TAMENU SAVERR Inquiry Reference Guide - Texas Workforce ...

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TAMENU SAVERR Inquiry Reference Guide - Texas Workforce ...

SAVERR Inquiry

Reference Guide

April 2009


Texas Workforce Commission

The Automation Training Unit of the Training and Development Department would like to

acknowledge the following persons for their support and hard work in completing the updated

TAMENU SAVERR Inquiry Reference Guide.

Training and Development Department

Louis LeDoux, Training Director

Richard Guilbeau, Training Supervisor

Nancy Baker, Editor

Deborah Reyes, Curriculum Developer/Training Specialist

Deborah Cook, Curriculum Developer/Training Specialist

Carolyn Vidrine, Curriculum Developer/Training Specialist

Deborah Aker, Systems Support Specialist

Workforce Data Processing

Linda Burmeister

TWIST Support

Jackie Coley

Maureen Fuentes

Poonam Goel

Sharon Helphenstine

Lorraine Johnson

Sara Sarabia

Workforce Policy

Loretta Robertson

Sharon Roland

TWC Design Services

Miguel Hernandez IV

HHSC Curriculum Support

John Driggers

Ricardo Herrera

Don Nagel


TAMENU SAVERR Inquiry

Reference Guide

April 2009

Table of Contents

Section One: Access to TAMENU

Introduction ............................................................................................................1-1

Using This Reference Guide..................................................................................1-2

Adding HHSC Session to TWC System.................................................................1-3

Initial Sign-on to TAMENU .....................................................................................1-3

Regular Sign-on to TAMENU.................................................................................1-7

Exiting TAMENU..................................................................................................1-10

Section Two: Navigating in TAMENU

General Information about Key Functions in TAMENU..........................................2-1

General Navigation in TAMENU ............................................................................2-2

Screen Views.........................................................................................................2-2

Main Menu—TDHS (HHSC) SAVERR Inquiry Menu .............................................2-4

Definitions of Entry Fields on TDHS (HHSC) SAVERR Inquiry Menu Screen .......2-5

Performing an Inquiry Using Name Cross Reference ............................................2-6

Performing an Inquiry Using SSN Cross Reference ..............................................2-7

X Ref Screen 1 Field Descriptions and Entries ......................................................2-8

Accessing Client Screens ....................................................................................2-10

Performing an Inquiry Using Case Number/Client Number..................................2-13

Section Three: Detailed Field Descriptions

General Information ...............................................................................................3-1

Client Screens........................................................................................................3-1

Client Screen 1—Primary ......................................................................................3-2

Client Screen 2—Medical History ..........................................................................3-4

Client Screen 4—Case History ..............................................................................3-6

Client Screen 5—Alias Information ........................................................................3-7

Client Screen A—Welfare Reform Data.................................................................3-8

Client Screen B—Time Limited Months ...............................................................3-12

Client Screen C—Penalty/Good Cause History ...................................................3-14

Client Screen E—SNAP Disqualifications and Work Requirement Data..............3-16

SNAP Case Screens............................................................................................3-19

SNAP Case Screen 1—Primary...........................................................................3-20

SNAP Case Screen 2—Active Client List ............................................................3-23

SNAP Case Screen 3—Budget ...........................................................................3-24

SNAP Case Screen 4—Miscellaneous ................................................................3-26

SNAP Case Screen 5—Client History ..................................................................3-27

SNAP Case Screen 6—Overpayment .................................................................3-28

SNAP Case Screen 7—Benefit Summary ...........................................................3-29

SNAP Case Screen 8—Benefit History................................................................3-31

i


Section Three: Detailed Field Descriptions (continued)

Public Assistance Case Screens .........................................................................3-33

PA Case Screen 1—Primary ...............................................................................3-35

PA Case Screen 2—Active Clients List................................................................3-37

PA Case Screen 5—Client History.......................................................................3-38

PA Case Screen 7—Benefit Summary ................................................................3-39

PA Case Screen 8—Benefit History.....................................................................3-41

PA Case Screen 9—Sanction Information ...........................................................3-43

Appendix

Request for User Access to HHSC Systems Form and Instructions................. A

Request for User Access to HHSC Systems Example Completed Form .......... B

HHS Enterprise Architecture & Security Management

Security and Privacy Agreement (SPA) Form and Instructions .................. C

HHSC Code Summary (C— 540) ................................................................... D

HHSC and TWC County, HHSC Region, and WDA Codes .............................. E

Medicaid Type Programs Chart (C—1116) ..................................................... F

ii


Section One:

Access to TAMENU


TAMENU SAVERR Inquiry Reference Guide

TAMENU SAVERR Inquiry

Reference Guide

Section One: Access to TAMENU

Introduction

TAMENU is a set of screens that allows limited inquiry

to the Systems for Applications of Verifications,

Eligibility, Referral, and Reports (SAVERR) from the

Health and Human Services Commission (HHSC),

previously Texas Department of Human Services

(TDHS), production mainframe computer system. The

production mainframe computer system continues to

reference Texas Department of Human Services

(TDHS); therefore, this curriculum does also. The

TAMENU allows users to access information regarding

a partcipant‘s Temporary Assistance for Needy

Families (TANF), Supplemental Nutrition Assistance

Program (SNAP) (formerly known as Food Stamps),

and Social Security status and history. Texas

Workforce Commission (TWC) staff and their partners

needing access must submit HHS Enterprise

Architecture & Secuity Manangement Security and

Privacy Agreement (EASM_SM_002 – SPA form) and

Request for User Access to HHSC Systems for TIERS,

TAMENU, and TVCC. A copy of these forms is

included in the appendix.

NOTES: Use The Workforce Information System of Texas

(TWIST) as the primary source for HHSC (TDHS)

information. TAMENU inquiries incur a charge for each

inquiry.

As of April 1, 2009 the Food Stamp Program is known as

Supplemental Nutrition Assistance Program (SNAP). All the

―screen views‖ continue to list SNAP as Food Stamp, Food

Stamps, FS or F.

April 2009_v.4.0 Access to TAMENU Page 1-1


TAMENU SAVERR Inquiry Reference Guide

Using This

Reference Guide

This guide contains three sections and an appendix.


Section 1 provides access to TAMENU information

about how to appropriately sign on and sign off the

system.




Section 2 provides General Instructions on how to

access information using client name, social

security number, case number, and client number.

Section 3 provides detailed field descriptions by

type of screen.

The appendix includes the SPA and Request for

User Access Forms; HHSC Code Summary; HHSC

and TWC County, HHSC Region, and WDA Codes;

and Medicaid Type Programs Chart.

Section 3 references HHSC Code Summary. This

Code Summary is a Desk Reference and references

Section C-540 of the Texas Works Handbook.

This HHSC Code Summary references TANF and

SNAP Codes related to TWC‘ s limited TAMENU

Inquiry use.

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TAMENU SAVERR Inquiry Reference Guide

Adding HHSC

Session to TWC

System

Check with your supervisor or system administrator for

instructions in setting up and accessing the HHSC

Session (TAMENU) on your computer.

As of January 28, 2008,

Host/IP Address = 147.80.2.51

Port = 1029

NOTE: The TAMENU screen displays in a Windows format.

Windows features are not available to users. Do not use

the mouse to navigate this screen! Using the mouse causes

the system to FREEZE. Use the TAB key to move the

cursor from field to field. Use the mouse to print a screen.

Initial Sign-on to

TAMENU

On January 28, 2008 and after, the Online Terminal

Security (OTS) screen appears.

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TAMENU SAVERR Inquiry Reference Guide

Initial Sign-on to Type your existing IRIS userid (SSN) on the

TAMENU

―ENTER USERID‖ line.

(continued)

TAB to the PASSWORD field.

NOTE: Use the TAB key. Do not hit the ENTER key,

because this transmits your user id with a null password

to the system, and your violation counter increments in

the system. If you do hit the ENTER key, start over and

enter your userid again.


Type your existing four-character IRIS password

and ―1+23‖ on the ―PASSWORD‖ line.

For example: If your password is ―BEAR,‖ the initial

OTS password is ―BEAR1+23.‖


Type your new eight-character password on the

―NEWPASSWORD‖ line, and transmit (press

ENTER).

NOTE: Users are required to enter a new password the

first time they sign on after the system change. Once the

change is made, the new password becomes your

password at the next sign-on. If you do not enter a new

password the first time you sign on, a message displays

―Password Longevity Has Expired—Please Re-enter.‖

After completing the initial new password change, you do

not need to fill in the ―NEWPASSWORD‖ field if you are

not changing your password.

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TAMENU SAVERR Inquiry Reference Guide

Initial Sign-on to Additional password information:

TAMENU

(continued) The system requires at least eight characters but

no more than 12 characters.




The password is not case sensitive.

Some special characters that are not allowed in

OTS password are ‗ ‗ (space), ―, #, ^, @, ], [, ‗,‘

(comma), \, _, or the cent sign.

Users are required to change their passwords every

90 days.

After successful sign-on, the screen shown on the

following page displays.


Transmit (press ENTER) which displays a blank

screen.

April 2009_v.4.0 Access to TAMENU Page 1-5


TAMENU SAVERR Inquiry Reference Guide


Type TAMENU for TAMENU Inquiry or TVCC for

Child Care Inquiry and Transmit (press ENTER). If

accessing TAMENU, the TDHS (HHSC) SAVERR

INQUIRY MENU page displays. (See example on

next page.)

NOTE: This guide does not include Child Care Inquiry

information.

Page 1-6 Access to TAMENU April 2009_v.4.0


Regular Sign-on

to TAMENU

TAMENU SAVERR Inquiry Reference Guide

The next time you sign-on to TAMENU after you

changed your password successfully, the following

screen appears:

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TAMENU SAVERR Inquiry Reference Guide

Regular Sign-on Type your existing IRIS userid (SSN) on the

to TAMENU

―ENTER USERID‖ line.

(continued)

TAB to the PASSWORD field.

NOTE: Use the TAB key. Do not hit the ENTER key,

because this transmits your user id with a null password

to the system, and your violation counter increments in

the system. If you do hit the ENTER key, start over and

enter your userid again.


Type your new eight-character password on the

―NEWPASSWORD‖ line, and transmit (press

ENTER).

After successfully signing on, the following screen

displays


Transmit (press ENTER) which displays a blank

screen.

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TAMENU SAVERR Inquiry Reference Guide


Type TAMENU for TAMENU Inquiry or TVCC for

Child Care Inquiry and Transmit (press ENTER). If

accessing TAMENU, the TDHS (HHSC) SAVERR

INQUIRY MENU page displays. (See example

below.)

NOTE: This guide does not include Child Care Inquiry

information.

April 2009_v.4.0 Access to TAMENU Page 1-9


TAMENU SAVERR Inquiry Reference Guide

Exiting TAMENU

To exit or end the TAMENU session:




Press F12 or F15 = Shift F3. The screen clears and

the cursor is positioned in the upper left corner.

Type SINOF1 and press ENTER.

Message displays ―Sign-off is Complete.‖

SINOF1

***SIGN OFF COMPLETE**


Click File on the Menu Bar, and click EXIT,

Or




Click the ―X‖ at the top right corner of the screen.

The following question appears ―Do you want to

disconnect session HHSC MAINFRAME?‖

Click Yes. This action closes the connection to the

mainframe and returns you to Windows.

NOTE: Close BOTH the TAMENU application with SINOF1

and end connection to the HHSC MAINFRAME.

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Section Two:

Navigating in TAMENU


TAMENU SAVERR Inquiry Reference Guide

Section Two: Navigating in TAMENU

General

Information

about Key

Functions in

TAMENU

TAMENU may respond differently for various connections

and operating systems. Some systems may use the

Function keys with the Ctrl key. For example, if F3

does not work, try Ctrl F3.


Cursor Movement — Move the cursor with the arrow

keys or the tab key. If you are working through a

Windows application, do not use the MOUSE except

to print, or the system freezes. You must keep the

cursor behind all entered information; otherwise, the

computer cannot read the complete information.




If System Freezes — Press Alt, Ctrl, Delete at the

same time; select Task Manager>end task, sign-on to

TAMENU again.

Page/Menu

ARROW keys move right, left, up, and down

TAB moves from field to field

SHIFT-TAB moves backwards from field to field

F3 moves to the previous menu (TDHS SAVERR

INQUIRY MENU)

F5 moves to the next page of the displayed Sub-

Screen (e.g., more persons on case and additional

payment or benefit history screens)

F6 moves to the previous page of the displayed

Sub-Screen

F7 clears the Menu screen

F9 moves lower screen up

F12 exits the menu

F15 (Shift F3) sign-off complete.

PRINT — Shift-Print Screen or Ctrl-P prints the

screen.

If you are working inside a Windows application, a print

icon or a print function is available in the File Menu. The

Print Screen button on the keyboard provides a graphic

copy of the screen that you paste into other applications

and then print.

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TAMENU SAVERR Inquiry Reference Guide

General

Navigation in

TAMENU

TAMENU has three types of screens:

1. Client Screens provide general client information and

history.

2. SNAP (formerly known as Food Stamp--FS) Screens

provide specific SNAP case information.

3. Public Assistance (PA) Screens provide specific

TANF/Medicaid case information.

These instructions navigate sequentially through each

type of screen. You can navigate from one type of

screen to another, or go directly to the screens you use

most. The directions and prompts on each screen are

useful.

Screen Views

The viewing screen is split into two separate screens.

1. The top part of the screen is a primary screen or X-

Reference Screen (X-Ref meaning Cross-Reference).

2. The bottom half of the screen is a display screen

(view only).

To move the Primary — Screen 1 up from the bottom to

the top:




Enter the page number to view in the display

(bottom) part.

This number can be two through eight, depending on

the available screens indicated at the top right corner

of Screen 1.

Put an ―X‖. This moves the bottom primary screen to

the top.

EXAMPLE: Client Screen 1— Primary is at the bottom

of the viewing screen, and you want to move it to the

top. Enter 2X in the KEY:__ field to move the Primary

Screen up to the top and display the second screen at

the bottom.

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TAMENU SAVERR Inquiry Reference Guide

Screen Views

(continued)

See the example below.

KEY _2X_ ENTER C (CLIENT)OR CASE LETTERS P, S, OR F ALONG WITH LINE #

X-REF SCREEN 1 SSN= 432-XX-74XX PAGE 1

CLIENT NO NAME BIRTH DT S R CNTY PA(P) SSI(S) FS(F)

1 506674XXX BEE,MARIA ANN 10/08/964 F 3 015 X X

2

3

4

5

6

7

8

PA CASE SCREEN 1 - PRIMARY

PAGE 1

CASE 063719XX ACTIVE CAT 02 TP 01 BP BJN 086-04-C-04 MC 281-2 CNTY 015

CASE NAME BEE,MARIA ANN DATE FILE 06/16/06 SEQ 18 PRINTED 11/17/07

CERT DATE 06/25/06 LAST FORM 1000-A/B

GN/PAY/RP GRANT EFF 03/01/07 REVIEW I ACTION 138

MAIL ADDR 133 KAY ST 3MO PRIOR FORM EFF DT 01/01/08

APT 115

END DATE

SAN ANTONIO TX 78213 HOLD CD/DT 8 02/06 PERIODIC RV DT 01/18/08

TEMP ADDR N EBT PAW 013228XXX GRANT 293 APP INC

TIERS FLAG

The screen below shows the Primary Screen moved to

the top and displays PA Case Screen 2 on the display

or bottom window.

NOTE: If the case is in TIERS, a ―T‖ appears under PA (P)

or SNAP (FS--F) in upper right in the above screen rather

than a ―X‖. As of April 1, 2009 the Food Stamp Program is

known as Supplemental Nutrition Assistance Program

(SNAP). The ―screen views‖ continue to list it as FS or F.

PA CASE SCREEN 1 - PRIMARY PAGE 1

CASE 063719XXX ACTIVE CAT 02 TP 01 BP BJN 086-04-C-04 MC 281-2 CNTY 015

CASE NAME BEE,MARIA ANN DATE FILE 06/16/06 SEQ 18 PRINTED 11/17/07

CERT DATE 06/25/06 LAST FORM 1000-A/B

GN/PAY/RP GRANT EFF 03/01/07 REVIEW I ACTION 138

MAIL ADDR 133 KAY ST 3MO PRIOR FORM EFF DT 01/01/08

APT 115

END DATE

SAN ANTONIO TX 78213 HOLD CD/DT 8 02/06 PERIODIC RV DT 01/18/08

TEMP ADDR N EBT PAW 013228XXX GRANT 293 APP INC

TIERS FLAG

PA CASE SCREEN 2-ACTIVE CLIENTS LIST ENTER"C"& LINE# FOR CLIENT PAGE 01

CASE 063719XXX ACTIVE CAT 02 TP 01 BP BJN 086-04-C-04MC 281-2CNTY 015

PL CLIENT NO NAME BIRTH DT SR SIG W SSN

C1 1A 506674XXX BEE,MARIA ANN 10/08/964 F3 8 M 432-XX-74XX

C2 1B 506855XXX BEE,ELIZA 05/07/996 F3 5 A 464-XX-69XX

C3 1C 508323XXX BEE,BOB 12/16/997 M3 5 A 463-XX-87XX

April 2009_v.4.0 Navigating in TAMENU Page 2-3


TAMENU SAVERR Inquiry Reference Guide

C4 1D 510631XXX BEE,BRAD 09/15/003 M3 5 A 628-XX-63XX

Main Menu—

TDHS (HHSC)

SAVERR Inquiry

Menu

After you complete the sign-on, the TDHS (HHSC)

SAVERR Inquiry Menu screen displays.

The screen has two sections, an upper input area, and a

bottom listing the types of screens available for each

type program.

The TDHS (HHSC) SAVERR Inquiry Menu screen also

displays instructions for function keys (F keys at the top

on the keyboard).

12/10/07 TDHS SAVERR INQUIRY MENU 15:35:57

1) NAME XREF: TYPE _ NAME (L,F MI) _____________________

SEX _ COUNTY ___ BIRTH DATE ______

2) SSN XREF: TYPE _ SSN ___ __ ____

3) CASE/CLIENT: TYPE _ CASE/CLIENT # _________ SCREEN # _

TYPE MEANING SCREENS AVAILABLE

A APPLICATION 1

C CLIENT 1, 2, 4, 5, A, B, C, D, E & T

F SNAP (Food Stamp) CASE 1 - 8

P PUBLIC ASSISTANCE CASE 1, 2, 5, 7, 8 & 9

S SOCIAL SECURITY CASE (SDX) 1 & 3

F7 - REFRESH MENU F12 - EXIT MENU F15 - SIGN OFF

You can perform an inquiry three different ways:

1. name cross-reference

2. Social Security number cross-reference

3. Case/Client type number.

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TAMENU SAVERR Inquiry Reference Guide

Definitions of The following information provides the entry fields on the

Entry Fields on TDHS (HHSC) SAVERR Inquiry Menu screen:

TDHS (HHSC)

SAVERR Inquiry Type—required entry on all three inquiry types

Menu Screen

A — HHSC application; requests information on

applications filed at HHSC. This can include

SNAP, TANF, or Medicaid application numbers

C — HHSC client; requests information on the

specific client

F — SNAP (formerly known as Food Stamps)

case; requests information specifically on the

SNAP case

P — Public Assistance case; requests information

specifically on the PA case (An individual client

may have more than one PA case.)

S — Social Security case; requests information

specifically on the Social Security Administration

records available to HHSC. This may include SSI,

RSDI, and Medicare information.






Name — name of the HHSC client in a format of last

name, first name, middle initial. If more than one

client has this same name, narrow the search by

entering other identifying information such as sex,

birth date, county. This avoids having all clients with

the name listed in the results. This is required if you

are searching by name cross reference.

Sex — restricts the search to a specific gender, male

or female; not a required field

County — three-digit number designating a specific

county in Texas. This restricts the search to an HHSC

case located in a specific county; not a required field

Birthdate — specific date of birth of a client in the

format of MMDDYY year entry is three digits; not a

required field

SSN — the nine-digit Social Security number

assigned to the client; required entry if searching by

SSN

April 2009_v.4.0 Navigating in TAMENU Page 2-5


TAMENU SAVERR Inquiry Reference Guide

Definitions of Case/Client # — unique nine-digit number assigned

Entry Fields on to each HHSC case. It usually begins with zero. This

TDHS (HHSC)

number must match the Type entry for Case/Client

SAVERR Inquiry search

Menu Screen

(continued) Screen # — enter the specific screen number for the

the Type entered for Case/Client; list of screens

available appears in the bottom right corner; not a

required entry

NOTE: Detailed information on Client and Case screen

displays is provided in Section 3 of this guide.

