖<br />
Click Yes. This action closes the connection to the<br />
mainframe and returns you to Windows.<br />
NOTE: Close BOTH the <strong>TAMENU</strong> application with SINOF1<br />
and end connection to the HHSC MAINFRAME.<br />
Page 1-10 Access to <strong>TAMENU</strong> April 2009_v.4.0
Section Two:<br />
Navigating in <strong>TAMENU</strong>
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
Section Two: Navigating in <strong>TAMENU</strong><br />
General<br />
Information<br />
about Key<br />
Functions in<br />
<strong>TAMENU</strong><br />
<strong>TAMENU</strong> may respond differently for various connections<br />
and operating systems. Some systems may use the<br />
Function keys with the Ctrl key. For example, if F3<br />
does not work, try Ctrl F3.<br />
<br />
Cursor Movement — Move the cursor with the arrow<br />
keys or the tab key. If you are working through a<br />
Windows application, do not use the MOUSE except<br />
to print, or the system freezes. You must keep the<br />
cursor behind all entered information; otherwise, the<br />
computer cannot read the complete information.<br />
<br />
<br />
<br />
If System Freezes — Press Alt, Ctrl, Delete at the<br />
same time; select Task Manager>end task, sign-on to<br />
<strong>TAMENU</strong> again.<br />
Page/Menu<br />
ARROW keys move right, left, up, and down<br />
TAB moves from field to field<br />
SHIFT-TAB moves backwards from field to field<br />
F3 moves to the previous menu (TDHS <strong>SAVERR</strong><br />
INQUIRY MENU)<br />
F5 moves to the next page of the displayed Sub-<br />
Screen (e.g., more persons on case and additional<br />
payment or benefit history screens)<br />
F6 moves to the previous page of the displayed<br />
Sub-Screen<br />
F7 clears the Menu screen<br />
F9 moves lower screen up<br />
F12 exits the menu<br />
F15 (Shift F3) sign-off complete.<br />
PRINT — Shift-Print Screen or Ctrl-P prints the<br />
screen.<br />
If you are working inside a Windows application, a print<br />
icon or a print function is available in the File Menu. The<br />
Print Screen button on the keyboard provides a graphic<br />
copy of the screen that you paste into other applications<br />
and then print.<br />
April 2009_v.4.0 Navigating in <strong>TAMENU</strong> Page 2-1
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
General<br />
Navigation in<br />
<strong>TAMENU</strong><br />
<strong>TAMENU</strong> has three types of screens:<br />
1. Client Screens provide general client information and<br />
history.<br />
2. SNAP (formerly known as Food Stamp--FS) Screens<br />
provide specific SNAP case information.<br />
3. Public Assistance (PA) Screens provide specific<br />
TANF/Medicaid case information.<br />
These instructions navigate sequentially through each<br />
type of screen. You can navigate from one type of<br />
screen to another, or go directly to the screens you use<br />
most. The directions and prompts on each screen are<br />
useful.<br />
Screen Views<br />
The viewing screen is split into two separate screens.<br />
1. The top part of the screen is a primary screen or X-<br />
<strong>Reference</strong> Screen (X-Ref meaning Cross-<strong>Reference</strong>).<br />
2. The bottom half of the screen is a display screen<br />
(view only).<br />
To move the Primary — Screen 1 up from the bottom to<br />
the top:<br />
<br />
<br />
<br />
Enter the page number to view in the display<br />
(bottom) part.<br />
This number can be two through eight, depending on<br />
the available screens indicated at the top right corner<br />
of Screen 1.<br />
Put an ―X‖. This moves the bottom primary screen to<br />
the top.<br />
EXAMPLE: Client Screen 1— Primary is at the bottom<br />
of the viewing screen, and you want to move it to the<br />
top. Enter 2X in the KEY:__ field to move the Primary<br />
Screen up to the top and display the second screen at<br />
the bottom.<br />
Page 2-2 Navigating in <strong>TAMENU</strong> April 2009_v.4.0
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
Screen Views<br />
(continued)<br />
See the example below.<br />
KEY _2X_ ENTER C (CLIENT)OR CASE LETTERS P, S, OR F ALONG WITH LINE #<br />
X-REF SCREEN 1 SSN= 432-XX-74XX PAGE 1<br />
CLIENT NO NAME BIRTH DT S R CNTY PA(P) SSI(S) FS(F)<br />
1 506674XXX BEE,MARIA ANN 10/08/964 F 3 015 X X<br />
2<br />
3<br />
4<br />
5<br />
6<br />
7<br />
8<br />
PA CASE SCREEN 1 - PRIMARY<br />
PAGE 1<br />
CASE 063719XX ACTIVE CAT 02 TP 01 BP BJN 086-04-C-04 MC 281-2 CNTY 015<br />
CASE NAME BEE,MARIA ANN DATE FILE 06/16/06 SEQ 18 PRINTED 11/17/07<br />
CERT DATE 06/25/06 LAST FORM 1000-A/B<br />
GN/PAY/RP GRANT EFF 03/01/07 REVIEW I ACTION 138<br />
MAIL ADDR 133 KAY ST 3MO PRIOR FORM EFF DT 01/01/08<br />
APT 115<br />
END DATE<br />
SAN ANTONIO TX 78213 HOLD CD/DT 8 02/06 PERIODIC RV DT 01/18/08<br />
TEMP ADDR N EBT PAW 013228XXX GRANT 293 APP INC<br />
TIERS FLAG<br />
The screen below shows the Primary Screen moved to<br />
the top and displays PA Case Screen 2 on the display<br />
or bottom window.<br />
NOTE: If the case is in TIERS, a ―T‖ appears under PA (P)<br />
or SNAP (FS--F) in upper right in the above screen rather<br />
than a ―X‖. As of April 1, 2009 the Food Stamp Program is<br />
known as Supplemental Nutrition Assistance Program<br />
(SNAP). The ―screen views‖ continue to list it as FS or F.<br />
PA CASE SCREEN 1 - PRIMARY PAGE 1<br />
CASE 063719XXX ACTIVE CAT 02 TP 01 BP BJN 086-04-C-04 MC 281-2 CNTY 015<br />
CASE NAME BEE,MARIA ANN DATE FILE 06/16/06 SEQ 18 PRINTED 11/17/07<br />
CERT DATE 06/25/06 LAST FORM 1000-A/B<br />
GN/PAY/RP GRANT EFF 03/01/07 REVIEW I ACTION 138<br />
MAIL ADDR 133 KAY ST 3MO PRIOR FORM EFF DT 01/01/08<br />
APT 115<br />
END DATE<br />
SAN ANTONIO TX 78213 HOLD CD/DT 8 02/06 PERIODIC RV DT 01/18/08<br />
TEMP ADDR N EBT PAW 013228XXX GRANT 293 APP INC<br />
TIERS FLAG<br />
PA CASE SCREEN 2-ACTIVE CLIENTS LIST ENTER"C"& LINE# FOR CLIENT PAGE 01<br />
CASE 063719XXX ACTIVE CAT 02 TP 01 BP BJN 086-04-C-04MC 281-2CNTY 015<br />
PL CLIENT NO NAME BIRTH DT SR SIG W SSN<br />
C1 1A 506674XXX BEE,MARIA ANN 10/08/964 F3 8 M 432-XX-74XX<br />
C2 1B 506855XXX BEE,ELIZA 05/07/996 F3 5 A 464-XX-69XX<br />
C3 1C 508323XXX BEE,BOB 12/16/997 M3 5 A 463-XX-87XX<br />
April 2009_v.4.0 Navigating in <strong>TAMENU</strong> Page 2-3
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
C4 1D 510631XXX BEE,BRAD 09/15/003 M3 5 A 628-XX-63XX<br />
Main Menu—<br />
TDHS (HHSC)<br />
<strong>SAVERR</strong> <strong>Inquiry</strong><br />
Menu<br />
After you complete the sign-on, the TDHS (HHSC)<br />
<strong>SAVERR</strong> <strong>Inquiry</strong> Menu screen displays.<br />
The screen has two sections, an upper input area, and a<br />
bottom listing the types of screens available for each<br />
type program.<br />
The TDHS (HHSC) <strong>SAVERR</strong> <strong>Inquiry</strong> Menu screen also<br />
displays instructions for function keys (F keys at the top<br />
on the keyboard).<br />
12/10/07 TDHS <strong>SAVERR</strong> INQUIRY MENU 15:35:57<br />
1) NAME XREF: TYPE _ NAME (L,F MI) _____________________<br />
SEX _ COUNTY ___ BIRTH DATE ______<br />
2) SSN XREF: TYPE _ SSN ___ __ ____<br />
3) CASE/CLIENT: TYPE _ CASE/CLIENT # _________ SCREEN # _<br />
TYPE MEANING SCREENS AVAILABLE<br />
A APPLICATION 1<br />
C CLIENT 1, 2, 4, 5, A, B, C, D, E & T<br />
F SNAP (Food Stamp) CASE 1 - 8<br />
P PUBLIC ASSISTANCE CASE 1, 2, 5, 7, 8 & 9<br />
S SOCIAL SECURITY CASE (SDX) 1 & 3<br />
F7 - REFRESH MENU F12 - EXIT MENU F15 - SIGN OFF<br />
You can perform an inquiry three different ways:<br />
1. name cross-reference<br />
2. Social Security number cross-reference<br />
3. Case/Client type number.<br />
Page 2-4 Navigating in <strong>TAMENU</strong> April 2009_v.4.0
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
Definitions of The following information provides the entry fields on the<br />
Entry Fields on TDHS (HHSC) <strong>SAVERR</strong> <strong>Inquiry</strong> Menu screen:<br />
TDHS (HHSC)<br />
<strong>SAVERR</strong> <strong>Inquiry</strong> Type—required entry on all three inquiry types<br />
Menu Screen<br />
A — HHSC application; requests information on<br />
applications filed at HHSC. This can include<br />
SNAP, TANF, or Medicaid application numbers<br />
C — HHSC client; requests information on the<br />
specific client<br />
F — SNAP (formerly known as Food Stamps)<br />
case; requests information specifically on the<br />
SNAP case<br />
P — Public Assistance case; requests information<br />
specifically on the PA case (An individual client<br />
may have more than one PA case.)<br />
S — Social Security case; requests information<br />
specifically on the Social Security Administration<br />
records available to HHSC. This may include SSI,<br />
RSDI, and Medicare information.<br />
<br />
<br />
<br />
<br />
<br />
Name — name of the HHSC client in a format of last<br />
name, first name, middle initial. If more than one<br />
client has this same name, narrow the search by<br />
entering other identifying information such as sex,<br />
birth date, county. This avoids having all clients with<br />
the name listed in the results. This is required if you<br />
are searching by name cross reference.<br />
Sex — restricts the search to a specific gender, male<br />
or female; not a required field<br />
County — three-digit number designating a specific<br />
county in <strong>Texas</strong>. This restricts the search to an HHSC<br />
case located in a specific county; not a required field<br />
Birthdate — specific date of birth of a client in the<br />
format of MMDDYY year entry is three digits; not a<br />
required field<br />
SSN — the nine-digit Social Security number<br />
assigned to the client; required entry if searching by<br />
SSN<br />
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<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
Definitions of Case/Client # — unique nine-digit number assigned<br />
Entry Fields on to each HHSC case. It usually begins with zero. This<br />
TDHS (HHSC)<br />
number must match the Type entry for Case/Client<br />
<strong>SAVERR</strong> <strong>Inquiry</strong> search<br />
Menu Screen<br />
(continued) Screen # — enter the specific screen number for the<br />
the Type entered for Case/Client; list of screens<br />
available appears in the bottom right corner; not a<br />
required entry<br />
NOTE: Detailed information on Client and Case screen<br />
displays is provided in Section 3 of this guide.<br />
Performing an<br />
<strong>Inquiry</strong> Using<br />
Name Cross<br />
<strong>Reference</strong><br />
Performing an inquiry using the Name cross reference is<br />
the first option on the TDHS (HHSC) <strong>SAVERR</strong> INQUIRY<br />
MENU.<br />
You must verify that the spelling of the name is correct.<br />
You can display any case type screen by entering the<br />
appropriate TYPE entry.<br />
To view information from TDHS (HHSC) based on the<br />
name, from the TDHS (HHSC) <strong>SAVERR</strong> INQUIRY<br />
MENU screen:<br />
<br />
<br />
<br />
<br />
Press TAB until the cursor displays in the field<br />
labeled 1) NAME X-REF: TYPE _.<br />
Enter a TYPE depending on the type of case the<br />
client has.<br />
Enter the client’s name as indicated in his or her<br />
records; the more complete the name entered, the<br />
more narrow the search. Format of the name is last<br />
name(comma)first name(space)middle initial.<br />
Enter the gender, county number, and date of birth.<br />
These are not required entries, but the additional<br />
entries narrow the search.<br />
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Performing an<br />
<strong>Inquiry</strong> Using<br />
Name Cross<br />
<strong>Reference</strong><br />
(continued)<br />
<br />
Press ENTER.<br />
If more than one case meets the search criteria for the<br />
entries you made, a list of all cases displays as a result<br />
of the search.<br />
12/10/07 TDHS <strong>SAVERR</strong> INQUIRY MENU 15:35:57<br />
1) NAME XREF: TYPE C NAME (L,F MI) BEE,MARIA A___<br />
SEX f COUNTY 015 BIRTH DATE 100864<br />
2) SSN XREF: TYPE __ SSN ___ __ ____<br />
3) CASE/CLIENT: TYPE _ CASE/CLIENT # _________ SCREEN # _<br />
TYPE MEANING SCREENS AVAILABLE<br />
A APPLICATION 1<br />
C CLIENT 1, 2, 4, 5, A, B, C, E<br />
F SNAP (FOOD STAMP) 1 - 8<br />
P PUBLIC ASSISTANCE CASE 1, 2, 5, 7, 8 & 9<br />
S SOCIAL SECURITY CASE (SDX) 1 & 3<br />
F7 - REFRESH MENU F12 - EXIT MENU F15 - SIGN OFF<br />
If no match is found, a message displays at the bottom<br />
of the screen that no information is available.<br />
Performing an<br />
<strong>Inquiry</strong> Using<br />
SSN Cross<br />
<strong>Reference</strong><br />
Performing an inquiry using the SSN cross reference is<br />
the second of three ways to access the information from<br />
TDHS (HHSC).<br />
You must verify that the SSN is correct.<br />
To perform an inquiry using the customer Social<br />
Security number:<br />
<br />
<br />
<br />
At the Main Menu TDHS (HHSC) <strong>SAVERR</strong> INQUIRY<br />
MENU, press TAB until the cursor displays in 2) SSN<br />
X-REF: TYPE _.<br />
Enter C in the TYPE field.<br />
Enter the client’s SSN (the ―XX‖ used here for<br />
purposes of confidentiality).<br />
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Performing an<br />
<strong>Inquiry</strong> Using<br />
SSN Cross<br />
<strong>Reference</strong><br />
(continued)<br />
The screen below provides an example of the entries on<br />
the TDHS (HHSC) <strong>SAVERR</strong> INQUIRY MENU screen<br />
when performing a search using the SSN cross<br />
reference (SSN XREF).<br />
12/10/07 TDHS <strong>SAVERR</strong> INQUIRY MENU 15:35:57<br />
1) NAME XREF: TYPE _ NAME (L,F MI) _____________________<br />
SEX _ COUNTY ___ BIRTH DATE ______<br />
2) SSN XREF: TYPE C SSN 432 XX 74XX<br />
3) CASE/CLIENT: TYPE _ CASE/CLIENT # _________ SCREEN # _<br />
TYPE MEANING SCREENS AVAILABLE<br />
A APPLICATION 1<br />
C CLIENT 1, 2, 4, 5, A, B, C, D, E<br />
F SNAP (FOOD STAMP) 1 - 8<br />
P PUBLIC ASSISTANCE CASE 1, 2, 5, 7, 8 & 9<br />
S SOCIAL SECURITY CASE (SDX) 1 & 3<br />
F7 - REFRESH MENU F12 - EXIT MENU F15 - SIGN OFF<br />
<br />
Press ENTER to display the X- Ref (<strong>Reference</strong>)<br />
Screen 1.<br />
X Ref Screen 1<br />
Field<br />
Descriptions<br />
and Entries<br />
X- Ref Screen 1 is ―view only‖ and provides general<br />
information about the client. It displays when you<br />
perform an inquiry using the client’s SSN.<br />
KEY __ ENTER C (CLIENT)OR CASE LETTERS P, S, OR F ALONG WITH LINE #<br />
X-REF SCREEN 1 SSN= 432-XX-74XX PAGE 1<br />
CLIENT NO NAME BIRTH DT S R CNTY PA(P) SSI(S) FS(F)<br />
1 506674XXX BEE,MARIA ANN 10/08/964 F 3 015 X X<br />
2<br />
3<br />
4<br />
5<br />
6<br />
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X Ref Screen 1<br />
Field<br />
Descriptions<br />
and Entries<br />
(continued)<br />
The X-Ref Screen 1 provides the following information:<br />
<br />
KEY — this is the only entry field on this screen<br />
C — to access client information<br />
P — to access PA case information<br />
S — to access Social Security case information<br />
F — to access SNAP case information<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
SSN—Social Security number of the client<br />
Client No.— client number assigned by HHSC<br />
Name — name of the client<br />
Birth Dt — date of birth of the client<br />
S — client gender<br />
M — male<br />
F — female<br />
R — race of the client<br />
1 — white<br />
2 — black<br />
3 — Hispanic<br />
4 — American Indian or Alaskan Native<br />
5 — Asian or Pacific Islander (includes<br />
Indochinese)<br />
6 — computer entered code indicating<br />
inappropriate or omitted code<br />
Cnty — county code of residence (three-digit)<br />
NOTE: County codes designated by HHSC are<br />
different than county codes designated by TWC. See<br />
HHSC county codes in the appendix.<br />
<br />
PA (P) — X in column means the client has an<br />
existing PA case. The case may be active or denied.<br />
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X Ref Screen 1 SSI (S) — X in column means the client has an<br />
Field<br />
existing SSI case. The case may be active or denied.<br />
Descriptions<br />
and Entries FS (F) — X in column means the client has an<br />
(continued)<br />
existing SNAP case. The case may be active or<br />
denied.<br />
Accessing Client<br />
Screens<br />
TWC and partners using client search have four client<br />
screens and four sub-screens available.<br />
The four client screens available to TWC and partners<br />
are:<br />
<br />
<br />
<br />
<br />
Client Screen 1 — Primary – general client and case<br />
information<br />
Client Screen 2 — Medical History<br />
Client Screen 4 — Case History<br />
Client Screen 5 — Alias Information<br />
The four sub screens available to TWC and partners<br />
are:<br />
<br />
<br />
<br />
<br />
Client Screen A — Welfare Reform Data<br />
Client Screen B — Time Limited Months<br />
Client Screen C — Penalty/Good Cause History<br />
Client Screen E — SNAP (formerly known as FS)<br />
Disqualification and Work Requirement.<br />
To access the Client screen from the X-Ref Screen 1:<br />
<br />
<br />
Type C plus the line number of the client in the KEY<br />
field.<br />
Press ENTER.<br />
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Accessing Client<br />
Screens<br />
(continued)<br />
KEY _C1_ ENTER C (CLIENT)OR CASE LETTERS P, S, OR F ALONG WITH LINE #<br />
X-REF SCREEN 1 SSN= 432-XX-74XX PAGE 1<br />
CLIENT NO NAME BIRTH DT S R CNTY PA(P) SSI(S) FS(F)<br />
1 506674XXX BEE,MARIA ANN 10/08/964 F 3 015 X X<br />
2<br />
3<br />
4<br />
5<br />
6<br />
7<br />
8<br />
The client screen, Client Screen 1 – Primary, appears<br />
at the bottom of the X-Ref Screen 1.<br />
KEY __ ENTER C (CLIENT)OR CASE LETTERS P, S, OR F ALONG WITH LINE #<br />
X-REF SCREEN 1 SSN= 432-XX-74XX PAGE 1<br />
CLIENT NO NAME BIRTH DT S R CNTY PA(P) SSI(S) FS(F)<br />
1 506674XXX BEE,MARIA ANN 10/08/964 F 3 015 X X<br />
2<br />
3<br />
4<br />
5<br />
6<br />
7<br />
8<br />
CLIENT SCREEN 1 - ENTER 'C' & LINE # SCREENS= 1,2,4,A,B,C,E PAGE 01<br />
CLIENT NUM 506674XXX NAME BEE,MARIA ANN BD 10/08/964 SF R3 CNTY 015<br />
CASE-NUM TC S S-I-G W CLI-CERT SSN 432-XX-74XX * ALIAS<br />
C1 013228XXX 4 1 A 3 05/06/06<br />
C2 063719XXX 1 1 8 M 06/25/06 COV TP OPEN CLOSE SD<br />
C3 069104XXX 1 1 8 M 11/17/07 02R 29 01/01/07<br />
C4 02R 01 03/01/06 12/31/06<br />
C5 02R 07 11/01/05 02/28/06<br />
C6 02R 01 12/01/04 10/31/05<br />
TW FLAG LTC FLAG<br />
To access Client Screen 2 — Medical History:<br />
<br />
<br />
Type 2X in the KEY field.<br />
Press ENTER.<br />
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Accessing Client<br />
Screens<br />
(continued)<br />
This action moves the Primary screen to the top and<br />
displays Client Screen 2 at the bottom.<br />
KEY _2X_ ENTER C (CLIENT)OR CASE LETTERS P, S, OR F ALONG WITH LINE #<br />
X-REF SCREEN 1 SSN= 432-XX-74XX PAGE 1<br />
CLIENT NO NAME BIRTH DT S R CNTY PA(P) SSI(S) FS(F)<br />
1 506674XXX BEE,MARIA ANN 10/08/964 F 3 015 X X<br />
