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Food Assistance ................................................................... 1

Medical Assistance ............................................................ 19

Housing Assistance............................................................ 39

Financial and Legal Assistance ........................................ 45

Page

Texas Commodity Assistance Program (TEXCAP) ........ 3

Community Food and Nutrition Program (CFNP) ......... 5

School Lunch and Breakfast Programs ............................ 6

Summer Food Service Program (SFSP) ........................... 7

Special Milk Program (SMP) ............................................. 8

Food Stamp Program.......................................................... 9

Women, Infants, and Children Program (WIC)............ 15









1

2

Texas Commodity Assistance Program (TEXCAP)



Description

The purpose of TEXCAP is to supplement the diets of low-income Americans by

providing emergency food and nutrition assistance at no cost. Eligible participants

consume meals prepared with commodities and served on site or receive food packages

that contain commodities for home consumption.



Commodities are distributed to emergency feeding organizations such as food pantries,

soup kitchens, and housing authorities. These organizations supply the commodities to

participants through prepared meals that are served on-site and food packages that may

be used for home consumption.



A household may receive TEXCAP commodities once a month.



Eligibility

Eligibility is based on income and residential location. Individuals who reside within a

TEXCAP contractor's service area may be eligible to receive meals that include USDA-

donated commodities.



Eligibility is based on income and residential location. A household's gross income may

not exceed 185% of the federal poverty level, which is based on household size.

The following guidelines (effective through June 30, 2005) apply to individuals who

participate in one or more of the SNP-administered programs. Eligibility is based on the

total income and size (i.e. number of household members) of an individual's household.

Individuals qualify for free or reduced-price meals if their total household income is

equal to or less than the figures provided in the table below.



Household Reduced Price Meals Free Meals

Size (185%) (130%)



No. of

Household

Members Annual Month Week Annual Month Week



1 17,224 1,436 332 12,103 1,009 233

2 23,107 1,926 445 16,237 1,354 313

3 28,990 2,416 558 20,371 1,698 392

4 34,873 2,907 671 24,505 2,043 472

5 40,756 3,397 784 28,639 2,387 551

6 46,639 3,887 897 32,773 2,732 631

7 52,522 4,377 1,011 36,907 3,076 710

8 58,405 4,868 1,124 41,041 3,421 790



For Each

Additional

Person, Add +$5,883 +$491 +$114 +$4,134 +$345 +$80



Income guidelines at www.hhsc.state.tx.us/programs/snp/news/income_eligibility.html





3

Texas Commodity Assistance Program (TEXCAP)



If undergoing a crisis, a household with income exceeding the poverty level may be

eligible for emergency food assistance for a maximum of six months.



Households that qualify for food stamps may also receive benefits under TEXCAP if

they meet TEXCAP requirements as well.



Managing organization

The U.S. Department of Agriculture provides 100% of the funds required to administer

the TEXCAP on the state and local level. Texas Health and Human Services’ Special

Nutrition Programs administers the TEXCAP through contracts with public or private

nonprofit emergency feeding organizations such as food banks, food pantries, soup

kitchens, and housing authorities. Priority for contracts is given to food banks.



More information

Phone: 512-873-6326

Email: texcap@dhs.state.tx.us



Mail: Texas Health and Human Services Commission

Special Nutrition Programs (SNP)

MC 017-3

P.O. Box 15995

Austin, TX 78761



Physical Location: Texas Health and Human Services Commission

Special Nutrition Programs (SNP)

1601 Rutherford Lane, Building D

Austin, TX 78754









4

Community Food and Nutrition Program (CFNP)



Description

The goals of the Community Food and Nutrition Program are:

 To coordinate private and public food assistance resources to better serve the food

and nutrition needs of low-income populations

 To assist low-income communities to identify potential sponsors of child nutrition

programs in under-served or unserved areas

 To develop innovative approaches at the State and Local level to meet the

nutrition needs of low-income individuals, including displaced workers, elderly

people, children, and the working poor and other low-income individuals



Eligibility criteria

In order to qualify for this benefit program, you must characterize your financial situation

as low income or very low income.



Managing organization

U.S. Department of Health and Human Services, Office of Community Services



More information

Web site: www.acf.hhs.gov/programs/ocs

For the application kits go to www.acf.hhs.gov/programs/ocs/kits1.htm









5

School Lunch and Breakfast Programs



Description

The goal of the National School Lunch (NSLP) and School Breakfast Programs (SBP) for

Public Schools is to safeguard the health and well being of school children by

establishing good eating habits through the availability of adequate food.



Organizations that may participate in these programs include:

 public and nonprofit schools

 residential child care institutions

 boarding schools

 juvenile correctional institutions



Eligibility criteria

In order to qualify for this benefit program, you must be a resident of the State of Texas

and a parent or primary caregiver responsible for a child(ren) who attends school (high

school or under).



Those who qualify must also have an annual household income before taxes that must

not exceed:

 $23,107 if two people live in the household;

 $28,990 if three people live in the household;

 $34,873 if four people live in the household;

 $40,756 if five people live in the household;

 $46,639 if six people live in the household, or

 $52,222 if seven people live in the household.

 For larger households, add $3,180 for each additional person in the home.



Managing organization

In public Schools: Texas Department of Agriculture’s Food and Nutrition Division

In other organizations: Texas Health and Human Services Commission



More information

Phone: 1-888-839-5437

Email: nslp@hhsc.state.tx.us



You can also contact your child's school to find out what meals are served and how to

apply for free or reduced price school meals.