Performing an

Inquiry Using

Name Cross

Reference

Performing an inquiry using the Name cross reference is

the first option on the TDHS (HHSC) SAVERR INQUIRY

MENU.

You must verify that the spelling of the name is correct.

You can display any case type screen by entering the

appropriate TYPE entry.

To view information from TDHS (HHSC) based on the

name, from the TDHS (HHSC) SAVERR INQUIRY

MENU screen:





Press TAB until the cursor displays in the field

labeled 1) NAME X-REF: TYPE _.

Enter a TYPE depending on the type of case the

client has.

Enter the client’s name as indicated in his or her

records; the more complete the name entered, the

more narrow the search. Format of the name is last

name(comma)first name(space)middle initial.

Enter the gender, county number, and date of birth.

These are not required entries, but the additional

entries narrow the search.

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TAMENU SAVERR Inquiry Reference Guide

Performing an

Inquiry Using

Name Cross

Reference

(continued)


Press ENTER.

If more than one case meets the search criteria for the

entries you made, a list of all cases displays as a result

of the search.

12/10/07 TDHS SAVERR INQUIRY MENU 15:35:57

1) NAME XREF: TYPE C NAME (L,F MI) BEE,MARIA A___

SEX f COUNTY 015 BIRTH DATE 100864

2) SSN XREF: TYPE __ SSN ___ __ ____

3) CASE/CLIENT: TYPE _ CASE/CLIENT # _________ SCREEN # _

TYPE MEANING SCREENS AVAILABLE

A APPLICATION 1

C CLIENT 1, 2, 4, 5, A, B, C, E

F SNAP (FOOD STAMP) 1 - 8

P PUBLIC ASSISTANCE CASE 1, 2, 5, 7, 8 & 9

S SOCIAL SECURITY CASE (SDX) 1 & 3

F7 - REFRESH MENU F12 - EXIT MENU F15 - SIGN OFF

If no match is found, a message displays at the bottom

of the screen that no information is available.

Performing an

Inquiry Using

SSN Cross

Reference

Performing an inquiry using the SSN cross reference is

the second of three ways to access the information from

TDHS (HHSC).

You must verify that the SSN is correct.

To perform an inquiry using the customer Social

Security number:




At the Main Menu TDHS (HHSC) SAVERR INQUIRY

MENU, press TAB until the cursor displays in 2) SSN

X-REF: TYPE _.

Enter C in the TYPE field.

Enter the client’s SSN (the ―XX‖ used here for

purposes of confidentiality).

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TAMENU SAVERR Inquiry Reference Guide

Performing an

Inquiry Using

SSN Cross

Reference

(continued)

The screen below provides an example of the entries on

the TDHS (HHSC) SAVERR INQUIRY MENU screen

when performing a search using the SSN cross

reference (SSN XREF).

12/10/07 TDHS SAVERR INQUIRY MENU 15:35:57

1) NAME XREF: TYPE _ NAME (L,F MI) _____________________

SEX _ COUNTY ___ BIRTH DATE ______

2) SSN XREF: TYPE C SSN 432 XX 74XX

3) CASE/CLIENT: TYPE _ CASE/CLIENT # _________ SCREEN # _

TYPE MEANING SCREENS AVAILABLE

A APPLICATION 1

C CLIENT 1, 2, 4, 5, A, B, C, D, E

F SNAP (FOOD STAMP) 1 - 8

P PUBLIC ASSISTANCE CASE 1, 2, 5, 7, 8 & 9

S SOCIAL SECURITY CASE (SDX) 1 & 3

F7 - REFRESH MENU F12 - EXIT MENU F15 - SIGN OFF


Press ENTER to display the X- Ref (Reference)

Screen 1.

X Ref Screen 1

Field

Descriptions

and Entries

X- Ref Screen 1 is ―view only‖ and provides general

information about the client. It displays when you

perform an inquiry using the client’s SSN.

KEY __ ENTER C (CLIENT)OR CASE LETTERS P, S, OR F ALONG WITH LINE #

X-REF SCREEN 1 SSN= 432-XX-74XX PAGE 1

CLIENT NO NAME BIRTH DT S R CNTY PA(P) SSI(S) FS(F)

1 506674XXX BEE,MARIA ANN 10/08/964 F 3 015 X X

2

3

4

5

6

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TAMENU SAVERR Inquiry Reference Guide

X Ref Screen 1

Field

Descriptions

and Entries

(continued)

The X-Ref Screen 1 provides the following information:


KEY — this is the only entry field on this screen

C — to access client information

P — to access PA case information

S — to access Social Security case information

F — to access SNAP case information








SSN—Social Security number of the client

Client No.— client number assigned by HHSC

Name — name of the client

Birth Dt — date of birth of the client

S — client gender

M — male

F — female

R — race of the client

1 — white

2 — black

3 — Hispanic

4 — American Indian or Alaskan Native

5 — Asian or Pacific Islander (includes

Indochinese)

6 — computer entered code indicating

inappropriate or omitted code

Cnty — county code of residence (three-digit)

NOTE: County codes designated by HHSC are

different than county codes designated by TWC. See

HHSC county codes in the appendix.


PA (P) — X in column means the client has an

existing PA case. The case may be active or denied.

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TAMENU SAVERR Inquiry Reference Guide

X Ref Screen 1 SSI (S) — X in column means the client has an

Field

existing SSI case. The case may be active or denied.

Descriptions

and Entries FS (F) — X in column means the client has an

(continued)

existing SNAP case. The case may be active or

denied.

Accessing Client

Screens

TWC and partners using client search have four client

screens and four sub-screens available.

The four client screens available to TWC and partners

are:





Client Screen 1 — Primary – general client and case

information

Client Screen 2 — Medical History

Client Screen 4 — Case History

Client Screen 5 — Alias Information

The four sub screens available to TWC and partners

are:





Client Screen A — Welfare Reform Data

Client Screen B — Time Limited Months

Client Screen C — Penalty/Good Cause History

Client Screen E — SNAP (formerly known as FS)

Disqualification and Work Requirement.

To access the Client screen from the X-Ref Screen 1:



Type C plus the line number of the client in the KEY

field.

Press ENTER.

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TAMENU SAVERR Inquiry Reference Guide

Accessing Client

Screens

(continued)

KEY _C1_ ENTER C (CLIENT)OR CASE LETTERS P, S, OR F ALONG WITH LINE #

X-REF SCREEN 1 SSN= 432-XX-74XX PAGE 1

CLIENT NO NAME BIRTH DT S R CNTY PA(P) SSI(S) FS(F)

1 506674XXX BEE,MARIA ANN 10/08/964 F 3 015 X X

2

3

4

5

6

7

8

The client screen, Client Screen 1 – Primary, appears

at the bottom of the X-Ref Screen 1.

KEY __ ENTER C (CLIENT)OR CASE LETTERS P, S, OR F ALONG WITH LINE #

X-REF SCREEN 1 SSN= 432-XX-74XX PAGE 1

CLIENT NO NAME BIRTH DT S R CNTY PA(P) SSI(S) FS(F)

1 506674XXX BEE,MARIA ANN 10/08/964 F 3 015 X X

2

3

4

5

6

7

8

CLIENT SCREEN 1 - ENTER 'C' & LINE # SCREENS= 1,2,4,A,B,C,E PAGE 01

CLIENT NUM 506674XXX NAME BEE,MARIA ANN BD 10/08/964 SF R3 CNTY 015

CASE-NUM TC S S-I-G W CLI-CERT SSN 432-XX-74XX * ALIAS

C1 013228XXX 4 1 A 3 05/06/06

C2 063719XXX 1 1 8 M 06/25/06 COV TP OPEN CLOSE SD

C3 069104XXX 1 1 8 M 11/17/07 02R 29 01/01/07

C4 02R 01 03/01/06 12/31/06

C5 02R 07 11/01/05 02/28/06

C6 02R 01 12/01/04 10/31/05

TW FLAG LTC FLAG

To access Client Screen 2 — Medical History:



Type 2X in the KEY field.

Press ENTER.

April 2009_v.4.0 Navigating in TAMENU Page 2-11


TAMENU SAVERR Inquiry Reference Guide

Accessing Client

Screens

(continued)

This action moves the Primary screen to the top and

displays Client Screen 2 at the bottom.

KEY _2X_ ENTER C (CLIENT)OR CASE LETTERS P, S, OR F ALONG WITH LINE #

X-REF SCREEN 1 SSN= 432-XX-74XX PAGE 1

CLIENT NO NAME BIRTH DT S R CNTY PA(P) SSI(S) FS(F)

1 506674XXX BEE,MARIA ANN 10/08/964 F 3 015 X X

2

3

4

5

6

CLIENT SCREEN 1 - ENTER 'C' & LINE # SCREENS= 1,2,4,A,B,C,E PAGE 01

CLIENT NUM 506674XXX NAME BEE,MARIA ANN BD 10/08/964 SF R3 CNTY 015

CASE-NUM TC S S-I-G W CLI-CERT SSN 432-XX-74XX * ALIAS

C1 013228XXX 4 1 A 3 05/06/06

C2 063719XXX 1 1 8 M 06/25/06 COV TP OPEN CLOSE SD

C3 069104XXX 1 1 8 M 11/17/07 02R 01 01/01/07

C4 02R 01 03/01/06 12/31/06

C5 02R 07 11/01/05 02/28/06

C6 02R 01 12/01/04 10/31/05

TW FLAG LTC FLAG

Client Screen 2 displays at the bottom of Client Screen

1.

KEY __

CLIENT SCREEN 1 - ENTER 'C' & LINE # SCREENS= 1,2,4,A,B,C,E PAGE 01

CLIENT NUM 506674XXX NAME BEE,MARIA ANN BD 10/08/964 SF R3 CNTY 015

CASE-NUM TC S S-I-G W CLI-CERT SSN 432-XX-74XX * ALIAS

C1 013228XXX 4 1 A 3 05/06/06

C2 063719XXX 1 1 8 M 06/25/06 COV TP OPEN CLOSE SD

C3 069104XXX 1 1 8 M 11/17/07 02R 01 01/01/07

C4 02R 01 03/01/06 12/31/06

C5 02R 07 11/01/05 02/28/06

C6 02R 01 12/01/04 10/31/05

TW FLAG LTC FLAG

CLIENT SCREEN 2 - MEDICAL HISTORY PAGE 01

CLIENT NUM 506674XXX NAME BEE,MARIA ANN BD 10/08/964 SF R3 CNTY 015

COV TP OPEN CLOSE SD COV TP OPEN CLOSE SD

02R 01 01/01/07 02R 41 03/01/98 07/31/98

02R 01 03/01/06 12/31/06

02R 07 11/01/05 02/28/06

02R 01 12/01/04 10/31/05

02R 37 09/01/01 01/31/02

02R 01 05/01/00 08/31/00

02R 01 08/01/99 01/31/00

Page 2-12 Navigating in TAMENU April 2009_v.4.0


TAMENU SAVERR Inquiry Reference Guide

April 2009_v.4.0 Navigating in TAMENU Page 2-13


TAMENU SAVERR Inquiry Reference Guide

Performing an

Inquiry Using

Case Number/

Client Number

You can access information from the HHSC (TDHS)

systems either by case or client numbers.

The following PA case screens are available to TWC:







PA Case Screen 1 — Primary

PA Case Screen 2 — Active Clients List

PA Case Screen 5 — Client History

PA Case Screen 7 — Benefit Summary

PA Case Screen 8 — Benefit History

PA Case Screen 9 — Sanction Information.

To obtain PA (TANF) case information, from the TDHS

(HHSC) SAVERR Inquiry Menu:





Enter TAB until the cursor is on the field labeled

3) CASE/CLIENT: TYPE _.

Enter P for a PA (TANF) Case in the TYPE field.

Enter the client’s PA (TANF) CASE Number. (The

―XXX‖ should be numbers; X’s used here for

confidentiality).

Press ENTER.

Refer to the sample screen on the following page.

Page 2-14 Navigating in TAMENU April 2009_v.4.0


TAMENU SAVERR Inquiry Reference Guide

Performing an

Inquiry Using

Case Number/

Client Number

(continued)

01/10/07 TDHS SAVERR INQUIRY MENU 15:35:57

1) NAME XREF: TYPE _ NAME (L,F MI) _____________________

SEX _ COUNTY ___ BIRTH DATE ______

2) SSN XREF: TYPE _ SSN ___ __ ____

3) CASE/CLIENT: TYPE P CASE/CLIENT # 063719XXX SCREEN # _

TYPE MEANING SCREENS AVAILABLE

A APPLICATION 1

C CLIENT 1, 2, 4, 5, A, B, C, D, E

F SNAP (FOOD STAMP) CASE 1 - 8

P PUBLIC ASSISTANCE CASE 1, 2, 5, 7, 8 & 9

S SOCIAL SECURITY CASE (SDX) 1 & 3

F7 - REFRESH MENU F12 – EXIT MENU F15 – SIGN OFF

The PA Case Screen 1 — Primary displays.

KEY _2_

PA CASE SCREEN 1 - PRIMARY

PAGE 1

CASE 063719XXX ACTIVE CAT 02 TP 01 BP BJN 086-04-C-04 MC 281-2 CNTY 015

CASE NAME BEE,MARIA ANN DATE FILE 06/16/06 SEQ 18 PRINTED 11/17/07

CERT DATE 06/25/06 LAST FORM 1000-A/B

GN/PAY/RP GRANT EFF 03/01/07 REVIEW I ACTION 138

MAIL ADDR 133 KAY ST 3MO PRIOR FORM EFF DT 01/01/08

APT 115 END DATE

SAN ANTONIO TX 78213 HOLD CD/DT 8 02/06 PERIODIC RV DT 01/18/08

TEMP ADDR N EBT PAW 013228XXX GRANT 293 APP INC

TIERS FLAG

April 2009_v.4.0 Navigating in TAMENU Page 2-15


TAMENU SAVERR Inquiry Reference Guide

Performing an To access PA Case Screen 2 — Active Clients:

Inquiry Using

Case Number/ Enter 2 in the KEY field.

Client Number

(continued) Press ENTER.

KEY _2_

PA CASE SCREEN 1 - PRIMARY

PAGE 1

CASE 063719XXX ACTIVE CAT 02 TP 01 BP BJN 086-04-C-04 MC 281-2 CNTY 015

CASE NAME BEE,MARIA ANN DATE FILE 06/16/06 SEQ 18 PRINTED 11/17/07

CERT DATE 06/25/06 LAST FORM 1000-A/B

GN/PAY/RP GRANT EFF 03/01/07 REVIEW I ACTION 138

MAIL ADDR 133 KAY ST 3MO PRIOR FORM EFF DT 01/01/08

APT 115 END DATE

SAN ANTONIO TX 78213 HOLD CD/DT 8 02/06 PERIODIC RV DT 01/18/08

TEMP ADDR N EBT PAW 013228XXX GRANT 293 APP INC

TIERS FLAG

The PA Case Screen 2 — Active Clients displays below

the PA Case Screen 1 — Primary.

KEY __

PA CASE SCREEN 1 - PRIMARY PAGE 1

CASE 063719XXX ACTIVE CAT 02 TP 01 BP BJN 086-04-C-04 MC 281-2 CNTY 015

CASE NAME BEE,MARIA ANN DATE FILE 06/16/06 SEQ 18 PRINTED 11/17/07

CERT DATE 06/25/06 LAST FORM 1000-A/B

GN/PAY/RP GRANT EFF 03/01/07 REVIEW I ACTION 138

MAIL ADDR 133 KAY ST 3MO PRIOR FORM EFF DT 01/01/08

APT 115

END DATE

SAN ANTONIO TX 78213 HOLD CD/DT 8 02/06 PERIODIC RV DT 01/18/08

TEMP ADDR N EBT PAW 013228XXX GRANT 293 APP INC

TIERS FLAG

PA CASE SCREEN 2-ACTIVE CLIENTS LIST ENTER"C"& LINE# FOR CLIENT PAGE 01

CASE 063719XXX ACTIVE CAT 02 TP 01 BP BJN 086-04-C-04MC 281-2CNTY 015

PL CLIENT NO NAME BIRTH DT SR SIG W SSN

C1 1A 506674XXX BEE,MARIA ANN 10/08/964 F3 8 M 432-XX-7499

C2 1B 506855XXX BEE,ELIZA 05/07/996 F3 5 A 464-XX-6930

C3 1C 508323XXX BEE,BOB 12/16/997 M3 5 A 463-XX-8715

C4 1D 510631XXX BEE,BRAD 09/15/003 M3 5 A 628-XX-6310

You can display any PA Case Screen (2, 5, 7, 8, or 9)

with available case information by entering the screen

number in the KEY Field, such as in the previous

example.

Page 2-16 Navigating in TAMENU April 2009_v.4.0


TAMENU SAVERR Inquiry Reference Guide

Performing an To view SNAP case information, from the TDHS (HHSC)

Inquiry Using SAVERR INQUIRY MENU:

Case Number/

Client Number Enter TAB until the cursor displays in the field labeled

(continued)

3) CASE/CLIENT: TYPE_.




Enter F for a SNAP (formerly known as Food Stamp)

Case in the TYPE field.

Enter the client’s SNAP CASE Number. (The ―XXX‖

should be numbers; X’s used here for confidentiality.)

Press ENTER.

01/10/01 TDHS SAVERR INQUIRY MENU 15:35:57

1) NAME XREF: TYPE _ NAME (L,F MI) _____________________

SEX _ COUNTY ___ BIRTH DATE ______

2) SSN XREF: TYPE _ SSN ___ __ ____

3) CASE/CLIENT: TYPE F CASE/CLIENT # 013228XXX SCREEN # _

TYPE MEANING SCREENS AVAILABLE

A APPLICATION 1

C CLIENT 1, 2, 4, 5, A, B, C, D, E

F SNAP (FOOD STAMP) CASE 1 - 8

P PUBLIC ASSISTANCE CASE 1, 2, 5, 7, 8 & 9

S SOCIAL SECURITY CASE (SDX) 1 & 3

F7 - REFRESH MENU F12 – EXIT MENU F15 - SIGN OFF

The SNAP (Food Stamp) Case Screen 1 — Primary

displays.

KEY _

SNAP ( FS) CASE SCREEN 1 - PRIMARY

PAGE 1

CASE 013228XXX ACTIVE CAT 06 AID TYPE 3 BJN 086-04-C-04 MC 281-2CNTY 015

CASE NAME BEE,MARIA ANN ORIG CERT 05/01/06 SEQ 63 PRINTED 11/18/07

CERT DATE 09/01/07 LAST FORM 1000-A/B

AUTH REP LAST ATP 02/08 REVIEW M

MAIL ADDR 133 KAY ST MOS CERT 06 FORM EFF DT 01/01/08

APT 115 PERSONS 04

SAN ANTONIO TX PLAN C SSI

ZIP78213 EBT PA# 063719XXX

HOLD CODE 0 DT 09/06 APP NO A13228XXX

CASH 0.00 STAMPS 454 ACTION CD DT TIERS FLAG

April 2009_v.4.0 Navigating in TAMENU Page 2-17


TAMENU SAVERR Inquiry Reference Guide

Performing an To access SNAP (Food Stamp) Case Screen 2 —

Inquiry Using Active Clients Lists:

Case Number/

Client Number Enter 2 in the KEY field.

(continued)

Press ENTER.