2<br />
3<br />
4<br />
5<br />
6<br />
CLIENT SCREEN 1 - ENTER 'C' & LINE # SCREENS= 1,2,4,A,B,C,E PAGE 01<br />
CLIENT NUM 506674XXX NAME BEE,MARIA ANN BD 10/08/964 SF R3 CNTY 015<br />
CASE-NUM TC S S-I-G W CLI-CERT SSN 432-XX-74XX * ALIAS<br />
C1 013228XXX 4 1 A 3 05/06/06<br />
C2 063719XXX 1 1 8 M 06/25/06 COV TP OPEN CLOSE SD<br />
C3 069104XXX 1 1 8 M 11/17/07 02R 01 01/01/07<br />
C4 02R 01 03/01/06 12/31/06<br />
C5 02R 07 11/01/05 02/28/06<br />
C6 02R 01 12/01/04 10/31/05<br />
TW FLAG LTC FLAG<br />
Client Screen 2 displays at the bottom of Client Screen<br />
1.<br />
KEY __<br />
CLIENT SCREEN 1 - ENTER 'C' & LINE # SCREENS= 1,2,4,A,B,C,E PAGE 01<br />
CLIENT NUM 506674XXX NAME BEE,MARIA ANN BD 10/08/964 SF R3 CNTY 015<br />
CASE-NUM TC S S-I-G W CLI-CERT SSN 432-XX-74XX * ALIAS<br />
C1 013228XXX 4 1 A 3 05/06/06<br />
C2 063719XXX 1 1 8 M 06/25/06 COV TP OPEN CLOSE SD<br />
C3 069104XXX 1 1 8 M 11/17/07 02R 01 01/01/07<br />
C4 02R 01 03/01/06 12/31/06<br />
C5 02R 07 11/01/05 02/28/06<br />
C6 02R 01 12/01/04 10/31/05<br />
TW FLAG LTC FLAG<br />
CLIENT SCREEN 2 - MEDICAL HISTORY PAGE 01<br />
CLIENT NUM 506674XXX NAME BEE,MARIA ANN BD 10/08/964 SF R3 CNTY 015<br />
COV TP OPEN CLOSE SD COV TP OPEN CLOSE SD<br />
02R 01 01/01/07 02R 41 03/01/98 07/31/98<br />
02R 01 03/01/06 12/31/06<br />
02R 07 11/01/05 02/28/06<br />
02R 01 12/01/04 10/31/05<br />
02R 37 09/01/01 01/31/02<br />
02R 01 05/01/00 08/31/00<br />
02R 01 08/01/99 01/31/00<br />
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<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
Performing an<br />
<strong>Inquiry</strong> Using<br />
Case Number/<br />
Client Number<br />
You can access information from the HHSC (TDHS)<br />
systems either by case or client numbers.<br />
The following PA case screens are available to TWC:<br />
<br />
<br />
<br />
<br />
<br />
<br />
PA Case Screen 1 — Primary<br />
PA Case Screen 2 — Active Clients List<br />
PA Case Screen 5 — Client History<br />
PA Case Screen 7 — Benefit Summary<br />
PA Case Screen 8 — Benefit History<br />
PA Case Screen 9 — Sanction Information.<br />
To obtain PA (TANF) case information, from the TDHS<br />
(HHSC) <strong>SAVERR</strong> <strong>Inquiry</strong> Menu:<br />
<br />
<br />
<br />
<br />
Enter TAB until the cursor is on the field labeled<br />
3) CASE/CLIENT: TYPE _.<br />
Enter P for a PA (TANF) Case in the TYPE field.<br />
Enter the client’s PA (TANF) CASE Number. (The<br />
―XXX‖ should be numbers; X’s used here for<br />
confidentiality).<br />
Press ENTER.<br />
Refer to the sample screen on the following page.<br />
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Performing an<br />
<strong>Inquiry</strong> Using<br />
Case Number/<br />
Client Number<br />
(continued)<br />
01/10/07 TDHS <strong>SAVERR</strong> INQUIRY MENU 15:35:57<br />
1) NAME XREF: TYPE _ NAME (L,F MI) _____________________<br />
SEX _ COUNTY ___ BIRTH DATE ______<br />
2) SSN XREF: TYPE _ SSN ___ __ ____<br />
3) CASE/CLIENT: TYPE P CASE/CLIENT # 063719XXX SCREEN # _<br />
TYPE MEANING SCREENS AVAILABLE<br />
A APPLICATION 1<br />
C CLIENT 1, 2, 4, 5, A, B, C, D, E<br />
F SNAP (FOOD STAMP) CASE 1 - 8<br />
P PUBLIC ASSISTANCE CASE 1, 2, 5, 7, 8 & 9<br />
S SOCIAL SECURITY CASE (SDX) 1 & 3<br />
F7 - REFRESH MENU F12 – EXIT MENU F15 – SIGN OFF<br />
The PA Case Screen 1 — Primary displays.<br />
KEY _2_<br />
PA CASE SCREEN 1 - PRIMARY<br />
PAGE 1<br />
CASE 063719XXX ACTIVE CAT 02 TP 01 BP BJN 086-04-C-04 MC 281-2 CNTY 015<br />
CASE NAME BEE,MARIA ANN DATE FILE 06/16/06 SEQ 18 PRINTED 11/17/07<br />
CERT DATE 06/25/06 LAST FORM 1000-A/B<br />
GN/PAY/RP GRANT EFF 03/01/07 REVIEW I ACTION 138<br />
MAIL ADDR 133 KAY ST 3MO PRIOR FORM EFF DT 01/01/08<br />
APT 115 END DATE<br />
SAN ANTONIO TX 78213 HOLD CD/DT 8 02/06 PERIODIC RV DT 01/18/08<br />
TEMP ADDR N EBT PAW 013228XXX GRANT 293 APP INC<br />
TIERS FLAG<br />
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Performing an To access PA Case Screen 2 — Active Clients:<br />
<strong>Inquiry</strong> Using<br />
Case Number/ Enter 2 in the KEY field.<br />
Client Number<br />
(continued) Press ENTER.<br />
KEY _2_<br />
PA CASE SCREEN 1 - PRIMARY<br />
PAGE 1<br />
CASE 063719XXX ACTIVE CAT 02 TP 01 BP BJN 086-04-C-04 MC 281-2 CNTY 015<br />
CASE NAME BEE,MARIA ANN DATE FILE 06/16/06 SEQ 18 PRINTED 11/17/07<br />
CERT DATE 06/25/06 LAST FORM 1000-A/B<br />
GN/PAY/RP GRANT EFF 03/01/07 REVIEW I ACTION 138<br />
MAIL ADDR 133 KAY ST 3MO PRIOR FORM EFF DT 01/01/08<br />
APT 115 END DATE<br />
SAN ANTONIO TX 78213 HOLD CD/DT 8 02/06 PERIODIC RV DT 01/18/08<br />
TEMP ADDR N EBT PAW 013228XXX GRANT 293 APP INC<br />
TIERS FLAG<br />
The PA Case Screen 2 — Active Clients displays below<br />
the PA Case Screen 1 — Primary.<br />
KEY __<br />
PA CASE SCREEN 1 - PRIMARY PAGE 1<br />
CASE 063719XXX ACTIVE CAT 02 TP 01 BP BJN 086-04-C-04 MC 281-2 CNTY 015<br />
CASE NAME BEE,MARIA ANN DATE FILE 06/16/06 SEQ 18 PRINTED 11/17/07<br />
CERT DATE 06/25/06 LAST FORM 1000-A/B<br />
GN/PAY/RP GRANT EFF 03/01/07 REVIEW I ACTION 138<br />
MAIL ADDR 133 KAY ST 3MO PRIOR FORM EFF DT 01/01/08<br />
APT 115<br />
END DATE<br />
SAN ANTONIO TX 78213 HOLD CD/DT 8 02/06 PERIODIC RV DT 01/18/08<br />
TEMP ADDR N EBT PAW 013228XXX GRANT 293 APP INC<br />
TIERS FLAG<br />
PA CASE SCREEN 2-ACTIVE CLIENTS LIST ENTER"C"& LINE# FOR CLIENT PAGE 01<br />
CASE 063719XXX ACTIVE CAT 02 TP 01 BP BJN 086-04-C-04MC 281-2CNTY 015<br />
PL CLIENT NO NAME BIRTH DT SR SIG W SSN<br />
C1 1A 506674XXX BEE,MARIA ANN 10/08/964 F3 8 M 432-XX-7499<br />
C2 1B 506855XXX BEE,ELIZA 05/07/996 F3 5 A 464-XX-6930<br />
C3 1C 508323XXX BEE,BOB 12/16/997 M3 5 A 463-XX-8715<br />
C4 1D 510631XXX BEE,BRAD 09/15/003 M3 5 A 628-XX-6310<br />
You can display any PA Case Screen (2, 5, 7, 8, or 9)<br />
with available case information by entering the screen<br />
number in the KEY Field, such as in the previous<br />
example.<br />
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Performing an To view SNAP case information, from the TDHS (HHSC)<br />
<strong>Inquiry</strong> Using <strong>SAVERR</strong> INQUIRY MENU:<br />
Case Number/<br />
Client Number Enter TAB until the cursor displays in the field labeled<br />
(continued)<br />
3) CASE/CLIENT: TYPE_.<br />
<br />
<br />
<br />
Enter F for a SNAP (formerly known as Food Stamp)<br />
Case in the TYPE field.<br />
Enter the client’s SNAP CASE Number. (The ―XXX‖<br />
should be numbers; X’s used here for confidentiality.)<br />
Press ENTER.<br />
01/10/01 TDHS <strong>SAVERR</strong> INQUIRY MENU 15:35:57<br />
1) NAME XREF: TYPE _ NAME (L,F MI) _____________________<br />
SEX _ COUNTY ___ BIRTH DATE ______<br />
2) SSN XREF: TYPE _ SSN ___ __ ____<br />
3) CASE/CLIENT: TYPE F CASE/CLIENT # 013228XXX SCREEN # _<br />
TYPE MEANING SCREENS AVAILABLE<br />
A APPLICATION 1<br />
C CLIENT 1, 2, 4, 5, A, B, C, D, E<br />
F SNAP (FOOD STAMP) CASE 1 - 8<br />
P PUBLIC ASSISTANCE CASE 1, 2, 5, 7, 8 & 9<br />
S SOCIAL SECURITY CASE (SDX) 1 & 3<br />
F7 - REFRESH MENU F12 – EXIT MENU F15 - SIGN OFF<br />
The SNAP (Food Stamp) Case Screen 1 — Primary<br />
displays.<br />
KEY _<br />
SNAP ( FS) CASE SCREEN 1 - PRIMARY<br />
PAGE 1<br />
CASE 013228XXX ACTIVE CAT 06 AID TYPE 3 BJN 086-04-C-04 MC 281-2CNTY 015<br />
CASE NAME BEE,MARIA ANN ORIG CERT 05/01/06 SEQ 63 PRINTED 11/18/07<br />
CERT DATE 09/01/07 LAST FORM 1000-A/B<br />
AUTH REP LAST ATP 02/08 REVIEW M<br />
MAIL ADDR 133 KAY ST MOS CERT 06 FORM EFF DT 01/01/08<br />
APT 115 PERSONS 04<br />
SAN ANTONIO TX PLAN C SSI<br />
ZIP78213 EBT PA# 063719XXX<br />
HOLD CODE 0 DT 09/06 APP NO A13228XXX<br />
CASH 0.00 STAMPS 454 ACTION CD DT TIERS FLAG<br />
April 2009_v.4.0 Navigating in <strong>TAMENU</strong> Page 2-17
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
Performing an To access SNAP (Food Stamp) Case Screen 2 —<br />
<strong>Inquiry</strong> Using Active Clients Lists:<br />
Case Number/<br />
Client Number Enter 2 in the KEY field.<br />
(continued)<br />
Press ENTER.<br />
KEY _2<br />
SNAP ( FS) CASE SCREEN 1 - PRIMARY PAGE 1<br />
CASE 013228XXX ACTIVE CAT 06 AID TYPE 3 BJN 086-04-C-04 MC 281-2CNTY 015<br />
CASE NAME BEE,MARIA ANN ORIG CERT 05/01/06 SEQ 63 PRINTED 11/18/07<br />
CERT DATE 09/01/07 LAST FORM 1000-A/B<br />
AUTH REP LAST ATP 02/08 REVIEW M<br />
MAIL ADDR 133 KAY ST MOS CERT 06 FORM EFF DT 01/01/08<br />
APT 115 PERSONS 04<br />
SAN ANTONIO TX PLAN C SSI<br />
ZIP78213 EBT PA# 063719XXX<br />
HOLD CODE 0 DT 09/06 APP NO A13228XXX<br />
CASH 0.00 STAMPS 454 ACTION CD DT TIERS FLAG<br />
The SNAP (FS) Case Screen 2 — Active Clients Lists<br />
displays below the SNAP (FS) Case Screen 1 —<br />
Primary.<br />
KEY __<br />
SNAP ( FS) CASE SCREEN 1 - PRIMARY PAGE 1<br />
CASE 013228XXX ACTIVE CAT 06 AID TYPE 3 BJN 086-04-C-04MC 281-2CNTY 015<br />
CASE NAME BEE,MARIA ANN ORIG CERT 05/01/06 SEQ 63 PRINTED 11/18/07<br />
CERT DATE 09/01/07 LAST FORM 1000-A/B<br />
AUTH REP LAST ATP 02/08 REVIEW C<br />
MAIL ADDR133 KAY ST MOS CERT 06 FORM EFF DT 01/01/08<br />
APT 115 PERSONS 04<br />
SAN ANTONIO TX PLAN C SSI<br />
ZIP 78213 EBT PA# 063719XXX <br />
HOLD CODE 0 DT 09/94 APP NO A13228XXX<br />
CASH 0.00 STAMPS 454 ACTION CD DT<br />
SNAP CASE SCREEN 2-ACTIVE CLIENTS LIST ENTER"C"& LINE #FOR CLIENTPAGE 01<br />
CASE 013228XXX ACTIVE CAT 06 AID TYPE 3 BJN 086-04-C-04 MC 281-2<br />
CNTY 015<br />
PL CLIENT NO NAME BIRTH DT SR SIG SSN<br />
C1 1A 506674XXX BEE,MARIA ANN 10/08/964 F3 A 472-XX-7460<br />
C2 1B 506855XXX BEE,ELIZA 05/07/996 F3 463-XX-6900<br />
C3 1C 508323XXX BEE,BOB 12/16/997 M3 465-XX-8715<br />
C4 1D 510631XXX BEE,BRAD 09/15/003 M3 626-XX-6354<br />
Page 2-18 Navigating in <strong>TAMENU</strong> April 2009_v.4.0
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
Performing an<br />
<strong>Inquiry</strong> Using<br />
Case Number/<br />
Client Number<br />
(continued)<br />
You can display any SNAP (FS) Case Screen (2, 3, 4, 5,<br />
6, 7, or 8) with available case information by entering the<br />
screen number in the KEY field such as in the previous<br />
example.<br />
To view information from TDHS (HHSC) based on the<br />
client number, from the TDHS (HHSC) <strong>SAVERR</strong><br />
INQUIRY MENU screen:<br />
<br />
<br />
<br />
<br />
Press Tab until the cursor displays in the field labeled<br />
3) CASE/CLIENT: TYPE_.<br />
Enter a C in the TYPE field.<br />
Enter the client’s CLIENT Number. (The ―XXX‖<br />
should be numbers; X’s used here for confidentiality).<br />
Press ENTER.<br />
01/10/01 TDHS <strong>SAVERR</strong> INQUIRY MENU 15:35:57<br />
1) NAME XREF: TYPE _ NAME (L,F MI) _____________________<br />
SEX _ COUNTY ___ BIRTH DATE ______<br />
2) SSN XREF: TYPE _ SSN ___ __ ____<br />
3) CASE/CLIENT: TYPE C CASE/CLIENT # 506674XXX SCREEN # _<br />
TYPE MEANING SCREENS AVAILABLE<br />
A APPLICATION 1<br />
C CLIENT 1, 2, 4, 5, A, B, C, D, E<br />
F SNAP (FOOD STAMP) CASE 1 - 8<br />
P PUBLIC ASSISTANCE CASE 1, 2, 5, 7, 8 & 9<br />
S SOCIAL SECURITY CASE (SDX) 1 & 3<br />
F7 - REFRESH MENU F12 – EXIT MENU F15 - SIGN OFF<br />
April 2009_v.4.0 Navigating in <strong>TAMENU</strong> Page 2-19
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
Performing an<br />
<strong>Inquiry</strong> Using<br />
Case Number/<br />
Client Number<br />
(continued)<br />
Client Screen 1 — Primary displays.<br />
KEY _<br />
CLIENT SCREEN 1 - ENTER 'C' & LINE # SCREENS= 1,2,4,A,B,C,E PAGE 01<br />
CLIENT NUM 506674XXX NAME BEE,MARIA ANN BD 10/08/964 SF R3 CNTY 015<br />
CASE-NUM TC S S-I-G W CLI-CERT SSN 432-XX-74XX * ALIAS<br />
C1 013228XXX 4 1 A 3 05/06/06<br />
C2 063719XXX 1 1 8 M 06/25/06 COV TP OPEN CLOSE SD<br />
C3 069104XXX 1 1 8 M 11/17/07 02R 29 01/01/06<br />
C4 02R 01 03/01/06 12/31/06<br />
C5 02R 07 11/01/05 02/29/06<br />
C6 02R 01 12/01/04 10/31/05<br />
TW FLAG LTC FLAG<br />
To access Client Screen A — Welfare Reform Data:<br />
<br />
<br />
Enter A in the KEY field.<br />
Press ENTER.<br />
KEY A<br />
CLIENT SCREEN 1 - ENTER 'C' & LINE # SCREENS= 1,2,4,A,B,C,E PAGE 01<br />
CLIENT NUM 506674XXX NAME BEE,MARIA ANN BD 10/08/964 SF R3 CNTY 015<br />
CASE-NUM TC S S-I-G W CLI-CERT SSN 432-XX-7499 * ALIAS<br />
C1 013228XXX 4 1 A 3 05/06/06<br />
C2 063719XXX 1 1 8 M 06/25/06 COV TP OPEN CLOSE SD<br />
C3 069104XXX 1 1 8 M 11/17/07 02R 29 01/01/06<br />
C4 02R 01 03/01/06 12/31/06<br />
C5 02R 07 11/01/05 02/29/06<br />
C6 02R 01 12/01/04 10/31/05<br />
TW FLAG LTC FLAG<br />
Page 2-20 Navigating in <strong>TAMENU</strong> April 2009_v.4.0
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
Performing an Client Screen A — Welfare Reform Data displays<br />
<strong>Inquiry</strong> Using below Client Screen 1.<br />
Case Number/<br />
Client Number<br />
(continued)<br />
KEY __<br />
CLIENT SCREEN 1 - ENTER 'C' & LINE # SCREENS= 1,2,4,A,B,C PAGE 01<br />
CLIENT NUM 519274XXX NAME DAY,SALLY E BD 07/31/979 SF R2 CNTY 015<br />
CASE-NUM TC S S-I-G W CLI-CERT SSN 458-XX-53XX * ALIAS<br />
C1 066092XXX 4 1 A 3 09/07/07<br />
C2 068531XXX 1 1 8 M 09/20/07 COV TP OPEN CLOSE SD<br />
C3 02R 01 09/01/07<br />
C4 02R 01 10/01/06 01/31/07<br />
C5<br />
C6<br />
TW FLAG LTC FLAG<br />
CLIENT SCREEN A - WELFARE REFORM DATA PAGE 01<br />
CLIENT NUM 519274XXX NAME DAY,SALLY E BD 07/31/979 SF R2 CNTY 015<br />
PILOT INDICATOR X SL/TIER 5 TIER REASON<br />
IDA INDICATOR TARGET GRP 1 TL MONTHS USED 05<br />
FINGERPRINT CODE Y VOLUNTEER N TL FREEZE OUT END DT<br />
CARETKR EX END DT 06/2004 18 MONTH FLAG Y WORK HISTORY 00<br />
OT LAST INELIG MO RA FLAG Y LITERACY LEVEL 11<br />
PARENTING SKILLS LITERACY ASSESS DT 01/2005<br />
JOBS CASE STATUS O NOTIFICATION EFF DT 10/2006<br />
JOBS CLOSE DT<br />
You can display any Client Screen (2, 4, 5, A, B, C, or E)<br />
with available Client information by entering the screen<br />
number in the KEY Field such as in the previous<br />
example.<br />
April 2009_v.4.0 Navigating in <strong>TAMENU</strong> Page 2-21
Section Three:<br />
Detailed Field Descriptions
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
Section Three: Detailed Field Descriptions<br />
General<br />
Information<br />
This section of the reference guide provides you with<br />
detailed field descriptions of screens that are available<br />
to TWC and partners through the TDHS (HHSC)<br />
<strong>SAVERR</strong> <strong>Inquiry</strong> Menu.<br />
Three different type screens and several sub-screens<br />
are available to staff who are granted permission to<br />
access this system. The screens are:<br />
<br />
<br />
<br />
Client screens<br />
SNAP (formerly known as Food Stamp) Case<br />
screens<br />
Public Assistance (PA) Case screens.<br />
NOTE: As of April 1, 2009 the Food Stamp Program is<br />
known as Supplemental Nutrition Assistance Program<br />
(SNAP). All the ―screen views‖ continue to list SNAP as<br />
Food Stamp, Food Stamps, FS or F.<br />
Client Screens<br />
Four different Client screens are available. Each<br />
screen provides different information. The screens are:<br />
<br />
<br />
<br />
<br />
Client Screen 1 — Primary<br />
Client Screen 2 — Medical History<br />
Client Screen 4 — Case History<br />
Client Screen 5 — Alias Information<br />
Four sub-screens are available:<br />
<br />
<br />
<br />
<br />
Client Screen A — Welfare Reform Data<br />
Client Screen B — Time Limited Months<br />
Client Screen C — Penalty/Good Cause History<br />
Client Screen E — SNAP (FS) Disqualification and<br />
Work Requirement<br />
April 2008_v.4.0 Detailed Field Descriptions Page 3-1
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
Client Screens<br />
(continued)<br />
Notice that the screens are not sequential. The other<br />
Client screens in the series are not available to TWC<br />
and partners.<br />
The first line of all Client screens provides the same<br />
information, which is the:<br />
<br />
<br />
<br />
screen number<br />
screen title<br />
page number.<br />
The second line of all Client screens also provides the<br />
same information:<br />
<br />
<br />
<br />
CLIENT NUM — client number composed of nine<br />
digits, beginning with a number one through five,<br />
assigned to each certified person in the TDHS<br />
(HHSC) <strong>SAVERR</strong> system<br />
NAME — client’s name<br />
BD — client’s birth date (MM/DD/YYY)<br />
S — client’s gender (See HHSC Code Summary C-<br />
540, Page D-1)<br />
<br />
<br />
R — client’s self-declared race (See HHSC Code<br />
Summary C-540, Page D-1)<br />
CNTY — the client’s county of residence (see<br />
County Codes in Appendix E)<br />
Client Screen 1<br />
—Primary<br />
Client Screen 1 — Primary provides general<br />
information about the case.<br />
Lines 1 and 2 fields are described in the Client Screen<br />
section above.<br />
Page 3-2 Detailed Field Descriptions April 2009_v.4.0
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
Client Screen 1<br />
—Primary<br />
(continued)<br />
KEY _C2_<br />
CLIENT SCREEN 1 --- ENTER 'C' & LINE # SCREENS= 1,2,4,A,B,C,E PAGE<br />
01<br />
CLIENT NUM 506674XXX NAME BEE,MARIA ANN BD 10/08/964 SF R3 CNTY 015<br />
CASE-NUM TC S S-I-G W CLI-CERT SSN 432-XX-74XX * ALIAS<br />
C1 013228XXX 4 1 A 3 05/06/06<br />
C2 063719XXX 1 1 8 M 06/25/06 COV TP OPEN CLOSE SD<br />
C3 069104XXX 1 1 8 M 11/17/07 02R 01 01/01/07<br />
C4 02R 01 03/01/06 12/31/06<br />
C5 02R 07 11/01/05 02/29/06<br />
C6 02R 01 12/01/04 10/31/05<br />
TW FLAG LTC FLAG<br />
The specific field descriptions for Client Screen 1 —<br />
Primary are:<br />
<br />
<br />
<br />
<br />
CLIENT NUM — client number composed of nine<br />
digits, beginning with a number from one through<br />
five, assigned to each certified person in the TDHS<br />
(HHSC) <strong>SAVERR</strong> system<br />
CASE NUM — case number composed of nine<br />
digits assigned to specific program case. The<br />
number usually starts with a zero.<br />
TC — type case codes:<br />
1 — TANF<br />
2 — Aged and Disabled<br />
3 — SSI<br />
4 — SNAP (formerly known as Food Stamps)<br />
5 — Refugee Assistance<br />
S — case status codes:<br />
1 — active<br />
2 — denied<br />
3 — suspended<br />
4 — hold<br />
April 2008_v.4.0 Detailed Field Descriptions Page 3-3
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
Client Screen 1<br />
—Primary<br />
(continued)<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
S-I-G — client’s Status-in-Group code (See HHSC<br />
Code Summary C-540, Page D-2)<br />
W — client’s applicable work code (See HHSC<br />
Code Summary C-540, Page D-3)<br />
CLI-CERT — date client was certified<br />
SSN — client’s Social Security number — an<br />
asterisk indicates that the Social Security<br />
Administration has verified the SSN.<br />
ALIAS — Y indicates that a Client Screen 5 exists<br />
COV — Medicaid coverage code composed of the<br />
two-digit assistance category and a third character:<br />
H — hold<br />
R — regular<br />
L — lock-in<br />
I — institutional care.<br />
TP — Type Program (See HHSC Code Summary<br />
C-540, Page D-4)<br />
OPEN — date Medicaid coverage began<br />
CLOSE — date Medicaid coverage ended<br />
SD — spend-down indicator (some clients are<br />
allowed to deplete their resources in order to be<br />