To find the school district for your child(ren), go to:

http://penick.tea.state.tx.us/SchoolDistrictLocator/Home/TEA.asp









6

Summer Food Service Program (SFSP)



Description

The Summer Food Service Program (SFSP)

provides free, nutritious meals to children who

might otherwise go hungry when the school year

has ended or is closed. The meals are usually

provided along with educational or recreational

activities.



Eligibility criteria

There are no eligibility requirements for children

eating at open feeding sites in geographic areas

where 50% or more of the local children are eligible

for free or reduced-price meals in the National School Lunch/School Breakfast Programs.



However, there are three additional types of sites that may be operated:

 An Enrolled site where at least half of the enrolled children must be eligible for

free or reduced price school meals;

 A Residential summer camp that offers regularly scheduled food services as part

of its organized programs for enrolled children; and

 A nonresidential day camp that offers cultural or recreational programs for

enrolled children between meal services.



Managing organization

Texas Health and Human Services Commission, U. S. Department of Agriculture



More information

Web site: www.summerfood.org/



You can also contact your local school district to learn how to receive Texas SFSP

benefits.









7

Special Milk Program (SMP)



Description

The Special Milk Program (SMP) reimburses contractors for milk that they serve to

school and preschool aged children who do not otherwise participate in a Federal child

nutrition meal service program.



SMP clients include children who are enrolled in private nonprofit schools, child care

facilities, or summer camps.



Eligibility criteria

Eligibility for Free Milk is based on 185% of the Federal poverty guidelines. The

contracting agency is responsible for determining the eligibility of the children.



Managing organization

Texas Health and Human Services Commission



More information

Email sfsp@hhsc.state.tx.us

Web site: www.hhsc.state.tx.us/









8

Food Stamp Program



Description

The Food Stamp program is a federally funded program that helps low-income families

buy nutritious food from local food stores. Food stamp assistance is available to

qualifying families, elderly people, and single adults. Applicants must reside in Texas,

and must apply in the county in which they reside.



Eligibility criteria



Residence

Applicants must reside in Texas. Additionally, they must apply in the county in which

they reside.



Citizenship

Applicants must be one of the following:

 a U.S. Citizen,

 a Non-citizen who meets the definition as a qualifying immigrant and meets the

alien eligibility requirements outlined below:

o A refugee admitted under Section 207 of INA,

o A victim of severe trafficking admitted under Section 101(a)(15)(T) of

INA,

o An asylee admitted under Section 208 of INA,

o An alien whose deportation is being withheld under Section 243(h) or

241(b)(3) of INA,

o An Amerasian,

o A Cuban/Haitian entrant admitted under Section 212(d)(5),

NOTE: The category of aliens listed above meet the alien eligibility

requirement

 for 7 years from their date of entry into the U.S.,

 if the alien is under age 18 (regardless of the date he entered the

U.S.),

 if the alien meets the definition of disabled (regardless of the date

he entered the U.S.),

 if the aliens has resided in the U.S. for five years as a qualifying

immigrant, or

 if the alien was age 65 or older on August 22, 1996.

o A parolee admitted under Section 212(d)(5) of INA,

o A conditional entrant admitted under Section 203(a)(7) of INA,

NOTE: The category of aliens listed above meets the alien eligibility

requirement if the alien

 lawfully resided as a qualifying immigrant in the U.S. for five

years,

 meets the definition of disabled (regardless of the date he entered

the U.S.),

 is currently under age 18 (regardless of the date he entered the

U.S.),





9

Food Stamp Program



 is the spouse, unmarried surviving spouse, or minor unmarried

dependent child of an honorably discharged veteran or active duty

military personnel.

o An alien legally admitted for permanent residence who:

 has resided in the U.S. as a qualifying immigrant for five years,

 meets the definition of disabled (regardless of the date he entered

the U.S.),

 is under age 18 (regardless of the age he entered the U.S.),

 in the U.S. and was age 65 on or before August 22, 1996,

 can claim 40 "qualifying quarters of Social Security earnings",

 is an honorably discharged veteran,

 is active duty military personnel, or

 is the spouse, unremarried surviving spouse, or minor unmarried

dependent child of an honorably discharged veteran or active duty

military personnel

o An alien who is a battered woman or child is eligible if they are the spouse

or minor unmarried dependent of a veteran or active duty military

personnel, filed a petition with BCIS, and no longer live with the abuser,

o A Native American born in Canada or Mexico who is entitled by treaty to

reside in the U.S.,



Employment Services

All unemployed able-bodied persons age 16 through 59 must register for employment

services before initial certification and participate after certification. A person is exempt

from registration for employment services if the person is:

 under age 16 or age 60 and older,

 a regular participant or outpatient in a drug addiction or alcoholic treatment

program,

 responsible for the care of a dependent child under age 6 or a person with a

disability,

 physically or mentally unfit for employment,

 a student enrolled in school, including an institution of higher education, or a

person participating in a training program. (Note: some students must meet

special student eligibility criteria),

 already registered for employment services under the Temporary Assistance for

Needy Families (TANF) program,

 receiving unemployment compensation benefits or has applied for benefits,

 three to nine months pregnant, or

 employed or self-employed.









10

Food Stamp Program



Work Requirement

An individual age 18 through age 50 who is not working or participating in a specified

work program, an average of 20 hours per week, is limited to an initial three months of

eligibility in a 36 month period unless he is exempt for one of the following reasons:

 exempt from employment services requirements,

 physically or mentally unfit to work 20 hours per week,

 member of a food stamp household that includes a child, living in the home, who

is under age 18,

 pregnant,

 lives in a county with an unemployment rate over 10 percent, or

 lives in an ABAWD exemption county.