KEY _2

SNAP ( FS) CASE SCREEN 1 - PRIMARY PAGE 1

CASE 013228XXX ACTIVE CAT 06 AID TYPE 3 BJN 086-04-C-04 MC 281-2CNTY 015

CASE NAME BEE,MARIA ANN ORIG CERT 05/01/06 SEQ 63 PRINTED 11/18/07

CERT DATE 09/01/07 LAST FORM 1000-A/B

AUTH REP LAST ATP 02/08 REVIEW M

MAIL ADDR 133 KAY ST MOS CERT 06 FORM EFF DT 01/01/08

APT 115 PERSONS 04

SAN ANTONIO TX PLAN C SSI

ZIP78213 EBT PA# 063719XXX

HOLD CODE 0 DT 09/06 APP NO A13228XXX

CASH 0.00 STAMPS 454 ACTION CD DT TIERS FLAG

The SNAP (FS) Case Screen 2 — Active Clients Lists

displays below the SNAP (FS) Case Screen 1 —

Primary.

KEY __

SNAP ( FS) CASE SCREEN 1 - PRIMARY PAGE 1

CASE 013228XXX ACTIVE CAT 06 AID TYPE 3 BJN 086-04-C-04MC 281-2CNTY 015

CASE NAME BEE,MARIA ANN ORIG CERT 05/01/06 SEQ 63 PRINTED 11/18/07

CERT DATE 09/01/07 LAST FORM 1000-A/B

AUTH REP LAST ATP 02/08 REVIEW C

MAIL ADDR133 KAY ST MOS CERT 06 FORM EFF DT 01/01/08

APT 115 PERSONS 04

SAN ANTONIO TX PLAN C SSI

ZIP 78213 EBT PA# 063719XXX

HOLD CODE 0 DT 09/94 APP NO A13228XXX

CASH 0.00 STAMPS 454 ACTION CD DT

SNAP CASE SCREEN 2-ACTIVE CLIENTS LIST ENTER"C"& LINE #FOR CLIENTPAGE 01

CASE 013228XXX ACTIVE CAT 06 AID TYPE 3 BJN 086-04-C-04 MC 281-2

CNTY 015

PL CLIENT NO NAME BIRTH DT SR SIG SSN

C1 1A 506674XXX BEE,MARIA ANN 10/08/964 F3 A 472-XX-7460

C2 1B 506855XXX BEE,ELIZA 05/07/996 F3 463-XX-6900

C3 1C 508323XXX BEE,BOB 12/16/997 M3 465-XX-8715

C4 1D 510631XXX BEE,BRAD 09/15/003 M3 626-XX-6354

Page 2-18 Navigating in TAMENU April 2009_v.4.0


TAMENU SAVERR Inquiry Reference Guide

Performing an

Inquiry Using

Case Number/

Client Number

(continued)

You can display any SNAP (FS) Case Screen (2, 3, 4, 5,

6, 7, or 8) with available case information by entering the

screen number in the KEY field such as in the previous

example.

To view information from TDHS (HHSC) based on the

client number, from the TDHS (HHSC) SAVERR

INQUIRY MENU screen:





Press Tab until the cursor displays in the field labeled

3) CASE/CLIENT: TYPE_.

Enter a C in the TYPE field.

Enter the client’s CLIENT Number. (The ―XXX‖

should be numbers; X’s used here for confidentiality).

Press ENTER.

01/10/01 TDHS SAVERR INQUIRY MENU 15:35:57

1) NAME XREF: TYPE _ NAME (L,F MI) _____________________

SEX _ COUNTY ___ BIRTH DATE ______

2) SSN XREF: TYPE _ SSN ___ __ ____

3) CASE/CLIENT: TYPE C CASE/CLIENT # 506674XXX SCREEN # _

TYPE MEANING SCREENS AVAILABLE

A APPLICATION 1

C CLIENT 1, 2, 4, 5, A, B, C, D, E

F SNAP (FOOD STAMP) CASE 1 - 8

P PUBLIC ASSISTANCE CASE 1, 2, 5, 7, 8 & 9

S SOCIAL SECURITY CASE (SDX) 1 & 3

F7 - REFRESH MENU F12 – EXIT MENU F15 - SIGN OFF

April 2009_v.4.0 Navigating in TAMENU Page 2-19


TAMENU SAVERR Inquiry Reference Guide

Performing an

Inquiry Using

Case Number/

Client Number

(continued)

Client Screen 1 — Primary displays.

KEY _

CLIENT SCREEN 1 - ENTER 'C' & LINE # SCREENS= 1,2,4,A,B,C,E PAGE 01

CLIENT NUM 506674XXX NAME BEE,MARIA ANN BD 10/08/964 SF R3 CNTY 015

CASE-NUM TC S S-I-G W CLI-CERT SSN 432-XX-74XX * ALIAS

C1 013228XXX 4 1 A 3 05/06/06

C2 063719XXX 1 1 8 M 06/25/06 COV TP OPEN CLOSE SD

C3 069104XXX 1 1 8 M 11/17/07 02R 29 01/01/06

C4 02R 01 03/01/06 12/31/06

C5 02R 07 11/01/05 02/29/06

C6 02R 01 12/01/04 10/31/05

TW FLAG LTC FLAG

To access Client Screen A — Welfare Reform Data:



Enter A in the KEY field.

Press ENTER.

KEY A

CLIENT SCREEN 1 - ENTER 'C' & LINE # SCREENS= 1,2,4,A,B,C,E PAGE 01

CLIENT NUM 506674XXX NAME BEE,MARIA ANN BD 10/08/964 SF R3 CNTY 015

CASE-NUM TC S S-I-G W CLI-CERT SSN 432-XX-7499 * ALIAS

C1 013228XXX 4 1 A 3 05/06/06

C2 063719XXX 1 1 8 M 06/25/06 COV TP OPEN CLOSE SD

C3 069104XXX 1 1 8 M 11/17/07 02R 29 01/01/06

C4 02R 01 03/01/06 12/31/06

C5 02R 07 11/01/05 02/29/06

C6 02R 01 12/01/04 10/31/05

TW FLAG LTC FLAG

Page 2-20 Navigating in TAMENU April 2009_v.4.0


TAMENU SAVERR Inquiry Reference Guide

Performing an Client Screen A — Welfare Reform Data displays

Inquiry Using below Client Screen 1.

Case Number/

Client Number

(continued)

KEY __

CLIENT SCREEN 1 - ENTER 'C' & LINE # SCREENS= 1,2,4,A,B,C PAGE 01

CLIENT NUM 519274XXX NAME DAY,SALLY E BD 07/31/979 SF R2 CNTY 015

CASE-NUM TC S S-I-G W CLI-CERT SSN 458-XX-53XX * ALIAS

C1 066092XXX 4 1 A 3 09/07/07

C2 068531XXX 1 1 8 M 09/20/07 COV TP OPEN CLOSE SD

C3 02R 01 09/01/07

C4 02R 01 10/01/06 01/31/07

C5

C6

TW FLAG LTC FLAG

CLIENT SCREEN A - WELFARE REFORM DATA PAGE 01

CLIENT NUM 519274XXX NAME DAY,SALLY E BD 07/31/979 SF R2 CNTY 015

PILOT INDICATOR X SL/TIER 5 TIER REASON

IDA INDICATOR TARGET GRP 1 TL MONTHS USED 05

FINGERPRINT CODE Y VOLUNTEER N TL FREEZE OUT END DT

CARETKR EX END DT 06/2004 18 MONTH FLAG Y WORK HISTORY 00

OT LAST INELIG MO RA FLAG Y LITERACY LEVEL 11

PARENTING SKILLS LITERACY ASSESS DT 01/2005

JOBS CASE STATUS O NOTIFICATION EFF DT 10/2006

JOBS CLOSE DT

You can display any Client Screen (2, 4, 5, A, B, C, or E)

with available Client information by entering the screen

number in the KEY Field such as in the previous

example.

April 2009_v.4.0 Navigating in TAMENU Page 2-21


Section Three:

Detailed Field Descriptions


TAMENU SAVERR Inquiry Reference Guide

Section Three: Detailed Field Descriptions

General

Information

This section of the reference guide provides you with

detailed field descriptions of screens that are available

to TWC and partners through the TDHS (HHSC)

SAVERR Inquiry Menu.

Three different type screens and several sub-screens

are available to staff who are granted permission to

access this system. The screens are:




Client screens

SNAP (formerly known as Food Stamp) Case

screens

Public Assistance (PA) Case screens.

NOTE: As of April 1, 2009 the Food Stamp Program is

known as Supplemental Nutrition Assistance Program

(SNAP). All the ―screen views‖ continue to list SNAP as

Food Stamp, Food Stamps, FS or F.

Client Screens

Four different Client screens are available. Each

screen provides different information. The screens are:





Client Screen 1 — Primary

Client Screen 2 — Medical History

Client Screen 4 — Case History

Client Screen 5 — Alias Information

Four sub-screens are available:





Client Screen A — Welfare Reform Data

Client Screen B — Time Limited Months

Client Screen C — Penalty/Good Cause History

Client Screen E — SNAP (FS) Disqualification and

Work Requirement

April 2008_v.4.0 Detailed Field Descriptions Page 3-1


TAMENU SAVERR Inquiry Reference Guide

Client Screens

(continued)

Notice that the screens are not sequential. The other

Client screens in the series are not available to TWC

and partners.

The first line of all Client screens provides the same

information, which is the:




screen number

screen title

page number.

The second line of all Client screens also provides the

same information:




CLIENT NUM — client number composed of nine

digits, beginning with a number one through five,

assigned to each certified person in the TDHS

(HHSC) SAVERR system

NAME — client’s name

BD — client’s birth date (MM/DD/YYY)

S — client’s gender (See HHSC Code Summary C-

540, Page D-1)



R — client’s self-declared race (See HHSC Code

Summary C-540, Page D-1)

CNTY — the client’s county of residence (see

County Codes in Appendix E)

Client Screen 1

—Primary

Client Screen 1 — Primary provides general

information about the case.

Lines 1 and 2 fields are described in the Client Screen

section above.

Page 3-2 Detailed Field Descriptions April 2009_v.4.0


TAMENU SAVERR Inquiry Reference Guide

Client Screen 1

—Primary

(continued)

KEY _C2_

CLIENT SCREEN 1 --- ENTER 'C' & LINE # SCREENS= 1,2,4,A,B,C,E PAGE

01

CLIENT NUM 506674XXX NAME BEE,MARIA ANN BD 10/08/964 SF R3 CNTY 015

CASE-NUM TC S S-I-G W CLI-CERT SSN 432-XX-74XX * ALIAS

C1 013228XXX 4 1 A 3 05/06/06

C2 063719XXX 1 1 8 M 06/25/06 COV TP OPEN CLOSE SD

C3 069104XXX 1 1 8 M 11/17/07 02R 01 01/01/07

C4 02R 01 03/01/06 12/31/06

C5 02R 07 11/01/05 02/29/06

C6 02R 01 12/01/04 10/31/05

TW FLAG LTC FLAG

The specific field descriptions for Client Screen 1 —

Primary are:





CLIENT NUM — client number composed of nine

digits, beginning with a number from one through

five, assigned to each certified person in the TDHS

(HHSC) SAVERR system

CASE NUM — case number composed of nine

digits assigned to specific program case. The

number usually starts with a zero.

TC — type case codes:

1 — TANF

2 — Aged and Disabled

3 — SSI

4 — SNAP (formerly known as Food Stamps)

5 — Refugee Assistance

S — case status codes:

1 — active

2 — denied

3 — suspended

4 — hold

April 2008_v.4.0 Detailed Field Descriptions Page 3-3


TAMENU SAVERR Inquiry Reference Guide

Client Screen 1

—Primary

(continued)













S-I-G — client’s Status-in-Group code (See HHSC

Code Summary C-540, Page D-2)

W — client’s applicable work code (See HHSC

Code Summary C-540, Page D-3)

CLI-CERT — date client was certified

SSN — client’s Social Security number — an

asterisk indicates that the Social Security

Administration has verified the SSN.

ALIAS — Y indicates that a Client Screen 5 exists

COV — Medicaid coverage code composed of the

two-digit assistance category and a third character:

H — hold

R — regular

L — lock-in

I — institutional care.

TP — Type Program (See HHSC Code Summary

C-540, Page D-4)

OPEN — date Medicaid coverage began

CLOSE — date Medicaid coverage ended

SD — spend-down indicator (some clients are

allowed to deplete their resources in order to be

eligible for Medicaid)

TW FLAG — Texas Works- ―T‖ indicates client

moved to TIERS

LTC FLAG — Long Term Care - ―T‖ indicates client

moved to TIERS

Client Screen 2

—Medical

History

Client Screen 2 — Medical History provides

information on the client’s history of Medicaid coverage.

The Client Screen section above describes Lines 1

and 2 fields.

Page 3-4 Detailed Field Descriptions April 2009_v.4.0


TAMENU SAVERR Inquiry Reference Guide

Client Screen 2 Client Screen 2 — Medical History displays in the

—Medical lower half of the screen below Client Screen 1 —

History

Primary.

(continued)

KEY __

CLIENT SCREEN 1 --- ENTER 'C' & LINE # SCREENS= 1,2,4,A,B,C,E PAGE 01

CLIENT NUM 506674XXX NAME BEE,MARIA ANN BD 10/08/964 SF R3 CNTY 015

CASE-NUM TC S S-I-G W CLI-CERT SSN 432-XX-74XX * ALIAS

C1 013228XXX 4 1 A 3 05/06/06

C2 063719XXX 1 1 8 M 06/25/06 COV TP OPEN CLOSE SD

C3 069104XXX 1 1 8 M 11/17/07 02R 01 01/01/07

C4 02R 01 03/01/06 12/31/06

C5 02R 07 11/01/05 02/28/06

C6 02R 01 12/01/04 10/31/05

TW FLAG LTC FLAG

CLIENT SCREEN 2 --- MEDICAL HISTORY PAGE 01

CLIENT NUM 506674XXX NAME BEE,MARIA ANN BD 10/08/964 SF R3 CNTY 015

COV TP OPEN CLOSE SD COV TP OPEN CLOSE SD

02R 01 01/01/07 02R 41 03/01/01 07/31/01

02R 01 03/01/06 12/31/06

02R 07 11/01/05 02/29/06

02R 01 12/01/04 10/31/05

02R 37 09/01/03 01/31/04

02R 41 05/01/02 08/31/03

02R 01 08/01/01 01/31/02

The specific field descriptions for Client Screen 2 —

Medical History are:


COV — Medicaid coverage code composed of the

two-digit assistance category and a third character

plus

H — hold

R — regular

L — lock-in

I — institutional care.

TP — type program (See HHSC Code Summary C-

540, Page D-4)




OPEN — date Medicaid coverage began

CLOSE — date Medicaid coverage ended (if blank,

coverage continues)

SD — spend-down indicator (some clients are

allowed to deplete their resources in order to be

eligible for Medicaid).

April 2008_v.4.0 Detailed Field Descriptions Page 3-5


TAMENU SAVERR Inquiry Reference Guide

Client Screen 4

—Case History

Client Screen 4 — Case History provides information

on the different case groups a client has been

considered as a member.

The client may have been an eligible member or

ineligible member of a group. As long as the client’s

name appears as a group member, the case number

appears in this list of information.

The Client Screen section above describes Lines 1

and 2 fields.

Client Screen 4 — Case History displays in the lower

half of the screen below Client Screen 1 — Primary.

KEY __

CLIENT SCREEN 1 - ENTER 'C' & LINE # SCREENS= 1,2,4,A,B,C,E PAGE 01

CLIENT NUM 506674XXX NAME BEE,MARIA ANN BD 10/08/964 SF R3 CNTY 015

CASE-NUM TC S S-I-G W CLI-CERT SSN 432-XX-74XX * ALIAS

C1 013228XXX 4 1 A 3 05/06/06

C2 063719XXX 1 1 8 M 06/25/06 COV TP OPEN CLOSE SD

C3 069104XXX 1 1 8 M 11/17/07 02R 01 01/01/07

C4 02R 01 03/01/06 12/31/06

C5 02R 07 11/01/05 02/28/06

C6 02R 01 12/01/04 10/31/05

TW FLAG LTC FLAG

CLIENT SCREEN 4 -CASE HISTORY (ENTER LETTER BESIDE CASE # DESIRED) PAGE 01

CLIENT NUM 506674XXX NAME BEE,MARIA ANN BD 10/08/964 SF R3 CNTY 015

CASE NUM TC S S-I-G ADD-DATE DROP-DT CASE NUM TC S S-I-G ADD-DATE DROP-DT

A 063719XXX 1 1 8 06/25/06 11/17/06 H 015316XXX 1 2 9 12/22/04 02/19/05

B 063719XXX 1 4 8 06/25/06 12/22/06 I 012023XXX 1 2 8 04/29/03 01/14/04

C 012023XXX 1 2 0 01/22/05 06/22/06 J 012973XXX 1 2 9 07/18/02 08/18/02

The specific field descriptions for Client Screen 4 —

Case History are:


TC — type case codes:

1 — TANF

2 — Aged and Disabled

3 — SSI

4 — SNAP (formerly known as Food Stamps)

5 — Refugee Assistance.

Page 3-6 Detailed Field Descriptions April 2009_v.4.0


TAMENU SAVERR Inquiry Reference Guide

Client Screen 4 S — case status codes

—Case History 1 — active

(continued)

2 — denied

3 — suspended

4 — hold.




S-I-G — client’s Status-in-Group code (See HHSC

Code Summary C-540, Page D-2)

ADD-DATE — date client was certified/added to

the case

DROP-DT — date the client was removed/dropped

from the case.

Client Screen 5

—Alias

Information

Client Screen 5 — Alias Information provides

information on any alias the client may have used to

receive a benefit or service from TDHS (HHSC).

The Client Screen section above describes Lines 1

and 2 fields.

Client Screen 5 — Alias Information displays in the

lower half of the screen below Client Screen 1 —

Primary.

KEY __

CLIENT SCREEN 1 - ENTER 'C' & LINE # SCREENS= 1,2,4,5,A,C PAGE 01

CLIENT NUM 503175XXX NAME BOYD,LISA BD 08/16/981 SF R2 CNTY 015

CASE-NUM TC S S-I-G W CLI-CERT SSN 460-XX-28XX * ALIAS

C1 008333XXX 1 1 8 G 06/16/07

C2 COV TP OPEN CLOSE SD

C3 02R 07 10/01/07

C4 02R 01 06/01/06 09/30/07

C5 02R 01 12/01/04 05/31/05

C6 02P 40 06/01/03 08/31/04

TW FLAG LTC FLAG

CLIENT SCREEN 5 - ALIAS INFORMATION PAGE 01

CLIENT NUM 503175XXX NAME BOYD,LISA BD 08/16/981 SF R2 CNTY 015

ALIAS NUM 503140XXX TYPE C ALIAS NUM TYPE

MERGE DATE 11/05/96 CASE MERGE DATE CASE

ERR MERGE FROM TO ERR MERGE FROM TO

ALIAS NUM TYPE ALIAS NUM TYPE

MERGE DATE CASE MERGE DATE CASE

ERR MERGE FROM TO ERR MERGE FROM TO

April 2008_v.4.0 Detailed Field Descriptions Page 3-7


TAMENU SAVERR Inquiry Reference Guide

Client Screen 5

—Alias

Information

(continued)

The specific field descriptions for Client Screen 5 —

Alias Information are:


ALIAS NUM — a client number, Social Security

number, Social Security claim number, or Railroad

Retirement number at one time associated with the

client


TYPE — alias number types are:

C — client number

H — Social Security Claim number or Railroad

Retirement number

S — Social Security number

MERGE DATE —

if TYPE C, date the TDHS (HHSC) computer

processed a merge transaction

if TYPE S or H, process date of the TANF or

SNAP transaction that removed the alias

number




CASE — if the code is H or S, case number of the

SDX (SSI) case in which a different Social Security

number, Social Security claim number, or Railroad

Retirement number was reported

ERR MERGE DATE — if a merge transaction was

done in error, the date the TDHS (HHSC) computer

processed the erroneous merge is listed; cannot

appear with a merge date

TO — date the TDHS (HHSC) computer processed

a separate transaction to resolve the erroneous

merge

Client Screen A Client Screen A — Welfare Reform Data provides

—Welfare

information on requirements for welfare reform policy

Reform Data that was implemented in 1996.

Lines 1 and 2 fields are described in the Client Screen

section above.

Page 3-8 Detailed Field Descriptions April 2009_v.4.0


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Client Screen A

—Welfare

Reform Data

(continued)

Client Screen A — Welfare Reform Data displays in

the lower half of the screen below Client Screen 1 —

Primary.