eligible for Medicaid)<br />
TW FLAG — <strong>Texas</strong> Works- ―T‖ indicates client<br />
moved to TIERS<br />
LTC FLAG — Long Term Care - ―T‖ indicates client<br />
moved to TIERS<br />
Client Screen 2<br />
—Medical<br />
History<br />
Client Screen 2 — Medical History provides<br />
information on the client’s history of Medicaid coverage.<br />
The Client Screen section above describes Lines 1<br />
and 2 fields.<br />
Page 3-4 Detailed Field Descriptions April 2009_v.4.0
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
Client Screen 2 Client Screen 2 — Medical History displays in the<br />
—Medical lower half of the screen below Client Screen 1 —<br />
History<br />
Primary.<br />
(continued)<br />
KEY __<br />
CLIENT SCREEN 1 --- ENTER 'C' & LINE # SCREENS= 1,2,4,A,B,C,E PAGE 01<br />
CLIENT NUM 506674XXX NAME BEE,MARIA ANN BD 10/08/964 SF R3 CNTY 015<br />
CASE-NUM TC S S-I-G W CLI-CERT SSN 432-XX-74XX * ALIAS<br />
C1 013228XXX 4 1 A 3 05/06/06<br />
C2 063719XXX 1 1 8 M 06/25/06 COV TP OPEN CLOSE SD<br />
C3 069104XXX 1 1 8 M 11/17/07 02R 01 01/01/07<br />
C4 02R 01 03/01/06 12/31/06<br />
C5 02R 07 11/01/05 02/28/06<br />
C6 02R 01 12/01/04 10/31/05<br />
TW FLAG LTC FLAG<br />
CLIENT SCREEN 2 --- MEDICAL HISTORY PAGE 01<br />
CLIENT NUM 506674XXX NAME BEE,MARIA ANN BD 10/08/964 SF R3 CNTY 015<br />
COV TP OPEN CLOSE SD COV TP OPEN CLOSE SD<br />
02R 01 01/01/07 02R 41 03/01/01 07/31/01<br />
02R 01 03/01/06 12/31/06<br />
02R 07 11/01/05 02/29/06<br />
02R 01 12/01/04 10/31/05<br />
02R 37 09/01/03 01/31/04<br />
02R 41 05/01/02 08/31/03<br />
02R 01 08/01/01 01/31/02<br />
The specific field descriptions for Client Screen 2 —<br />
Medical History are:<br />
<br />
COV — Medicaid coverage code composed of the<br />
two-digit assistance category and a third character<br />
plus<br />
H — hold<br />
R — regular<br />
L — lock-in<br />
I — institutional care.<br />
TP — type program (See HHSC Code Summary C-<br />
540, Page D-4)<br />
<br />
<br />
<br />
OPEN — date Medicaid coverage began<br />
CLOSE — date Medicaid coverage ended (if blank,<br />
coverage continues)<br />
SD — spend-down indicator (some clients are<br />
allowed to deplete their resources in order to be<br />
eligible for Medicaid).<br />
April 2008_v.4.0 Detailed Field Descriptions Page 3-5
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
Client Screen 4<br />
—Case History<br />
Client Screen 4 — Case History provides information<br />
on the different case groups a client has been<br />
considered as a member.<br />
The client may have been an eligible member or<br />
ineligible member of a group. As long as the client’s<br />
name appears as a group member, the case number<br />
appears in this list of information.<br />
The Client Screen section above describes Lines 1<br />
and 2 fields.<br />
Client Screen 4 — Case History displays in the lower<br />
half of the screen below Client Screen 1 — Primary.<br />
KEY __<br />
CLIENT SCREEN 1 - ENTER 'C' & LINE # SCREENS= 1,2,4,A,B,C,E PAGE 01<br />
CLIENT NUM 506674XXX NAME BEE,MARIA ANN BD 10/08/964 SF R3 CNTY 015<br />
CASE-NUM TC S S-I-G W CLI-CERT SSN 432-XX-74XX * ALIAS<br />
C1 013228XXX 4 1 A 3 05/06/06<br />
C2 063719XXX 1 1 8 M 06/25/06 COV TP OPEN CLOSE SD<br />
C3 069104XXX 1 1 8 M 11/17/07 02R 01 01/01/07<br />
C4 02R 01 03/01/06 12/31/06<br />
C5 02R 07 11/01/05 02/28/06<br />
C6 02R 01 12/01/04 10/31/05<br />
TW FLAG LTC FLAG<br />
CLIENT SCREEN 4 -CASE HISTORY (ENTER LETTER BESIDE CASE # DESIRED) PAGE 01<br />
CLIENT NUM 506674XXX NAME BEE,MARIA ANN BD 10/08/964 SF R3 CNTY 015<br />
CASE NUM TC S S-I-G ADD-DATE DROP-DT CASE NUM TC S S-I-G ADD-DATE DROP-DT<br />
A 063719XXX 1 1 8 06/25/06 11/17/06 H 015316XXX 1 2 9 12/22/04 02/19/05<br />
B 063719XXX 1 4 8 06/25/06 12/22/06 I 012023XXX 1 2 8 04/29/03 01/14/04<br />
C 012023XXX 1 2 0 01/22/05 06/22/06 J 012973XXX 1 2 9 07/18/02 08/18/02<br />
The specific field descriptions for Client Screen 4 —<br />
Case History are:<br />
<br />
TC — type case codes:<br />
1 — TANF<br />
2 — Aged and Disabled<br />
3 — SSI<br />
4 — SNAP (formerly known as Food Stamps)<br />
5 — Refugee Assistance.<br />
Page 3-6 Detailed Field Descriptions April 2009_v.4.0
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
Client Screen 4 S — case status codes<br />
—Case History 1 — active<br />
(continued)<br />
2 — denied<br />
3 — suspended<br />
4 — hold.<br />
<br />
<br />
<br />
S-I-G — client’s Status-in-Group code (See HHSC<br />
Code Summary C-540, Page D-2)<br />
ADD-DATE — date client was certified/added to<br />
the case<br />
DROP-DT — date the client was removed/dropped<br />
from the case.<br />
Client Screen 5<br />
—Alias<br />
Information<br />
Client Screen 5 — Alias Information provides<br />
information on any alias the client may have used to<br />
receive a benefit or service from TDHS (HHSC).<br />
The Client Screen section above describes Lines 1<br />
and 2 fields.<br />
Client Screen 5 — Alias Information displays in the<br />
lower half of the screen below Client Screen 1 —<br />
Primary.<br />
KEY __<br />
CLIENT SCREEN 1 - ENTER 'C' & LINE # SCREENS= 1,2,4,5,A,C PAGE 01<br />
CLIENT NUM 503175XXX NAME BOYD,LISA BD 08/16/981 SF R2 CNTY 015<br />
CASE-NUM TC S S-I-G W CLI-CERT SSN 460-XX-28XX * ALIAS<br />
C1 008333XXX 1 1 8 G 06/16/07<br />
C2 COV TP OPEN CLOSE SD<br />
C3 02R 07 10/01/07<br />
C4 02R 01 06/01/06 09/30/07<br />
C5 02R 01 12/01/04 05/31/05<br />
C6 02P 40 06/01/03 08/31/04<br />
TW FLAG LTC FLAG<br />
CLIENT SCREEN 5 - ALIAS INFORMATION PAGE 01<br />
CLIENT NUM 503175XXX NAME BOYD,LISA BD 08/16/981 SF R2 CNTY 015<br />
ALIAS NUM 503140XXX TYPE C ALIAS NUM TYPE <br />
MERGE DATE 11/05/96 CASE MERGE DATE CASE <br />
ERR MERGE FROM TO ERR MERGE FROM TO <br />
ALIAS NUM TYPE ALIAS NUM TYPE <br />
MERGE DATE CASE MERGE DATE CASE <br />
ERR MERGE FROM TO ERR MERGE FROM TO<br />
April 2008_v.4.0 Detailed Field Descriptions Page 3-7
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
Client Screen 5<br />
—Alias<br />
Information<br />
(continued)<br />
The specific field descriptions for Client Screen 5 —<br />
Alias Information are:<br />
<br />
ALIAS NUM — a client number, Social Security<br />
number, Social Security claim number, or Railroad<br />
Retirement number at one time associated with the<br />
client<br />
<br />
TYPE — alias number types are:<br />
C — client number<br />
H — Social Security Claim number or Railroad<br />
Retirement number<br />
S — Social Security number<br />
MERGE DATE —<br />
if TYPE C, date the TDHS (HHSC) computer<br />
processed a merge transaction<br />
if TYPE S or H, process date of the TANF or<br />
SNAP transaction that removed the alias<br />
number<br />
<br />
<br />
<br />
CASE — if the code is H or S, case number of the<br />
SDX (SSI) case in which a different Social Security<br />
number, Social Security claim number, or Railroad<br />
Retirement number was reported<br />
ERR MERGE DATE — if a merge transaction was<br />
done in error, the date the TDHS (HHSC) computer<br />
processed the erroneous merge is listed; cannot<br />
appear with a merge date<br />
TO — date the TDHS (HHSC) computer processed<br />
a separate transaction to resolve the erroneous<br />
merge<br />
Client Screen A Client Screen A — Welfare Reform Data provides<br />
—Welfare<br />
information on requirements for welfare reform policy<br />
Reform Data that was implemented in 1996.<br />
Lines 1 and 2 fields are described in the Client Screen<br />
section above.<br />
Page 3-8 Detailed Field Descriptions April 2009_v.4.0
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
Client Screen A<br />
—Welfare<br />
Reform Data<br />
(continued)<br />
Client Screen A — Welfare Reform Data displays in<br />
the lower half of the screen below Client Screen 1 —<br />
Primary.<br />
KEY __<br />
CLIENT SCREEN 1 - ENTER 'C' & LINE # SCREENS= 1,2,4,A,B,C PAGE 01<br />
CLIENT NUM 519274XXX NAME DAY,SALLY E BD 07/31/979 SF R2 CNTY 015<br />
CASE-NUM TC S S-I-G W CLI-CERT SSN 458-XX-53XX * ALIAS<br />
C1 066092XXX 4 1 A 3 09/07/07<br />
C2 068531XXX 1 1 8 M 09/20/07 COV TP OPEN CLOSE SD<br />
C3 02R 01 09/01/07<br />
C4 02R 01 10/01/05 01/31/06<br />
C5<br />
C6<br />
TW FLAG LTC FLAG<br />
CLIENT SCREEN A - WELFARE REFORM DATA PAGE 01<br />
CLIENT NUM 519274XXX NAME DAY,SALLY E BD 07/31/979 SF R2 CNTY 015<br />
PILOT INDICATOR SL/TIER 5 TIER REASON<br />
IDA INDICATOR TARGET GRP 1 TL MONTHS USED 05<br />
FINGERPRINT CODE Y VOLUNTEER N TL FREEZE OUT END DT<br />
CARETKR EX END DT 08/2007 18 MONTH FLAG Y WORK HISTORY 00<br />
OT LAST INELIG MO RA FLAG Y LITERACY LEVEL 11<br />
PARENTING SKILLS LITERACY ASSESS DT 09/2007<br />
JOBS CASE STATUS O NOTIFICATION EFF DT 09/2007<br />
JOBS CLOSE DT<br />
The specific field descriptions for Client Screen A —<br />
Welfare Reform Data are:<br />
<br />
PILOT INDICATOR — this code relates to Time<br />
Limits policy. It may include one of the following<br />
codes (no longer applicable):<br />
C — client in RA (Responsibility Agreement)<br />
Control Group<br />
E — client in RA Pilot Experimental Group<br />
R — client in RA Experimental Group (Non-<br />
Choices Area)<br />
S — client in RA Control Group (Non-Choices<br />
Area)<br />
L — client in TL (Time Limited) Control Group<br />
T — client in TL Experimental Group<br />
April 2008_v.4.0 Detailed Field Descriptions Page 3-9
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
Client Screen A<br />
—Welfare<br />
Reform Data<br />
(continued)<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
X — client/household was in TL or RA Control<br />
Group Area but later moved to Experimental Group<br />
Area or Experimental Group Client moved into a<br />
Control Group household. The Pilot Indicator is<br />
changed to X for everyone in the household and<br />
Time Limits or Responsibility Agreement now apply.<br />
IDA INDICATOR — Individual Development<br />
Account Indicator<br />
FINGERPRINT CODE — Finger Imaging Code, e.g.<br />
Y - finger images have been taken (See HHSC<br />
Code Summary C-540, Page D-8)<br />
CARETKR EX END DT — Caretaker Exemption<br />
End Date (MM/YYYY); the last date the client is<br />
eligible for an exemption due to caring for a child<br />
OT LAST INELIG MO — one-time TANF Last<br />
Ineligibility Month (MM/YYYY); the last month of<br />
TANF ineligibility due to application of the one-time<br />
TANF policy<br />
PARENTING SKILLS — Codes:<br />
R — advisor referred the client to Parenting<br />
Skills course<br />
J — client completed Parenting Skills through<br />
the Choices (formerly JOBS) program<br />
C — client completed Parenting Skills course<br />
JOBS CASE STATUS — Choices codes are:<br />
O — open<br />
C — closed<br />
JOBS CLOSE DT — effective date (MM/YYYY) the<br />
Choices (formerly JOBS) case closed to services<br />
SL/TIER<br />
SL — Service Level — four JOBS service levels<br />
were used for the JOBS program before WorkFirst<br />
began. Codes ranged from one to four. Tier Levels<br />
replaced codes.<br />
Page 3-10 Detailed Field Descriptions April 2009_v.4.0
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
Client Screen A TIER- Tier Level. Time Limit Tier Codes replace<br />
—Welfare<br />
the SL codes:<br />
Reform Data - Tier 5 — 12 months<br />
(continued) - Tier 6 — 24 months<br />
- Tier 7 — 36 months<br />
- Tier 8 — Unknown (set by <strong>SAVERR</strong> if tier<br />
data has not yet been received).<br />
<br />
<br />
<br />
<br />
<br />
<br />
TARGET GRP — Target Groups are federal and<br />
state categorizations of types of clients used to<br />
obtain enhanced funding. The codes range from<br />
one to nine.<br />
VOLUNTEER — client volunteered for Choices<br />
services during the eligibility interview:<br />
Y — Yes, qualify<br />
N — No.<br />
18-MONTH FLAG — client gets 18 months of<br />
Transitional Medicaid coverage as a volunteer for<br />
Choices while exempt.<br />
Y - Yes, qualify<br />
BLANK - does not qualify.<br />
RA FLAG — a signal that the caretaker and second<br />
parent have signed the Personal Responsibility<br />
Agreement (PRA):<br />
Y — client has signed the PRA<br />
P — client has signed the PRA but is no longer<br />
a TANF recipient.<br />
TIER REASON — Codes:<br />
J — Choices staff changed a tier due to<br />
functional literacy assessment<br />
R — reset or re-determination; tier level<br />
changed by Advisor.<br />
TL MONTHS USED — Time Limited Months Used<br />
(two-digit number) — number of months counted<br />
towards the client’s state time limit. The maximum<br />
amount of months in this field is the number of<br />
months allowed in the client’s tier.<br />
April 2008_v.4.0 Detailed Field Descriptions Page 3-11
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
Client Screen A TL FREEZE OUT END DT — Time Limit Freeze<br />
—Welfare<br />
Out End Date (MM/YYYY) the five years after the<br />
Reform Data<br />
client reaches the Federal time limit<br />
(continued)<br />
WORK HISTORY — two-digit number representing<br />
the number of months the client worked during a<br />
24-month work history period<br />
<br />
<br />
<br />
LITERACY LEVEL — two-digit number<br />
representing the functional grade level. The<br />
possible range of digits is 01 to 13 (13= post high<br />
school).<br />
LITERACY ASSESS DT — Literacy Assessment<br />
Date (MM/YYYY) - date on which the functional<br />
literacy level determined by the Choices specialist<br />
NOTIFICATION EFF DT — Notification Effective<br />
Date (MM/YYYY) — the month after the client<br />
notified of Choices participation. This is the date<br />
the state time limit clock starts ―ticking.‖<br />
Client Screen B<br />
—Time Limited<br />
Months<br />
Client Screen B — Time Limited Months provides<br />
information about the specific months that have been<br />
counted toward a client’s time limit.<br />
The Client Screen section above describes Lines 1<br />
and 2 fields. Line 1 also indicates the maximum<br />
number of months to count toward the time limit for<br />
this specific client.<br />
Page 3-12 Detailed Field Descriptions April 2009_v.4.0
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
Client Screen B Client Screen B — Time Limited Months displays in<br />
—Time Limited the lower half of the screen below Client Screen 1 —<br />
Months<br />
Primary.<br />
(continued)<br />
KEY __<br />
CLIENT SCREEN 1 - ENTER 'C' & LINE # SCREENS= 1,2,4,A,B,C PAGE 01<br />
CLIENT NUM 519274XXX NAME DAY,SALLY E BD 07/31/979 SF R2 CNTY 015<br />
CASE-NUM TC S S-I-G W CLI-CERT SSN 458-XX-53XX * ALIAS<br />
C1 066092XXX 4 1 A 3 09/07/07<br />
C2 068531XXX 1 1 8 M 09/20/07 COV TP OPEN CLOSE SD<br />
C3 02R 01 09/01/07<br />
C4 02R 01 10/01/05 01/31/07<br />
C5<br />
C6<br />
TW FLAG LTC FLAG<br />
CLIENT SCREEN B -TIME LIMITED MONTHS TIER MONTHS MAX 12<br />
CLIENT NUM 519274XXX NAME DAY,SALLY E BD 07/31/979 SF R<br />
PAGE 01<br />
CNTY 015<br />
BENEFIT<br />
MONTH<br />
12/2007<br />
11/2007<br />
09/2007<br />
BENEFIT<br />
MONTH<br />
BENEFIT<br />
MONTH<br />
BENEFIT<br />
MONTH<br />
BENEFIT<br />
MONTH<br />
BENEFIT<br />
MONTH<br />
The specific field descriptions for Client Screen B —<br />
Time Limited Months are:<br />
<br />
TIER MONTHS MAX — indicates the maximum<br />
number of state time limit months a client can<br />
receive TANF benefits. <strong>Inquiry</strong> uses the value in the<br />
SL/TIER field to determine this number. The<br />
following table shows the formula:<br />
If the SL/Tier field<br />
is….<br />
The Tier Months Max<br />
field displays<br />
5 12<br />
6 24<br />
7 36<br />
<br />
Benefit Month — MM/YYYY displays the history<br />
of the State Time Limited months used. Use this<br />
screen to check the accuracy of the number of<br />
TANF months used.<br />
April 2008_v.4.0 Detailed Field Descriptions Page 3-13
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
Client Screen B<br />
—Time Limited<br />
Months<br />
(continued)<br />
Client Screen C<br />
—Penalty/<br />
Good Cause<br />
History<br />
The maximum number of months the Benefit Month<br />
screen displays is 36. The screen is blank if there<br />
are no months used towards the state time limit.<br />
Client Screen C — Penalty/Good Cause History<br />
gives you with the type and the start and end dates of<br />
any penalty assessed against the client or any good<br />
cause granted the client.<br />
The Client Screen section above describes Lines 1<br />
and 2 fields.<br />
Client Screen C — Penalty/Good Cause History<br />
displays in the lower half of the screen below Client<br />
Screen 1 — Primary.<br />
KEY __<br />
CLIENT SCREEN 1 - ENTER 'C' & LINE # SCREENS= 1,2,4,A,B,C PAGE 01<br />
CLIENT NUM 519274XXX NAME DAY,SALLY E BD 07/31/979 SF R2 CNTY 015<br />
CASE-NUM TC S S-I-G W CLI-CERT SSN 458-XX-53XX * ALIAS<br />
C1 066092XXX 4 1 A 3 09/07/07<br />
C2 068531XXX 1 1 8 M 09/20/07 COV TP OPEN CLOSE SD<br />
C3 02R 01 09/01/07<br />
C4 02R 01 10/01/05 01/31/07<br />
C5<br />
C6<br />
TW FLAG LTC FLAG<br />
CLIENT SCREEN C - PENALTY/GOOD CAUSE HISTORY PAGE 01<br />
CLIENT NUM 519274XXX NAME DAY,SALLY E BD 07/31/979 SF R CNTY 015<br />
TYPE START END TYPE START END TYPE START END<br />
F 12/2007<br />
Page 3-14 Detailed Field Descriptions April 2009_v.4.0
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
Client Screen C The specific field descriptions for Client Screen C —<br />
—Penalty/<br />
Penalty/Good Cause History are:<br />
Good Cause<br />
History TYPE — for Codes. See table below for codes.<br />
(continued)<br />
If a penalty is imposed, the<br />
following codes are displayed<br />
Requested by Choices<br />
Staff/Imposed by HHSC <strong>Texas</strong><br />
Works Staff<br />
Choices Penalty Codes,<br />
indicating whether it is the first,<br />
second, or third time or more that<br />
the client failed to comply:<br />
If good cause is<br />
granted, the following<br />
codes are displayed<br />
Determined by Choices<br />
staff<br />
HHSC (TDHS) code:<br />
F – first month non-cooperation<br />
5<br />
S – second month noncooperation<br />
5<br />
T – forfeit month(s) of noncooperation<br />
5<br />
Determined and imposed by<br />
HHSC <strong>Texas</strong> Works staff:<br />
Non-Choices Penalty Codes:<br />
C – Child Support<br />
V – Voluntary Quit<br />
Determined and Imposed<br />
by HHSC <strong>Texas</strong> Works<br />
staff:<br />
Non-Choices Good<br />
Cause Codes:<br />
No Good Cause code<br />
exists<br />
E – <strong>Texas</strong> Health Steps 6<br />
G – Immunization<br />
1 alternate schedule<br />
2 medical<br />
3 religious beliefs<br />
4 control or grace period<br />
A – School Attendance<br />
No Good Cause code<br />
exists<br />
P – Parenting Skills 7<br />
D – Drugs/Alcohol<br />
No Good Cause code<br />
exists<br />
April 2008_v.4.0 Detailed Field Descriptions Page 3-15
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
Client Screen E<br />
— SNAP (FS)<br />
Disqualifications<br />
and<br />
Work<br />
Requirement<br />
Data<br />
Client Screen E — SNAP (formerly known as Food<br />
Stamps-FS) Disqualifications and Work<br />
Requirement Data gives you with information about<br />