An individual who lost eligibility due to this policy may regain eligibility by becoming

exempt from or meeting the work requirement. If an individual regains eligibility by

meeting the work requirement and subsequently stops meeting the work requirement, the

individual can qualify for one additional three consecutive months period of food stamp

benefits, if he is otherwise eligible.



Resources

DHS excludes resources of households in which everyone receives TANF cash

assistance, TANF-non cash services or SSI. DHS determines if a household is authorized

to receive TANF Non-Cash (TANF-NC) Services using the criteria below:

 the household must have $5,000 or less in countable liquid resources combined

with excess vehicle value.

 exempt up to $15,000 of the fair market value (FMV) for the highest valued

countable vehicle. Count the excess over $15,000 FMV toward the combined

resource limit.

 exempt up to $4,650 FMV for all other countable vehicles. Count the excess over

$4,650 FMV toward the combined resource limit.



Households authorized to receive TANF-NC must also have gross income less than or

equal to 165% FPIL for its size in order to be categorically eligible for food stamps. Once

the household meets both the initial resource and income test, their remaining resources

are exempt and they are exempt from the gross/net income limits.

If the household fails to meet either the resource or income criteria, then the household is

not eligible for food stamps.



Transfer of resources by households for the purpose of qualifying for the program is

prohibited.









11

Food Stamp Program



Income

All households, except for those containing at least one member who is age 60 or older or

has a disability must meet a gross income test in order to be eligible for food stamps. A

household's gross monthly income, minus allowable income exclusions, cannot exceed

the gross income limit for that size household to be eligible for the program. If the

household's total gross income exceeds its gross income limit, the household is ineligible.



In addition, all households must pass a net income test. The household is ineligible if its

net income (gross income minus allowable deductions for household expenses) is more

than the net income limit for that size household.



Categorically eligible households in which all members are approved for TANF or SSI

are not subject to the resource or gross/net income limits. Households that meet the

TANF-NC resource criteria and have gross income less than 165% FPIL for its’ size are

also considered categorically eligible. These households are not subject to the gross or net

income limits.



There are special provisions for destitute farm workers because their income is so

sporadic.



The maximum gross income limits, adjusted annually to reflect current poverty

guidelines, are based on the number of persons in the household as follows:



Net

Gross Monthly Income Monthly

Household Size Limit Income

1 $1,009 $776

2 $1,354 $1,041

3 $1,698 $1,306

4 $2,043 $1,571

5 $2,387 $1,836

6 $2,732 $2,101

7 $3,076 $2,366

8 $3,421 $2,631

9 $3,421 $2,896

10 $4,111 $3,161

Each Additional Member +345 +265



Effective Oct. 1, 2004 to Sept. 30, 2005.









12

Food Stamp Program

Social Security

A household participating or applying for participation in the food stamp program must

provide a Social Security Number, or apply for one, for each household member who

does not have one.



Applicants who are not eligible because of immigration status (see "Citizenship") do not

have to provide a Social Security number or apply for one.



Basis of Issuance

The maximum monthly food stamp allotment depends on the number of persons in the

household as follows:



Household Size Allotment

1 $149

2 $274

3 $393

4 $499

5 $592

6 $711

7 $786

8 $898

9 $1,010

10 $1,122

Each Additional Member +122



Effective Oct. 1, 2004 to Sept. 30, 2005.



The amount of food stamp benefits the household receives is determined by household

size and the amount of the income available after all allowable deductions are made from

their gross income.



Categorically eligible one- and two-parent households are eligible for a minimum $10

allotment.



By law, the monthly food stamp allotments are revised annually effective October 1, to

reflect changes in the cost of food. The amount of benefits for the first month of

certification is based on the date of application. Benefits of less than $10 are not issued

for the month of application.









13

Food Stamp Program



Food Stamp Benefit Estimator

www.hhsc.state.tx.us/programs/FoodStamps/estimator/



Managing organization

Texas Health and Human Services Commission



More information

Phone: 1-800-448-3927

Frequently asked questions at:

Web site: www.dhs.state.tx.us/programs/TexasWorks/FoodStampFAQ.html









14

Women, Infants, and Children Program (WIC)



Description

WIC is a nutrition program that helps pregnant women, new mothers, and young children

eat well, learn about nutrition, and stay healthy. Nutrition education and counseling,

nutritious foods, and help accessing health care are provided to low-income women,

infants, and children through the Special Supplemental Nutrition Program, popularly

known as WIC.



WIC services are provided by:

 The Department of State Health Services runs the Texas WIC program and

provides funds to agencies across the state who run local WIC offices. All

kinds of agencies offer WIC services such as local health departments, county

and city agencies, migrant health centers, community action agencies, and

hospitals.

 Many local offices are open in the evenings and on Saturdays so that clients

do not have to miss work.

 There are over 300 full-time, permanent WIC offices and more than 200 other

part-time satellite sites, so finding a WIC clinic close to you shouldn't be a

problem.



Who is eligible and who can apply?

 Pregnant women

 Women who are breastfeeding a baby under 1 year of age

 Women who have had a baby in the past six months

 Parents, step-parents, guardians, and foster parents of infants and children

under the age of 5 can apply for their children



If you have a job or if you have private health insurance, you can still apply for WIC.