KEY __

CLIENT SCREEN 1 - ENTER 'C' & LINE # SCREENS= 1,2,4,A,B,C PAGE 01

CLIENT NUM 519274XXX NAME DAY,SALLY E BD 07/31/979 SF R2 CNTY 015

CASE-NUM TC S S-I-G W CLI-CERT SSN 458-XX-53XX * ALIAS

C1 066092XXX 4 1 A 3 09/07/07

C2 068531XXX 1 1 8 M 09/20/07 COV TP OPEN CLOSE SD

C3 02R 01 09/01/07

C4 02R 01 10/01/05 01/31/06

C5

C6

TW FLAG LTC FLAG

CLIENT SCREEN A - WELFARE REFORM DATA PAGE 01

CLIENT NUM 519274XXX NAME DAY,SALLY E BD 07/31/979 SF R2 CNTY 015

PILOT INDICATOR SL/TIER 5 TIER REASON

IDA INDICATOR TARGET GRP 1 TL MONTHS USED 05

FINGERPRINT CODE Y VOLUNTEER N TL FREEZE OUT END DT

CARETKR EX END DT 08/2007 18 MONTH FLAG Y WORK HISTORY 00

OT LAST INELIG MO RA FLAG Y LITERACY LEVEL 11

PARENTING SKILLS LITERACY ASSESS DT 09/2007

JOBS CASE STATUS O NOTIFICATION EFF DT 09/2007

JOBS CLOSE DT

The specific field descriptions for Client Screen A —

Welfare Reform Data are:


PILOT INDICATOR — this code relates to Time

Limits policy. It may include one of the following

codes (no longer applicable):

C — client in RA (Responsibility Agreement)

Control Group

E — client in RA Pilot Experimental Group

R — client in RA Experimental Group (Non-

Choices Area)

S — client in RA Control Group (Non-Choices

Area)

L — client in TL (Time Limited) Control Group

T — client in TL Experimental Group

April 2008_v.4.0 Detailed Field Descriptions Page 3-9


TAMENU SAVERR Inquiry Reference Guide

Client Screen A

—Welfare

Reform Data

(continued)










X — client/household was in TL or RA Control

Group Area but later moved to Experimental Group

Area or Experimental Group Client moved into a

Control Group household. The Pilot Indicator is

changed to X for everyone in the household and

Time Limits or Responsibility Agreement now apply.

IDA INDICATOR — Individual Development

Account Indicator

FINGERPRINT CODE — Finger Imaging Code, e.g.

Y - finger images have been taken (See HHSC

Code Summary C-540, Page D-8)

CARETKR EX END DT — Caretaker Exemption

End Date (MM/YYYY); the last date the client is

eligible for an exemption due to caring for a child

OT LAST INELIG MO — one-time TANF Last

Ineligibility Month (MM/YYYY); the last month of

TANF ineligibility due to application of the one-time

TANF policy

PARENTING SKILLS — Codes:

R — advisor referred the client to Parenting

Skills course

J — client completed Parenting Skills through

the Choices (formerly JOBS) program

C — client completed Parenting Skills course

JOBS CASE STATUS — Choices codes are:

O — open

C — closed

JOBS CLOSE DT — effective date (MM/YYYY) the

Choices (formerly JOBS) case closed to services

SL/TIER

SL — Service Level — four JOBS service levels

were used for the JOBS program before WorkFirst

began. Codes ranged from one to four. Tier Levels

replaced codes.

Page 3-10 Detailed Field Descriptions April 2009_v.4.0


TAMENU SAVERR Inquiry Reference Guide

Client Screen A TIER- Tier Level. Time Limit Tier Codes replace

—Welfare

the SL codes:

Reform Data - Tier 5 — 12 months

(continued) - Tier 6 — 24 months

- Tier 7 — 36 months

- Tier 8 — Unknown (set by SAVERR if tier

data has not yet been received).







TARGET GRP — Target Groups are federal and

state categorizations of types of clients used to

obtain enhanced funding. The codes range from

one to nine.

VOLUNTEER — client volunteered for Choices

services during the eligibility interview:

Y — Yes, qualify

N — No.

18-MONTH FLAG — client gets 18 months of

Transitional Medicaid coverage as a volunteer for

Choices while exempt.

Y - Yes, qualify

BLANK - does not qualify.

RA FLAG — a signal that the caretaker and second

parent have signed the Personal Responsibility

Agreement (PRA):

Y — client has signed the PRA

P — client has signed the PRA but is no longer

a TANF recipient.

TIER REASON — Codes:

J — Choices staff changed a tier due to

functional literacy assessment

R — reset or re-determination; tier level

changed by Advisor.

TL MONTHS USED — Time Limited Months Used

(two-digit number) — number of months counted

towards the client’s state time limit. The maximum

amount of months in this field is the number of

months allowed in the client’s tier.

April 2008_v.4.0 Detailed Field Descriptions Page 3-11


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Client Screen A TL FREEZE OUT END DT — Time Limit Freeze

—Welfare

Out End Date (MM/YYYY) the five years after the

Reform Data

client reaches the Federal time limit

(continued)

WORK HISTORY — two-digit number representing

the number of months the client worked during a

24-month work history period




LITERACY LEVEL — two-digit number

representing the functional grade level. The

possible range of digits is 01 to 13 (13= post high

school).

LITERACY ASSESS DT — Literacy Assessment

Date (MM/YYYY) - date on which the functional

literacy level determined by the Choices specialist

NOTIFICATION EFF DT — Notification Effective

Date (MM/YYYY) — the month after the client

notified of Choices participation. This is the date

the state time limit clock starts ―ticking.‖

Client Screen B

—Time Limited

Months

Client Screen B — Time Limited Months provides

information about the specific months that have been

counted toward a client’s time limit.

The Client Screen section above describes Lines 1

and 2 fields. Line 1 also indicates the maximum

number of months to count toward the time limit for

this specific client.

Page 3-12 Detailed Field Descriptions April 2009_v.4.0


TAMENU SAVERR Inquiry Reference Guide

Client Screen B Client Screen B — Time Limited Months displays in

—Time Limited the lower half of the screen below Client Screen 1 —

Months

Primary.

(continued)

KEY __

CLIENT SCREEN 1 - ENTER 'C' & LINE # SCREENS= 1,2,4,A,B,C PAGE 01

CLIENT NUM 519274XXX NAME DAY,SALLY E BD 07/31/979 SF R2 CNTY 015

CASE-NUM TC S S-I-G W CLI-CERT SSN 458-XX-53XX * ALIAS

C1 066092XXX 4 1 A 3 09/07/07

C2 068531XXX 1 1 8 M 09/20/07 COV TP OPEN CLOSE SD

C3 02R 01 09/01/07

C4 02R 01 10/01/05 01/31/07

C5

C6

TW FLAG LTC FLAG

CLIENT SCREEN B -TIME LIMITED MONTHS TIER MONTHS MAX 12

CLIENT NUM 519274XXX NAME DAY,SALLY E BD 07/31/979 SF R

PAGE 01

CNTY 015

BENEFIT

MONTH

12/2007

11/2007

09/2007

BENEFIT

MONTH

BENEFIT

MONTH

BENEFIT

MONTH

BENEFIT

MONTH

BENEFIT

MONTH

The specific field descriptions for Client Screen B —

Time Limited Months are:


TIER MONTHS MAX — indicates the maximum

number of state time limit months a client can

receive TANF benefits. Inquiry uses the value in the

SL/TIER field to determine this number. The

following table shows the formula:

If the SL/Tier field

is….

The Tier Months Max

field displays

5 12

6 24

7 36


Benefit Month — MM/YYYY displays the history

of the State Time Limited months used. Use this

screen to check the accuracy of the number of

TANF months used.

April 2008_v.4.0 Detailed Field Descriptions Page 3-13


TAMENU SAVERR Inquiry Reference Guide

Client Screen B

—Time Limited

Months

(continued)

Client Screen C

—Penalty/

Good Cause

History

The maximum number of months the Benefit Month

screen displays is 36. The screen is blank if there

are no months used towards the state time limit.

Client Screen C — Penalty/Good Cause History

gives you with the type and the start and end dates of

any penalty assessed against the client or any good

cause granted the client.

The Client Screen section above describes Lines 1

and 2 fields.

Client Screen C — Penalty/Good Cause History

displays in the lower half of the screen below Client

Screen 1 — Primary.

KEY __

CLIENT SCREEN 1 - ENTER 'C' & LINE # SCREENS= 1,2,4,A,B,C PAGE 01

CLIENT NUM 519274XXX NAME DAY,SALLY E BD 07/31/979 SF R2 CNTY 015

CASE-NUM TC S S-I-G W CLI-CERT SSN 458-XX-53XX * ALIAS

C1 066092XXX 4 1 A 3 09/07/07

C2 068531XXX 1 1 8 M 09/20/07 COV TP OPEN CLOSE SD

C3 02R 01 09/01/07

C4 02R 01 10/01/05 01/31/07

C5

C6

TW FLAG LTC FLAG

CLIENT SCREEN C - PENALTY/GOOD CAUSE HISTORY PAGE 01

CLIENT NUM 519274XXX NAME DAY,SALLY E BD 07/31/979 SF R CNTY 015

TYPE START END TYPE START END TYPE START END

F 12/2007

Page 3-14 Detailed Field Descriptions April 2009_v.4.0


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Client Screen C The specific field descriptions for Client Screen C —

—Penalty/

Penalty/Good Cause History are:

Good Cause

History TYPE — for Codes. See table below for codes.

(continued)

If a penalty is imposed, the

following codes are displayed

Requested by Choices

Staff/Imposed by HHSC Texas

Works Staff

Choices Penalty Codes,

indicating whether it is the first,

second, or third time or more that

the client failed to comply:

If good cause is

granted, the following

codes are displayed

Determined by Choices

staff

HHSC (TDHS) code:

F – first month non-cooperation

5

S – second month noncooperation

5

T – forfeit month(s) of noncooperation

5

Determined and imposed by

HHSC Texas Works staff:

Non-Choices Penalty Codes:

C – Child Support

V – Voluntary Quit

Determined and Imposed

by HHSC Texas Works

staff:

Non-Choices Good

Cause Codes:

No Good Cause code

exists

E – Texas Health Steps 6

G – Immunization

1 alternate schedule

2 medical

3 religious beliefs

4 control or grace period

A – School Attendance

No Good Cause code

exists

P – Parenting Skills 7

D – Drugs/Alcohol

No Good Cause code

exists

April 2008_v.4.0 Detailed Field Descriptions Page 3-15


TAMENU SAVERR Inquiry Reference Guide

Client Screen E

— SNAP (FS)

Disqualifications

and

Work

Requirement

Data

Client Screen E — SNAP (formerly known as Food

Stamps-FS) Disqualifications and Work

Requirement Data gives you with information about

the SNAP disqualifications imposed on the specific

client named on the Primary Screen. It also provides

information about the SNAP work requirements of the

specific client.

The Client Screen section above describes Lines 1

and 2 fields.

Client Screen E — SNAP (FS) Disqualifications and

Work Requirement Data displays in the lower half of

the screen below Client Screen 1 — Primary.

KEY __

CLIENT SCREEN 1 - ENTER 'C' & LINE # SCREENS= 1,4,A,E,T PAGE 01

CLIENT NUM 525571XXX NAME JONES,SALLY BD 10/08/964 SF R3 CNTY 015

CASE-NUM TC S S-I-G W CLI-CERT SSN 429-XX-87XX * ALIAS

C1

C2 COV TP OPEN CLOSE SD

C3

C4

C5

C6

TW FLAG LTC FLAG

CLIENT SCREEN E-FS DISQUALIFICATIONS AND WORK REQUIREMENT DATA PAGE 01

CLIENT NUM 525571XXX NAME JONES,SALLY BD 10/08/964 S F R 3 CNTY 015

DISQUALIFICATIONS:

WORK REQUIREMENT:

FUGITIVE WORK REQUIREMENT END DATE 08/2008

INELIG ALIEN (DOC)

INELIG ALIEN (UNDOC)

ELIGIBILITY MONTHS:

SSN REQUIREMENT 1 09/2005

DRUG CONVICTION 2 05/2007

Y E&T/VOL QUIT

LAST CHANGED BY P

S E&T/VOL QUIT COUNTER LAST CHANGED ON 06/01/2007

Page 3-16 Detailed Field Descriptions April 2009_v.4.0


TAMENU SAVERR Inquiry Reference Guide

Client Screen E

— SNAP (FS)

Disqualifications

and

Work

Requirement

Data

(continued)

The specific field descriptions for Client Screen E —

SNAP (FS) Disqualification and Work Requirement

Data are:


DISQUALIFICATIONS — (See HHSC Code C-540,

Page D-8):

B — ineligible alien without BCIS document

C — ineligible alien with BCIS document

D — felony drug conviction

F — first offense failure to comply with

Employment Services Program (ESP)

requirements (Employment and

Training/voluntary quit/reducing hours to less

than 30)

J — fugitive

N — failure to meet Social Security number

requirement

S — second offense failure to comply with ESP

requirements

T — third or subsequent offense failure to comply

with ESP requirements

W — failure to comply with the 18-50 SNAP work

requirement.



E&T/VOL QUIT — Flag indicating that a client has

been disqualified from a SNAP case because of

non-compliance with the employment and training

program:

Y — currently disqualified

N — previously disqualified, but is no longer

disqualified

Blank — not currently or previously disqualified.

E&T/VOL QUIT COUNTER — the client’s offense

count:

F — first E&T/voluntary quit offense

S — second E&T/voluntary quit offense

T — third and subsequent E&T/voluntary quit

offense

Blank — no E&T/voluntary quit offense record.

April 2008_v.4.0 Detailed Field Descriptions Page 3-17


TAMENU SAVERR Inquiry Reference Guide

Client Screen E LAST CHANGED BY — type of process by which

— SNAP (FS) the last update to the SNAP (FS) client

Disqualifi-

disqualification record was made:

cations and

A — change was made by the Add process

Work

F — change was made by the Force Change

Requirement

process

Data

M — change was made by the Merge process

(continued)

S — change was made by the Separate process

P — change was made by the Plucker process

C — change was made by the Conversion

process.





LAST CHANGED ON — last date an update was

made to the SNAP (FS) client disqualification

record.

WORK REQUIREMENT — flag indicating that a

client eighteen to fifty years of age who has been

receiving SNAP is disqualified from a SNAP (FS)

case. This happens when, for three months within a

36-month period, the client’s average weekly work

hours fall below 20 hours:

Y — currently disqualified

N — previously disqualified but is no longer

disqualified

Blank — not currently or previously disqualified.

WORK REQUIREMENT END DATE — the date a

client’s 36 months of 18-50 SNAP work requirement

ends.

ELIGIBILITY MONTHS:

1 — first month a client worked less than twenty

hours per week and received SNAP (FS)

benefits

2 — second month a client worked less than

twenty hours per week and received SNAP (FS)

benefits

3 — third month a client worked less than twenty

hours per week and received SNAP (FS)

benefits

4 — fourth month a client worked less than

twenty hours per week and received SNAP (FS)

benefits.

Page 3-18 Detailed Field Descriptions April 2009_v.4.0


TAMENU SAVERR Inquiry Reference Guide

SNAP (formerly

known as Food

Stamp) Case

Screens

Eight different SNAP (formerly known as Food Stamp)

Screens are available, and each screen provides

different information. The screens are:


SNAP (FS) Case Screen 1 — Primary








SNAP (FS) Case Screen 2 — Active Clients List

SNAP (FS) Case Screen 3 — Budget

SNAP (FS) Case Screen 4 — Miscellaneous

SNAP (FS) Case Screen 5 — Client History

SNAP (FS) Case Screen 6 — Overpayment

SNAP (FS) Case Screen 7 — Benefit Summary

SNAP (FS) Case Screen 8 — Benefit History

The first two lines of each SNAP (FS) Case Screen

provides identical information:




screen number

screen title

page number.

The second line of all SNAP (FS) Case Screens also

provides the same information:




Case — nine digit case number, which usually

begins with zero.

Case Status:

active

denied

suspended

hold.

CAT — category of assistance (See HHSC Code

Summary C-540, Page D-1).

April 2008_v.4.0 Detailed Field Descriptions Page 3-19


TAMENU SAVERR Inquiry Reference Guide

SNAP (formerly AID TYPE — type of SNAP household (See HHSC

known as Food Code Summary C-540, Page D-4)

Stamp) Case

Screens BJN — TDHS (HHSC) caseworker’s budgeted job

(continued)

number



MC — advisor’s mail code

CNTY — client’s county of residence (see County

Codes in Appendix E)

SNAP (formerly

known as FS)

Case Screen 1—

Primary

SNAP (FS) Case Screen 1 — Primary provides

general information about the SNAP case.

The SNAP (FS) Case Screen section above provides

Lines 1 and 2 field descriptions.

KEY __

SNAP (FS) CASE SCREEN 1 --- PRIMARY

PAGE

1

CASE 013228XXX ACTIVE CAT 06 AID TYPE 3 BJN 086-04-C-04MC 281-2CNTY 015

CASE NAME BEE,MARIA ANN ORIG CERT 05/01/06 SEQ 63 PRINTED 11/18/07

CERT DATE 09/01/07 LAST FORM 1000-A/B

AUTH REP LAST ATP 02/08 REVIEW C

MAIL ADDR 133 KAY ST MOS CERT 06 FORM EFF DT 01/01/08

APT 115 PERSONS 04

SAN ANTONIO TX PLAN C SSI

ZIP78213 EBT PA# 063719XXX

HOLD CODE 0 DT 09/06 APP NO A13228XXX

CASH 0.00 STAMPS 454 ACTION CD DT TIERS FLAG

The specific field descriptions for SNAP (FS) Case

Screen 1 — Primary are:





CASE NAME — name of the head of household

AUTH REP — name of the authorized

representative allowed to use the EBT account to

buy food for the household

MAIL ADDR — mailing address of the client

CASH — always zero; household allotments are

adjusted for income

Page 3-20 Detailed Field Descriptions April 2009_v.4.0


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April 2008_v.4.0 Detailed Field Descriptions Page 3-21


TAMENU SAVERR Inquiry Reference Guide

SNAP (formerly

known as FS)

Case Screen 1—

Primary

(continued)



STAMPS — amount of allotment the client’s

household is entitled to

ORIG CERT — date of the earliest certification for

a continuous period of eligibility

SEQ — sequence number of the Form 1000-B

eligibility document











PRINTED — date the latest Form 1000-A/B was

processed

CERT DATE — effective date of the most recent

certification or re-certification for the case

LAST ATP — date (MM/YY) that this case will

receive its last Electronic Benefits Transfer (EBT)

allotment in the current certification period

REVIEW — type of case review reported on the last

Form 1000-B (See HHSC Code Summary C-540,

Page D-4)

MOS CERT — number of months certified

FORM EFF DT — effective date of the latest Form

1000-B eligibility document

PERSONS — number of persons in the household

eligible to receive SNAP

PLAN — documentation shown if the household is

subject to income eligibility test or shelter deduction

SSI — ―X‖ indicates that every member of the

household receives SSI; no entry indicates that at

least one person in the household does not receive

SSI

EBT — SNAP cases in Texas are on Electronic

Benefits Transfer (EBT)

Page 3-22 Detailed Field Descriptions April 2009_v.4.0


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SNAP (formerly PA # — case number of a related TANF case if

known as FS)

applicable. This data is not always current.

Case Screen 1—

Primary HOLD CODE — code indicating the benefits have

(continued)

been placed on hold (withheld) or released. (See

HHSC Code Summary C-540, Page D-6)






DT — MM/YY the hold or release became effective

APP NO — application number from the most

recent NOA, Notice of Application

ACTION CD — entry indicates the case is denied.

(See HHSC Code Summary C-540, Page D-6)

DT — date the case denied

TIERS FLAG — ―T‖ indicates case moved to TIERS

April 2008_v.4.0 Detailed Field Descriptions Page 3-23


TAMENU SAVERR Inquiry Reference Guide

SNAP (FS) Case

Screen 2—

Active Client

List

SNAP (FS) Case Screen 2 — Active Client List

provides a list of all persons who are considered SNAP

household members.