the SNAP disqualifications imposed on the specific<br />
client named on the Primary Screen. It also provides<br />
information about the SNAP work requirements of the<br />
specific client.<br />
The Client Screen section above describes Lines 1<br />
and 2 fields.<br />
Client Screen E — SNAP (FS) Disqualifications and<br />
Work Requirement Data displays in the lower half of<br />
the screen below Client Screen 1 — Primary.<br />
KEY __<br />
CLIENT SCREEN 1 - ENTER 'C' & LINE # SCREENS= 1,4,A,E,T PAGE 01<br />
CLIENT NUM 525571XXX NAME JONES,SALLY BD 10/08/964 SF R3 CNTY 015<br />
CASE-NUM TC S S-I-G W CLI-CERT SSN 429-XX-87XX * ALIAS<br />
C1<br />
C2 COV TP OPEN CLOSE SD<br />
C3<br />
C4<br />
C5<br />
C6<br />
TW FLAG LTC FLAG<br />
CLIENT SCREEN E-FS DISQUALIFICATIONS AND WORK REQUIREMENT DATA PAGE 01<br />
CLIENT NUM 525571XXX NAME JONES,SALLY BD 10/08/964 S F R 3 CNTY 015<br />
DISQUALIFICATIONS:<br />
WORK REQUIREMENT:<br />
FUGITIVE WORK REQUIREMENT END DATE 08/2008<br />
INELIG ALIEN (DOC)<br />
INELIG ALIEN (UNDOC)<br />
ELIGIBILITY MONTHS:<br />
SSN REQUIREMENT 1 09/2005<br />
DRUG CONVICTION 2 05/2007<br />
Y E&T/VOL QUIT<br />
LAST CHANGED BY P<br />
S E&T/VOL QUIT COUNTER LAST CHANGED ON 06/01/2007<br />
Page 3-16 Detailed Field Descriptions April 2009_v.4.0
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
Client Screen E<br />
— SNAP (FS)<br />
Disqualifications<br />
and<br />
Work<br />
Requirement<br />
Data<br />
(continued)<br />
The specific field descriptions for Client Screen E —<br />
SNAP (FS) Disqualification and Work Requirement<br />
Data are:<br />
<br />
DISQUALIFICATIONS — (See HHSC Code C-540,<br />
Page D-8):<br />
B — ineligible alien without BCIS document<br />
C — ineligible alien with BCIS document<br />
D — felony drug conviction<br />
F — first offense failure to comply with<br />
Employment Services Program (ESP)<br />
requirements (Employment and<br />
Training/voluntary quit/reducing hours to less<br />
than 30)<br />
J — fugitive<br />
N — failure to meet Social Security number<br />
requirement<br />
S — second offense failure to comply with ESP<br />
requirements<br />
T — third or subsequent offense failure to comply<br />
with ESP requirements<br />
W — failure to comply with the 18-50 SNAP work<br />
requirement.<br />
<br />
<br />
E&T/VOL QUIT — Flag indicating that a client has<br />
been disqualified from a SNAP case because of<br />
non-compliance with the employment and training<br />
program:<br />
Y — currently disqualified<br />
N — previously disqualified, but is no longer<br />
disqualified<br />
Blank — not currently or previously disqualified.<br />
E&T/VOL QUIT COUNTER — the client’s offense<br />
count:<br />
F — first E&T/voluntary quit offense<br />
S — second E&T/voluntary quit offense<br />
T — third and subsequent E&T/voluntary quit<br />
offense<br />
Blank — no E&T/voluntary quit offense record.<br />
April 2008_v.4.0 Detailed Field Descriptions Page 3-17
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
Client Screen E LAST CHANGED BY — type of process by which<br />
— SNAP (FS) the last update to the SNAP (FS) client<br />
Disqualifi-<br />
disqualification record was made:<br />
cations and<br />
A — change was made by the Add process<br />
Work<br />
F — change was made by the Force Change<br />
Requirement<br />
process<br />
Data<br />
M — change was made by the Merge process<br />
(continued)<br />
S — change was made by the Separate process<br />
P — change was made by the Plucker process<br />
C — change was made by the Conversion<br />
process.<br />
<br />
<br />
<br />
<br />
LAST CHANGED ON — last date an update was<br />
made to the SNAP (FS) client disqualification<br />
record.<br />
WORK REQUIREMENT — flag indicating that a<br />
client eighteen to fifty years of age who has been<br />
receiving SNAP is disqualified from a SNAP (FS)<br />
case. This happens when, for three months within a<br />
36-month period, the client’s average weekly work<br />
hours fall below 20 hours:<br />
Y — currently disqualified<br />
N — previously disqualified but is no longer<br />
disqualified<br />
Blank — not currently or previously disqualified.<br />
WORK REQUIREMENT END DATE — the date a<br />
client’s 36 months of 18-50 SNAP work requirement<br />
ends.<br />
ELIGIBILITY MONTHS:<br />
1 — first month a client worked less than twenty<br />
hours per week and received SNAP (FS)<br />
benefits<br />
2 — second month a client worked less than<br />
twenty hours per week and received SNAP (FS)<br />
benefits<br />
3 — third month a client worked less than twenty<br />
hours per week and received SNAP (FS)<br />
benefits<br />
4 — fourth month a client worked less than<br />
twenty hours per week and received SNAP (FS)<br />
benefits.<br />
Page 3-18 Detailed Field Descriptions April 2009_v.4.0
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
SNAP (formerly<br />
known as Food<br />
Stamp) Case<br />
Screens<br />
Eight different SNAP (formerly known as Food Stamp)<br />
Screens are available, and each screen provides<br />
different information. The screens are:<br />
<br />
SNAP (FS) Case Screen 1 — Primary<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
SNAP (FS) Case Screen 2 — Active Clients List<br />
SNAP (FS) Case Screen 3 — Budget<br />
SNAP (FS) Case Screen 4 — Miscellaneous<br />
SNAP (FS) Case Screen 5 — Client History<br />
SNAP (FS) Case Screen 6 — Overpayment<br />
SNAP (FS) Case Screen 7 — Benefit Summary<br />
SNAP (FS) Case Screen 8 — Benefit History<br />
The first two lines of each SNAP (FS) Case Screen<br />
provides identical information:<br />
<br />
<br />
<br />
screen number<br />
screen title<br />
page number.<br />
The second line of all SNAP (FS) Case Screens also<br />
provides the same information:<br />
<br />
<br />
<br />
Case — nine digit case number, which usually<br />
begins with zero.<br />
Case Status:<br />
active<br />
denied<br />
suspended<br />
hold.<br />
CAT — category of assistance (See HHSC Code<br />
Summary C-540, Page D-1).<br />
April 2008_v.4.0 Detailed Field Descriptions Page 3-19
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
SNAP (formerly AID TYPE — type of SNAP household (See HHSC<br />
known as Food Code Summary C-540, Page D-4)<br />
Stamp) Case<br />
Screens BJN — TDHS (HHSC) caseworker’s budgeted job<br />
(continued)<br />
number<br />
<br />
<br />
MC — advisor’s mail code<br />
CNTY — client’s county of residence (see County<br />
Codes in Appendix E)<br />
SNAP (formerly<br />
known as FS)<br />
Case Screen 1—<br />
Primary<br />
SNAP (FS) Case Screen 1 — Primary provides<br />
general information about the SNAP case.<br />
The SNAP (FS) Case Screen section above provides<br />
Lines 1 and 2 field descriptions.<br />
KEY __<br />
SNAP (FS) CASE SCREEN 1 --- PRIMARY<br />
PAGE <br />
1<br />
CASE 013228XXX ACTIVE CAT 06 AID TYPE 3 BJN 086-04-C-04MC 281-2CNTY 015<br />
CASE NAME BEE,MARIA ANN ORIG CERT 05/01/06 SEQ 63 PRINTED 11/18/07<br />
CERT DATE 09/01/07 LAST FORM 1000-A/B<br />
AUTH REP LAST ATP 02/08 REVIEW C<br />
MAIL ADDR 133 KAY ST MOS CERT 06 FORM EFF DT 01/01/08<br />
APT 115 PERSONS 04<br />
SAN ANTONIO TX PLAN C SSI<br />
ZIP78213 EBT PA# 063719XXX<br />
HOLD CODE 0 DT 09/06 APP NO A13228XXX<br />
CASH 0.00 STAMPS 454 ACTION CD DT TIERS FLAG<br />
The specific field descriptions for SNAP (FS) Case<br />
Screen 1 — Primary are:<br />
<br />
<br />
<br />
<br />
CASE NAME — name of the head of household<br />
AUTH REP — name of the authorized<br />
representative allowed to use the EBT account to<br />
buy food for the household<br />
MAIL ADDR — mailing address of the client<br />
CASH — always zero; household allotments are<br />
adjusted for income<br />
Page 3-20 Detailed Field Descriptions April 2009_v.4.0
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
April 2008_v.4.0 Detailed Field Descriptions Page 3-21
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
SNAP (formerly<br />
known as FS)<br />
Case Screen 1—<br />
Primary<br />
(continued)<br />
<br />
<br />
STAMPS — amount of allotment the client’s<br />
household is entitled to<br />
ORIG CERT — date of the earliest certification for<br />
a continuous period of eligibility<br />
SEQ — sequence number of the Form 1000-B<br />
eligibility document<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
PRINTED — date the latest Form 1000-A/B was<br />
processed<br />
CERT DATE — effective date of the most recent<br />
certification or re-certification for the case<br />
LAST ATP — date (MM/YY) that this case will<br />
receive its last Electronic Benefits Transfer (EBT)<br />
allotment in the current certification period<br />
REVIEW — type of case review reported on the last<br />
Form 1000-B (See HHSC Code Summary C-540,<br />
Page D-4)<br />
MOS CERT — number of months certified<br />
FORM EFF DT — effective date of the latest Form<br />
1000-B eligibility document<br />
PERSONS — number of persons in the household<br />
eligible to receive SNAP<br />
PLAN — documentation shown if the household is<br />
subject to income eligibility test or shelter deduction<br />
SSI — ―X‖ indicates that every member of the<br />
household receives SSI; no entry indicates that at<br />
least one person in the household does not receive<br />
SSI<br />
EBT — SNAP cases in <strong>Texas</strong> are on Electronic<br />
Benefits Transfer (EBT)<br />
Page 3-22 Detailed Field Descriptions April 2009_v.4.0
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
SNAP (formerly PA # — case number of a related TANF case if<br />
known as FS)<br />
applicable. This data is not always current.<br />
Case Screen 1—<br />
Primary HOLD CODE — code indicating the benefits have<br />
(continued)<br />
been placed on hold (withheld) or released. (See<br />
HHSC Code Summary C-540, Page D-6)<br />
<br />
<br />
<br />
<br />
<br />
DT — MM/YY the hold or release became effective<br />
APP NO — application number from the most<br />
recent NOA, Notice of Application<br />
ACTION CD — entry indicates the case is denied.<br />
(See HHSC Code Summary C-540, Page D-6)<br />
DT — date the case denied<br />
TIERS FLAG — ―T‖ indicates case moved to TIERS<br />
April 2008_v.4.0 Detailed Field Descriptions Page 3-23
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
SNAP (FS) Case<br />
Screen 2—<br />
Active Client<br />
List<br />
SNAP (FS) Case Screen 2 — Active Client List<br />
provides a list of all persons who are considered SNAP<br />
household members.<br />
The SNAP (FS) Case Screen section above provides<br />
Lines 1 and 2 field descriptions.<br />
SNAP (FS) Case Screen 2 — Active Client List<br />
displays in the lower half of the screen below SNAP<br />
(FS) Case Screen 1 — Primary.<br />
KEY __<br />
SNAP (FS) CASE SCREEN 1 --- PRIMARY<br />
PAGE<br />
1<br />
CASE 013228XXX ACTIVE CAT 06 AID TYPE 3 BJN 086-04-C-04MC 281-2CNTY 015<br />
CASE NAME BEE,MARIA ANN ORIG CERT 05/01/06 SEQ 63 PRINTED 11/18/07<br />
CERT DATE 09/01/07 LAST FORM 1000-A/B<br />
AUTH REP LAST ATP 02/08 REVIEW C<br />
MAIL ADDR133 KAY ST MOS CERT 06 FORM EFF DT 01/01/08<br />
APT 115 PERSONS 04<br />
SAN ANTONIO TX PLAN C SSI<br />
ZIP 78213 EBT PA# 063719XXX <br />
HOLD CODE 0 DT 09/04 APP NO A13228XXX<br />
CASH 0.00 STAMPS 454 ACTION CD DT TIERS FLAG<br />
FSCASE SCREEN 2-ACTIVE CLIENTS LIST ENTER"C"& LINE #FOR CLIENT PAGE 01<br />
CASE 013228XXX ACTIVE CAT 06 AID TYPE 3 BJN 086-04-C-04 MC 281-2 CNTY<br />
015<br />
PL CLIENT NO NAME BIRTH DT SR SIG SSN<br />
C1 1A 506674XXX BEE,MARIA ANN 10/08/964 F3 A 472-XX-74XX<br />
C2 1B 506855XXX BEE,ELIZA 05/07/996 F3 463-XX-69XX<br />
C3 1C 508323XXX BEE,BOB 12/16/997 M3 465-XX-87XX<br />
C4 1D 510631XXX BEE,BRAD 09/15/003 M3 626-XX-63XX<br />
Page 3-24 Detailed Field Descriptions April 2009_v.4.0
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
SNAP (FS) Case The specific field descriptions for SNAP (FS) Case<br />
Screen 2—<br />
Screen 2 — Active Client List are:<br />
Active Client<br />
List PL — page and line number of the client on the<br />
(continued)<br />
Form 1000-A/B<br />
<br />
<br />
<br />
<br />
<br />
<br />
CLIENT NO — a nine-digit number beginning with a<br />
number one through five that is each client’s unique<br />
identifier in the <strong>SAVERR</strong> system<br />
NAME — client’s name<br />
BIRTH DT — MM/DD/YYY of client’s birth<br />
SR — client’s declared gender and race<br />
SIG — client’s status in group (e.g., A for head of<br />
household). (See HHSC Code Summary C-540,<br />
Page D-2)<br />
SSN — client’s Social Security number.<br />
SNAP (FS) Case<br />
Screen 3—<br />
Budget<br />
SNAP (FS) Case Screen 3 — Budget provides an<br />
overview of the SNAP household budget used to<br />
determine eligibility for SNAP benefits.<br />
The SNAP (FS) Case Screen section above provides<br />
field descriptions of Lines 1 and 2.<br />
April 2008_v.4.0 Detailed Field Descriptions Page 3-25
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
SNAP (FS) Case<br />
Screen 3—<br />
Budget<br />
(continued)<br />
SNAP (FS) Case Screen 3 — Budget displays in the<br />
lower half of the screen below SNAP (FS) Case<br />
Screen 1 — Primary.<br />
KEY __<br />
SNAP (FS) CASE SCREEN 1 --- PRIMARY PAGE 1<br />
CASE 013228XXX ACTIVE CAT 06 AID TYPE 3 BJN 086-04-C-04MC 281-2CNTY 015<br />
CASE NAME BEE,MARIA ANN ORIG CERT 05/01/06 SEQ 63 PRINTED 11/18/07<br />
CERT DATE 09/01/07 LAST FORM 1000-A/B<br />
AUTH REP LAST ATP 02/08 REVIEW C<br />
MAIL ADDR 133 KAY ST MOS CERT 06 FORM EFF DT 01/01/08<br />
APT 115 PERSONS 04<br />
SAN ANTONIO TX PLAN C SSI<br />
ZIP 78213 EBT PA# 063719XXX<br />
HOLD CODE 0 DT 09/04 APP NO A13228XXX<br />
CASH 0.00 STAMPS 454 ACTION CD DT TIERS FLAG<br />
FS CASE SCREEN 3 --- BUDGET<br />
CASE 013228XXX ACTIVE CAT 06 AID TYPE 3 BJN 086-04-C-04MC 281-2CNTY 015<br />
EARNED DEDUC AGI 5.00<br />
RSDI FARM DED EXEC SHELTER 168.50<br />
ITEM53<br />
PASS CD<br />
SSI PASS XMPT NET INCOME<br />
RR<br />
OTHER 139.00 SHELTER 171.00<br />
UTIL CD 1<br />
T INC 139.00 MED COST<br />
The specific field descriptions for SNAP (FS) Case<br />
Screen 3 — Budget are:<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
EARNED — amount of gross earned income of the<br />
household<br />
RSDI — amount of social security benefits received<br />
ITEM 53 — amount of veterans benefits, pensions,<br />
and/or unemployment compensation received (See<br />
HHSC Code Summary C-540, Page D-4)<br />
SSI — amount of supplemental security income<br />
received<br />
RR — amount of railroad retirement income<br />
received<br />
OTHER — amount of miscellaneous income<br />
received<br />
T INC — total income<br />
Page 3-26 Detailed Field Descriptions April 2009_v.4.0
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
April 2008_v.4.0 Detailed Field Descriptions Page 3-27
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
SNAP (FS) Case DEDUC — amount of total deductions<br />
Screen 3—<br />
Budget FARM DEDUC — amount of farm deductions<br />
(continued)<br />
SHELTER — household shelter deductions<br />
<br />
<br />
<br />
<br />
<br />
UTILITY CD — utility code (See HHSC Code<br />
Summary C-540, Page D-5)<br />
MED COST — amount of medical cost deduction<br />
AGI — household’s adjusted gross income<br />
EXEC SHELTER — excess shelter allowance<br />
NET INCOME — amount of SNAP is based on the<br />
net income and household size.<br />
SNAP (FS) Case<br />
Screen 4—<br />
Miscellaneous<br />
SNAP (FS) Case Screen 4 — Miscellaneous gives<br />
you information on child support income and the<br />
amount of the child support disregard.<br />
The SNAP (FS) Case Screen section above provides<br />
Lines 1 and 2 field descriptions.<br />
SNAP (FS) Case Screen 4 — Miscellaneous displays<br />
in the lower half of the screen below SNAP (FS) Case<br />
Screen 1 — Primary.<br />
KEY __<br />
SNAP (FS) CASE SCREEN 1 — PRIMARY PAGE 1<br />
CASE 013228XXX ACTIVE CAT 06 AID TYPE 3 BJN 086-04-C-04MC 281-2CNTY 015<br />
CASE NAME BEE,MARIA ANN ORIG CERT 05/01/06 SEQ 63 PRINTED 11/18/07<br />
CERT DATE 09/01/07 LAST FORM 1000-A/B<br />
AUTH REP LAST ATP 02/08 REVIEW C<br />
MAIL ADDR 133 KAY ST MOS CERT 06 FORM EFF DT 01/01/08<br />
APT 110E PERSONS 04<br />
SAN ANTONIO TX PLAN C SSI<br />
ZIP 78213 EBT PA# 063719XXX<br />
HOLD CODE 0 DT 09/04 APP NO A13228XXX<br />
CASH 0.00 STAMPS 454 ACTION CD DT TIERS FLAG<br />
SNAP (FS) CASE SCREEN 4 — MISCELLANEOUS<br />
CASE 013228XXX ACTIVE CAT 06 AID TYPE 3 BJN 086-04-C-04MC 281-2CNTY 015<br />
-------- ATTORNEY GENERAL CHILD SUPPORT ---------<br />
MO/YR CD REC'D BUDGET MO/YR CD REC'D BUDGET TDL: 10016XXX<br />
07/06 A 50.00 50.00<br />
RES ADDR DB01<br />
Page 3-28 Detailed Field Descriptions April 2009_v.4.0
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
SNAP (FS) Case The specific field descriptions for SNAP (FS) Case<br />
Screen 4—<br />
Screen 4 — Miscellaneous are:<br />
Miscellaneous<br />
(continued) MO/YR — month and year of child support<br />
disregard payment<br />
<br />
<br />
<br />
<br />
CD — code describes the amount displayed in the<br />
BUDGET field:<br />
A — amount entered from Attorney General<br />
information<br />
N — previous disregard payment amount has<br />
been replaced with an amount of zero (based<br />
on Attorney General information)<br />
P — amount entered by the worker<br />
H — disregard payment amount previously<br />
reported by the Attorney General has been<br />
replaced by the advisor<br />
REC’D — actual disregard amount paid to the<br />
client(s) in the MO/YR shown<br />
BUDGET — anticipated amount of child support<br />
disregard budgeted to determine benefits received<br />
in the MO/YR shown<br />
TDL — <strong>Texas</strong> driver’s license of the head of<br />
household<br />
SNAP (FS) Case<br />
Screen 5—Client<br />
History<br />
SNAP (FS) Case Screen 5 — Client History gives<br />
you a listing of all persons, by client number, who have<br />
been associated with the specific SNAP case<br />
indicated.<br />
Lines 1 and 2 field descriptions are provided in the<br />
SNAP (FS) Case Screen section above.<br />
April 2008_v.4.0 Detailed Field Descriptions Page 3-29
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
SNAP (FS) Case<br />
Screen 5—Client<br />
History<br />
(continued)<br />
SNAP (FS) Case Screen 5 — Client History displays<br />
in the lower half of the screen below SNAP (FS) Case<br />
Screen 1 — Primary.<br />
KEY __<br />
SNAP (FS) CASE SCREEN 1 --- PRIMARY<br />
PAGE <br />
1<br />
CASE 013228XXX ACTIVE CAT 06 AID TYPE 3 BJN 086-04-C-04MC 281-2CNTY 015<br />
CASE NAME BEE,MARIA ANN ORIG CERT 05/01/06 SEQ 63 PRINTED 11/18/07<br />
CERT DATE 09/01/07 LAST FORM 1000-A/B<br />
AUTH REP LAST ATP 02/08 REVIEW C<br />
MAIL ADDR 133 KAY MOS CERT 06 FORM EFF DT 01/01/08<br />
APT 115 PERSONS 04<br />
SAN ANTONIO TX PLAN C SSI <br />
ZIP 78213 EBT PA# 063719XXX<br />
HOLD CODE 0 DT 09/04 APP NO A13228XXX<br />
CASH 0.00 STAMPS 454 ACTION CD DT TIERS FLAG<br />
FSCASE SCREEN5-CLIENT HISTORY ENTER LETTER/NUMBER BESIDE CLIENT#PAGE 01<br />
CASE 013228XXX ACTIVE CAT 06 AID TYPE 3 BJN 086-04-C-04MC 281-2CNTY 015<br />
CLIENT NO CLIENT NO CLIENT NO CLIENT NO CLIENT NO CLIENT NO<br />