You do not have to be married to apply for WIC.



Fathers of children under the age of 5 are encouraged to enroll their children in the

WIC program. Just like any other parent or guardian, fathers can bring their children

to appointments, attend nutrition classes, and receive and redeem benefits for their

children. Active participation by fathers is a great help in keeping WIC children

healthy.



Clients receive individual nutrition counseling and nutrition classes. Many clinics

offer classes especially for children. Men who have family members participating in

the program are welcome to attend nutrition classes.



Some of the topics clients can learn about:

 Eating healthfully during pregnancy for mom and baby

 Infant and child nutrition — healthy foods for happy children, picky eaters,

watching your child’s weight, and lots more

 How to get the most out of their food dollars

 Valuable parenting skills







15

Women, Infants, and Children Program (WIC)



 Stages of child development

 The importance of childhood immunizations

 Tips for pregnant teens

 Common infant problems, such as colic, constipation, and crying



Breastfeeding Support

Clients receive encouragement and instruction in breastfeeding. In many cases,

breastfeeding women are provided breast pumps free of charge. WIC helps clients

learn why breastfeeding is the best start for their baby, how to breastfeed while still

working, Dad’s role in supporting breastfeeding, tips for teens who breastfeed, how to

pump and store breast milk, and much more.



Nutritious Foods

WIC provides benefits each month which are taken to grocery stores and used to buy

nutritious foods. WIC foods include iron-fortified infant formula and infant cereal,

iron-fortified adult cereal, vitamin C–rich fruit and vegetable juice, milk, eggs,

cheese, beans, and peanut butter. Different food packages are issued to different

clients. For example, mothers who are totally breastfeeding their babies without

formula are issued tuna and carrots in addition to other foods.



Eligibility criteria



 Meet the income guidelines. Households with incomes at or below 185 percent of

the federal poverty income level are eligible. WIC determines income based on

gross income. WIC counts all of the members of a household, related or unrelated.

WIC counts an unborn baby as a household member.



 Be at nutritional risk. WIC clients receive an initial health and diet screening at a

WIC clinic to determine nutritional risk. WIC uses two main categories of

nutritional risk: (1) medically-based risks such as a history of poor pregnancy

outcome, underweight status, or iron-deficiency anemia, and (2) diet-based risks

such as poor eating habits that can lead to poor nutritional and health status.

Clients will be counseled at WIC about these risks and the outcome influenced by

nutrition education and nutritious foods provided by WIC.



 Live in Texas. WIC clients usually receive services in the county where they live.

U.S. citizenship is not a requirement for eligibility.

 Clients must apply in person except in certain limited cases.









16

Women, Infants, and Children Program (WIC)



How to Become a WIC Client:

 Are you a pregnant woman, breastfeeding a baby less than one year of age, a

postpartum woman (one who had a baby within the last six months), or have an

infant or a child who is less than 5 years old? If yes, call 1-800-WIC-FORU

(1-800-942-3678) Monday through Friday, 8 a.m. to 5 p.m. to obtain the

telephone number and address of a WIC clinic that is close to where you live.

 Call or go by the clinic to make an appointment for a pregnant woman,

breastfeeding woman, postpartum woman, infant, or child less than 5 years of age.

 At the time of your appointment, bring documentation of your household's source

of income or wages. This applies to all members of the household. Some

examples of documentation include a paycheck stub, a current tax return, a letter

from an employer, a Social Security check, a child-support check, or self-

employed accounting records. Applicants and certain family members who

receive Medicaid, Temporary Assistance to Needy Families, or Food Stamps

automatically meet income eligibility by bringing acceptable proof of their

participation in one of these programs—they do not have to bring other income

documents.

 At the time of your appointment, bring documentation of where you live with

your current physical address, such as a utility or credit-card bill, rent receipt, or

business letter.

 At the time of your appointment, bring one document of identification for each

person applying for WIC benefits and the adult responsible for the benefits.

Examples of acceptable identification documents are a birth certificate, a driver's

license, an immunization card, an employee or school identification card with

picture, a Social Security card, or hospital records.

 During the appointment the applicant will undergo a simple health screen

including height and weight measurement, a finger stick to screen for low iron, a

medical and health history and a diet recall and history to determine nutritional

risk.

 At the end of his or her appointment, an applicant will receive counseling and

referral to appropriate health and human services, if applicable. WIC Program

eligibility will also be determined. Food benefits will be provided to those

eligible.

 If you have any questions about the above information, lack some item above, or

have a special situation, call or go by the clinic before your appointment so the

staff may assist you with your situation. Not bringing in all the documentation at

the time of your appointment may delay eligibility determination and benefits. A

complete screen must be done before eligibility can be determined.



Managing organization

Texas Department of State Health Services









17

Women, Infants, and Children Program (WIC)



Referrals

WIC refers clients to a variety of health and social services agencies and programs. WIC

staff can help clients find these services. Some examples are:

 Medicaid

 Food Stamps

 Temporary Assistance to Needy Families (TANF)

 Child health insurance

 Family planning

 Migrant health services

 Prenatal care

 Texas Health Steps (EPSDT)

 Medical and dental services

 Early Childhood Intervention (ECI)

 The School Lunch / Breakfast Summer Lunch Program

 Food Pantries

 Literacy Services

 Job Banks

 Housing Services

 Parenting Classes

 Drug and alcohol abuse programs

 Child care

 Child support enforcement



Immunizations

Many Texas WIC clinics provide immunizations free of charge to WIC clients. Those

clinics that do not provide immunizations will check immunization records and make

referrals to clinics where shots are given.