The SNAP (FS) Case Screen section above provides

Lines 1 and 2 field descriptions.

SNAP (FS) Case Screen 2 — Active Client List

displays in the lower half of the screen below SNAP

(FS) Case Screen 1 — Primary.

KEY __

SNAP (FS) CASE SCREEN 1 --- PRIMARY

PAGE

1

CASE 013228XXX ACTIVE CAT 06 AID TYPE 3 BJN 086-04-C-04MC 281-2CNTY 015

CASE NAME BEE,MARIA ANN ORIG CERT 05/01/06 SEQ 63 PRINTED 11/18/07

CERT DATE 09/01/07 LAST FORM 1000-A/B

AUTH REP LAST ATP 02/08 REVIEW C

MAIL ADDR133 KAY ST MOS CERT 06 FORM EFF DT 01/01/08

APT 115 PERSONS 04

SAN ANTONIO TX PLAN C SSI

ZIP 78213 EBT PA# 063719XXX

HOLD CODE 0 DT 09/04 APP NO A13228XXX

CASH 0.00 STAMPS 454 ACTION CD DT TIERS FLAG

FSCASE SCREEN 2-ACTIVE CLIENTS LIST ENTER"C"& LINE #FOR CLIENT PAGE 01

CASE 013228XXX ACTIVE CAT 06 AID TYPE 3 BJN 086-04-C-04 MC 281-2 CNTY

015

PL CLIENT NO NAME BIRTH DT SR SIG SSN

C1 1A 506674XXX BEE,MARIA ANN 10/08/964 F3 A 472-XX-74XX

C2 1B 506855XXX BEE,ELIZA 05/07/996 F3 463-XX-69XX

C3 1C 508323XXX BEE,BOB 12/16/997 M3 465-XX-87XX

C4 1D 510631XXX BEE,BRAD 09/15/003 M3 626-XX-63XX

Page 3-24 Detailed Field Descriptions April 2009_v.4.0


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SNAP (FS) Case The specific field descriptions for SNAP (FS) Case

Screen 2—

Screen 2 — Active Client List are:

Active Client

List PL — page and line number of the client on the

(continued)

Form 1000-A/B







CLIENT NO — a nine-digit number beginning with a

number one through five that is each client’s unique

identifier in the SAVERR system

NAME — client’s name

BIRTH DT — MM/DD/YYY of client’s birth

SR — client’s declared gender and race

SIG — client’s status in group (e.g., A for head of

household). (See HHSC Code Summary C-540,

Page D-2)

SSN — client’s Social Security number.

SNAP (FS) Case

Screen 3—

Budget

SNAP (FS) Case Screen 3 — Budget provides an

overview of the SNAP household budget used to

determine eligibility for SNAP benefits.

The SNAP (FS) Case Screen section above provides

field descriptions of Lines 1 and 2.

April 2008_v.4.0 Detailed Field Descriptions Page 3-25


TAMENU SAVERR Inquiry Reference Guide

SNAP (FS) Case

Screen 3—

Budget

(continued)

SNAP (FS) Case Screen 3 — Budget displays in the

lower half of the screen below SNAP (FS) Case

Screen 1 — Primary.

KEY __

SNAP (FS) CASE SCREEN 1 --- PRIMARY PAGE 1

CASE 013228XXX ACTIVE CAT 06 AID TYPE 3 BJN 086-04-C-04MC 281-2CNTY 015

CASE NAME BEE,MARIA ANN ORIG CERT 05/01/06 SEQ 63 PRINTED 11/18/07

CERT DATE 09/01/07 LAST FORM 1000-A/B

AUTH REP LAST ATP 02/08 REVIEW C

MAIL ADDR 133 KAY ST MOS CERT 06 FORM EFF DT 01/01/08

APT 115 PERSONS 04

SAN ANTONIO TX PLAN C SSI

ZIP 78213 EBT PA# 063719XXX

HOLD CODE 0 DT 09/04 APP NO A13228XXX

CASH 0.00 STAMPS 454 ACTION CD DT TIERS FLAG

FS CASE SCREEN 3 --- BUDGET

CASE 013228XXX ACTIVE CAT 06 AID TYPE 3 BJN 086-04-C-04MC 281-2CNTY 015

EARNED DEDUC AGI 5.00

RSDI FARM DED EXEC SHELTER 168.50

ITEM53

PASS CD

SSI PASS XMPT NET INCOME

RR

OTHER 139.00 SHELTER 171.00

UTIL CD 1

T INC 139.00 MED COST

The specific field descriptions for SNAP (FS) Case

Screen 3 — Budget are:








EARNED — amount of gross earned income of the

household

RSDI — amount of social security benefits received

ITEM 53 — amount of veterans benefits, pensions,

and/or unemployment compensation received (See

HHSC Code Summary C-540, Page D-4)

SSI — amount of supplemental security income

received

RR — amount of railroad retirement income

received

OTHER — amount of miscellaneous income

received

T INC — total income

Page 3-26 Detailed Field Descriptions April 2009_v.4.0


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April 2008_v.4.0 Detailed Field Descriptions Page 3-27


TAMENU SAVERR Inquiry Reference Guide

SNAP (FS) Case DEDUC — amount of total deductions

Screen 3—

Budget FARM DEDUC — amount of farm deductions

(continued)

SHELTER — household shelter deductions






UTILITY CD — utility code (See HHSC Code

Summary C-540, Page D-5)

MED COST — amount of medical cost deduction

AGI — household’s adjusted gross income

EXEC SHELTER — excess shelter allowance

NET INCOME — amount of SNAP is based on the

net income and household size.

SNAP (FS) Case

Screen 4—

Miscellaneous

SNAP (FS) Case Screen 4 — Miscellaneous gives

you information on child support income and the

amount of the child support disregard.

The SNAP (FS) Case Screen section above provides

Lines 1 and 2 field descriptions.

SNAP (FS) Case Screen 4 — Miscellaneous displays

in the lower half of the screen below SNAP (FS) Case

Screen 1 — Primary.

KEY __

SNAP (FS) CASE SCREEN 1 — PRIMARY PAGE 1

CASE 013228XXX ACTIVE CAT 06 AID TYPE 3 BJN 086-04-C-04MC 281-2CNTY 015

CASE NAME BEE,MARIA ANN ORIG CERT 05/01/06 SEQ 63 PRINTED 11/18/07

CERT DATE 09/01/07 LAST FORM 1000-A/B

AUTH REP LAST ATP 02/08 REVIEW C

MAIL ADDR 133 KAY ST MOS CERT 06 FORM EFF DT 01/01/08

APT 110E PERSONS 04

SAN ANTONIO TX PLAN C SSI

ZIP 78213 EBT PA# 063719XXX

HOLD CODE 0 DT 09/04 APP NO A13228XXX

CASH 0.00 STAMPS 454 ACTION CD DT TIERS FLAG

SNAP (FS) CASE SCREEN 4 — MISCELLANEOUS

CASE 013228XXX ACTIVE CAT 06 AID TYPE 3 BJN 086-04-C-04MC 281-2CNTY 015

-------- ATTORNEY GENERAL CHILD SUPPORT ---------

MO/YR CD REC'D BUDGET MO/YR CD REC'D BUDGET TDL: 10016XXX

07/06 A 50.00 50.00

RES ADDR DB01

Page 3-28 Detailed Field Descriptions April 2009_v.4.0


TAMENU SAVERR Inquiry Reference Guide

SNAP (FS) Case The specific field descriptions for SNAP (FS) Case

Screen 4—

Screen 4 — Miscellaneous are:

Miscellaneous

(continued) MO/YR — month and year of child support

disregard payment





CD — code describes the amount displayed in the

BUDGET field:

A — amount entered from Attorney General

information

N — previous disregard payment amount has

been replaced with an amount of zero (based

on Attorney General information)

P — amount entered by the worker

H — disregard payment amount previously

reported by the Attorney General has been

replaced by the advisor

REC’D — actual disregard amount paid to the

client(s) in the MO/YR shown

BUDGET — anticipated amount of child support

disregard budgeted to determine benefits received

in the MO/YR shown

TDL — Texas driver’s license of the head of

household

SNAP (FS) Case

Screen 5—Client

History

SNAP (FS) Case Screen 5 — Client History gives

you a listing of all persons, by client number, who have

been associated with the specific SNAP case

indicated.

Lines 1 and 2 field descriptions are provided in the

SNAP (FS) Case Screen section above.

April 2008_v.4.0 Detailed Field Descriptions Page 3-29


TAMENU SAVERR Inquiry Reference Guide

SNAP (FS) Case

Screen 5—Client

History

(continued)

SNAP (FS) Case Screen 5 — Client History displays

in the lower half of the screen below SNAP (FS) Case

Screen 1 — Primary.

KEY __

SNAP (FS) CASE SCREEN 1 --- PRIMARY

PAGE

1

CASE 013228XXX ACTIVE CAT 06 AID TYPE 3 BJN 086-04-C-04MC 281-2CNTY 015

CASE NAME BEE,MARIA ANN ORIG CERT 05/01/06 SEQ 63 PRINTED 11/18/07

CERT DATE 09/01/07 LAST FORM 1000-A/B

AUTH REP LAST ATP 02/08 REVIEW C

MAIL ADDR 133 KAY MOS CERT 06 FORM EFF DT 01/01/08

APT 115 PERSONS 04

SAN ANTONIO TX PLAN C SSI

ZIP 78213 EBT PA# 063719XXX

HOLD CODE 0 DT 09/04 APP NO A13228XXX

CASH 0.00 STAMPS 454 ACTION CD DT TIERS FLAG

FSCASE SCREEN5-CLIENT HISTORY ENTER LETTER/NUMBER BESIDE CLIENT#PAGE 01

CASE 013228XXX ACTIVE CAT 06 AID TYPE 3 BJN 086-04-C-04MC 281-2CNTY 015

CLIENT NO CLIENT NO CLIENT NO CLIENT NO CLIENT NO CLIENT NO

A1 504212XXX

A2 518870XXX

To view a client screen, enter the line reference

number (e.g., A1, A2, B7, C4) that corresponds to the

client in the KEY:__ field on the primary screen.

The body of the screen lists up to six columns of client

numbers (CLIENT NO) of any client who had a prior

affiliation with this case.

The most recent client number affiliated with the case

is the last entry.

SNAP (FS) Case

Screen 6—

Overpayment

The SNAP (FS) Case Screen 6 — Overpayment

screen reflects information about benefit overpayments

that TDHS (HHSC) has taken action to recover.

Lines 1 and 2 field descriptions are provided in the

SNAP (FS) Case Screen section above.

Page 3-30 Detailed Field Descriptions April 2009_v.4.0


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SNAP (FS) Case

Screen 6—

Overpayment

(continued)

The sample screen indicates that the household’s

offense resulted in a $909 overpayment. As a result,

TDHS (HHSC) reduced benefits for twelve months,

beginning January 2007, until the entire $909 in

benefits was recovered. The overpayment was

considered a client error that was not fraudulent.

SNAP (FS) Case Screen 6 — Overpayment displays

in the lower half of the screen below SNAP (FS) Case

Screen 1 — Primary.

KEY

SNAP (FS) CASE SCREEN 1 — PRIMARY PAGE 1

CASE 013228XXX ACTIVE CAT 06 AID TYPE 3 BJN 086-04-C-04MC 281-2CNTY 015

CASE NAME BEE,MARIA ANN ORIG CERT 05/01/06 SEQ 63 PRINTED 11/18/07

CERT DATE 09/01/07 LAST FORM 1000-A/B

AUTH REP LAST ATP 02/08 REVIEW C

MAIL ADDR 133 KAY MOS CERT 06 FORM EFF DT 01/01/08

APT 115 PERSONS 04

SAN ANTONIO TX PLAN C SSI

ZIP 78213 EBT PA# 063719XXX

HOLD CODE 0 DT 09/06 APP NO A13228XXX

CASH 0.00 STAMPS 454 ACTION CD DT TIERS FLAG

SNAP (FS) CASE SCREEN 6 — OVERPAYMENT SCREEN PAGE 01

CASE 013228XXX ACTIVE CAT 06 AID TYPE 3 BJN 086-04-C-04 MC 278-8 CNTY

015

STATUS FRAUD: CLIENT: CTIVE 10% AGENCY

BEG/END MONTH/YEAR 01/07 12/07

MOS WH / START DT 12 1/07

OVERPAYMENT AMT 909.00

RESTITUTION PD TO DT 400.00

RECOUPMENT PD TO DT 509.00

CLAIM BALANCE 0.00

LAST AMOUNT COLLECTED 100.00


STATUS — Information listed under the category of

Fraud, Client, and/or Agency refers to who caused

the overpayment.

SNAP (FS) Case

Screen 7—

Benefit

Summary

SNAP (FS) Case Screen 7 — Benefit Summary gives

you information on the date, amount, type and value of

SNAP benefits received by the household.

Lines 1 and 2 field descriptions are provided in the

SNAP (FS) Case Screen section above.

April 2008_v.4.0 Detailed Field Descriptions Page 3-31


TAMENU SAVERR Inquiry Reference Guide

SNAP (FS)Case

Screen 7—

Benefit

Summary

(continued)

SNAP (FS) Case Screen 7 — Benefit Summary

displays in the lower half of the screen below SNAP

(FS) Case Screen 1 — Primary.

KEY __

SNAP (FS) CASE SCREEN 1 --- PRIMARY

PAGE

1

CASE 013228XXX ACTIVE CAT 06 AID TYPE 3 BJN 086-04-C-04MC 281-2CNTY 015

CASE NAME BEE,MARIA ANN ORIG CERT 05/01/06 SEQ 63 PRINTED11/18/07

CERT DATE 09/01/07 LAST FORM 1000-A/B

AUTH REP LAST ATP 02/08 REVIEW C

MAIL ADDR 133 KAY ST MOS CERT 06 FORM EFF DT 01/01/08

APT 110E PERSONS 04

SAN ANTONIO TX PLAN C SSI

ZIP 78213 EBT PA# 063719XXX

HOLD CODE 0 DT 09/04 APP NO A13228XXX

CASH 0.00 STAMPS 454 ACTION CD DT TIERS FLAG

SNAP (FS) CASE SCREEN 7 --- BENEFIT SUMMARY

PAGE

1

CASE 013228XXX CAT 06 AID TYPE 3 BJN 086-04-C-04 CNTY 015

CASE NAME BEE,MARIA ANN

ISSUED USED ISSUED USED

DATE # VALUE #PERS TYPE # VALUE DATE # VALUE #PERS TYPE # VALUE

01/08 1 454 4 A 1 454 07/07 1 445 4 A 1 445

02/07 1 445 4 A 1 445 08/07 1 445 4 A 1 445

03/07 1 445 4 A 1 445 09/07 1 445 4 A 1 445

04/07 1 445 4 A 1 445 10/07 1 454 4 A 1 454

05/07 1 445 4 A 1 445 11/07 1 454 4 A 1 454

06/07 1 445 4 A 1 445 12/07 1 454 4 A 1 454

The specific field descriptions for SNAP (FS) Case

Screen 7 — Benefit Summary are:





ISSUED — SNAP allotment for the household for

that month

USED — value of the SNAP used from the

household’s food account for that month

DATE — issue date (MM/YY) of the SNAP

Electronic Benefit Transfer (EBT) allotment

# — number of EBT issued to the household for the

indicated month

Page 3-32 Detailed Field Descriptions April 2009_v.4.0


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April 2008_v.4.0 Detailed Field Descriptions Page 3-33


TAMENU SAVERR Inquiry Reference Guide

SNAP (FS) Case # PERS — number of persons in the household

Screen 7—

Benefit VALUE under Issued — amount of EBT issued

Summary

(continued) TYPE — type of issuance, i.e., A for initial benefit,

E for initial expedited benefits, L for restoring full

benefits for a past month (See HHSC Code

Summary C-540, Page D-7)



# — number of EBTs transferred into the

household’s EBT account for that month

VALUE under Used — amount of EBT used

SNAP (FS) Case

Screen 8—

Benefit History

SNAP (FS) Case Screen 8 — Benefit History

provides specific information about the SNAP benefits

received by the household.

Lines 1 and 2 field descriptions are provided in the

SNAP (FS) Case Screen section above.

SNAP (FS) Case Screen 8 — Benefit History

displays in the lower half of the screen below SNAP

(FS) Case Screen 1 — Primary.

KEY __

SNAP (FS) CASE SCREEN 1 --- PRIMARY

PAGE

1

CASE 013228XXX ACTIVE CAT 06 AID TYPE 3 BJN 086-04-C-04MC 281-2CNTY 015

CASE NAME BEE,MARIA ANN ORIG CERT 05/01/06 SEQ 63 PRINTED 11/18/07

CERT DATE 09/01/07 LAST FORM 1000-A/B

AUTH REP LAST ATP 02/08 REVIEW C

MAIL ADDR 133 KAY ST MOS CERT 06 FORM EFF DT 01/01/08

APT 110E PERSONS 04

SAN ANTONIO TX PLAN C SSI

ZIP 78213 EBT PA# 063719XXX

HOLD CODE 0 DT 09/04 APP NO A13228XXX

CASH 0.00 STAMPS 454 ACTION CD DT TIERS FLAG

SNAP (FS) SCREEN 8 - BENEFIT HISTORY

PAGE 1

CASE 013228XXX CAT 06 AID TYPE 3 BJN 086-04-C-04 CNTY 015

CASE NAME BEE,MARIA ANN

BENEFIT# IS/CAN TYP VAL RECP PRS AID CTY ISSUE-DT EFF

RW2436X M A 454 0 4 3 015 01/01/08 01/08

RQ9821X M A 454 0 4 3 015 12/01/07 12/07

RL6676X M A 454 0 4 3 015 11/01/07 11/07

RG0838X M A 454 0 4 3 015 10/01/07 10/07

RA9167X M A 445 0 4 3 015 09/01/07 09/07

QV7045X M A 445 0 4 3 015 08/01/07 08/07

QQ5490X M A 445 0 4 3 015 07/01/07 07/07

Page 3-34 Detailed Field Descriptions April 2009_v.4.0


TAMENU SAVERR Inquiry Reference Guide

SNAP (FS) Case The specific field descriptions for SNAP (FS) Case

Screen 8—

Screen 8 —Benefit History are:

Benefit History

(continued) BENEFIT # — also called the Electronic Benefit

Number; the identifying number for the individual

EBT deposit










IS/CAN — how the SNAP benefits were issued

(See HHSC Code Summary C-540,

Page D-6):

S — reporting Administrative Terminal

Application (ATA) issuance

E — requesting issuance or timely reporting

benefits issued via the ATA

N — requesting cancellation of benefits

TYP — type of SNAP benefits issued (See HHSC

Code Summary C-540, Page D-7)

VAL — total value of SNAP issued

RECP — recoupment amount

PRS — number of persons in the household

AID — type of SNAP household

CTY — county code

ISSUE DT — date the benefits were issued

EFF — date (MM/YY) the benefits are available in

the EBT account.

April 2008_v.4.0 Detailed Field Descriptions Page 3-35


TAMENU SAVERR Inquiry Reference Guide

Public

Assistance Case

Screens

Six different Public Assistance (PA) Case Screens

are available; each screen providing different

information.







PA Case Screen 1 — Primary

PA Case Screen 2 — Active Clients List

PA Case Screen 5 — Client History

PA Case Screen 7 — Benefit Summary

PA Case Screen 8 — Benefit History

PA Case Screen 9 — Sanction Information

Page 3-36 Detailed Field Descriptions April 2009_v.4.0


TAMENU SAVERR Inquiry Reference Guide

Public

The first line of each PA Case screen provides the

Assistance Case same information:

Screens

(continued) screen number



screen title

page number.

The second line of all PA Case screens also provides

the same information:







Case — nine-digit case number beginning with zero

Case Status:

active

denied

hold.

CAT — the category of assistance:

1 — age

2 — TANF recipient

3 — blind

4 — disabled

5 — refugee.

TP — type of TANF program that the client is

applying for/receiving, and whether the client is

named on the grant (See HHSC Code Summary C-

540, Page D-4):

01 — the client is named on the grant; money

grant and Medicaid

07 or 37 — 12 or 18 months of Medical

Assistance only

61 — TANF-UP cash and medical assistance

other PA programs in the medical programs list

in the appendix.