A1 504212XXX<br />
A2 518870XXX<br />
To view a client screen, enter the line reference<br />
number (e.g., A1, A2, B7, C4) that corresponds to the<br />
client in the KEY:__ field on the primary screen.<br />
The body of the screen lists up to six columns of client<br />
numbers (CLIENT NO) of any client who had a prior<br />
affiliation with this case.<br />
The most recent client number affiliated with the case<br />
is the last entry.<br />
SNAP (FS) Case<br />
Screen 6—<br />
Overpayment<br />
The SNAP (FS) Case Screen 6 — Overpayment<br />
screen reflects information about benefit overpayments<br />
that TDHS (HHSC) has taken action to recover.<br />
Lines 1 and 2 field descriptions are provided in the<br />
SNAP (FS) Case Screen section above.<br />
Page 3-30 Detailed Field Descriptions April 2009_v.4.0
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
SNAP (FS) Case<br />
Screen 6—<br />
Overpayment<br />
(continued)<br />
The sample screen indicates that the household’s<br />
offense resulted in a $909 overpayment. As a result,<br />
TDHS (HHSC) reduced benefits for twelve months,<br />
beginning January 2007, until the entire $909 in<br />
benefits was recovered. The overpayment was<br />
considered a client error that was not fraudulent.<br />
SNAP (FS) Case Screen 6 — Overpayment displays<br />
in the lower half of the screen below SNAP (FS) Case<br />
Screen 1 — Primary.<br />
KEY<br />
SNAP (FS) CASE SCREEN 1 — PRIMARY PAGE 1<br />
CASE 013228XXX ACTIVE CAT 06 AID TYPE 3 BJN 086-04-C-04MC 281-2CNTY 015<br />
CASE NAME BEE,MARIA ANN ORIG CERT 05/01/06 SEQ 63 PRINTED 11/18/07<br />
CERT DATE 09/01/07 LAST FORM 1000-A/B<br />
AUTH REP LAST ATP 02/08 REVIEW C<br />
MAIL ADDR 133 KAY MOS CERT 06 FORM EFF DT 01/01/08<br />
APT 115 PERSONS 04<br />
SAN ANTONIO TX PLAN C SSI<br />
ZIP 78213 EBT PA# 063719XXX<br />
HOLD CODE 0 DT 09/06 APP NO A13228XXX<br />
CASH 0.00 STAMPS 454 ACTION CD DT TIERS FLAG<br />
SNAP (FS) CASE SCREEN 6 — OVERPAYMENT SCREEN PAGE 01<br />
CASE 013228XXX ACTIVE CAT 06 AID TYPE 3 BJN 086-04-C-04 MC 278-8 CNTY<br />
015<br />
STATUS FRAUD: CLIENT: CTIVE 10% AGENCY<br />
BEG/END MONTH/YEAR 01/07 12/07<br />
MOS WH / START DT 12 1/07<br />
OVERPAYMENT AMT 909.00<br />
RESTITUTION PD TO DT 400.00<br />
RECOUPMENT PD TO DT 509.00<br />
CLAIM BALANCE 0.00<br />
LAST AMOUNT COLLECTED 100.00<br />
<br />
STATUS — Information listed under the category of<br />
Fraud, Client, and/or Agency refers to who caused<br />
the overpayment.<br />
SNAP (FS) Case<br />
Screen 7—<br />
Benefit<br />
Summary<br />
SNAP (FS) Case Screen 7 — Benefit Summary gives<br />
you information on the date, amount, type and value of<br />
SNAP benefits received by the household.<br />
Lines 1 and 2 field descriptions are provided in the<br />
SNAP (FS) Case Screen section above.<br />
April 2008_v.4.0 Detailed Field Descriptions Page 3-31
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
SNAP (FS)Case<br />
Screen 7—<br />
Benefit<br />
Summary<br />
(continued)<br />
SNAP (FS) Case Screen 7 — Benefit Summary<br />
displays in the lower half of the screen below SNAP<br />
(FS) Case Screen 1 — Primary.<br />
KEY __<br />
SNAP (FS) CASE SCREEN 1 --- PRIMARY<br />
PAGE <br />
1<br />
CASE 013228XXX ACTIVE CAT 06 AID TYPE 3 BJN 086-04-C-04MC 281-2CNTY 015<br />
CASE NAME BEE,MARIA ANN ORIG CERT 05/01/06 SEQ 63 PRINTED11/18/07<br />
CERT DATE 09/01/07 LAST FORM 1000-A/B<br />
AUTH REP LAST ATP 02/08 REVIEW C<br />
MAIL ADDR 133 KAY ST MOS CERT 06 FORM EFF DT 01/01/08<br />
APT 110E PERSONS 04<br />
SAN ANTONIO TX PLAN C SSI<br />
ZIP 78213 EBT PA# 063719XXX<br />
HOLD CODE 0 DT 09/04 APP NO A13228XXX<br />
CASH 0.00 STAMPS 454 ACTION CD DT TIERS FLAG<br />
SNAP (FS) CASE SCREEN 7 --- BENEFIT SUMMARY<br />
PAGE<br />
1<br />
CASE 013228XXX CAT 06 AID TYPE 3 BJN 086-04-C-04 CNTY 015<br />
CASE NAME BEE,MARIA ANN<br />
ISSUED USED ISSUED USED<br />
DATE # VALUE #PERS TYPE # VALUE DATE # VALUE #PERS TYPE # VALUE<br />
01/08 1 454 4 A 1 454 07/07 1 445 4 A 1 445<br />
02/07 1 445 4 A 1 445 08/07 1 445 4 A 1 445<br />
03/07 1 445 4 A 1 445 09/07 1 445 4 A 1 445<br />
04/07 1 445 4 A 1 445 10/07 1 454 4 A 1 454<br />
05/07 1 445 4 A 1 445 11/07 1 454 4 A 1 454<br />
06/07 1 445 4 A 1 445 12/07 1 454 4 A 1 454<br />
The specific field descriptions for SNAP (FS) Case<br />
Screen 7 — Benefit Summary are:<br />
<br />
<br />
<br />
<br />
ISSUED — SNAP allotment for the household for<br />
that month<br />
USED — value of the SNAP used from the<br />
household’s food account for that month<br />
DATE — issue date (MM/YY) of the SNAP<br />
Electronic Benefit Transfer (EBT) allotment<br />
# — number of EBT issued to the household for the<br />
indicated month<br />
Page 3-32 Detailed Field Descriptions April 2009_v.4.0
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
April 2008_v.4.0 Detailed Field Descriptions Page 3-33
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
SNAP (FS) Case # PERS — number of persons in the household<br />
Screen 7—<br />
Benefit VALUE under Issued — amount of EBT issued<br />
Summary<br />
(continued) TYPE — type of issuance, i.e., A for initial benefit,<br />
E for initial expedited benefits, L for restoring full<br />
benefits for a past month (See HHSC Code<br />
Summary C-540, Page D-7)<br />
<br />
<br />
# — number of EBTs transferred into the<br />
household’s EBT account for that month<br />
VALUE under Used — amount of EBT used<br />
SNAP (FS) Case<br />
Screen 8—<br />
Benefit History<br />
SNAP (FS) Case Screen 8 — Benefit History<br />
provides specific information about the SNAP benefits<br />
received by the household.<br />
Lines 1 and 2 field descriptions are provided in the<br />
SNAP (FS) Case Screen section above.<br />
SNAP (FS) Case Screen 8 — Benefit History<br />
displays in the lower half of the screen below SNAP<br />
(FS) Case Screen 1 — Primary.<br />
KEY __<br />
SNAP (FS) CASE SCREEN 1 --- PRIMARY<br />
PAGE <br />
1<br />
CASE 013228XXX ACTIVE CAT 06 AID TYPE 3 BJN 086-04-C-04MC 281-2CNTY 015<br />
CASE NAME BEE,MARIA ANN ORIG CERT 05/01/06 SEQ 63 PRINTED 11/18/07<br />
CERT DATE 09/01/07 LAST FORM 1000-A/B<br />
AUTH REP LAST ATP 02/08 REVIEW C<br />
MAIL ADDR 133 KAY ST MOS CERT 06 FORM EFF DT 01/01/08<br />
APT 110E PERSONS 04<br />
SAN ANTONIO TX PLAN C SSI<br />
ZIP 78213 EBT PA# 063719XXX<br />
HOLD CODE 0 DT 09/04 APP NO A13228XXX<br />
CASH 0.00 STAMPS 454 ACTION CD DT TIERS FLAG<br />
SNAP (FS) SCREEN 8 - BENEFIT HISTORY<br />
PAGE 1<br />
CASE 013228XXX CAT 06 AID TYPE 3 BJN 086-04-C-04 CNTY 015<br />
CASE NAME BEE,MARIA ANN<br />
BENEFIT# IS/CAN TYP VAL RECP PRS AID CTY ISSUE-DT EFF<br />
RW2436X M A 454 0 4 3 015 01/01/08 01/08<br />
RQ9821X M A 454 0 4 3 015 12/01/07 12/07<br />
RL6676X M A 454 0 4 3 015 11/01/07 11/07<br />
RG0838X M A 454 0 4 3 015 10/01/07 10/07<br />
RA9167X M A 445 0 4 3 015 09/01/07 09/07<br />
QV7045X M A 445 0 4 3 015 08/01/07 08/07<br />
QQ5490X M A 445 0 4 3 015 07/01/07 07/07<br />
Page 3-34 Detailed Field Descriptions April 2009_v.4.0
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
SNAP (FS) Case The specific field descriptions for SNAP (FS) Case<br />
Screen 8—<br />
Screen 8 —Benefit History are:<br />
Benefit History<br />
(continued) BENEFIT # — also called the Electronic Benefit<br />
Number; the identifying number for the individual<br />
EBT deposit<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
IS/CAN — how the SNAP benefits were issued<br />
(See HHSC Code Summary C-540,<br />
Page D-6):<br />
S — reporting Administrative Terminal<br />
Application (ATA) issuance<br />
E — requesting issuance or timely reporting<br />
benefits issued via the ATA<br />
N — requesting cancellation of benefits<br />
TYP — type of SNAP benefits issued (See HHSC<br />
Code Summary C-540, Page D-7)<br />
VAL — total value of SNAP issued<br />
RECP — recoupment amount<br />
PRS — number of persons in the household<br />
AID — type of SNAP household<br />
CTY — county code<br />
ISSUE DT — date the benefits were issued<br />
EFF — date (MM/YY) the benefits are available in<br />
the EBT account.<br />
April 2008_v.4.0 Detailed Field Descriptions Page 3-35
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
Public<br />
Assistance Case<br />
Screens<br />
Six different Public Assistance (PA) Case Screens<br />
are available; each screen providing different<br />
information.<br />
<br />
<br />
<br />
<br />
<br />
<br />
PA Case Screen 1 — Primary<br />
PA Case Screen 2 — Active Clients List<br />
PA Case Screen 5 — Client History<br />
PA Case Screen 7 — Benefit Summary<br />
PA Case Screen 8 — Benefit History<br />
PA Case Screen 9 — Sanction Information<br />
Page 3-36 Detailed Field Descriptions April 2009_v.4.0
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
Public<br />
The first line of each PA Case screen provides the<br />
Assistance Case same information:<br />
Screens<br />
(continued) screen number<br />
<br />
<br />
screen title<br />
page number.<br />
The second line of all PA Case screens also provides<br />
the same information:<br />
<br />
<br />
<br />
<br />
<br />
<br />
Case — nine-digit case number beginning with zero<br />
Case Status:<br />
active<br />
denied<br />
hold.<br />
CAT — the category of assistance:<br />
1 — age<br />
2 — TANF recipient<br />
3 — blind<br />
4 — disabled<br />
5 — refugee.<br />
TP — type of TANF program that the client is<br />
applying for/receiving, and whether the client is<br />
named on the grant (See HHSC Code Summary C-<br />
540, Page D-4):<br />
01 — the client is named on the grant; money<br />
grant and Medicaid<br />
07 or 37 — 12 or 18 months of Medical<br />
Assistance only<br />
61 — TANF-UP cash and medical assistance<br />
other PA programs in the medical programs list<br />
in the appendix.<br />
BP — Medicaid Only (MAO) code indicating living<br />
arrangement.<br />
BJN — advisor’s budgeted job number.<br />
April 2008_v.4.0 Detailed Field Descriptions Page 3-37
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
Public MC — advisor’s mail code.<br />
Assistance Case<br />
Screens CNTY — client’s county of residence.<br />
(continued)<br />
PA Case Screen<br />
1—Primary<br />
PA CASE SCREEN 1 — Primary gives you general<br />
information about the Public Assistance Case.<br />
Lines 1 and 2 field description are provided in the PA<br />
Case Screen section above.<br />
KEY __<br />
PA CASE SCREEN 1 - PRIMARY PAGE 1<br />
CASE 063719XXX ACTIVE CAT 02 TP 01 BP BJN 086-04-C-04 MC 281-2CNTY 015<br />
CASE NAME BEE,MARIA ANN DATE FILE 06/16/06 SEQ 18 PRINTED 11/17/07<br />
CERT DATE 06/25/06 LAST FORM 1000-A/B<br />
GN/PAY/RP GRANT EFF 03/01/07 REVIEW I ACTION 138<br />
MAIL ADDR 133 KAY ST 3MO PRIOR FORM EFF DT 01/01/08<br />
APT 115<br />
END DATE<br />
SAN ANTONIO TX78213 HOLD CD/DT 8 02/06 PERIODIC RV DT 01/18/08<br />
TEMP ADDR N EBT PAW 013228XXX GRANT 293 APP INC<br />
TIERS FLAG<br />
The specific field descriptions for PA Case Screen 1<br />
— Primary are:<br />
<br />
<br />
<br />
<br />
<br />
CASE NAME — name of the caretaker<br />
GN/PAY/RP — name of guardian, payee or<br />
representative (if different from case name) allowed<br />
to receive/utilize the TANF grant on the family’s<br />
behalf<br />
MAIL ADDR — client’s mailing address<br />
TEMP ADDR — temporary address<br />
Y — yes<br />
N — no<br />
DATE FILE — date the client filed for benefits that<br />
were subsequently granted<br />
SEQ — sequence number of the Form 1000-B<br />
eligibility document<br />
Page 3-38 Detailed Field Descriptions April 2009_v.4.0
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
PA Case Screen<br />
1—Primary<br />
(continued)<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
PRINTED — LAST FORM 1000-A/B — date the<br />
latest Form 1000-A/B eligibility document was<br />
processed<br />
CERT DATE — effective date of the most recent<br />
certification or re-certification for the case<br />
GRANT EFF — effective date of the grant<br />
REVIEW — type of the case review reported on the<br />
last Form 1000-B. (See HHSC Code Summary C-<br />
540, Page D-4)<br />
C — complete review<br />
I — incomplete review<br />
N — non-review activity (case maintenance)<br />
ACTION — code representing the action taken on<br />
the case (See HHSC Code Summary C-540, Page<br />
D-6)<br />
3 MO PRIOR — number of unduplicated months of<br />
Medicaid coverage granted under the three-months<br />
prior provision; the remaining characters indicate<br />
the date (MM/YY) of the application for three<br />
months prior coverage.<br />
FORM EFF DATE — date the case action was, is,<br />
or will be effective<br />
END DATE — date Medicaid coverage ends<br />
HOLD CD/DT — hold/release code indicating the<br />
reason benefits are held/released on an active case<br />
(See HHSC Code Summary C-540, Page D-6)<br />
PERIODIC RV DT — date the case is due for a<br />
periodic review (about six months from the printed<br />
date)<br />
PAW — number of an associated SNAP case<br />
April 2008_v.4.0 Detailed Field Descriptions Page 3-39
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
PA Case Screen GRANT — whole dollar amount of the TANF grant<br />
1—Primary<br />
(continued) APP INC — applied income amount a Medical<br />
Assistance Only (MAO) recipient must pay, from his<br />
or her own income, toward institutional or nursing<br />
care costs<br />
<br />
TIERS FLAG — ―T‖ indicates case moved to TIERS<br />
PA Case Screen<br />
2—Active<br />
Clients List<br />
PA Case Screen 2 — Active Clients Lists gives you<br />
information about who is included in the PA group.<br />
Lines 1 and 2 field descriptions are provided in the PA<br />
Case Screen section above.<br />
PA Case Screen 2 — Active Clients List displays in<br />
the lower half of the screen below PA Case Screen 1<br />
— Primary.<br />
KEY __<br />
PA CASE SCREEN 1 --- PRIMARY<br />
PAGE<br />
1<br />
CASE 063719XXX ACTIVE CAT 02 TP 01 BP BJN 086-04-C-04MC 281-2CNTY 015<br />
CASE NAME BEE,MARIA ANN DATE FILE 06/16/06 SEQ 18 PRINTED 11/17/07<br />
CERT DATE 06/25/06 LAST FORM 1000-A/B<br />
GN/PAY/RP GRANT EFF 03/01/07 REVIEW I ACTION 138<br />
MAIL ADDR 133 KAY ST 3MO PRIOR FORM EFF DT 01/01/08<br />
APT 115<br />
END DATE<br />
SAN ANTONIO TX78213 HOLD CD/DT 8 02/06 PERIODIC RV DT 01/18/08<br />
TEMP ADDR N EBT PAW 013228XXX GRANT 293 APP INC<br />
TIERS FLAG<br />
PA CASE SCREEN 2-ACTIVE CLIENTS LIST ENTER"C"& LINE# FOR CLIENT PAGE 01<br />
CASE 063719XXX ACTIVE CAT 02 TP 01 BP BJN 086-04-C-04MC 281-2CNTY 015<br />
PL CLIENT NO NAME BIRTH DT SR SIG W SSN<br />
C1 1A 506674XXX BEE,MARIA ANN 10/08/964 F3 0G E J 432-XX-74XX<br />
C2 1B 506855XXX BEE,ELIZA 05/07/996 F3 5 A 464-XX-69XX<br />
C3 1C 508323XXX BEE,BOB 12/16/997 M3 5 A 463-XX-87XX<br />
C4 1D 510631XXX BEE,BRAD 09/15/903 M3 5 A 628-XX-63XX<br />
The specific field descriptions for PA Case Screen 2<br />
— Active Clients List are:<br />
<br />
<br />
PL — page and line number of the client on the<br />
Form 1000-A/B<br />
CLIENT NO — nine-digit number beginning with a<br />
number one to five that is each client’s unique<br />
identifier in the <strong>SAVERR</strong> system<br />
Page 3-40 Detailed Field Descriptions April 2009_v.4.0
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
April 2008_v.4.0 Detailed Field Descriptions Page 3-41
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
PA Case Screen<br />
2—Active<br />
Clients List<br />
(continued)<br />
<br />
<br />
<br />
<br />
<br />
NAME — client’s name<br />
BIRTH DT — client’s date of birth as MM/DD/YYY<br />
SR — client’s declared gender and race (See<br />
HHSC Code Summary C-540, Page D-1)<br />
SIG — client’s status in group (See HHSC Code<br />
Summary C-540, Page D-2)<br />
E — a prior code that no longer means anything;<br />
still shows up on some cases<br />
The specific field descriptions for PA Case Screen 2<br />
— Active Clients List are:<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
PL — page and line number of the client on the<br />
Form 1000-A/B<br />
CLIENT NO — nine-digit number beginning with a<br />
number one to five that is each client’s unique<br />
identifier in the <strong>SAVERR</strong> system<br />
NAME — client’s name<br />
BIRTH DT — client’s date of birth as MM/DD/YYY<br />
SR — client’s declared gender and race (See<br />
HHSC Code Summary C-540, Page D-1)<br />
W — client’s work registration eligibility code (See<br />
HHSC Code Summary C-540, Page D-3)<br />
SSN — client’s Social Security number<br />
PA Case Screen<br />
5—Client<br />
History<br />
PA Case Screen 5 — Client History gives you<br />
information about any client who had a prior affiliation<br />
with the specific case named in the search.<br />
Lines 1 and 2 field descriptions are provided in the PA<br />
Case Screen section above.<br />
Page 3-42 Detailed Field Descriptions April 2009_v.4.0
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
PA Case Screen PA Case Screen 5 — Client History displays in the<br />
5—Client History lower half of the screen below PA Case Screen 1 —<br />
(continued) Primary.<br />
KEY __<br />
PA CASE SCREEN 1 --- PRIMARY<br />
PAGE <br />
1<br />
CASE 008333XXX ACTIVE CAT 02 TP 07 BP BJN 086-05-C-03 MC 281-2 CNTY 015<br />
CASE NAME MAYS,JANE DATE FILE 06/05/07 SEQ 04 PRINTED 09/08/07<br />
CERT DATE 06/16/07 LAST FORM 1000-A/B<br />
GN/PAY/RP GRANT EFF 06/01/07 REVIEW I ACTION 111<br />
MAIL ADDR 534 KERRY 3MO PRIOR FORM EFF DT 10/01/07<br />
END DATE 08/07<br />
SAN ANTONIO TX 78233 HOLD CD/DT<br />
PERIODIC RV DT<br />
TEMP ADDR N PAW 066400XXX GRANT 000 APP INC<br />
TIERS FLAG<br />
PA CASE SCREEN 5-CLIENT HISTORY ENTER LETTER/# BESIDE CLIENT# PAGE 01<br />
CASE 008333XXX ACTIVE CAT 02 TP 07 BP BJN 086-05-C-03 MC 281-2 CNTY 015<br />
CLIENT NO CLIENT NO CLIENT NO CLIENT NO CLIENT NO CLIENT NO<br />
A1 502180XXX<br />
A2 503175XXX<br />
A3 505868XXX<br />
A4 502180XXX<br />
A5 500434XXX<br />
The body of the screen lists up to six columns of client<br />
numbers (CLIENT NO) of any client who had a prior<br />
affiliation with this case. The most recent client number<br />
affiliated with the case is the last entry.<br />
PA Case Screen<br />
7—Benefit<br />
Summary<br />
PA Case Screen 7 — Benefit Summary provides<br />
information on the date and amount of benefits<br />
received by the client.<br />
Lines 1 and 2 field descriptions are provided in the PA<br />
Case Screen section above.<br />
April 2008_v.4.0 Detailed Field Descriptions Page 3-43
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
PA Case Screen PA Case Screen 7 — Benefit Summary displays in<br />
7—Benefit the lower half of the screen below PA Case Screen 1<br />
Summary<br />
— Primary.<br />
(continued)<br />
KEY __<br />
PA CASE SCREEN 1 --- PRIMARY<br />
PAGE<br />
1<br />
CASE 063719XXX ACTIVE CAT 02 TP 01 BP BJN 086-04-C-04MC 281-2CNTY 015<br />
CASE NAME BEE,MARIA ANN DATE FILE 06/16/06 SEQ 18 PRINTED 11/17/07<br />
CERT DATE 06/25/06 LAST FORM 1000-A/B<br />
GN/PAY/RP GRANT EFF 03/01/07 REVIEW I ACTION 138<br />
MAIL ADDR 133 KAY ST 3MO PRIOR FORM EFF DT 01/01/08<br />
APT 115<br />
END DATE<br />