Managing organization

Texas Department of State Health Services



More information

Phone: 1-800-942-3678 (call this number to apply for program benefits)

Email: wicgeneral@dshs.state.tx.us

Web site: www.dshs.state.tx.us/wichd/default.shtm



Health Service Region 7 (Temple)

2408 South 37th Street,

Temple, TX 76504

Phone: 254-778-6744

Fax: 254-778-4066

Web site: www.r07.tdh.state.tx.us/templet.htm









18

Page

Children’s Health Insurance Program (CHIP) ............. 21

Children’s Medicaid ........................................................ 23

Medicaid for the Homeless ............................................... 24

Medically Needy Program ................................................ 25

Medical Transportation Program (MTP)....................... 26

Women, Infants, and Children Program (WIC)............ 27

Texas Health Steps (THSteps) Dental ............................. 31

Public Health Dental ......................................................... 32

Children with Special Health Care Needs (CSHCN) .... 33









19

20

Children’s Health Insurance Program (CHIP)



Description

The Texcare Children's Health Insurance Program (CHIP) is designed for families who

earn too much money to qualify for Medicaid health care, yet cannot afford to buy private

insurance. Families pay monthly premiums and cost-sharing for doctor visits, prescription

drugs, and emergency care.



Eligibility

To qualify, a child must:

 Be a Texas resident.

 Be a U.S. citizen or legal permanent resident. The citizenship or immigration

status of the parents does not affect a child's eligibility and is not reported on the

application form.

 Be under age 19.

 Not be enrolled in other health insurance.

 Live in a family that meets CHIP income requirements. The chart below provides

estimated eligibility guidelines.



Estimated Eligibility Income Guidelines



Family Income

Family

Size Monthly Yearly

1 up to: $1,595 up to:$19,140

2 up to:$2,139 up to:$25,668

3 up to:$2,682 up to:$32,184

4 up to:$3,225 up to:$38,700

5 up to:$3,769 up to:$45,228

6 up to:$4,312 up to:$51,744

7 up to:$4,855 up to:$58,260

8 up to:$5,399 up to:$64,788

*Updated 4/01/2005



Enrollment Waiting Period

CHIP coverage will continue to begin on the first day of a month and cover a full month

(i.e., there will be no partial-month coverage). A child's enrollment waiting period would

be determined by the date on which the child is determined eligible for CHIP.

 If the child is found eligible for CHIP on or before the 15th day of a month, then a

three-month (90-day) waiting period begins on the first day of the month in which

eligibility was determined.

 If the child is found eligible on or after the 16th day of a month, then the three-

month period begins on the first day of the next month.





21

Children’s Health Insurance Program (CHIP)



Exceptions to Waiting Period

All children would be subject to the waiting period except for children:

 Who lost insurance coverage because:

o their parent's employment was terminated due to a layoff, reduction-in-

force, or the closure of a business;

o their insurance benefits under the Consolidated Omnibus Budget

Reconciliation Act of 1985 (COBRA) were terminated;

o the marital status of a child's parent changed.

 No longer covered by insurance provided by the Texas Employees Retirement

System (ERS) or CHIP in another state.

 Whose previous health insurance coverage cost more than 10 percent of the

family's gross income.

 Decertified from the Medicaid Program and determined eligible for CHIP by

Department of Human Services eligibility workers.

 Added to currently enrolled accounts, including newborns.

 Disenrolled for failure to renew, but who successfully complete their renewal by

the deadline for processing renewals in the month after their 6th month of

coverage.

 Children disenrolled for failure to pay premiums, but who successfully complete

the reinstatement criteria. The reinstatement process includes a 3-month penalty

period when the family cannot receive coverage, but the rules would ensure that

the family would not be subject to an additional 3-month waiting period.



Managing organization

Texas Health and Human Services Commission



More information

To ask questions about CHIP or to apply over the phone: 1-800-647-6558

Operators work between 9 a.m. and 9 p.m. M-F and until 3 p.m. on Saturdays, except

federal holidays.

Web site: www.texcarepartnership.com/CHIP-About-TexCarePartnership.htm

To enter Web site with language options of English and Spanish:

www.texcarepartnership.com



To see if you might be eligible for programs provided by HHSC, including children's

Medicaid, cash assistance, and food stamps, visit the State of Texas Assistance and

Referral System (STARS) at

www.txstars.net/servlet/HSGServlet?page=Home









22

Children’s Medicaid



Description

Medicaid is the State and Federal cooperative venture that provides medical coverage to

eligible needy persons. Medicaid health insurance is provided at no cost to qualifying

children.



Your children may be covered by the Children’s Health Insurance Program (CHIP) if

your income or assets increase and they are no longer eligible for Medicaid.



Eligibility

To qualify, a child must:

 Be a Texas Resident.

 Be a U.S. citizen or a certain category of legal resident. This requirement may not

apply to medical emergencies.

 Be under age 19.

 Live in a family with assets below established levels. This does not include the

family's home, personal property, or primary vehicle.

 Either live in a family able to meet Medicaid income requirements, live alone, or

live with someone else.



Applying for Medicaid for your children just got easier. On Jan. 1, 2002, several changes

took place, including:

 The application form is the same as the CHIP application.

 You don't have to go to a HHSC office for an interview.

 Your children are eligible for six months of coverage even if your income or

assets increase.