BP — Medicaid Only (MAO) code indicating living

arrangement.

BJN — advisor’s budgeted job number.

April 2008_v.4.0 Detailed Field Descriptions Page 3-37


TAMENU SAVERR Inquiry Reference Guide

Public MC — advisor’s mail code.

Assistance Case

Screens CNTY — client’s county of residence.

(continued)

PA Case Screen

1—Primary

PA CASE SCREEN 1 — Primary gives you general

information about the Public Assistance Case.

Lines 1 and 2 field description are provided in the PA

Case Screen section above.

KEY __

PA CASE SCREEN 1 - PRIMARY PAGE 1

CASE 063719XXX ACTIVE CAT 02 TP 01 BP BJN 086-04-C-04 MC 281-2CNTY 015

CASE NAME BEE,MARIA ANN DATE FILE 06/16/06 SEQ 18 PRINTED 11/17/07

CERT DATE 06/25/06 LAST FORM 1000-A/B

GN/PAY/RP GRANT EFF 03/01/07 REVIEW I ACTION 138

MAIL ADDR 133 KAY ST 3MO PRIOR FORM EFF DT 01/01/08

APT 115

END DATE

SAN ANTONIO TX78213 HOLD CD/DT 8 02/06 PERIODIC RV DT 01/18/08

TEMP ADDR N EBT PAW 013228XXX GRANT 293 APP INC

TIERS FLAG

The specific field descriptions for PA Case Screen 1

— Primary are:






CASE NAME — name of the caretaker

GN/PAY/RP — name of guardian, payee or

representative (if different from case name) allowed

to receive/utilize the TANF grant on the family’s

behalf

MAIL ADDR — client’s mailing address

TEMP ADDR — temporary address

Y — yes

N — no

DATE FILE — date the client filed for benefits that

were subsequently granted

SEQ — sequence number of the Form 1000-B

eligibility document

Page 3-38 Detailed Field Descriptions April 2009_v.4.0


TAMENU SAVERR Inquiry Reference Guide

PA Case Screen

1—Primary

(continued)












PRINTED — LAST FORM 1000-A/B — date the

latest Form 1000-A/B eligibility document was

processed

CERT DATE — effective date of the most recent

certification or re-certification for the case

GRANT EFF — effective date of the grant

REVIEW — type of the case review reported on the

last Form 1000-B. (See HHSC Code Summary C-

540, Page D-4)

C — complete review

I — incomplete review

N — non-review activity (case maintenance)

ACTION — code representing the action taken on

the case (See HHSC Code Summary C-540, Page

D-6)

3 MO PRIOR — number of unduplicated months of

Medicaid coverage granted under the three-months

prior provision; the remaining characters indicate

the date (MM/YY) of the application for three

months prior coverage.

FORM EFF DATE — date the case action was, is,

or will be effective

END DATE — date Medicaid coverage ends

HOLD CD/DT — hold/release code indicating the

reason benefits are held/released on an active case

(See HHSC Code Summary C-540, Page D-6)

PERIODIC RV DT — date the case is due for a

periodic review (about six months from the printed

date)

PAW — number of an associated SNAP case

April 2008_v.4.0 Detailed Field Descriptions Page 3-39


TAMENU SAVERR Inquiry Reference Guide

PA Case Screen GRANT — whole dollar amount of the TANF grant

1—Primary

(continued) APP INC — applied income amount a Medical

Assistance Only (MAO) recipient must pay, from his

or her own income, toward institutional or nursing

care costs


TIERS FLAG — ―T‖ indicates case moved to TIERS

PA Case Screen

2—Active

Clients List

PA Case Screen 2 — Active Clients Lists gives you

information about who is included in the PA group.

Lines 1 and 2 field descriptions are provided in the PA

Case Screen section above.

PA Case Screen 2 — Active Clients List displays in

the lower half of the screen below PA Case Screen 1

— Primary.

KEY __

PA CASE SCREEN 1 --- PRIMARY

PAGE

1

CASE 063719XXX ACTIVE CAT 02 TP 01 BP BJN 086-04-C-04MC 281-2CNTY 015

CASE NAME BEE,MARIA ANN DATE FILE 06/16/06 SEQ 18 PRINTED 11/17/07

CERT DATE 06/25/06 LAST FORM 1000-A/B

GN/PAY/RP GRANT EFF 03/01/07 REVIEW I ACTION 138

MAIL ADDR 133 KAY ST 3MO PRIOR FORM EFF DT 01/01/08

APT 115

END DATE

SAN ANTONIO TX78213 HOLD CD/DT 8 02/06 PERIODIC RV DT 01/18/08

TEMP ADDR N EBT PAW 013228XXX GRANT 293 APP INC

TIERS FLAG

PA CASE SCREEN 2-ACTIVE CLIENTS LIST ENTER"C"& LINE# FOR CLIENT PAGE 01

CASE 063719XXX ACTIVE CAT 02 TP 01 BP BJN 086-04-C-04MC 281-2CNTY 015

PL CLIENT NO NAME BIRTH DT SR SIG W SSN

C1 1A 506674XXX BEE,MARIA ANN 10/08/964 F3 0G E J 432-XX-74XX

C2 1B 506855XXX BEE,ELIZA 05/07/996 F3 5 A 464-XX-69XX

C3 1C 508323XXX BEE,BOB 12/16/997 M3 5 A 463-XX-87XX

C4 1D 510631XXX BEE,BRAD 09/15/903 M3 5 A 628-XX-63XX

The specific field descriptions for PA Case Screen 2

— Active Clients List are:



PL — page and line number of the client on the

Form 1000-A/B

CLIENT NO — nine-digit number beginning with a

number one to five that is each client’s unique

identifier in the SAVERR system

Page 3-40 Detailed Field Descriptions April 2009_v.4.0


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April 2008_v.4.0 Detailed Field Descriptions Page 3-41


TAMENU SAVERR Inquiry Reference Guide

PA Case Screen

2—Active

Clients List

(continued)






NAME — client’s name

BIRTH DT — client’s date of birth as MM/DD/YYY

SR — client’s declared gender and race (See

HHSC Code Summary C-540, Page D-1)

SIG — client’s status in group (See HHSC Code

Summary C-540, Page D-2)

E — a prior code that no longer means anything;

still shows up on some cases

The specific field descriptions for PA Case Screen 2

— Active Clients List are:








PL — page and line number of the client on the

Form 1000-A/B

CLIENT NO — nine-digit number beginning with a

number one to five that is each client’s unique

identifier in the SAVERR system

NAME — client’s name

BIRTH DT — client’s date of birth as MM/DD/YYY

SR — client’s declared gender and race (See

HHSC Code Summary C-540, Page D-1)

W — client’s work registration eligibility code (See

HHSC Code Summary C-540, Page D-3)

SSN — client’s Social Security number

PA Case Screen

5—Client

History

PA Case Screen 5 — Client History gives you

information about any client who had a prior affiliation

with the specific case named in the search.

Lines 1 and 2 field descriptions are provided in the PA

Case Screen section above.

Page 3-42 Detailed Field Descriptions April 2009_v.4.0


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PA Case Screen PA Case Screen 5 — Client History displays in the

5—Client History lower half of the screen below PA Case Screen 1 —

(continued) Primary.

KEY __

PA CASE SCREEN 1 --- PRIMARY

PAGE

1

CASE 008333XXX ACTIVE CAT 02 TP 07 BP BJN 086-05-C-03 MC 281-2 CNTY 015

CASE NAME MAYS,JANE DATE FILE 06/05/07 SEQ 04 PRINTED 09/08/07

CERT DATE 06/16/07 LAST FORM 1000-A/B

GN/PAY/RP GRANT EFF 06/01/07 REVIEW I ACTION 111

MAIL ADDR 534 KERRY 3MO PRIOR FORM EFF DT 10/01/07

END DATE 08/07

SAN ANTONIO TX 78233 HOLD CD/DT

PERIODIC RV DT

TEMP ADDR N PAW 066400XXX GRANT 000 APP INC

TIERS FLAG

PA CASE SCREEN 5-CLIENT HISTORY ENTER LETTER/# BESIDE CLIENT# PAGE 01

CASE 008333XXX ACTIVE CAT 02 TP 07 BP BJN 086-05-C-03 MC 281-2 CNTY 015

CLIENT NO CLIENT NO CLIENT NO CLIENT NO CLIENT NO CLIENT NO

A1 502180XXX

A2 503175XXX

A3 505868XXX

A4 502180XXX

A5 500434XXX

The body of the screen lists up to six columns of client

numbers (CLIENT NO) of any client who had a prior

affiliation with this case. The most recent client number

affiliated with the case is the last entry.

PA Case Screen

7—Benefit

Summary

PA Case Screen 7 — Benefit Summary provides

information on the date and amount of benefits

received by the client.

Lines 1 and 2 field descriptions are provided in the PA

Case Screen section above.

April 2008_v.4.0 Detailed Field Descriptions Page 3-43


TAMENU SAVERR Inquiry Reference Guide

PA Case Screen PA Case Screen 7 — Benefit Summary displays in

7—Benefit the lower half of the screen below PA Case Screen 1

Summary

— Primary.

(continued)

KEY __

PA CASE SCREEN 1 --- PRIMARY

PAGE

1

CASE 063719XXX ACTIVE CAT 02 TP 01 BP BJN 086-04-C-04MC 281-2CNTY 015

CASE NAME BEE,MARIA ANN DATE FILE 06/16/06 SEQ 18 PRINTED 11/17/07

CERT DATE 06/25/06 LAST FORM 1000-A/B

GN/PAY/RP GRANT EFF 03/01/07 REVIEW I ACTION 138

MAIL ADDR 133 KAY ST 3MO PRIOR FORM EFF DT 01/01/08

APT 115

END DATE

SAN ANTONIO TX78213 HOLD CD/DT 8 02/06 PERIODIC RV DT 01/18/08

TEMP ADDR N EBT PAW 013228XXX GRANT 293 APP INC

TIERS FLAG

PA CASE SCREEN 7 --- BENEFIT SUMMARY

PAGE

1

CASE 063719XXX CAT 02 BJN 086-04-C-04 CNTY 015

CASE NAME BEE,MARIA ANN PURGED WRT AMT 00000

ISSUED

ISSUED

DATE NO AMOUNT CD DATE NO AMOUNT CD

01/08 1 0293 07/07 1 0272

02/07 1 0272 08/07 1 0272

03/07 1 0272 09/07 1 0272

04/07 1 0272 10/07 1 0293

05/07 1 0272 11/07 1 0293

06/07 1 0272 12/07 1 0293

The specific field descriptions for PA Case Screen 7

— Benefit Summary are:





CASE NAME — usually the caretaker of the

children

PURGED WRT AMOUNT — total dollar amount of

all benefit amounts purged. The Benefit History

Screen may have up to three years of benefit

history on three pages; older benefit amounts are

purged and included in this total.

DATE — months 01-12 are always listed. If benefit

activity occurs for a given month, the year is

entered by that month; if no benefit amount is

issued, the year field is blank.

NO — number of benefit allotments issued for the

month

Page 3-44 Detailed Field Descriptions April 2009_v.4.0


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April 2008_v.4.0 Detailed Field Descriptions Page 3-45


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PA Case Screen AMOUNT — total of all benefit amounts issued for

7—Benefit

the month

Summary

(continued) CD — indicates whether there was a deduction

from the benefit amount:

R — a recoupment from the benefit amount

Blank — indicates there were no deductions

PA Case Screen

8—Benefit

History

PA Case Screen 8 — Benefit History provides

specific information about the PA benefits received by

the household.

Lines 1 and 2 field descriptions are provided in the PA

Case Screen section above.

PA Case Screen 8 — Benefit History displays in the

lower half of the screen below PA Case Screen 1 —

Primary.

KEY __

PA CASE SCREEN 1 --- PRIMARY

PAGE

1

CASE 063719XXX ACTIVE CAT 02 TP 01 BP BJN 086-04-C-04MC 281-2 CNTY 015

CASE NAME BEE,MARIA ANN DATE FILE 06/16/06 SEQ 18 PRINTED 11/17/07

CERT DATE 06/25/06 LAST FORM 1000-A/B

GN/PAY/RP GRANT EFF 03/01/07 REVIEW I ACTION 138

MAIL ADDR 133 KAY ST 3MO PRIOR FORM EFF DT 01/01/08

APT 115

END DATE

SAN ANTONIO TX 78213 HOLD CD/DT 8 02/06 PERIODIC RV DT 01/18/08

TEMP ADDR N EBT PAW 013228XXX GRANT 293 APP INC

TIERS FLAG

PA CASE SCREEN 8 --- BENEFIT HISTORY

PAGE

01

CASE 063719XXX CAT 02 BJN 086-04-C-04 CNTY 015

CASE NAME AGUAYO,MARIA MARGARITA PURGED WRT AMT 00000

BENEFIT NO EFF DT ISSUE DT TYPE AUTH A-CH RECP BEN AMT STATUS

AB21453XX 01/08 01/01/08 1 1-03 $000 $293 A

AB20586XX 12/07 12/01/07 1 1-03 $000 $293 A

AB19273XX 11/07 11/01/07 1 1-03 $000 $293 A

AB17910XX 10/07 10/01/07 1 1-03 $000 $293 A

AB16571XX 09/07 09/01/07 1 1-03 $000 $272 A

AB14672XX 08/07 08/01/07 1 1-03 $000 $272 A

AB14672XX 07/07 07/01/07 1 1-03 $000 $272 A

Page 3-46 Detailed Field Descriptions April 2009_v.4.0


TAMENU SAVERR Inquiry Reference Guide

PA Case Screen The specific field descriptions for PA Case Screen 8

8—Benefit

— Benefit History are as follows:

History

(continued) CASE NAME — usually the caretaker of the

children











PURGED WRT AMT — total dollar amount of all

benefits purged. The Benefit History Screen may

have up to three years of benefit history on three

pages; older benefits are purged and included in

this total.

BENEFIT NO — assigned number for the individual

benefit issuance

EFF DT — month and year the benefits were

authorized

ISSUE DT — month, day, and year the benefit was

issued

TYPE — type of benefit requested

AUTH — type of retroactive benefits (See HHSC

Code Summary C-540, Page D-7)

A-CH — (Adult and Children)

Heading A — number of adults whose needs are

included in the benefit.

Heading CH — number of children whose needs

are included in the benefit

RECP — amount of money withheld from the

benefit for recoupment

BEN AMT — amount of the benefit after deductions

(including any recoupments and/or penalty)

STATUS — status of the benefit. Most frequently

used code A — EBT benefit issued.

April 2008_v.4.0 Detailed Field Descriptions Page 3-47


TAMENU SAVERR Inquiry Reference Guide

PA Case Screen

9—Sanction

Information

PA Case Screen 9 — Sanction Information gives

you information on any sanction that has been placed

on any member of the PA group.

Lines 1 and 2 field descriptions are provided in the PA

Case Screen section above.

PA Case Screen 9 — Sanction Information displays

in the lower half of the screen below PA Case Screen

1 — Primary.

KEY __

PA CASE SCREEN 1 --- PRIMARY

PAGE

1

CASE 063719XXX ACTIVE CAT 02 TP 01 BP BJN 086-04-C-04MC 281-2CNTY 015

CASE NAME BEE,MARIA ANN DATE FILE 06/16/06 SEQ 18 PRINTED 11/17/07

CERT DATE 06/25/06 LAST FORM 1000-A/B

GN/PAY/RP GRANT EFF 03/01/07 REVIEW I ACTION 138

MAIL ADDR 133 KAY 3MO PRIOR FORM EFF DT 01/01/08

APT 115

END DATE

SAN ANTONIO TX 78213 HOLD CD/DT 8 02/06 PERIODIC RV DT 01/18/08

TEMP ADDR N EBT PAW 013228XXX GRANT 293 APP INC

TIERS FLAG

PA CASE SCREEN 9 --- SANCTION INFORMATION

PAGE

01

CASE 063719XXX CAT 02 BJN 086-04-C-04 CNTY 015

CASE NAME BEE,MARIA ANN

EFF DT BENEFIT TYPE SNCT-1 SNCT-2 SNCT-3

01/08 1 $000 $000 $000

12/07 1 $000 $000 $000

11/07 1 $000 $000 $000

10/07 1 $000 $000 $000

09/07 1 $000 $000 $000

08/07 1 $000 $000 $000

07/07 1 $000 $000 $000

The specific field descriptions for PA Case Screen 9

— Sanction Information are:




CASE NAME — usually the caretaker of the

children

EFF DT — month and year of the penalty/sanction

BENEFIT TYPE — code indicates type of benefit

issued. 1 — Full month’s amount (See HHSC Code

Summary C-540, Page D-6)

Page 3-48 Detailed Field Descriptions April 2009_v.4.0


TAMENU SAVERR Inquiry Reference Guide

April 2008_v.4.0 Detailed Field Descriptions Page 3-49


TAMENU SAVERR Inquiry Reference Guide

PA Case Screen SNCT-1 — amount of first penalty/sanction

9—Sanction

Information SNCT-2 — amount of a second penalty/sanction

(continued)

SNCT-3 — amount of a third penalty/sanction


000 — no penalty/sanction

NOTE: As of September 2003, SNCT-1, SNCT-2, and

SNCT-3 amounts are no longer applicable. See

additional codes listed under Client Screen

Penalty/Good Cause History.

Page 3-50 Detailed Field Descriptions April 2009_v.4.0


Appendix A:

Request for User Access to HHSC

Systems Form and Instructions


Request for User Access to HHSC Systems

Please Note: We cannot accept forms with corrections or modifications, including strikethroughs, "write-overs," and/or correction fluid.

Section 1: Type of request ‐‐ Please mark only one box:

ADD/MODIFY: Add New SAVERR/TIERS User or Modify an Existing User's Access

DELETE: Delete a SAVERR/TIERS User Completely

Section 2: User Identifying Information ‐‐ Please type or print clearly:

User's Name:

Social Security Number:

Agency:

TWC:

WDA:

Specify Board #_

Work Email Address:

Phone Number:

(Include area code and extension, if any)

Section 3: HHSC Systems Access Requested ‐‐ A signed and dated HHSC Security and Privacy Agreement must

be submitted for all requests for new user access to SAVERR/TIERS systems:

Please specify access by checking "Allow" or "Deny" for the three SAVERR/TIERS resources:

ALLOW DENY HHSC Application Name

SAVERR TAMENU Inquiry (Transaction Code TAMENU)

TIERS TWC Inquiry

SAVERR Client Eligibility Inquiry (Transaction Code TVCC)

Section 4: Signatures ‐‐ Please add the appropriate signatures. If the user is an internal TWC employee, then

only the user's supervisor needs to sign:

_______________________________ _________ ___________________________________ ___________

User's Supervisor's Signature Date WDA TWIST Administrator's Signature Date

Section 5: Contact Information ‐‐ Please email (scan), fax, or mail completed forms to:

Mail to:

Or:

SAVERR ‐ TIERS ACCESS

TWC DATA PROCESSING, ROOM 0307

Email: saverr.tiersaccess@twc.state.tx.us

101 E. 15th Street

Austin, TX 78758

Fax: (512) 463‐6394

Section 6: TWC Security Coordinator Use Only:

TAMENU Initial Password:

________________________________________________ ___________

TWC Security Coordinator Signature

Date

Comments:


Texas Workforce Commission

10/1/2008

INSTRUCTIONS

When to Complete the Request for User Access to HHSC

Systems (HHSC System Access Form.doc):

1. To add new user’s access you must complete this form

along with the HHS Enterprise Architecture & Security

Management Security and Privacy Agreement (SPA) Form

EASM_SM_002 (HHSC SPA Form TWC.xls) to obtain

access to the Texas Health and Human Services

Commission (HHSC) systems.

2. To modify or delete an existing users access.



When a user is deleted from any HHSC system for

non-use* their current HHSC Access Request and

Security and Privacy Agreement (SPA) form are no

longer valid. According to HHSC policy, being deleted

for non-use requires that new forms be submitted. Resubmitting

current forms is unacceptable because

according to HHSC policy, forms submitted for the

purpose of requesting access to HHSC systems

cannot be older than 30 days from today’s date.