SAN ANTONIO TX78213 HOLD CD/DT 8 02/06 PERIODIC RV DT 01/18/08<br />
TEMP ADDR N EBT PAW 013228XXX GRANT 293 APP INC<br />
TIERS FLAG<br />
PA CASE SCREEN 7 --- BENEFIT SUMMARY<br />
PAGE<br />
1<br />
CASE 063719XXX CAT 02 BJN 086-04-C-04 CNTY 015<br />
CASE NAME BEE,MARIA ANN PURGED WRT AMT 00000<br />
ISSUED<br />
ISSUED<br />
DATE NO AMOUNT CD DATE NO AMOUNT CD<br />
01/08 1 0293 07/07 1 0272<br />
02/07 1 0272 08/07 1 0272<br />
03/07 1 0272 09/07 1 0272<br />
04/07 1 0272 10/07 1 0293<br />
05/07 1 0272 11/07 1 0293<br />
06/07 1 0272 12/07 1 0293<br />
The specific field descriptions for PA Case Screen 7<br />
— Benefit Summary are:<br />
<br />
<br />
<br />
<br />
CASE NAME — usually the caretaker of the<br />
children<br />
PURGED WRT AMOUNT — total dollar amount of<br />
all benefit amounts purged. The Benefit History<br />
Screen may have up to three years of benefit<br />
history on three pages; older benefit amounts are<br />
purged and included in this total.<br />
DATE — months 01-12 are always listed. If benefit<br />
activity occurs for a given month, the year is<br />
entered by that month; if no benefit amount is<br />
issued, the year field is blank.<br />
NO — number of benefit allotments issued for the<br />
month<br />
Page 3-44 Detailed Field Descriptions April 2009_v.4.0
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
April 2008_v.4.0 Detailed Field Descriptions Page 3-45
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
PA Case Screen AMOUNT — total of all benefit amounts issued for<br />
7—Benefit<br />
the month<br />
Summary<br />
(continued) CD — indicates whether there was a deduction<br />
from the benefit amount:<br />
R — a recoupment from the benefit amount<br />
Blank — indicates there were no deductions<br />
PA Case Screen<br />
8—Benefit<br />
History<br />
PA Case Screen 8 — Benefit History provides<br />
specific information about the PA benefits received by<br />
the household.<br />
Lines 1 and 2 field descriptions are provided in the PA<br />
Case Screen section above.<br />
PA Case Screen 8 — Benefit History displays in the<br />
lower half of the screen below PA Case Screen 1 —<br />
Primary.<br />
KEY __<br />
PA CASE SCREEN 1 --- PRIMARY<br />
PAGE<br />
1<br />
CASE 063719XXX ACTIVE CAT 02 TP 01 BP BJN 086-04-C-04MC 281-2 CNTY 015<br />
CASE NAME BEE,MARIA ANN DATE FILE 06/16/06 SEQ 18 PRINTED 11/17/07<br />
CERT DATE 06/25/06 LAST FORM 1000-A/B<br />
GN/PAY/RP GRANT EFF 03/01/07 REVIEW I ACTION 138<br />
MAIL ADDR 133 KAY ST 3MO PRIOR FORM EFF DT 01/01/08<br />
APT 115<br />
END DATE<br />
SAN ANTONIO TX 78213 HOLD CD/DT 8 02/06 PERIODIC RV DT 01/18/08<br />
TEMP ADDR N EBT PAW 013228XXX GRANT 293 APP INC<br />
TIERS FLAG<br />
PA CASE SCREEN 8 --- BENEFIT HISTORY<br />
PAGE<br />
01<br />
CASE 063719XXX CAT 02 BJN 086-04-C-04 CNTY 015<br />
CASE NAME AGUAYO,MARIA MARGARITA PURGED WRT AMT 00000<br />
BENEFIT NO EFF DT ISSUE DT TYPE AUTH A-CH RECP BEN AMT STATUS<br />
AB21453XX 01/08 01/01/08 1 1-03 $000 $293 A<br />
AB20586XX 12/07 12/01/07 1 1-03 $000 $293 A<br />
AB19273XX 11/07 11/01/07 1 1-03 $000 $293 A<br />
AB17910XX 10/07 10/01/07 1 1-03 $000 $293 A<br />
AB16571XX 09/07 09/01/07 1 1-03 $000 $272 A<br />
AB14672XX 08/07 08/01/07 1 1-03 $000 $272 A<br />
AB14672XX 07/07 07/01/07 1 1-03 $000 $272 A<br />
Page 3-46 Detailed Field Descriptions April 2009_v.4.0
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
PA Case Screen The specific field descriptions for PA Case Screen 8<br />
8—Benefit<br />
— Benefit History are as follows:<br />
History<br />
(continued) CASE NAME — usually the caretaker of the<br />
children<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
PURGED WRT AMT — total dollar amount of all<br />
benefits purged. The Benefit History Screen may<br />
have up to three years of benefit history on three<br />
pages; older benefits are purged and included in<br />
this total.<br />
BENEFIT NO — assigned number for the individual<br />
benefit issuance<br />
EFF DT — month and year the benefits were<br />
authorized<br />
ISSUE DT — month, day, and year the benefit was<br />
issued<br />
TYPE — type of benefit requested<br />
AUTH — type of retroactive benefits (See HHSC<br />
Code Summary C-540, Page D-7)<br />
A-CH — (Adult and Children)<br />
Heading A — number of adults whose needs are<br />
included in the benefit.<br />
Heading CH — number of children whose needs<br />
are included in the benefit<br />
RECP — amount of money withheld from the<br />
benefit for recoupment<br />
BEN AMT — amount of the benefit after deductions<br />
(including any recoupments and/or penalty)<br />
STATUS — status of the benefit. Most frequently<br />
used code A — EBT benefit issued.<br />
April 2008_v.4.0 Detailed Field Descriptions Page 3-47
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
PA Case Screen<br />
9—Sanction<br />
Information<br />
PA Case Screen 9 — Sanction Information gives<br />
you information on any sanction that has been placed<br />
on any member of the PA group.<br />
Lines 1 and 2 field descriptions are provided in the PA<br />
Case Screen section above.<br />
PA Case Screen 9 — Sanction Information displays<br />
in the lower half of the screen below PA Case Screen<br />
1 — Primary.<br />
KEY __<br />
PA CASE SCREEN 1 --- PRIMARY<br />
PAGE<br />
1<br />
CASE 063719XXX ACTIVE CAT 02 TP 01 BP BJN 086-04-C-04MC 281-2CNTY 015<br />
CASE NAME BEE,MARIA ANN DATE FILE 06/16/06 SEQ 18 PRINTED 11/17/07<br />
CERT DATE 06/25/06 LAST FORM 1000-A/B<br />
GN/PAY/RP GRANT EFF 03/01/07 REVIEW I ACTION 138<br />
MAIL ADDR 133 KAY 3MO PRIOR FORM EFF DT 01/01/08<br />
APT 115<br />
END DATE<br />
SAN ANTONIO TX 78213 HOLD CD/DT 8 02/06 PERIODIC RV DT 01/18/08<br />
TEMP ADDR N EBT PAW 013228XXX GRANT 293 APP INC<br />
TIERS FLAG<br />
PA CASE SCREEN 9 --- SANCTION INFORMATION<br />
PAGE<br />
01<br />
CASE 063719XXX CAT 02 BJN 086-04-C-04 CNTY 015<br />
CASE NAME BEE,MARIA ANN<br />
EFF DT BENEFIT TYPE SNCT-1 SNCT-2 SNCT-3<br />
01/08 1 $000 $000 $000<br />
12/07 1 $000 $000 $000<br />
11/07 1 $000 $000 $000<br />
10/07 1 $000 $000 $000<br />
09/07 1 $000 $000 $000<br />
08/07 1 $000 $000 $000<br />
07/07 1 $000 $000 $000<br />
The specific field descriptions for PA Case Screen 9<br />
— Sanction Information are:<br />
<br />
<br />
<br />
CASE NAME — usually the caretaker of the<br />
children<br />
EFF DT — month and year of the penalty/sanction<br />
BENEFIT TYPE — code indicates type of benefit<br />
issued. 1 — Full month’s amount (See HHSC Code<br />
Summary C-540, Page D-6)<br />
Page 3-48 Detailed Field Descriptions April 2009_v.4.0
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
April 2008_v.4.0 Detailed Field Descriptions Page 3-49
<strong>TAMENU</strong> <strong>SAVERR</strong> <strong>Inquiry</strong> <strong>Reference</strong> <strong>Guide</strong><br />
PA Case Screen SNCT-1 — amount of first penalty/sanction<br />
9—Sanction<br />
Information SNCT-2 — amount of a second penalty/sanction<br />
(continued)<br />
SNCT-3 — amount of a third penalty/sanction<br />
<br />
000 — no penalty/sanction<br />
NOTE: As of September 2003, SNCT-1, SNCT-2, and<br />
SNCT-3 amounts are no longer applicable. See<br />
additional codes listed under Client Screen<br />
Penalty/Good Cause History.<br />
Page 3-50 Detailed Field Descriptions April 2009_v.4.0
Appendix A:<br />
Request for User Access to HHSC<br />
Systems Form and Instructions
Request for User Access to HHSC Systems<br />
Please Note: We cannot accept forms with corrections or modifications, including strikethroughs, "write-overs," and/or correction fluid.<br />
Section 1: Type of request ‐‐ Please mark only one box:<br />
ADD/MODIFY: Add New <strong>SAVERR</strong>/TIERS User or Modify an Existing User's Access<br />
DELETE: Delete a <strong>SAVERR</strong>/TIERS User Completely<br />
Section 2: User Identifying Information ‐‐ Please type or print clearly:<br />
User's Name:<br />
Social Security Number:<br />
Agency:<br />
TWC:<br />
WDA:<br />
Specify Board #_<br />
Work Email Address:<br />
Phone Number:<br />
(Include area code and extension, if any)<br />
Section 3: HHSC Systems Access Requested ‐‐ A signed and dated HHSC Security and Privacy Agreement must<br />
be submitted for all requests for new user access to <strong>SAVERR</strong>/TIERS systems:<br />
Please specify access by checking "Allow" or "Deny" for the three <strong>SAVERR</strong>/TIERS resources:<br />
ALLOW DENY HHSC Application Name<br />
<strong>SAVERR</strong> <strong>TAMENU</strong> <strong>Inquiry</strong> (Transaction Code <strong>TAMENU</strong>)<br />
TIERS TWC <strong>Inquiry</strong><br />
<strong>SAVERR</strong> Client Eligibility <strong>Inquiry</strong> (Transaction Code TVCC)<br />
Section 4: Signatures ‐‐ Please add the appropriate signatures. If the user is an internal TWC employee, then<br />
only the user's supervisor needs to sign:<br />
_______________________________ _________ ___________________________________ ___________<br />
User's Supervisor's Signature Date WDA TWIST Administrator's Signature Date<br />
Section 5: Contact Information ‐‐ Please email (scan), fax, or mail completed forms to:<br />
Mail to:<br />
Or:<br />
<strong>SAVERR</strong> ‐ TIERS ACCESS<br />
TWC DATA PROCESSING, ROOM 0307<br />
Email: saverr.tiersaccess@twc.state.tx.us<br />
101 E. 15th Street<br />
Austin, TX 78758<br />
Fax: (512) 463‐6394<br />
Section 6: TWC Security Coordinator Use Only:<br />
<strong>TAMENU</strong> Initial Password:<br />
________________________________________________ ___________<br />
TWC Security Coordinator Signature<br />
Date<br />
Comments:
<strong>Texas</strong> <strong>Workforce</strong> Commission<br />
10/1/2008<br />
INSTRUCTIONS<br />
When to Complete the Request for User Access to HHSC<br />
Systems (HHSC System Access Form.doc):<br />
1. To add new user’s access you must complete this form<br />
along with the HHS Enterprise Architecture & Security<br />
Management Security and Privacy Agreement (SPA) Form<br />
EASM_SM_002 (HHSC SPA Form TWC.xls) to obtain<br />
access to the <strong>Texas</strong> Health and Human Services<br />
Commission (HHSC) systems.<br />
2. To modify or delete an existing users access.<br />
<br />
<br />
When a user is deleted from any HHSC system for<br />
non-use* their current HHSC Access Request and<br />
Security and Privacy Agreement (SPA) form are no<br />
longer valid. According to HHSC policy, being deleted<br />
for non-use requires that new forms be submitted. Resubmitting<br />
current forms is unacceptable because<br />
according to HHSC policy, forms submitted for the<br />
purpose of requesting access to HHSC systems<br />
cannot be older than 30 days from today’s date.<br />
*HHSC deletes users who have not logged in to their<br />
system in 90 days. If you have access to HHSC<br />
<strong>SAVERR</strong> and TIERS systems you must log into both<br />
systems within 90 days to retain access.<br />
Required Approvals:<br />
1. The user’s supervisor must approve his/her access to the<br />
requested HHSC system. This approval indicates that the<br />
access is job-related.<br />
2. If you are employed by a TWC WDA the TWIST System<br />
Administrator must also approve it. This approval indicates<br />
that the user has completed and signed all of the relevant<br />
security agreements, and that he/she has met any<br />
additional requirements of interagency data access<br />
agreements.<br />
6. Email Address: enter the user’s work place e-mail<br />
address. Provide e-mail address to HHSC when requesting<br />
access to TIERS or to reset password.<br />
7. Phone Number: enter the user work place phone number.<br />
HHSC Accesses<br />
8. Access can be granted to the following HHSC Systems:<br />
<br />
<br />
<br />
<strong>SAVERR</strong> <strong>TAMENU</strong> <strong>Inquiry</strong><br />
TIERS TWC <strong>Inquiry</strong><br />
<strong>SAVERR</strong> Client Eligibility <strong>Inquiry</strong> – Child Care<br />
9. Access to HHSC systems can be added, modified or<br />
deleted:<br />
<br />
<br />
<br />
Enter the letter “A” in the applicable column and rows<br />
to add new access to the designated HHSC system(s).<br />
Enter the letter “M” in the applicable column and rows<br />
to modify existing access to the designated HHSC<br />
system(s).<br />
Enter the letter the letter “D” in the applicable column<br />
and rows to delete existing access to the designated<br />
HHSC system(s).<br />
10. Signatures: If the request is from a TWC WDA the user’s<br />
supervisor and the WDA TWIST System Administrator must<br />
both sign the completed HHSC Access Request form. If the<br />
request is from a TWC employee only the user’s supervisor<br />
is required to sign the HHSC Access Request form.<br />
11. Submit completed and signed form(s) to the appropriate<br />
TWC Security Coordinator via scanned e-mail, fax or mail.<br />
How to complete the Request for Access to HHSC Systems<br />
1. Action: Mark the appropriate check box to indicate the<br />
action being requested.<br />
<br />
<br />
<br />
Add New User Access – Add access to selected<br />
HHSC systems for a new user or a prior user who has<br />
lost access due to lack of use for 90 days.<br />
Modify Existing User Access – Modify access for<br />
existing HHSC system users (i.e. name change, etc.)<br />
Delete Existing User Access – Delete access for<br />
employees who have moved to another job function<br />
and no longer need access to do their job or for<br />
individual whose employment is terminated.<br />
Identifying Information<br />
2. User Name: Enter in the user’s name.<br />
3. SSN: Enter in the user’s Social Security Number.<br />
4. Local Office #: Enter the user’s local office number.<br />
5. Agency: Mark the appropriate check box to indicate the<br />
agency the user is employed by.<br />
<br />
<br />
If the user is working for the WDA, enter the WDA<br />
local office number also.<br />
If the user is working for some Other agency or a<br />
contractor, enter the agency or contractor’s name also.<br />
HHSC Access Request Instructions.doc
Appendix B: <br />
Request for User Access to HHSC<br />
Systems<br />
Example Completed Form
EXAMPLE COMPLETED FORM<br />
Request for User Access to HHSC Systems<br />
<strong>Texas</strong> <strong>Workforce</strong> Commission<br />
10/26/2006 (Revised 10/24/2008)<br />
ACTION: X Add New User Access Modify Existing User Access Delete User Access<br />
TWC WDA - email (scan), fax, or mail to:<br />
<strong>SAVERR</strong> - TIERS Access<br />
Email: saverr.tiersaccess@twc.state.tx.us<br />
TWC Data Processing, Room 0307<br />
101 E. 15th Street Fax Number: (512) 463-6394<br />
Austin, TX 78758<br />
TWC State Office - email, (scan), fax, or mail to:<br />
User Name<br />
<strong>SAVERR</strong> - TIERS Access<br />
Email: saverr.tiersaccess@twc.state.tx.us<br />
TWC Data Processing, Room 0307<br />
101 E. 15th Street Fax Number: (512) 463-6394<br />
Austin, TX 78758<br />
User Identifying Information<br />
SSN<br />
Smith, John 999-19-9999<br />
1020<br />
Agency<br />
Email Address<br />
Phone Number<br />
TWC<br />
WDA X (Specify #) 12<br />
Local Office No.<br />
john.smith@twc.state.tx.us (999)555-5555<br />
HHSC Systems Access Requested<br />
A signed and dated HHSC Security and Privacy Agreement (SPA Form) must be on file for all requests for new user <br />
access to HHSC systems<br />
Add Modify Delete<br />
Transaction<br />
HHSC Application Name<br />
TPSM4 Designation<br />
(A) (M) (D)<br />
Code<br />
X <strong>SAVERR</strong> <strong>TAMENU</strong> <strong>Inquiry</strong> <strong>TAMENU</strong> ATTY GEN Child Support<br />
X<br />
TIERS TWC <strong>Inquiry</strong><br />
X <strong>SAVERR</strong> Client Eligibility <strong>Inquiry</strong> TVCC Child Care TVCC<br />
User's Supervisor's Signature Date WDA TWIST System Administrator's Signature Date<br />
<strong>TAMENU</strong> Initial Password<br />
TWC Security Coordinator Use Only<br />
Comments<br />
TIERS Initial Password<br />
TWC Security Coordinator Signature<br />
Date
Appendix C:<br />
HHS Enterprise Architecture & Security <br />
Management Security and Privacy <br />
Agreement (SPA) —<br />
EASM_SM_002 – SPA Form and <br />
Instructions
User ID:<br />
HHS Enterprise Architecture & Security Management<br />
Employee ID Number<br />
SECURITY AND PRIVACY AGREEMENT (SPA) FORM<br />
COMPLETED FORM IS TO BE SIGNED, MAILED TO, AND RETAINED BY HHS ENTERPRISE SECURITY MANAGEMENT<br />
Date of Birth: (mm/dd)<br />
User Name:<br />
Work Email:<br />
Facility Name/Department: TWC Employee OR TWC WDA<br />
Check ONE box below:<br />
The purpose of this agreement is to help you understand your duties regarding confidential information.<br />
EMPLOYEE of TWC I am a full-time or part-time employee of TWC, with TWC sponsored access to HHSC Systems, and to<br />
what this agreement refers to as "confidential information." (EXCLUDES Volunteers, Contractors, and other users NOT on TWC<br />
payrolls)<br />
Other (TWC WDA) I am a full-time or part-time with TWC sponsored access to HHSC Systems and to what this agreement<br />
refers to as "confidential information."<br />
Confidential information includes patient/client identifying information, patient/client medical information, or any information (patient or<br />
otherwise) that is classified confidential by federal or state law. You may have access to some or all of this confidential information<br />
through a computer system or through your associated activities with HHS Systems.<br />
Confidential information is valuable and sensitive and is protected by law and by HHS policies. The intent of these laws and policies is to<br />
assure that confidential information will remain confidential - that is, that it will be used only as necessary to accomplish the organization's<br />
mission. As a user of HHS systems, you are required to conduct yourself in conformance to applicable laws and HHS policies governing<br />
confidential information. Your principle obligations in this area are outlined below. You are required to read and to abide by these principles.<br />
The violation of any of these duties will subject you to discipline which might include, but is not limited to, termination of access privileges,<br />
termination of employment, and/or legal liability.<br />
You understand that you will have access to and are not to divulge confidential information which may include, but is not limited to,<br />
information relating to:<br />
+ Patient/client (such as records, conversations, admittance information, diagnosis, prognosis, treatment plan, financial information,<br />
etc).<br />
+ ANY INFORMATION by which the identity of a client can be determined, either directly OR indirectly.<br />
+ Employees, contractors, volunteers (such as home addresses, home phone numbers, social security numbers, etc).<br />
+ HHS information (such as financial information, internal reports, memos, contracts, peer review information, communications,<br />
proprietary computer software, etc.).<br />
+ Third party information (such as vendor information, etc).<br />
Accordingly, as a condition of and in consideration of your access to confidential information, you promise that:<br />