Parents new to Medicaid must attend an orientation to learn how to use Medicaid

properly and all children must receive check-ups and immunizations as described by the

Texas Health Steps program.



Managing organization

Texas Health and Human Services Commission



More information

Texas Medicaid hotline: 1-800-252-8263

TDD: 512-424-6597

Email: medicaid@hhsc.state.tx.us

Web site: www.hhsc.state.tx.us/medicaid/med_info.html

www.hhsc.state.tx.us/programs/childrens_medicaid/index.html









23

Medicaid for the Homeless



Information from U. S. Department of Health and Human Services, Centers for Medicaid

and Medicare Services at www.cms.hhs.gov/medicaid/homeless/default.asp



Homelessness is a significant and growing problem in the United States. A recent study

estimates that over 700,000 people are homeless on any given night and up to 2 million

people experience homelessness during a year. Through nearly two decades of work with

families and individuals who are homeless, we have learned that effective services are

available and that persons who are homeless will use those services. Nearly every one of

these services can be supported by traditional mainstream insurance, entitlement, and

assistance programs funded by Federal agencies.



Tools and Resources:

First Step – An online tool for case managers and outreach workers assisting individuals

who are homeless with accessing Federal mainstream benefit programs. Useful

information is provided on each benefit program to make enrolling individuals into these

programs a more efficient process



Online Report: Improving Medicaid Access for People Experiencing Chronic Homelessness: State Examples-

A technical assistance report for states designed to highlight several initiatives

that increase Medicaid access for people who are chronically homeless. (PDF

2.6MB) www.cms.hhs.gov/medicaid/homeless/homeless32904.pdf



Table of contents: Page

Introduction .......................................................................................... 1

Background .......................................................................................... 1

Terminology......................................................................................... 1

Characteristics People Experiencing Chronic Homelessness ............. 2

The Role of Mainstream Services ........................................................ 2

Barriers to Medicaid Coverage ........................................................... .4

Promising Practices to Increase Medicaid Access .............................. 6

Waivers to Expand Eligibility.............................................................. 6

Eligibility Practices Related to Discharge Planning .......................... 10

Simplified Eligibility Determination ................................................. 13

Conclusion ......................................................................................... 15

Sources ............................................................................................... 16









24

Medically Needy Program

Description

Provides health care for those who are ineligible for cash assistance because their income

exceeds the TANF and other medical program limits, but who do not have enough

income to meet their medical needs. Target populations include youth, pregnant women,

and low-income families and individuals.



Eligibility

 Income: 133% of the TANF payment standard

 Citizenship: U.S. citizens and certain qualified aliens

 Qualifying Conditions: DHS eligibility staff determines eligibility or potential

eligibility. Applicants with income above the Medically Needy income limits

must "spend down" their excess income to become eligible. These applicants must

submit all medical bills to a clearinghouse for processing to determine if and

when spend down is met. Eligibility criteria are similar to those for TANF and

include residence, citizenship, age, relationship, third party liability declaration,

resources, and income. There is no maximum income limit because of the spend

down provision, which allows applicants to become Medicaid-eligible by proving

they have medical expenses that equal or exceed the difference between their

income and the Medically Needy income limit.



How to apply

Contact local DHS office to apply. Information about the locations of DHS offices can be

found at www.txstars.net.

Download applications at www.dhs.state.tx.us/Forms/Form1010.html



Managing organization

Texas Health and Human Services Commission



More information

Health and Human Services Commission

701 W. 51st Street

Austin, TX 78751

Phone: 512-438-4798

Web site: www.dhs.state.tx.us/programs/









25

Medical Transportation Program (MTP)

Description

The purpose of the Medical Transportation Program (MTP) is to provide categorically

eligible Medicaid and Children with Special Health Care Needs (CSHCN) recipients with

the most cost-effective means of transportation to health program allowable medical and

dental care services within reasonable proximity of their residence.



Recipients younger than 21 may qualify for money in advance for their travel. They may

also qualify for meals and lodging when they, or their adult responsible for them, must

remain overnight at a medical facility. CSHCN clients over the age of 21 diagnosed with

cystic fibrosis may also qualify for these services.



The Transportation for Indigent Cancer Patients (TICP) program is a subset of MTP. Its

purpose is to provide transportation services to financially eligible recipients who are not

Medicaid or CSHCN recipients and are diagnosed with cancer or cancer-related illness.



Eligibility

 Must be at or below the 100% of FPL for TICP eligibility. Not applicable to

categorically eligible Medicaid recipients Not applicable to CSHCN recipients

 Texas resident

 Must have no other means of transportation including local or community

resources. Auxiliary services require a medically necessary overnight stay. Client

financial services available upon request. CSCHN clients 21 and older diagnosed

with cystic fibrosis may also qualify for auxiliary and client financial services.

Must be at or below 100% and diagnosed with cancer or cancer-related illness for

TICP eligibility.

 No age limit for NEMT services. Under the age of 21, except for CSHCN clients

diagnosed with cystic fibrosis, for client financial services and auxiliary services.



How to Apply

Call MTP toll-free at 1-877-MEDTRIP (1-877-633-8747) during normal business hours

at least two working days in advance of the trip. If the trip requires extended travel

beyond the neighboring county, please call at least five working days in advance.