*HHSC deletes users who have not logged in to their

system in 90 days. If you have access to HHSC

SAVERR and TIERS systems you must log into both

systems within 90 days to retain access.

Required Approvals:

1. The user’s supervisor must approve his/her access to the

requested HHSC system. This approval indicates that the

access is job-related.

2. If you are employed by a TWC WDA the TWIST System

Administrator must also approve it. This approval indicates

that the user has completed and signed all of the relevant

security agreements, and that he/she has met any

additional requirements of interagency data access

agreements.

6. Email Address: enter the user’s work place e-mail

address. Provide e-mail address to HHSC when requesting

access to TIERS or to reset password.

7. Phone Number: enter the user work place phone number.

HHSC Accesses

8. Access can be granted to the following HHSC Systems:




SAVERR TAMENU Inquiry

TIERS TWC Inquiry

SAVERR Client Eligibility Inquiry – Child Care

9. Access to HHSC systems can be added, modified or

deleted:




Enter the letter “A” in the applicable column and rows

to add new access to the designated HHSC system(s).

Enter the letter “M” in the applicable column and rows

to modify existing access to the designated HHSC

system(s).

Enter the letter the letter “D” in the applicable column

and rows to delete existing access to the designated

HHSC system(s).

10. Signatures: If the request is from a TWC WDA the user’s

supervisor and the WDA TWIST System Administrator must

both sign the completed HHSC Access Request form. If the

request is from a TWC employee only the user’s supervisor

is required to sign the HHSC Access Request form.

11. Submit completed and signed form(s) to the appropriate

TWC Security Coordinator via scanned e-mail, fax or mail.

How to complete the Request for Access to HHSC Systems

1. Action: Mark the appropriate check box to indicate the

action being requested.




Add New User Access – Add access to selected

HHSC systems for a new user or a prior user who has

lost access due to lack of use for 90 days.

Modify Existing User Access – Modify access for

existing HHSC system users (i.e. name change, etc.)

Delete Existing User Access – Delete access for

employees who have moved to another job function

and no longer need access to do their job or for

individual whose employment is terminated.

Identifying Information

2. User Name: Enter in the user’s name.

3. SSN: Enter in the user’s Social Security Number.

4. Local Office #: Enter the user’s local office number.

5. Agency: Mark the appropriate check box to indicate the

agency the user is employed by.



If the user is working for the WDA, enter the WDA

local office number also.

If the user is working for some Other agency or a

contractor, enter the agency or contractor’s name also.

HHSC Access Request Instructions.doc


Appendix B:

Request for User Access to HHSC

Systems

Example Completed Form


EXAMPLE COMPLETED FORM

Request for User Access to HHSC Systems

Texas Workforce Commission

10/26/2006 (Revised 10/24/2008)

ACTION: X Add New User Access Modify Existing User Access Delete User Access

TWC WDA - email (scan), fax, or mail to:

SAVERR - TIERS Access

Email: saverr.tiersaccess@twc.state.tx.us

TWC Data Processing, Room 0307

101 E. 15th Street Fax Number: (512) 463-6394

Austin, TX 78758

TWC State Office - email, (scan), fax, or mail to:

User Name

SAVERR - TIERS Access

Email: saverr.tiersaccess@twc.state.tx.us

TWC Data Processing, Room 0307

101 E. 15th Street Fax Number: (512) 463-6394

Austin, TX 78758

User Identifying Information

SSN

Smith, John 999-19-9999

1020

Agency

Email Address

Phone Number

TWC

WDA X (Specify #) 12

Local Office No.

john.smith@twc.state.tx.us (999)555-5555

HHSC Systems Access Requested

A signed and dated HHSC Security and Privacy Agreement (SPA Form) must be on file for all requests for new user

access to HHSC systems

Add Modify Delete

Transaction

HHSC Application Name

TPSM4 Designation

(A) (M) (D)

Code

X SAVERR TAMENU Inquiry TAMENU ATTY GEN Child Support

X

TIERS TWC Inquiry

X SAVERR Client Eligibility Inquiry TVCC Child Care TVCC

User's Supervisor's Signature Date WDA TWIST System Administrator's Signature Date

TAMENU Initial Password

TWC Security Coordinator Use Only

Comments

TIERS Initial Password

TWC Security Coordinator Signature

Date


Appendix C:

HHS Enterprise Architecture & Security

Management Security and Privacy

Agreement (SPA) —

EASM_SM_002 – SPA Form and

Instructions


User ID:

HHS Enterprise Architecture & Security Management

Employee ID Number

SECURITY AND PRIVACY AGREEMENT (SPA) FORM

COMPLETED FORM IS TO BE SIGNED, MAILED TO, AND RETAINED BY HHS ENTERPRISE SECURITY MANAGEMENT

Date of Birth: (mm/dd)

User Name:

Work Email:

Facility Name/Department: TWC Employee OR TWC WDA

Check ONE box below:

The purpose of this agreement is to help you understand your duties regarding confidential information.

EMPLOYEE of TWC I am a full-time or part-time employee of TWC, with TWC sponsored access to HHSC Systems, and to

what this agreement refers to as "confidential information." (EXCLUDES Volunteers, Contractors, and other users NOT on TWC

payrolls)

Other (TWC WDA) I am a full-time or part-time with TWC sponsored access to HHSC Systems and to what this agreement

refers to as "confidential information."

Confidential information includes patient/client identifying information, patient/client medical information, or any information (patient or

otherwise) that is classified confidential by federal or state law. You may have access to some or all of this confidential information

through a computer system or through your associated activities with HHS Systems.

Confidential information is valuable and sensitive and is protected by law and by HHS policies. The intent of these laws and policies is to

assure that confidential information will remain confidential - that is, that it will be used only as necessary to accomplish the organization's

mission. As a user of HHS systems, you are required to conduct yourself in conformance to applicable laws and HHS policies governing

confidential information. Your principle obligations in this area are outlined below. You are required to read and to abide by these principles.

The violation of any of these duties will subject you to discipline which might include, but is not limited to, termination of access privileges,

termination of employment, and/or legal liability.

You understand that you will have access to and are not to divulge confidential information which may include, but is not limited to,

information relating to:

+ Patient/client (such as records, conversations, admittance information, diagnosis, prognosis, treatment plan, financial information,

etc).

+ ANY INFORMATION by which the identity of a client can be determined, either directly OR indirectly.

+ Employees, contractors, volunteers (such as home addresses, home phone numbers, social security numbers, etc).

+ HHS information (such as financial information, internal reports, memos, contracts, peer review information, communications,

proprietary computer software, etc.).

+ Third party information (such as vendor information, etc).

Accordingly, as a condition of and in consideration of your access to confidential information, you promise that:

1. You will use confidential information only as needed to perform legitimate duties. This means, among other things, that:

+ You will only access confidential information for which you have a need to know; and

+ You will not in any way divulge, copy, release, sell, loan, review, alter, or destroy any confidential information except as properly

authorized within the scope of your activities; and

+ You will not misuse confidential information or carelessly handle confidential information.

2. You will safeguard and will not disclose your password or any other authorization you have that allows you to access confidential

information, except as permitted by law.

3. You accept responsibility for all activities undertaken making use of your User ID/password and other authorization.

4. You will report activities by any other individual or entity that you suspect may compromise the confidentiality, integrity or availability of

confidential information. Reports are made in good faith about suspect activities and will be held in confidence to the extent permitted

by law, including the name of the individual reporting the activities.

5. You understand that your obligations under this Agreement will continue after termination of your association with HHS or HHS

applications.

6. You understand that your privileges hereunder are subject to periodic review, revision, and if appropriate, renewal.

7. You understand that you have no right or ownership interest in any confidential information referred to in this Agreement. HHS may

revoke your access code or other authorized access to confidential information.

8. You will, at all times, safeguard and retain the confidentiality, integrity and availability of confidential information.

9. You understand that your failure to comply with this Agreement may also result in the loss of access privileges to HHS applications.

User's Signature User's Printed Name Date Signed (mm/dd/yyyy)

By completing this form, you are providing the requested information to HHS Enterprise Architecture and Security Management in order to gain access to secured

systems. This information will not be shared in any manner or for any reason not permitted by the laws of the State of Texas. You may, in writing, request copies

of this information at any time and may request that any information in error be corrected.

EASM_SM_002 - Security and Privacy Agreement (SPA) Revised 10/1/2006


Texas Workforce Commission

10/1/2006

INSTRUCTIONS

When to Complete the HSC Security and Privacy Agreement

(SPA) - Form HHS Enterprise Architecture and Security

Management SPA (HHS SPA Form TWC.xls):

1. To add new user’s access you must complete this form

along with the Request for User Access to HHSC Systems

(HHSC Systems Access Form.doc) to obtain access to the

Texas Health and Human Services Commission (HHSC)

systems.



When a user is deleted from any HHSC system for

non-use* their current HHSC Access Request (HHSC

Access Req.doc) and Security and Privacy Agreement

(SPA) form (HHSC SPA Form TWC.xls) are no longer

valid. According to HHSC policy, being deleted for

non-use requires that new forms be submitted. Resubmitting

current forms is unacceptable because

according to HHSC policy, forms submitted for the

purpose of requesting access to HHSC systems

cannot be older than 30 days from today’s date.

*HHSC deletes users who have not logged in to their

system in 90 days. If you have access to HHSC

SAVERR and TIERS systems you must log into both

systems within 90 days to retain access.

Required Approvals:

1. The user’s supervisor must approve his/her access to the

requested HHSC system by completing and signing the

Request for User Access to HHSC Systems. This approval

indicates that the access is job-related.

5. Purpose: the user must read and agree to comply with all

of the Security and Privacy information provided in this

section.

6. Check ONE Box Below: Mark the appropriate check box

to indicate who the user is employed by.



If the user is a TWC Employee, mark the TWC

Employee check box.

If the user is working for a TWC WDA, mark the Other

(TWC WDA) check box.

7. User Signature: The user must read and sign this form,

acknowledging agreement to comply with all aspects of

HHS Enterprise Architecture & Security Management,

Security and Privacy Agreement (SPA).

8. Users Printed Name: enter the users printed name.

9. Date Signed: enter the date the user signed the form.

10. Submit completed and signed form(s) to the appropriate

TWC Security Coordinator via scanned e-mail, fax or mail.

The following Forms must be submitted together when

requesting new user access.

HHS Security and Privacy Agreement (HSC SPA Form

TWC.xls)

Request for User Access to HHSC Systems (HHSC

Systems Access Form.doc)

2. If you are employed by a TWC WDA the TWIST System

Administrator must also approve it. This approval indicates

that the user has completed and signed all of the relevant

security agreements, and that he/she has met any

additional requirements of interagency data access

agreements.

How to complete the HHS Security and Privacy Agreement

Action: Only complete the required fields listed below, all other

fields are reserved for HHSC internal use.

Identifying Information

1. Date of Birth: Enter user birth month and day (mm/dd).

2. User Name: Enter in the user’s name (Last, First, Middle

Initial).

3. Work Email: enter the user’s work place e-mail address.

Provide e-mail address to HHSC when requesting access

to TIERS or to reset password.

4. Facility Name/Department: Mark the appropriate check

box to indicate who the user is employed by.




If the user is working for the WDA, mark the TWC

WDA check box.

If the user is a TWC Employee, mark the TWC

Employee check box.

If the user is working for some Other agency or a

contractor, enter the agency or contractor’s name also.

Security and Privacy Acknowledgement

HHSC SPA TWC Instructions.doc

EASM_SM_002 – Security and Privacy Agreement (SPA)


Appendix D:

HHSC Code Summary (C — 540)


Appendix D: HHSC Code Summary (C — 540) Revision Number: 08-4

Effective date: October, 2008

TANF and SNAP (formerly known as Food Stamps) — Revised for TWC use (04/09)

Category

TANF

SNAP

2 — TANF 6 — Public Assistance (PA) SNAP Case

5 — Refugee Cash Assistance (RCA) 8 — Refugee, PA SNAP

9 — Non-PA SNAP Case

Sex

TANF and SNAP

M — Male

F — Female

Race

TANF and SNAP

1 — White

2 — Black

3 — Hispanic

4 — American Indian or Alaskan Native

5 — Asian or Pacific Islander (includes Indochinese)

6 — Computer entered code indicating inappropriate or omitted code

Education/Service Code

TANF and SNAP

1 — First Grade 9 — Ninth Grade

2 — Second Grade A — Tenth Grade

3 — Third Grade B — Eleventh Grade

4 — Fourth Grade C — High School Graduate/completed general

equivalency diploma

5 — Fifth Grade E — Attending college or completed some college but

has not graduated from a four-year college

6 — Sixth Grade F — Graduate of a four-year college

7 — Seventh Grade N — No formal education

8 — Eighth Grade

04/09 D-1


Status in Group (SIG)

TANF — Primary Codes

TANF — Secondary Codes

2 — Disqualified/ineligible child or second parent G — Reached end of Time Limits

3 — Noncertified child: Identifies the only deprived H — Eligible Refugee

child of the certified caretaker/second parent; If child

receives: SSI — 3, Foster Care Payments — 3F,

Adoption Assistance payments — 3A

5 — Certified Child I — Ineligible Child

7 — Second Parent K — Child of a Minor Child

8 — Caretaker L — Minor Parent with a Dependent Child

9 — Payee M — Eligible Only for Three Months Prior Medical

Assistance

0 — Case Name Only N — Ineligible for Retroactive Medical Assistance and

Current Assistance

P — Private Health Insurance

Q — Proof of THSteps Screening

R — HHSC Employee

S — Alien with Acceptable Alien Status

T — Ineligible Alien

U — Ineligible – No Citizenship Proof

V — Living in Nursing Home

W — Disqualified Child

X — Deceased

Y — Disqualified Second Parent

Z — Migrant

SNAP — Head of Household Codes

A — Household head

G — Household head is nonmember

GK — Head of household disqualified for a reason

other than intentional program violation (IPV)

GT — Head of household is disqualified for

intentional program violation (IPV)

SNAP — Other Codes

B — Student

C — Able Bodied Adult without Dependent (ABAWD)

not meeting 18-50 work requirement

D — ABAWD meeting 18-50 work requirement

F — Resident of drug and alcohol treatment/group living

arrangements facility

H — Eligible Refugee

K — Disqualified for a reason other than intentional

program violation (IPV)

M — Migrant, out of work stream

R — HHSC Employee

S — Eligible Alien (not a refugee)

T — Disqualified for Intentional Program Violation (IPV)

U — Seasonal Farm Worker

W — Migrant, in work stream

D-2 04/09


Employment Services/Work Registration

TANF

Codes

Explanation

A Child (SIG 5 or 5L)

B Caretaker or second parent, age 18 or younger attending school

C Caring for an ill or disabled child in the household, even if the child is not a member of the

certified group

E Unable to work due to a disability expected to last more than 180 days

F 60 years of age or older

G Caring for a child (SIG 2, 3, or 5) under age 1

H Presence required in home due to illness or incapacity of another adult household member and

the disability is expected to last more than 180 days

J Not subject to participation – not a certified TANF client

K Pending during appeal of denial or disqualification

M Mandatory registrant

N Employment Hardship Exemptions

P Mandatory registrant employed or self-employed at least 30 or more hours per week, and

earnings of at least $700 per month

Q Severe Personal Hardship Exemption

R Caring for child under age 1 who is not listed on the case

T Pregnant and unable to work

U A single grandparent age 50 or over caring for a child under age three

V An SSI recipient parent

W Identifies a client who non-complies with the Choices program

X A parent who has exhausted state time limits

Y A parent who is disqualified due to third party resource (TPR) requirements, Social Security

number requirements, intentional program violation, failure to report a child’s absence, being a

fugitive, having a felony drug conviction, failure to cooperate with Quality Control or

noncompliance with the unmarried minor parent domicile requirement

SNAP

Codes

Explanation

A Child age 16 years of age or child age 16 or 17 who attends school at least half-time, or is not

the head of household

D Three to nine-months pregnant

E Physically or mentally unfit for employment

F 60 years of age or older

G Caring for a child under age six

H Presence in home required for care of an incapacitated person

J Person in drug addiction or alcoholic treatment and rehabilitation program

N Receiving or applying for unemployment compensation

P Employed or self-employed 30 hours or more a week

Q Client resides in a Choices county and is mandatory or has volunteered for TANF employment

services

R Registered again, after previously serving the E&T noncompliance penalty period

S Student exemption (age 18 or older/in a training program)

T Disqualified household member or nonmember head of household

U Primary wage earner failed to comply with SNAP employment services

2 Registered, employed less than 30 hours a week

3 Registered, not working

4 Registered, job attached (temporarily laid off)

5 Registration postponed, expedited service

04/09 D-3


Type Income

TANF and SNAP

A — Veteran's Administration (VA) benefits

C — Unemployment Insurance benefits

P — Pension benefits (other than RSDI, SSI, VA, or Rail Road)

M — Combination of unemployment benefits with benefits from a pension, VA, or both

W — Combined income from VA and a pension

Type Program

TANF

01 — Cash and medical assistance

04 — Medical Assistance Only – Deceased

07 — 12 or 18 months medical assistance only

11 — Three months prior medical assistance only not currently eligible

20 — Medical assistance only – Child Support

37 — 12 or 18 months medical assistance only

61 — TANF-SP (State Program) cash and medical assistance (Two-Parent)

71 — OTTANF – One parent household

72 — OTTANF – Two parent household

Type of Review

TANF and SNAP

C — Complete review

I — Incomplete review

N — Non-review activity (case maintenance)

AID

SNAP

1 — NPA (Non-Public Assistance) Only

2 — NPA Mixed (Mixed household with TANF-Public Assistance and Non-Public Assistance)

3 — TANF-PA

5 — Refugee, PA

D-4 04/09


Disqualification Code (Intentional Program Violation)

SNAP

1 st digit T — Administrative disqualification for offense which occurred prior to September 22, 1996

S — Administrative disqualification for offense which occurred on or after September 22, 1996,

or disqualification for conviction due to trafficking

C — Court-ordered disqualification

M — Disqualification due to receipt of multiple benefits in one month.

2 nd digit 1 — 1st disqualification

2 — 2nd disqualification

3 — 3rd disqualification

4 — permanent disqualification for trafficking in SNAP benefits or program access devices of

$500 or more.

3 rd — 6 th digit MMYY — last month of disqualification

PERM — disqualification permanent

Util (Utility Expense Code)

SNAP

Code

Description

1 Household claiming the Standard Utility Allowance.

2 Household claiming telephone standard only, or telephone standard plus actual utilities.

3 Household claiming actual utility costs only (even if some members are disqualified).

4 Household without utility costs

5 Two households live together and share the standard utility allowance.

6 Households claiming the standard utility allowance with member(s) disqualified for not meeting

the citizenship, 18-50 work, and and/or SSN requirements.

7 All other proration situations. A combination of households described in Codes 5, 6, B, and C,

a prorated telephone standard, and all other situations in which the utility allowance is prorated

(such as a proration involving three or more households, or more than one disqualified

member).

8 Household claiming the homeless shelter standard

9 Household claiming the homeless shelter standard with one member who is disqualified for not

meeting the citizenship, 18-50 work and/or SSN requirements

A Households claiming the basic utility allowance

B Two households live together and share the basic utility allowance.

C Households claiming the basic utility allowance with member(s) disqualified for not meeting the

citizenship, 18-50 work, and/or SSN requirement.

Codes 1, 2, 3, 4, 5, 7, A, and B are allowed for household containing member(s) disqualified for an intentional

program violation, felony drug conviction, E&T non-compliance, and/or being a fugitive. Codes 3, 4, 6, 7, 9, and

C are allowed for households containing member(s) disqualified for not meeting the citizenship requirement,

18-50 work requirement, or SSN requirement. Also, these codes are allowed for household containing

member(s) disqualified for an intentional program violation, felony drug conviction, E&T non-compliance, and/or

being a fugitive and member(s) disqualified for citizenship, 18-50 work requirement, and/or SSN requirements.

Note: Utility, homeless, and telephone standards, if used, are prorated for these kinds of disqualifications.