1. You will use confidential information only as needed to perform legitimate duties. This means, among other things, that:<br />
+ You will only access confidential information for which you have a need to know; and<br />
+ You will not in any way divulge, copy, release, sell, loan, review, alter, or destroy any confidential information except as properly<br />
authorized within the scope of your activities; and<br />
+ You will not misuse confidential information or carelessly handle confidential information.<br />
2. You will safeguard and will not disclose your password or any other authorization you have that allows you to access confidential<br />
information, except as permitted by law.<br />
3. You accept responsibility for all activities undertaken making use of your User ID/password and other authorization.<br />
4. You will report activities by any other individual or entity that you suspect may compromise the confidentiality, integrity or availability of<br />
confidential information. Reports are made in good faith about suspect activities and will be held in confidence to the extent permitted<br />
by law, including the name of the individual reporting the activities.<br />
5. You understand that your obligations under this Agreement will continue after termination of your association with HHS or HHS<br />
applications.<br />
6. You understand that your privileges hereunder are subject to periodic review, revision, and if appropriate, renewal.<br />
7. You understand that you have no right or ownership interest in any confidential information referred to in this Agreement. HHS may<br />
revoke your access code or other authorized access to confidential information.<br />
8. You will, at all times, safeguard and retain the confidentiality, integrity and availability of confidential information.<br />
9. You understand that your failure to comply with this Agreement may also result in the loss of access privileges to HHS applications.<br />
User's Signature User's Printed Name Date Signed (mm/dd/yyyy)<br />
By completing this form, you are providing the requested information to HHS Enterprise Architecture and Security Management in order to gain access to secured<br />
systems. This information will not be shared in any manner or for any reason not permitted by the laws of the State of <strong>Texas</strong>. You may, in writing, request copies<br />
of this information at any time and may request that any information in error be corrected.<br />
EASM_SM_002 - Security and Privacy Agreement (SPA) Revised 10/1/2006
<strong>Texas</strong> <strong>Workforce</strong> Commission<br />
10/1/2006<br />
INSTRUCTIONS<br />
When to Complete the HSC Security and Privacy Agreement<br />
(SPA) - Form HHS Enterprise Architecture and Security<br />
Management SPA (HHS SPA Form TWC.xls):<br />
1. To add new user’s access you must complete this form<br />
along with the Request for User Access to HHSC Systems<br />
(HHSC Systems Access Form.doc) to obtain access to the<br />
<strong>Texas</strong> Health and Human Services Commission (HHSC)<br />
systems.<br />
<br />
<br />
When a user is deleted from any HHSC system for<br />
non-use* their current HHSC Access Request (HHSC<br />
Access Req.doc) and Security and Privacy Agreement<br />
(SPA) form (HHSC SPA Form TWC.xls) are no longer<br />
valid. According to HHSC policy, being deleted for<br />
non-use requires that new forms be submitted. Resubmitting<br />
current forms is unacceptable because<br />
according to HHSC policy, forms submitted for the<br />
purpose of requesting access to HHSC systems<br />
cannot be older than 30 days from today’s date.<br />
*HHSC deletes users who have not logged in to their<br />
system in 90 days. If you have access to HHSC<br />
<strong>SAVERR</strong> and TIERS systems you must log into both<br />
systems within 90 days to retain access.<br />
Required Approvals:<br />
1. The user’s supervisor must approve his/her access to the<br />
requested HHSC system by completing and signing the<br />
Request for User Access to HHSC Systems. This approval<br />
indicates that the access is job-related.<br />
5. Purpose: the user must read and agree to comply with all<br />
of the Security and Privacy information provided in this<br />
section.<br />
6. Check ONE Box Below: Mark the appropriate check box<br />
to indicate who the user is employed by.<br />
<br />
<br />
If the user is a TWC Employee, mark the TWC<br />
Employee check box.<br />
If the user is working for a TWC WDA, mark the Other<br />
(TWC WDA) check box.<br />
7. User Signature: The user must read and sign this form,<br />
acknowledging agreement to comply with all aspects of<br />
HHS Enterprise Architecture & Security Management,<br />
Security and Privacy Agreement (SPA).<br />
8. Users Printed Name: enter the users printed name.<br />
9. Date Signed: enter the date the user signed the form.<br />
10. Submit completed and signed form(s) to the appropriate<br />
TWC Security Coordinator via scanned e-mail, fax or mail.<br />
The following Forms must be submitted together when<br />
requesting new user access.<br />
HHS Security and Privacy Agreement (HSC SPA Form<br />
TWC.xls)<br />
Request for User Access to HHSC Systems (HHSC<br />
Systems Access Form.doc)<br />
2. If you are employed by a TWC WDA the TWIST System<br />
Administrator must also approve it. This approval indicates<br />
that the user has completed and signed all of the relevant<br />
security agreements, and that he/she has met any<br />
additional requirements of interagency data access<br />
agreements.<br />
How to complete the HHS Security and Privacy Agreement<br />
Action: Only complete the required fields listed below, all other<br />
fields are reserved for HHSC internal use.<br />
Identifying Information<br />
1. Date of Birth: Enter user birth month and day (mm/dd).<br />
2. User Name: Enter in the user’s name (Last, First, Middle<br />
Initial).<br />
3. Work Email: enter the user’s work place e-mail address.<br />
Provide e-mail address to HHSC when requesting access<br />
to TIERS or to reset password.<br />
4. Facility Name/Department: Mark the appropriate check<br />
box to indicate who the user is employed by.<br />
<br />
<br />
<br />
If the user is working for the WDA, mark the TWC<br />
WDA check box.<br />
If the user is a TWC Employee, mark the TWC<br />
Employee check box.<br />
If the user is working for some Other agency or a<br />
contractor, enter the agency or contractor’s name also.<br />
Security and Privacy Acknowledgement<br />
HHSC SPA TWC Instructions.doc<br />
EASM_SM_002 – Security and Privacy Agreement (SPA)
Appendix D:<br />
HHSC Code Summary (C — 540)
Appendix D: HHSC Code Summary (C — 540) Revision Number: 08-4<br />
Effective date: October, 2008<br />
TANF and SNAP (formerly known as Food Stamps) — Revised for TWC use (04/09)<br />
Category<br />
TANF<br />
SNAP<br />
2 — TANF 6 — Public Assistance (PA) SNAP Case<br />
5 — Refugee Cash Assistance (RCA) 8 — Refugee, PA SNAP<br />
9 — Non-PA SNAP Case<br />
Sex<br />
TANF and SNAP<br />
M — Male<br />
F — Female<br />
Race<br />
TANF and SNAP<br />
1 — White<br />
2 — Black<br />
3 — Hispanic<br />
4 — American Indian or Alaskan Native<br />
5 — Asian or Pacific Islander (includes Indochinese)<br />
6 — Computer entered code indicating inappropriate or omitted code<br />
Education/Service Code<br />
TANF and SNAP<br />
1 — First Grade 9 — Ninth Grade<br />
2 — Second Grade A — Tenth Grade<br />
3 — Third Grade B — Eleventh Grade<br />
4 — Fourth Grade C — High School Graduate/completed general<br />
equivalency diploma<br />
5 — Fifth Grade E — Attending college or completed some college but<br />
has not graduated from a four-year college<br />
6 — Sixth Grade F — Graduate of a four-year college<br />
7 — Seventh Grade N — No formal education<br />
8 — Eighth Grade<br />
04/09 D-1
Status in Group (SIG)<br />
TANF — Primary Codes<br />
TANF — Secondary Codes<br />
2 — Disqualified/ineligible child or second parent G — Reached end of Time Limits<br />
3 — Noncertified child: Identifies the only deprived H — Eligible Refugee<br />
child of the certified caretaker/second parent; If child<br />
receives: SSI — 3, Foster Care Payments — 3F,<br />
Adoption Assistance payments — 3A<br />
5 — Certified Child I — Ineligible Child<br />
7 — Second Parent K — Child of a Minor Child<br />
8 — Caretaker L — Minor Parent with a Dependent Child<br />
9 — Payee M — Eligible Only for Three Months Prior Medical<br />
Assistance<br />
0 — Case Name Only N — Ineligible for Retroactive Medical Assistance and<br />
Current Assistance<br />
P — Private Health Insurance<br />
Q — Proof of THSteps Screening<br />
R — HHSC Employee<br />
S — Alien with Acceptable Alien Status<br />
T — Ineligible Alien<br />
U — Ineligible – No Citizenship Proof<br />
V — Living in Nursing Home<br />
W — Disqualified Child<br />
X — Deceased<br />
Y — Disqualified Second Parent<br />
Z — Migrant<br />
SNAP — Head of Household Codes<br />
A — Household head<br />
G — Household head is nonmember<br />
GK — Head of household disqualified for a reason<br />
other than intentional program violation (IPV)<br />
GT — Head of household is disqualified for<br />
intentional program violation (IPV)<br />
SNAP — Other Codes<br />
B — Student<br />
C — Able Bodied Adult without Dependent (ABAWD)<br />
not meeting 18-50 work requirement<br />
D — ABAWD meeting 18-50 work requirement<br />
F — Resident of drug and alcohol treatment/group living<br />
arrangements facility<br />
H — Eligible Refugee<br />
K — Disqualified for a reason other than intentional<br />
program violation (IPV)<br />
M — Migrant, out of work stream<br />
R — HHSC Employee<br />
S — Eligible Alien (not a refugee)<br />
T — Disqualified for Intentional Program Violation (IPV)<br />
U — Seasonal Farm Worker<br />
W — Migrant, in work stream<br />
D-2 04/09
Employment Services/Work Registration<br />
TANF<br />
Codes<br />
Explanation<br />
A Child (SIG 5 or 5L)<br />
B Caretaker or second parent, age 18 or younger attending school<br />
C Caring for an ill or disabled child in the household, even if the child is not a member of the<br />
certified group<br />
E Unable to work due to a disability expected to last more than 180 days<br />
F 60 years of age or older<br />
G Caring for a child (SIG 2, 3, or 5) under age 1<br />
H Presence required in home due to illness or incapacity of another adult household member and<br />
the disability is expected to last more than 180 days<br />
J Not subject to participation – not a certified TANF client<br />
K Pending during appeal of denial or disqualification<br />
M Mandatory registrant<br />
N Employment Hardship Exemptions<br />
P Mandatory registrant employed or self-employed at least 30 or more hours per week, and<br />
earnings of at least $700 per month<br />
Q Severe Personal Hardship Exemption<br />
R Caring for child under age 1 who is not listed on the case<br />
T Pregnant and unable to work<br />
U A single grandparent age 50 or over caring for a child under age three<br />
V An SSI recipient parent<br />
W Identifies a client who non-complies with the Choices program<br />
X A parent who has exhausted state time limits<br />
Y A parent who is disqualified due to third party resource (TPR) requirements, Social Security<br />
number requirements, intentional program violation, failure to report a child’s absence, being a<br />
fugitive, having a felony drug conviction, failure to cooperate with Quality Control or<br />
noncompliance with the unmarried minor parent domicile requirement<br />
SNAP<br />
Codes<br />
Explanation<br />
A Child age 16 years of age or child age 16 or 17 who attends school at least half-time, or is not<br />
the head of household<br />
D Three to nine-months pregnant<br />
E Physically or mentally unfit for employment<br />
F 60 years of age or older<br />
G Caring for a child under age six<br />
H Presence in home required for care of an incapacitated person<br />
J Person in drug addiction or alcoholic treatment and rehabilitation program<br />
N Receiving or applying for unemployment compensation<br />
P Employed or self-employed 30 hours or more a week<br />
Q Client resides in a Choices county and is mandatory or has volunteered for TANF employment<br />
services<br />
R Registered again, after previously serving the E&T noncompliance penalty period<br />
S Student exemption (age 18 or older/in a training program)<br />
T Disqualified household member or nonmember head of household<br />
U Primary wage earner failed to comply with SNAP employment services<br />
2 Registered, employed less than 30 hours a week<br />
3 Registered, not working<br />
4 Registered, job attached (temporarily laid off)<br />
5 Registration postponed, expedited service<br />
04/09 D-3
Type Income<br />
TANF and SNAP<br />
A — Veteran's Administration (VA) benefits<br />
C — Unemployment Insurance benefits<br />
P — Pension benefits (other than RSDI, SSI, VA, or Rail Road)<br />
M — Combination of unemployment benefits with benefits from a pension, VA, or both<br />
W — Combined income from VA and a pension<br />
Type Program<br />
TANF<br />
01 — Cash and medical assistance<br />
04 — Medical Assistance Only – Deceased<br />
07 — 12 or 18 months medical assistance only<br />
11 — Three months prior medical assistance only not currently eligible<br />
20 — Medical assistance only – Child Support<br />
37 — 12 or 18 months medical assistance only<br />
61 — TANF-SP (State Program) cash and medical assistance (Two-Parent)<br />
71 — OTTANF – One parent household<br />
72 — OTTANF – Two parent household<br />
Type of Review<br />
TANF and SNAP<br />
C — Complete review<br />
I — Incomplete review<br />
N — Non-review activity (case maintenance)<br />
AID<br />
SNAP<br />
1 — NPA (Non-Public Assistance) Only<br />
2 — NPA Mixed (Mixed household with TANF-Public Assistance and Non-Public Assistance)<br />
3 — TANF-PA<br />
5 — Refugee, PA<br />
D-4 04/09
Disqualification Code (Intentional Program Violation)<br />
SNAP<br />
1 st digit T — Administrative disqualification for offense which occurred prior to September 22, 1996<br />
S — Administrative disqualification for offense which occurred on or after September 22, 1996,<br />
or disqualification for conviction due to trafficking<br />
C — Court-ordered disqualification<br />
M — Disqualification due to receipt of multiple benefits in one month.<br />
2 nd digit 1 — 1st disqualification<br />
2 — 2nd disqualification<br />
3 — 3rd disqualification<br />
4 — permanent disqualification for trafficking in SNAP benefits or program access devices of<br />
$500 or more.<br />
3 rd — 6 th digit MMYY — last month of disqualification<br />
PERM — disqualification permanent<br />
Util (Utility Expense Code)<br />
SNAP<br />
Code<br />
Description<br />
1 Household claiming the Standard Utility Allowance.<br />
2 Household claiming telephone standard only, or telephone standard plus actual utilities.<br />
3 Household claiming actual utility costs only (even if some members are disqualified).<br />
4 Household without utility costs<br />
5 Two households live together and share the standard utility allowance.<br />
6 Households claiming the standard utility allowance with member(s) disqualified for not meeting<br />
the citizenship, 18-50 work, and and/or SSN requirements.<br />
7 All other proration situations. A combination of households described in Codes 5, 6, B, and C,<br />
a prorated telephone standard, and all other situations in which the utility allowance is prorated<br />
(such as a proration involving three or more households, or more than one disqualified<br />
member).<br />
8 Household claiming the homeless shelter standard<br />
9 Household claiming the homeless shelter standard with one member who is disqualified for not<br />
meeting the citizenship, 18-50 work and/or SSN requirements<br />
A Households claiming the basic utility allowance<br />
B Two households live together and share the basic utility allowance.<br />
C Households claiming the basic utility allowance with member(s) disqualified for not meeting the<br />
citizenship, 18-50 work, and/or SSN requirement.<br />
Codes 1, 2, 3, 4, 5, 7, A, and B are allowed for household containing member(s) disqualified for an intentional<br />
program violation, felony drug conviction, E&T non-compliance, and/or being a fugitive. Codes 3, 4, 6, 7, 9, and<br />
C are allowed for households containing member(s) disqualified for not meeting the citizenship requirement,<br />
18-50 work requirement, or SSN requirement. Also, these codes are allowed for household containing<br />
member(s) disqualified for an intentional program violation, felony drug conviction, E&T non-compliance, and/or<br />
being a fugitive and member(s) disqualified for citizenship, 18-50 work requirement, and/or SSN requirements.<br />
Note: Utility, homeless, and telephone standards, if used, are prorated for these kinds of disqualifications.<br />
04/09 D-5
Action Codes<br />
SNAP<br />
See C-221, Denial Codes in http://www.dads.state.tx.us/handbooks/<strong>Texas</strong>Works/.<br />
TANF<br />
See C-200 for Codes in http://www.dads.state.tx.us/handbooks/<strong>Texas</strong>Works/.<br />
Type of Warrant Requested<br />
TANF<br />
SNAP<br />
1 — Full month’s amount S — Reporting Administrative Terminal Application<br />
(ATA) issuance untimely<br />
2 — Additional amount for a month E — Requesting issuance or timely reporting benefits<br />
issued via the Administrative Terminal Application (ATA)<br />
N — Requesting cancellation of benefits<br />
Code/Hold Date<br />
TANF — Advisor Hold Codes<br />
SNAP<br />
1 — Unable to locate 2 — Hold benefits<br />
2 — Guardianship pending A — Form H1000-B has fatal error not cleared by cutoff<br />
3 — New payee pending Z — Dormant EBT account (state office use)<br />
4 — Notice of adverse action to lower benefits that<br />
expires between cutoff and the end of the month<br />
5 — Notice of adverse action expires between cutoff<br />
and end of month (case denial or transfer to TP 07<br />
or TP 20)<br />
State Office Hold Codes<br />
A — Hold, Form H1000-B has fatal error not cleared<br />
by cutoff<br />
C — Form H3087 returned, moved<br />
D — Form H3087 returned, deceased<br />
E — Form H3087 returned, unclaimed<br />
F — Warrant Undeliverable and returned by post<br />
office<br />
G — Warrant undeliverable because client is<br />
deceased<br />
H — TANF case has SIG 5 member age 19 or over<br />
L — State time limit expiring and <strong>SAVERR</strong> cannot<br />
rebudget TANF<br />
J — Warrant charged back<br />
R — SDX hold<br />
Z — Dormant EBT account<br />
3 — RCA case has a member who entered the<br />
United States eight months ago<br />
6 — TANF case pending denial or transfer to TP 20<br />
Advisor Release Codes<br />
8 — Release benefits as originally authorized<br />
9 — Release benefits as originally authorized using<br />
the new address<br />
0 — Release future benefits.<br />
SNAP – Release Code<br />
0 — Do not hold future benefits.<br />
D-6 04/09
Type of Issuance<br />