Managing organization

Texas Department of Transportation



More information

Texas Department of Transportation

125 East 11th Street

Austin, TX 78701

Phone: 877-633-8747; 512-416-2860

Fax: 512-416-2838

Web site: www.dot.state.tx.us/PTN/mtp/mtphome.htm









26

Women, Infants, and Children Program (WIC)



Description

WIC is a nutrition program that helps pregnant women, new mothers, and young children

eat well, learn about nutrition, and stay healthy. Nutrition education and counseling,

nutritious foods, and help accessing health care are provided to low-income women,

infants, and children through the Special Supplemental Nutrition Program, popularly

known as WIC.



WIC services are provided by:

 The Department of State Health Services runs the Texas WIC program and

provides funds to agencies across the state who run local WIC offices. All

kinds of agencies offer WIC services such as local health departments, county

and city agencies, migrant health centers, community action agencies, and

hospitals.

 Many local offices are open in the evenings and on Saturdays so that clients

do not have to miss work.

 There are over 300 full-time, permanent WIC offices and more than 200 other

part-time satellite sites, so finding a WIC clinic close to you shouldn't be a

problem.



Who is eligible and who can apply?

 Pregnant women

 Women who are breastfeeding a baby under 1 year of age

 Women who have had a baby in the past six months

 Parents, step-parents, guardians, and foster parents of infants and children

under the age of 5 can apply for their children



If you have a job or if you have private health insurance, you can still apply for WIC.

You do not have to be married to apply for WIC.



Fathers of children under the age of 5 are encouraged to enroll their children in the

WIC program. Just like any other parent or guardian, fathers can bring their children

to appointments, attend nutrition classes, and receive and redeem benefits for their

children. Active participation by fathers is a great help in keeping WIC children

healthy.



Clients receive individual nutrition counseling and nutrition classes. Many clinics

offer classes especially for children. Men who have family members participating in

the program are welcome to attend nutrition classes.



Some of the topics clients can learn about:

 Eating healthfully during pregnancy for mom and baby

 Infant and child nutrition — healthy foods for happy children, picky eaters,

watching your child’s weight, and lots more

 How to get the most out of their food dollars

 Valuable parenting skills







27

Women, Infants, and Children Program (WIC)



 Stages of child development

 The importance of childhood immunizations

 Tips for pregnant teens

 Common infant problems, such as colic, constipation, and crying



Breastfeeding Support

Clients receive encouragement and instruction in breastfeeding. In many cases,

breastfeeding women are provided breast pumps free of charge. WIC helps clients

learn why breastfeeding is the best start for their baby, how to breastfeed while still

working, Dad’s role in supporting breastfeeding, tips for teens who breastfeed, how to

pump and store breast milk, and much more.



Nutritious Foods

WIC provides benefits each month which are taken to grocery stores and used to buy

nutritious foods. WIC foods include iron-fortified infant formula and infant cereal,

iron-fortified adult cereal, vitamin C–rich fruit and vegetable juice, milk, eggs,

cheese, beans, and peanut butter. Different food packages are issued to different

clients. For example, mothers who are totally breastfeeding their babies without

formula are issued tuna and carrots in addition to other foods.



Eligibility criteria



 Meet the income guidelines. Households with incomes at or below 185 percent of

the federal poverty income level are eligible. WIC determines income based on

gross income. WIC counts all of the members of a household, related or unrelated.

WIC counts an unborn baby as a household member.



 Be at nutritional risk. WIC clients receive an initial health and diet screening at a

WIC clinic to determine nutritional risk. WIC uses two main categories of

nutritional risk: (1) medically-based risks such as a history of poor pregnancy

outcome, underweight status, or iron-deficiency anemia, and (2) diet-based risks

such as poor eating habits that can lead to poor nutritional and health status.

Clients will be counseled at WIC about these risks and the outcome influenced by

nutrition education and nutritious foods provided by WIC.



 Live in Texas. WIC clients usually receive services in the county where they live.

U.S. citizenship is not a requirement for eligibility.



 Clients must apply in person except in certain limited cases.









28

Women, Infants, and Children Program (WIC)



How to Become a WIC Client:

 Are you a pregnant woman, breastfeeding a baby less than one year of age, a

postpartum woman (one who had a baby within the last six months), or have an

infant or a child who is less than 5 years old? If yes, call 1-800-WIC-FORU

(1-800-942-3678) Monday through Friday, 8 a.m. to 5 p.m. to obtain the

telephone number and address of a WIC clinic that is close to where you live.

 Call or go by the clinic to make an appointment for a pregnant woman,

breastfeeding woman, postpartum woman, infant, or child less than 5 years of age.

 At the time of your appointment, bring documentation of your household's source

of income or wages. This applies to all members of the household. Some

examples of documentation include a paycheck stub, a current tax return, a letter

from an employer, a Social Security check, a child-support check, or self-

employed accounting records. Applicants and certain family members who

receive Medicaid, Temporary Assistance to Needy Families, or Food Stamps

automatically meet income eligibility by bringing acceptable proof of their

participation in one of these programs—they do not have to bring other income

documents.

 At the time of your appointment, bring documentation of where you live with

your current physical address, such as a utility or credit-card bill, rent receipt, or

business letter.

 At the time of your appointment, bring one document of identification for each

person applying for WIC benefits and the adult responsible for the benefits.

Examples of acceptable identification documents are a birth certificate, a driver's

license, an immunization card, an employee or school identification card with

picture, a Social Security card, or hospital records.

 During the appointment the applicant will undergo a simple health screen

including height and weight measurement, a finger stick to screen for low iron,

a medical and health history and a diet recall and history to determine nutritional

risk.

 At the end of his or her appointment, an applicant will receive counseling and

referral to appropriate health and human services, if applicable. WIC Program

eligibility will also be determined. Food benefits will be provided to those

eligible.