04/09 D-5


Action Codes

SNAP

See C-221, Denial Codes in http://www.dads.state.tx.us/handbooks/TexasWorks/.

TANF

See C-200 for Codes in http://www.dads.state.tx.us/handbooks/TexasWorks/.

Type of Warrant Requested

TANF

SNAP

1 — Full month’s amount S — Reporting Administrative Terminal Application

(ATA) issuance untimely

2 — Additional amount for a month E — Requesting issuance or timely reporting benefits

issued via the Administrative Terminal Application (ATA)

N — Requesting cancellation of benefits

Code/Hold Date

TANF — Advisor Hold Codes

SNAP

1 — Unable to locate 2 — Hold benefits

2 — Guardianship pending A — Form H1000-B has fatal error not cleared by cutoff

3 — New payee pending Z — Dormant EBT account (state office use)

4 — Notice of adverse action to lower benefits that

expires between cutoff and the end of the month

5 — Notice of adverse action expires between cutoff

and end of month (case denial or transfer to TP 07

or TP 20)

State Office Hold Codes

A — Hold, Form H1000-B has fatal error not cleared

by cutoff

C — Form H3087 returned, moved

D — Form H3087 returned, deceased

E — Form H3087 returned, unclaimed

F — Warrant Undeliverable and returned by post

office

G — Warrant undeliverable because client is

deceased

H — TANF case has SIG 5 member age 19 or over

L — State time limit expiring and SAVERR cannot

rebudget TANF

J — Warrant charged back

R — SDX hold

Z — Dormant EBT account

3 — RCA case has a member who entered the

United States eight months ago

6 — TANF case pending denial or transfer to TP 20

Advisor Release Codes

8 — Release benefits as originally authorized

9 — Release benefits as originally authorized using

the new address

0 — Release future benefits.

SNAP – Release Code

0 — Do not hold future benefits.

D-6 04/09


Type of Issuance

TANF — Reason for Authorization of

Benefits

9 — Action Code 090, simultaneous open and

close

B — Change in both household composition and

money reflected in the budget

F — Additional benefits issued due to penalty

imposed in error

H — Change in household composition

M — Change in money reflected in the budget

O — Retroactive and/or current month's benefit

when releasing a case from hold with release Code

0 or 7

P — Budgeting process requires different payment

month benefits

R — (State office use only) Identifies on the history

file benefits produced when release Code 8 or 9 is

used to release a case from hold

T — Transfer from TP 07, 20, 29, or 37 to TP 01/ 61

SNAP — Full Regular On-going Benefits or

Their Replacements

A — Initial benefit (regular ongoing benefit)

E — Initial expedited benefit issued

H — Priority benefits issued to meet hearing officer

decision timeliness

L — Restoring benefits for a past month

1 — Initial expedited benefits issued through

Administrative Terminal Application (ATA)

2 — Priority benefits issued through SAVERR or

Administrative Terminal Application (ATA) to meet

timeliness

3 — Initial priority benefits issued through Administrative

Terminal Application (ATA)

4 — Historical Information: CCDMI mailed out of state

as a result of converting EBT benefits to coupons (state

office use only). No longer in use effective April 1, 2004.

5 — Historical Information: Benefits replaced in EBT

account when CCDMI was returned (state office use

only). No longer in use effective April 1, 2004.

Additional Benefits for a Month

C — Supplemental benefits. Use when providing

benefits in addition to initial benefits for the current

month, or following month if submitting request for

benefits after cutoff.

D — Restoration benefits. Use when restoring partial

benefits for a past month.

F — Supplemental or restoration benefits. Use when

providing additional benefits for a month in which the

household has already received one issuance coded C

and/or D.

P — Restore an erroneously expunged EBT benefit.

Destroyed Food

T — Replacement of destroyed food, which was

purchased with SNAP benefits

Advisor Enter Cancellation

G — Use to cancel EBT benefit because the household

has moved out of state

04/09 D-7


Finger Image Code

TANF and SNAP — Enrollment or Exemption Code

Y — If all available images have been taken

Z — If one image has been taken

A — Appeal pending (TANF related)

B — Low quality image/physically unable to image/equipment failure

C — Certified out of office or unable to come to office

D — Undue burden for disabled client

E — Undue burden for elderly client

F — Disqualified (SNAP only)

SNAP Disqualification

B — ineligible alien without BCIS document

C — ineligible aliens with BCIS document

D — felony drug conviction

F — first offense failure to comply with ESP requirements (E&T /voluntary quit/reducing work hours to less than

30 )

J — fugitive

N — failure to meet SSN requirement

S — second offense failure to comply with ESP requirements

T — third or subsequent offense failure to comply with ESP requirements

W — failure to comply with the 18-50 work requirement

Remove — end a disqualification or change a time limit benefit code

1 — delete the first countable month

2 — delete the second countable month

3 — delete the third countable month

4 — delete the fourth countable month (first month of second three month period)

B — end the ineligible alien (undoc) disqualification

C — end the ineligible alien (doc) disqualification

F — end the first offense SNAP ESP disqualification

J — end the fugitive disqualification

L — subtract one offense from the ESP offense counter

N — end of the SSN disqualification

S — end the second offense SNAP ESP disqualification

T — end the third offense SNAP ESP disqualification

W — end the 18 - 50 work requirement disqualification

Countable Month Code

SNAP

1 — benefit authorized for the first month of the initial three-month period

2 — benefit authorized for the second month of the initial three-month period

3 — benefit authorized for the third month of the initial three-month period

4 — benefit authorized for the first month of the second three-month period

D-8 04/09


Additional Codes

TANF Benefit History Codes — Read benefit history codes on inquiry from right to left. The most recent

code/action appears on the far left.

A — Mailed warrant/EBT benefit issued

C — Warrant held

D — Warrant or EBT issuance cancelled

E — Warrant charged back

P — Warrant paid by state treasure

R — Warrant returned

S — Warrant stop payment in effect

L — Warrant stop payment lifted

Y — Duplicate EBT benefit or warrant issued

Z — Duplicate warrant returned

04/09 D-9


D-10 04/09


Appendix E:

HHSC and TWC County, HHSC Region,

and WDA Codes


Appendix E: HHSC and TWC County, HHSC Region, and WDA Codes

Name

HHS TWC HHS WDA Name HHS TWC HHS WDA Name HHS TWC HHS WDA

Cty Cty Reg

Cty Cty Reg

Cty Cty Reg

A Comal 046 091 08 20 Gray 090 179 01 1

Anderson 001 001 04 8 Comanche 047 093 02 9 Grayson 091 181 03 25

Andrews 002 003 09 11 Concho 048 095 09 12 Gregg 092 183 04 8

Angelina 003 005 05 17 Cooke 049 097 03 25 Grimes 093 185 07 16

Aransas 004 007 11 22 Coryell 050 099 07 26 Guadalupe 094 187 08 20

Archer

Armstrong

005

006

009

011

02

01

3

1

Cottle

Crane

051

052

101

103

02

09

3

11

H

Hale 095 189 01 2

Atascosa 007 013 08 20 Crockett 053 105 09 12 Hall 096 191 01 1

Austin 008 015 06 28 Crosby 054 107 01 2 Hamilton 097 193 07 26

B Culberson 055 109 10 10 Hansford 098 195 01 1

Bailey 009 017 01 2 D Hardeman 099 197 02 3

Bandera

Bastrop

010

011

019

021

08

07

20

15

Dallam

Dallas

056

057

111

113

01

03

1

6

Hardin

Harris

100

101

199

201

05

06

18

28

Baylor 012 023 02 3 Dawson 058 115 09 11 Harrison 102 203 04 8

Bee 013 025 11 22 Deaf Smith 059 117 01 1 Hartley 103 205 01 1

Bell 014 027 07 26 Delta 060 119 04 7 Haskell 104 207 02 9

Bexar 015 029 08 20 Denton 061 121 03 4 Hays 105 209 07 15

Blanco 016 031 07 15 DeWitt 062 123 08 19 Hemphill 106 211 01 1

Borden 017 033 09 11 Dickens 063 125 01 2 Henderson 107 213 04 8

Bosque 018 035 07 13 Dimmit 064 127 08 27 Hidalgo 108 215 11 23

Bowie 019 037 04 7 Donley 065 129 01 1 Hill 109 217 07 13

Brazoria

Brazos

020

021

039

041

06

07

28

16

Duval

E

066 131 11 22 Hockley

Hood

110

111

219

221

01

03

2

4

Brewster 022 043 10 10 Eastland 067 133 02 9 Hopkins 112 223 04 7

Briscoe 023 045 01 1 Ector 068 135 09 11 Houston 113 225 05 17

Brooks 024 047 11 22 Edwards 069 137 08 27 Howard 114 227 09 11

Brown 025 049 02 9 Ellis 070 139 03 4 Hudspeth 115 229 10 10

Burleson 026 051 07 16 El Paso 071 141 10 10 Hunt 116 231 03 4

Burnet 027 053 07 15 Erath 072 143 03 4 Hutchinson 117 233 01 1

C F I

Caldwell 028 055 07 15 Falls 073 145 07 13 Irion 118 235 09 12

Calhoun 029 057 08 19 Fannin 074 147 03 25 J

Callahan

Cameron

030

031

059

061

02

11

9

24

Fayette

Fisher

075

076

149

151

07

02

15

9

Jack

Jackson

119

120

237

239

02

08

3

19

Camp 032 063 04 8 Floyd 077 153 01 2 Jasper 121 241 05 17

Carson 033 065 01 1 Foard 078 155 02 3 Jeff Davis 122 243 10 10

Cass 034 067 04 7 Fort Bend 079 157 06 28 Jefferson 123 245 05 18

Castro

Chambers

035

036

069

071

01

06

1

28

Franklin

Freestone

080

081

159

161

04

07

7

13

Jim Hogg

Jim Wells

124

125

247

249

11

11

21

22

Cherokee 037 073 04 8 Frio 082 163 08 20 Johnson 126 251 03 4

Childress 038 075 01 1 G Jones 127 253 02 9

Clay 039 077 02 3 Gaines 083 165 09 11 K

Cochran 040 079 01 2 Galveston 084 167 06 28 Karnes 128 255 08 20

Coke 041 081 09 12 Garza 085 169 01 2 Kaufman 129 257 03 4

Coleman 042 083 02 9 Gillespie 086 171 08 20 Kendall 130 259 08 20

Collin 043 085 03 4 Glasscock 087 173 09 11 Kenedy 131 261 11 22

Collingsworth 044 087 01 1 Goliad 088 175 08 19 Kent 132 263 02 9

Colorado 045 089 06 28 Gonzales 089 177 08 19

HHS Cty = Health and Human Services Commission (HHSC) County Codes

TWC Cty = Texas Workforce Commission County Codes

HHS Reg = HHSC Region Codes

WDA = Workforce Development Area Codes

08/08 E-1


Name

HHS

Cty

TWC

Cty

HHS

Reg

WDA Name HHS

Cty

Kerr 133 265 08 20 Nolan 177 353 02 9 T

Kimble 134 267 09 12 Nueces 178 355 11 22 Tarrant 220 439 03 5

King 135 269 01 2 O Taylor 221 441 02 9

Kinney 136 271 08 27 Ochiltree 179 357 01 1 Terrell 222 443 09 11

Kleberg 137 273 11 22 Oldham 180 359 01 1 Terry 223 445 01 2

Knox 138 275 02 9 Orange 181 361 05 18 Throckmorton 224 447 02 9

L P Titus 225 449 04 7

Lamar 139 277 04 7 Palo Pinto 182 363 03 4 Tom Green 226 451 09 12

Lamb 140 279 01 2 Panola 183 365 04 8 Travis 227 453 07 14

Lampasas 141 281 07 26 Parker 184 367 03 4 Trinity 228 455 05 17

LaSalle 142 283 08 27 Parmer 185 369 01 1 Tyler 229 457 05 17

Lavaca 143 285 08 19 Pecos 186 371 09 11 U

Lee 144 287 07 15 Polk 187 373 05 17 Upshur 230 459 04 8

Leon 145 289 07 16 Potter 188 375 01 1 Upton 231 461 09 11

Liberty 146 291 06 28 Presidio 189 377 10 10 Uvalde 232 463 08 27

Limestone 147 293 07 13 R V

Lipscomb 148 295 01 1 Rains 190 379 04 8 Val Verde 233 465 08 27

Live Oak 149 297 11 22 Randall 191 381 01 1 Van Zandt 234 467 04 8

Llano 150 299 07 15 Reagan 192 383 09 12 Victoria 235 469 08 19

Loving 151 301 09 11 Real 193 385 08 27 W

Lubbock 152 303 01 2 Red River 194 387 04 7 Walker 236 471 06 28

Lynn 153 305 01 2 Reeves 195 389 09 11 Waller 237 473 06 28

M Refugio 196 391 11 22 Ward 238 475 09 11

Madison 154 313 07 16 Roberts 197 393 01 1 Washington 239 477 07 16

Marion 155 315 04 8 Robertson 198 395 07 16 Webb 240 479 11 21

Martin 156 317 09 11 Rockwall 199 397 03 4 Wharton 241 481 06 28

Mason 157 319 09 12 Runnels 200 399 02 9 Wheeler 242 483 01 1

Matagorda 158 321 06 28 Rusk 201 401 04 8 Wichita 243 485 02 3

Maverick 159 323 08 27 S Wilbarger 244 487 02 3

McCulloch 160 307 09 12 Sabine 202 403 05 17 Willacy 245 489 11 23

McLennan 161 309 07 13

San

Augustine

203 405 05 17 Williamson 246 491 07 15

McMullen 162 311 11 22 San Jacinto 204 407 05 17 Wilson 247 493 08 20

Medina 163 325 08 20 San Patricio 205 409 11 22 Winkler 248 495 09 11

Menard 164 327 09 12 San Saba 206 411 07 26 Wise 249 497 03 4

Midland 165 329 09 11 Schleicher 207 413 09 12 Wood 250 499 04 8

Milam 166 331 07 26 Scurry 208 415 02 9 Y

Mills 167 333 07 26 Shackelford 209 417 02 9 Yoakum 251 501 01 2

Mitchell 168 335 02 9 Shelby 210 419 05 17 Young 252 503 02 3

Montague 169 337 02 3 Sherman 211 421 01 1 Z

Montgomery 170 339 06 28 Smith 212 423 04 8 Zapata 253 505 11 21

Moore 171 341 01 1 Somervell 213 425 03 4 Zavala 254 507 08 27

Morris 172 343 04 7 Starr 214 427 11 23

Motley 173 345 01 2 Stephens 215 429 02 9

N Sterling 216 431 09 12

TWC

Cty

HHS

Reg

Nacogdoches 174 347 05 17 Stonewall 217 433 02 9

Navarro 175 349 03 4 Sutton 218 435 09 12

Newton 176 351 05 17 Swisher 219 437 01 1

HHS Cty = Health and Human Services Commission (HHSC) County Codes

TWC Cty = Texas Workforce Commission County Codes

HHS Reg = HHSC Region Codes

WDA = Workforce Development Area Codes

E-2 08/08

WD

A

Name

HHS

Cty

TWC

Cty

HHS

Reg

WDA


Appendix F:

Medicaid Type Programs Chart

(C—1116)


APPENDIX F: Medicaid Type Programs (C — 1116)

TANF, Medical Programs and Refugee

All programs listed below are Category 2 unless noted otherwise.

Type

Description

Program

01 money grant and Medicaid for caretakers and deprived children with income below TANF

recognizable needs

04 medical assistance only – deceased

07 twelve months transitional Medicaid resulting from increase in earnings or combined increase

in earnings and child support

09 medical coverage for foster care youths age 18 – 21 who have aged out of foster care

11 three months prior Medicaid – not currently eligible

20 four months post Medicaid resulting from child support

29 12 Months post Medicaid following end of state time limited TANF

30 ineligible alien with an emergency condition

37 twelve months transitional Medicaid coverage resulting from loss of 90% earned income

disregard

40 pregnant women

WHP Women's Health Program (WHP) for women age 18-44 with income below 185% FPIL. This

program is not processed in SAVERR. WHP is processed in TIERS as a type of assistance 41.

42 presumptively eligible pregnant woman

43 children under age one with income below 185% FPIL

44 children age 6 – 19 with income below 100% FPIL

45 children to age one born to Medicaid eligible mother

47 children ineligible for TANF, TANF-SP, or the age-appropriate medical program due to

stepparent or grandparent's applied income, or stepparent's income when included on the

case

48 children age 1 – 5 with income below 133% FPIL

51 State Office Data Integrity type program used to fund medical expenses when an erroneous

Form H1027-A is issued to a client who does not have medicaid coverage.

55 Medically Needy Program – Medicaid for caretakers of Medicaid children with income

below TANF Recognizable Needs, or pregnant women and children who are ineligible

for any other type program and have medical expenses that spend down their income

to below the MNIL.

Breast and Cervical Cancer Control Program (BCCCP) – Medicaid coverage for women

who are screened and diagnosed by the Texas Department of State Health Services as

needing treatment for breast or cervical cancer.

Refugee Medical Assistance (Category 5)

61 TANF State Program (TANF-SP) – two parent household eligible for money grant and Medicaid

with income below TANF recognized needs

71 One Time TANF (OT-TANF) – one parent household cash grant only, no Medicaid

72 One Time TANF (OT-TANF) – two parent household cash grant only, no Medicaid

08/08 F-1


Protective and Regulatory Services (Category 2)

Type Program

Description

08 TANF foster care

09 non – TANF (MAO) foster care

10 state paid foster care

15 state paid adoption assistance

21 IV-E adoption assistance

Aged and Disabled (Categories 1, 3 and 4)

All programs listed below can be a Category 1, 3 or 4 unless otherwise noted.

Note: Some of the Medicaid groups may also be eligible for Medicare Savings if they are Medicare.

Type

Description

Program

03 RSDI COLA Disregard Programs – most TP 03s are considered eligible based on the 1977

Pickle Amendment

11 SSI, two months prior or three months prior, as appropriate

12 manually certified SSI (processed by SSA)

13 SSI (processed by SSA)

14 Institutional Medicaid – Institutional settings could be in a Medicare skilled nursing facility,

Medicaid nursing facility, state school, ICF/MR facility or an institute for mental disease (IMD).

TP 14 can also be 1915(c) home/community based waivers. This TP uses a special income

limit currently set at 300% of SSI FBR. TP (BP 13) SIG code F14 is used for the Program of All

Inclusive Care for the Elderly (PACE), which is a Medicaid state optional program. Exception:

Clients with coverage code T are receiving primary home care but not Medicaid under

community attendant services (CAS) based on the federal provisions under 1929(b).

18 Disabled Adult Children (DAC) – Clients (at least age 18) who were denied SSI due to

entitlement to, or an increase in, their Social Security Disabled Adult Children Benefits and are

eligible for Medicaid to ensure continued coverage.

19 SSI Denied Kids - Medicaid for children denied SSI cash assistance due to more restrictive

disability criteria under welfare reform. They continue to receive Medicaid under the prewelfare

reform definition of disability until age 18 and are eligible for 3 months prior rather

than 2 months prior.

22 Widows/Widowers - Early age widows/widowers, disabled widows/widowers or surviving

divorced spouses age 50 - 65 and ineligible for Medicare (Categories 3 or 4) who were denied

SSI due to an increase in their RSDI widow/widower benefits. They are eligible for Medicaid

under TP 22 until they reach age 65 or become eligible for Medicare, whichever occurs first.

23 Medicare Savings Program - Specified Low-Income Medicare Benefits (SLMB) or Qualifying

Individuals-1 (QI-1))

24 Medicare Savings Program – Qualified Medicare Beneficiary (QMB)

25 Qualified Disabled and Working Individuals (QDWI) – A special Medicare savings program that

pays Part A Medicare premiums for certain working individuals under age 65 who are disabled

and are no longer eligible for free Part A because of earnings.

30 Emergency medical for an undocumented alien

MBI

MBI is not processed in SAVERR; it is processed using TIERS as TP 87. MBI was implemented

in September 2006 for people with disabilities who work. Clients must pay a share of the

Medicaid premium to be eligible for Medicaid.

Revision Number: 07-3

Effective date: July 1, 2007

F-2 08/08

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