TANF — Reason for Authorization of<br />
Benefits<br />
9 — Action Code 090, simultaneous open and<br />
close<br />
B — Change in both household composition and<br />
money reflected in the budget<br />
F — Additional benefits issued due to penalty<br />
imposed in error<br />
H — Change in household composition<br />
M — Change in money reflected in the budget<br />
O — Retroactive and/or current month's benefit<br />
when releasing a case from hold with release Code<br />
0 or 7<br />
P — Budgeting process requires different payment<br />
month benefits<br />
R — (State office use only) Identifies on the history<br />
file benefits produced when release Code 8 or 9 is<br />
used to release a case from hold<br />
T — Transfer from TP 07, 20, 29, or 37 to TP 01/ 61<br />
SNAP — Full Regular On-going Benefits or<br />
Their Replacements<br />
A — Initial benefit (regular ongoing benefit)<br />
E — Initial expedited benefit issued<br />
H — Priority benefits issued to meet hearing officer<br />
decision timeliness<br />
L — Restoring benefits for a past month<br />
1 — Initial expedited benefits issued through<br />
Administrative Terminal Application (ATA)<br />
2 — Priority benefits issued through <strong>SAVERR</strong> or<br />
Administrative Terminal Application (ATA) to meet<br />
timeliness<br />
3 — Initial priority benefits issued through Administrative<br />
Terminal Application (ATA)<br />
4 — Historical Information: CCDMI mailed out of state<br />
as a result of converting EBT benefits to coupons (state<br />
office use only). No longer in use effective April 1, 2004.<br />
5 — Historical Information: Benefits replaced in EBT<br />
account when CCDMI was returned (state office use<br />
only). No longer in use effective April 1, 2004.<br />
Additional Benefits for a Month<br />
C — Supplemental benefits. Use when providing<br />
benefits in addition to initial benefits for the current<br />
month, or following month if submitting request for<br />
benefits after cutoff.<br />
D — Restoration benefits. Use when restoring partial<br />
benefits for a past month.<br />
F — Supplemental or restoration benefits. Use when<br />
providing additional benefits for a month in which the<br />
household has already received one issuance coded C<br />
and/or D.<br />
P — Restore an erroneously expunged EBT benefit.<br />
Destroyed Food<br />
T — Replacement of destroyed food, which was<br />
purchased with SNAP benefits<br />
Advisor Enter Cancellation<br />
G — Use to cancel EBT benefit because the household<br />
has moved out of state<br />
04/09 D-7
Finger Image Code<br />
TANF and SNAP — Enrollment or Exemption Code<br />
Y — If all available images have been taken<br />
Z — If one image has been taken<br />
A — Appeal pending (TANF related)<br />
B — Low quality image/physically unable to image/equipment failure<br />
C — Certified out of office or unable to come to office<br />
D — Undue burden for disabled client<br />
E — Undue burden for elderly client<br />
F — Disqualified (SNAP only)<br />
SNAP Disqualification<br />
B — ineligible alien without BCIS document<br />
C — ineligible aliens with BCIS document<br />
D — felony drug conviction<br />
F — first offense failure to comply with ESP requirements (E&T /voluntary quit/reducing work hours to less than<br />
30 )<br />
J — fugitive<br />
N — failure to meet SSN requirement<br />
S — second offense failure to comply with ESP requirements<br />
T — third or subsequent offense failure to comply with ESP requirements<br />
W — failure to comply with the 18-50 work requirement<br />
Remove — end a disqualification or change a time limit benefit code<br />
1 — delete the first countable month<br />
2 — delete the second countable month<br />
3 — delete the third countable month<br />
4 — delete the fourth countable month (first month of second three month period)<br />
B — end the ineligible alien (undoc) disqualification<br />
C — end the ineligible alien (doc) disqualification<br />
F — end the first offense SNAP ESP disqualification<br />
J — end the fugitive disqualification<br />
L — subtract one offense from the ESP offense counter<br />
N — end of the SSN disqualification<br />
S — end the second offense SNAP ESP disqualification<br />
T — end the third offense SNAP ESP disqualification<br />
W — end the 18 - 50 work requirement disqualification<br />
Countable Month Code<br />
SNAP<br />
1 — benefit authorized for the first month of the initial three-month period<br />
2 — benefit authorized for the second month of the initial three-month period<br />
3 — benefit authorized for the third month of the initial three-month period<br />
4 — benefit authorized for the first month of the second three-month period<br />
D-8 04/09
Additional Codes<br />
TANF Benefit History Codes — Read benefit history codes on inquiry from right to left. The most recent<br />
code/action appears on the far left.<br />
A — Mailed warrant/EBT benefit issued<br />
C — Warrant held<br />
D — Warrant or EBT issuance cancelled<br />
E — Warrant charged back<br />
P — Warrant paid by state treasure<br />
R — Warrant returned<br />
S — Warrant stop payment in effect<br />
L — Warrant stop payment lifted<br />
Y — Duplicate EBT benefit or warrant issued<br />
Z — Duplicate warrant returned<br />
04/09 D-9
D-10 04/09
Appendix E:<br />
HHSC and TWC County, HHSC Region, <br />
and WDA Codes
Appendix E: HHSC and TWC County, HHSC Region, and WDA Codes<br />
Name<br />
HHS TWC HHS WDA Name HHS TWC HHS WDA Name HHS TWC HHS WDA<br />
Cty Cty Reg<br />
Cty Cty Reg<br />
Cty Cty Reg<br />
A Comal 046 091 08 20 Gray 090 179 01 1<br />
Anderson 001 001 04 8 Comanche 047 093 02 9 Grayson 091 181 03 25<br />
Andrews 002 003 09 11 Concho 048 095 09 12 Gregg 092 183 04 8<br />
Angelina 003 005 05 17 Cooke 049 097 03 25 Grimes 093 185 07 16<br />
Aransas 004 007 11 22 Coryell 050 099 07 26 Guadalupe 094 187 08 20<br />
Archer<br />
Armstrong<br />
005<br />
006<br />
009<br />
011<br />
02<br />
01<br />
3<br />
1<br />
Cottle<br />
Crane<br />
051<br />
052<br />
101<br />
103<br />
02<br />
09<br />
3<br />
11<br />
H<br />
Hale 095 189 01 2<br />
Atascosa 007 013 08 20 Crockett 053 105 09 12 Hall 096 191 01 1<br />
Austin 008 015 06 28 Crosby 054 107 01 2 Hamilton 097 193 07 26<br />
B Culberson 055 109 10 10 Hansford 098 195 01 1<br />
Bailey 009 017 01 2 D Hardeman 099 197 02 3<br />
Bandera<br />
Bastrop<br />
010<br />
011<br />
019<br />
021<br />
08<br />
07<br />
20<br />
15<br />
Dallam<br />
Dallas<br />
056<br />
057<br />
111<br />
113<br />
01<br />
03<br />
1<br />
6<br />
Hardin<br />
Harris<br />
100<br />
101<br />
199<br />
201<br />
05<br />
06<br />
18<br />
28<br />
Baylor 012 023 02 3 Dawson 058 115 09 11 Harrison 102 203 04 8<br />
Bee 013 025 11 22 Deaf Smith 059 117 01 1 Hartley 103 205 01 1<br />
Bell 014 027 07 26 Delta 060 119 04 7 Haskell 104 207 02 9<br />
Bexar 015 029 08 20 Denton 061 121 03 4 Hays 105 209 07 15<br />
Blanco 016 031 07 15 DeWitt 062 123 08 19 Hemphill 106 211 01 1<br />
Borden 017 033 09 11 Dickens 063 125 01 2 Henderson 107 213 04 8<br />
Bosque 018 035 07 13 Dimmit 064 127 08 27 Hidalgo 108 215 11 23<br />
Bowie 019 037 04 7 Donley 065 129 01 1 Hill 109 217 07 13<br />
Brazoria<br />
Brazos<br />
020<br />
021<br />
039<br />
041<br />
06<br />
07<br />
28<br />
16<br />
Duval<br />
E<br />
066 131 11 22 Hockley<br />
Hood<br />
110<br />
111<br />
219<br />
221<br />
01<br />
03<br />
2<br />
4<br />
Brewster 022 043 10 10 Eastland 067 133 02 9 Hopkins 112 223 04 7<br />
Briscoe 023 045 01 1 Ector 068 135 09 11 Houston 113 225 05 17<br />
Brooks 024 047 11 22 Edwards 069 137 08 27 Howard 114 227 09 11<br />
Brown 025 049 02 9 Ellis 070 139 03 4 Hudspeth 115 229 10 10<br />
Burleson 026 051 07 16 El Paso 071 141 10 10 Hunt 116 231 03 4<br />
Burnet 027 053 07 15 Erath 072 143 03 4 Hutchinson 117 233 01 1<br />
C F I<br />
Caldwell 028 055 07 15 Falls 073 145 07 13 Irion 118 235 09 12<br />
Calhoun 029 057 08 19 Fannin 074 147 03 25 J<br />
Callahan<br />
Cameron<br />
030<br />
031<br />
059<br />
061<br />
02<br />
11<br />
9<br />
24<br />
Fayette<br />
Fisher<br />
075<br />
076<br />
149<br />
151<br />
07<br />
02<br />
15<br />
9<br />
Jack<br />
Jackson<br />
119<br />
120<br />
237<br />
239<br />
02<br />
08<br />
3<br />
19<br />
Camp 032 063 04 8 Floyd 077 153 01 2 Jasper 121 241 05 17<br />
Carson 033 065 01 1 Foard 078 155 02 3 Jeff Davis 122 243 10 10<br />
Cass 034 067 04 7 Fort Bend 079 157 06 28 Jefferson 123 245 05 18<br />
Castro<br />
Chambers<br />
035<br />
036<br />
069<br />
071<br />
01<br />
06<br />
1<br />
28<br />
Franklin<br />
Freestone<br />
080<br />
081<br />
159<br />
161<br />
04<br />
07<br />
7<br />
13<br />
Jim Hogg<br />
Jim Wells<br />
124<br />
125<br />
247<br />
249<br />
11<br />
11<br />
21<br />
22<br />
Cherokee 037 073 04 8 Frio 082 163 08 20 Johnson 126 251 03 4<br />
Childress 038 075 01 1 G Jones 127 253 02 9<br />
Clay 039 077 02 3 Gaines 083 165 09 11 K<br />
Cochran 040 079 01 2 Galveston 084 167 06 28 Karnes 128 255 08 20<br />
Coke 041 081 09 12 Garza 085 169 01 2 Kaufman 129 257 03 4<br />
Coleman 042 083 02 9 Gillespie 086 171 08 20 Kendall 130 259 08 20<br />
Collin 043 085 03 4 Glasscock 087 173 09 11 Kenedy 131 261 11 22<br />
Collingsworth 044 087 01 1 Goliad 088 175 08 19 Kent 132 263 02 9<br />
Colorado 045 089 06 28 Gonzales 089 177 08 19<br />
HHS Cty = Health and Human Services Commission (HHSC) County Codes<br />
TWC Cty = <strong>Texas</strong> <strong>Workforce</strong> Commission County Codes<br />
HHS Reg = HHSC Region Codes<br />
WDA = <strong>Workforce</strong> Development Area Codes<br />
08/08 E-1
Name<br />
HHS<br />
Cty<br />
TWC<br />
Cty<br />
HHS<br />
Reg<br />
WDA Name HHS<br />
Cty<br />
Kerr 133 265 08 20 Nolan 177 353 02 9 T<br />
Kimble 134 267 09 12 Nueces 178 355 11 22 Tarrant 220 439 03 5<br />
King 135 269 01 2 O Taylor 221 441 02 9<br />
Kinney 136 271 08 27 Ochiltree 179 357 01 1 Terrell 222 443 09 11<br />
Kleberg 137 273 11 22 Oldham 180 359 01 1 Terry 223 445 01 2<br />
Knox 138 275 02 9 Orange 181 361 05 18 Throckmorton 224 447 02 9<br />
L P Titus 225 449 04 7<br />
Lamar 139 277 04 7 Palo Pinto 182 363 03 4 Tom Green 226 451 09 12<br />
Lamb 140 279 01 2 Panola 183 365 04 8 Travis 227 453 07 14<br />
Lampasas 141 281 07 26 Parker 184 367 03 4 Trinity 228 455 05 17<br />
LaSalle 142 283 08 27 Parmer 185 369 01 1 Tyler 229 457 05 17<br />
Lavaca 143 285 08 19 Pecos 186 371 09 11 U<br />
Lee 144 287 07 15 Polk 187 373 05 17 Upshur 230 459 04 8<br />
Leon 145 289 07 16 Potter 188 375 01 1 Upton 231 461 09 11<br />
Liberty 146 291 06 28 Presidio 189 377 10 10 Uvalde 232 463 08 27<br />
Limestone 147 293 07 13 R V<br />
Lipscomb 148 295 01 1 Rains 190 379 04 8 Val Verde 233 465 08 27<br />
Live Oak 149 297 11 22 Randall 191 381 01 1 Van Zandt 234 467 04 8<br />
Llano 150 299 07 15 Reagan 192 383 09 12 Victoria 235 469 08 19<br />
Loving 151 301 09 11 Real 193 385 08 27 W<br />
Lubbock 152 303 01 2 Red River 194 387 04 7 Walker 236 471 06 28<br />
Lynn 153 305 01 2 Reeves 195 389 09 11 Waller 237 473 06 28<br />
M Refugio 196 391 11 22 Ward 238 475 09 11<br />
Madison 154 313 07 16 Roberts 197 393 01 1 Washington 239 477 07 16<br />
Marion 155 315 04 8 Robertson 198 395 07 16 Webb 240 479 11 21<br />
Martin 156 317 09 11 Rockwall 199 397 03 4 Wharton 241 481 06 28<br />
Mason 157 319 09 12 Runnels 200 399 02 9 Wheeler 242 483 01 1<br />
Matagorda 158 321 06 28 Rusk 201 401 04 8 Wichita 243 485 02 3<br />
Maverick 159 323 08 27 S Wilbarger 244 487 02 3<br />
McCulloch 160 307 09 12 Sabine 202 403 05 17 Willacy 245 489 11 23<br />
McLennan 161 309 07 13<br />
San<br />
Augustine<br />
203 405 05 17 Williamson 246 491 07 15<br />
McMullen 162 311 11 22 San Jacinto 204 407 05 17 Wilson 247 493 08 20<br />
Medina 163 325 08 20 San Patricio 205 409 11 22 Winkler 248 495 09 11<br />
Menard 164 327 09 12 San Saba 206 411 07 26 Wise 249 497 03 4<br />
Midland 165 329 09 11 Schleicher 207 413 09 12 Wood 250 499 04 8<br />
Milam 166 331 07 26 Scurry 208 415 02 9 Y<br />
Mills 167 333 07 26 Shackelford 209 417 02 9 Yoakum 251 501 01 2<br />
Mitchell 168 335 02 9 Shelby 210 419 05 17 Young 252 503 02 3<br />
Montague 169 337 02 3 Sherman 211 421 01 1 Z<br />
Montgomery 170 339 06 28 Smith 212 423 04 8 Zapata 253 505 11 21<br />
Moore 171 341 01 1 Somervell 213 425 03 4 Zavala 254 507 08 27<br />
Morris 172 343 04 7 Starr 214 427 11 23<br />
Motley 173 345 01 2 Stephens 215 429 02 9<br />
N Sterling 216 431 09 12<br />
TWC<br />
Cty<br />
HHS<br />
Reg<br />
Nacogdoches 174 347 05 17 Stonewall 217 433 02 9<br />
Navarro 175 349 03 4 Sutton 218 435 09 12<br />
Newton 176 351 05 17 Swisher 219 437 01 1<br />
HHS Cty = Health and Human Services Commission (HHSC) County Codes<br />
TWC Cty = <strong>Texas</strong> <strong>Workforce</strong> Commission County Codes<br />
HHS Reg = HHSC Region Codes<br />
WDA = <strong>Workforce</strong> Development Area Codes<br />
E-2 08/08<br />
WD<br />
A<br />
Name<br />
HHS<br />
Cty<br />
TWC<br />
Cty<br />
HHS<br />
Reg<br />
WDA
Appendix F:<br />
Medicaid Type Programs Chart<br />
(C—1116)
APPENDIX F: Medicaid Type Programs (C — 1116)<br />
TANF, Medical Programs and Refugee<br />
All programs listed below are Category 2 unless noted otherwise.<br />
Type<br />
Description<br />
Program<br />
01 money grant and Medicaid for caretakers and deprived children with income below TANF<br />
recognizable needs<br />
04 medical assistance only – deceased<br />
07 twelve months transitional Medicaid resulting from increase in earnings or combined increase<br />
in earnings and child support<br />
09 medical coverage for foster care youths age 18 – 21 who have aged out of foster care<br />
11 three months prior Medicaid – not currently eligible<br />
20 four months post Medicaid resulting from child support<br />
29 12 Months post Medicaid following end of state time limited TANF<br />
30 ineligible alien with an emergency condition<br />
37 twelve months transitional Medicaid coverage resulting from loss of 90% earned income<br />
disregard<br />
40 pregnant women<br />
WHP Women's Health Program (WHP) for women age 18-44 with income below 185% FPIL. This<br />
program is not processed in <strong>SAVERR</strong>. WHP is processed in TIERS as a type of assistance 41.<br />
42 presumptively eligible pregnant woman<br />
43 children under age one with income below 185% FPIL<br />
44 children age 6 – 19 with income below 100% FPIL<br />
45 children to age one born to Medicaid eligible mother<br />
47 children ineligible for TANF, TANF-SP, or the age-appropriate medical program due to<br />
stepparent or grandparent's applied income, or stepparent's income when included on the<br />
case<br />
48 children age 1 – 5 with income below 133% FPIL<br />
51 State Office Data Integrity type program used to fund medical expenses when an erroneous<br />
Form H1027-A is issued to a client who does not have medicaid coverage.<br />
55 Medically Needy Program – Medicaid for caretakers of Medicaid children with income<br />
below TANF Recognizable Needs, or pregnant women and children who are ineligible<br />
for any other type program and have medical expenses that spend down their income<br />
to below the MNIL.<br />
Breast and Cervical Cancer Control Program (BCCCP) – Medicaid coverage for women<br />
who are screened and diagnosed by the <strong>Texas</strong> Department of State Health Services as<br />
needing treatment for breast or cervical cancer.<br />
Refugee Medical Assistance (Category 5)<br />
61 TANF State Program (TANF-SP) – two parent household eligible for money grant and Medicaid<br />
with income below TANF recognized needs<br />
71 One Time TANF (OT-TANF) – one parent household cash grant only, no Medicaid<br />
72 One Time TANF (OT-TANF) – two parent household cash grant only, no Medicaid<br />
08/08 F-1
Protective and Regulatory Services (Category 2)<br />
Type Program<br />
Description<br />
08 TANF foster care<br />
09 non – TANF (MAO) foster care<br />
10 state paid foster care<br />
15 state paid adoption assistance<br />
21 IV-E adoption assistance<br />
Aged and Disabled (Categories 1, 3 and 4)<br />
All programs listed below can be a Category 1, 3 or 4 unless otherwise noted.<br />
Note: Some of the Medicaid groups may also be eligible for Medicare Savings if they are Medicare.<br />
Type<br />
Description<br />
Program<br />
03 RSDI COLA Disregard Programs – most TP 03s are considered eligible based on the 1977<br />
Pickle Amendment<br />
11 SSI, two months prior or three months prior, as appropriate<br />
12 manually certified SSI (processed by SSA)<br />
13 SSI (processed by SSA)<br />
14 Institutional Medicaid – Institutional settings could be in a Medicare skilled nursing facility,<br />
Medicaid nursing facility, state school, ICF/MR facility or an institute for mental disease (IMD).<br />
TP 14 can also be 1915(c) home/community based waivers. This TP uses a special income<br />
limit currently set at 300% of SSI FBR. TP (BP 13) SIG code F14 is used for the Program of All<br />
Inclusive Care for the Elderly (PACE), which is a Medicaid state optional program. Exception:<br />
Clients with coverage code T are receiving primary home care but not Medicaid under<br />
community attendant services (CAS) based on the federal provisions under 1929(b).<br />
18 Disabled Adult Children (DAC) – Clients (at least age 18) who were denied SSI due to<br />
entitlement to, or an increase in, their Social Security Disabled Adult Children Benefits and are<br />
eligible for Medicaid to ensure continued coverage.<br />
19 SSI Denied Kids - Medicaid for children denied SSI cash assistance due to more restrictive<br />
disability criteria under welfare reform. They continue to receive Medicaid under the prewelfare<br />
reform definition of disability until age 18 and are eligible for 3 months prior rather<br />
than 2 months prior.<br />
22 Widows/Widowers - Early age widows/widowers, disabled widows/widowers or surviving<br />
divorced spouses age 50 - 65 and ineligible for Medicare (Categories 3 or 4) who were denied<br />
SSI due to an increase in their RSDI widow/widower benefits. They are eligible for Medicaid<br />
under TP 22 until they reach age 65 or become eligible for Medicare, whichever occurs first.<br />
23 Medicare Savings Program - Specified Low-Income Medicare Benefits (SLMB) or Qualifying<br />
Individuals-1 (QI-1))<br />
24 Medicare Savings Program – Qualified Medicare Beneficiary (QMB)<br />
25 Qualified Disabled and Working Individuals (QDWI) – A special Medicare savings program that<br />
pays Part A Medicare premiums for certain working individuals under age 65 who are disabled<br />
and are no longer eligible for free Part A because of earnings.<br />
30 Emergency medical for an undocumented alien<br />
MBI<br />
MBI is not processed in <strong>SAVERR</strong>; it is processed using TIERS as TP 87. MBI was implemented<br />
in September 2006 for people with disabilities who work. Clients must pay a share of the<br />
Medicaid premium to be eligible for Medicaid.<br />
Revision Number: 07-3<br />
Effective date: July 1, 2007<br />
F-2 08/08