 If you have any questions about the above information, lack some item above, or

have a special situation, call or go by the clinic before your appointment so the

staff may assist you with your situation. Not bringing in all the documentation at

the time of your appointment may delay eligibility determination and benefits.

A complete screen must be done before eligibility can be determined.



Managing organization

Texas Department of State Health Services









29

Women, Infants, and Children Program (WIC)

Referrals

WIC refers clients to a variety of health and social services agencies and programs. WIC

staff can help clients find these services. Some examples are:

 Medicaid

 Food Stamps

 Temporary Assistance to Needy Families (TANF)

 Child health insurance

 Family planning

 Migrant health services

 Prenatal care

 Texas Health Steps (EPSDT)

 Medical and dental services

 Early Childhood Intervention (ECI)

 The School Lunch / Breakfast Summer Lunch Program

 Food Pantries

 Literacy Services

 Job Banks

 Housing Services

 Parenting Classes

 Drug and alcohol abuse programs

 Child care

 Child support enforcement



Immunizations

Many Texas WIC clinics provide immunizations free of charge to WIC clients. Those

clinics that do not provide immunizations will check immunization records and make

referrals to clinics where shots are given.



Managing organization

Texas Department of State Health Services



More information

Phone: 1-800-942-3678 (call this number to apply for program benefits)

Email: wicgeneral@dshs.state.tx.us

Web site: www.dshs.state.tx.us/wichd/default.shtm



Health Service Region 7 (Temple)

2408 South 37th Street,

Temple, TX 76504

Phone: 254-778-6744

Fax: 254-778-4066

Web site: www.r07.tdh.state.tx.us/templet.htm









30

Texas Health Steps (THSteps) Dental

Description

The Division of Oral Health provides dental screening, diagnostic, preventive and

treatment services for Medicaid-enrolled children through the age of 20. These services

are obtained at private Medicaid dental provider offices, TDH clinics, and school health

centers through community-based systems of care. THSteps dental staff interacts with

Medicaid recipients, Medicaid providers, and community resources such as schools, to

assist recipients in obtaining THSteps services.

THSteps Dental Preventive Services include: dental examinations, initial or periodic,

cleaning (prophylaxis), instruction in proper oral hygiene, application of topical fluoride,

application of sealants to certain teeth, and maintenance of space.

THSteps Dental Treatment Services include: restorations (fillings, crowns, etc.),

endodontic treatment (pulp therapy, root canals, etc.), periodontic treatment (gum

disease), prosthodontics (full or partial dentures), oral surgery (extractions and other

procedures), implant services, and maxillo-facial prosthetics.

THSteps Emergency Dental Services include: procedures necessary to control bleeding,

relieve pain, and eliminate acute infection, operative procedures that are required to

prevent imminent loss of teeth, and treatment of injuries to the teeth or supporting

structures.

THSteps Orthodontic Services include: treatment for severe, handicapping

malocclusion, correction of cleft palate, provision of orthodontic appliances, crossbite

therapy, and treatment for facial accidents involving severe traumatic deviation.



Eligibility

 Medicaid enrolled children, birth through 20 years.

 US/TX resident.

 130% of Federal Poverty Level; FDA guidelines for free school lunch program.



Managing organization

Texas Department of State Health Services

Web site: www.tdh.state.tx.us/dental/thsteps.htm



More information

State Dental Director Health Service Region 7 (Temple):

Department of State Health Services 2408 South 37th Street

1100 West 49th Street Temple, TX 76504

Austin, TX 78756 Phone: 254-778-6744

Phone: 512-458-7323 Fax: 254-778-4066

Fax: 512-458-7249 Web site:

www.r07.tdh.state.tx.us/templet.htm









31

Public Health Dental

Description

Central office and regional staff provide oral health education, preventive and restorative

dental care, and referral in order to prevent dental disease in children. Services include

emergency dental care, mobile dental care, and dental referrals.



Eligibility:

 Texas resident, 18 years or younger

 130% of Federal Poverty Level; USDA guidelines for school free-lunch program



How to apply

Contact a local Regional Dental Office. A list is available at

www.tdh.state.tx.us/dental/regions.htm



Managing organization

Texas Department of State Health Services



More information

Texas Department of State Health Services

1100 West 49th Street

Austin, TX 78751

Phone: 512-458-7111

Fax: 512-458-7256

Web site: www.tdh.state.tx.us/dental/den_svcs.htm



Health Service Region 7 (Temple):

2408 South 37th Street

Temple, TX 76504

Phone: 254-778-6744

Fax: 254-778-4066

Web site: www.r07.tdh.state.tx.us/templet.htm









32

Children with Special Health Care Needs (CSHCN) Services Program



Description

The mission of the Children with Special Health Care Needs (CSHCN) Services Program

is to support family-centered, community-based strategies for improving the quality of

life for children with special health care needs and their families.



CSHCN provides services to children with extraordinary medical needs, disabilities, and

chronic health conditions. The CSHCN Services Program's health care benefits include:

 payments for medical care

 family support services

 related services not covered by Medicaid, CHIP, private insurance, or other ―third

party payors.‖



The program also contracts with agencies throughout the state to provide an array of

clinical and support services to children with special health care needs and their families.



CSHCN also assists children and their families by supporting case management at DSHS

regional offices throughout Texas.



Because CSHCN funds are limited, there may be a waiting list for health care benefits.

When funds are available, the program may be able to remove clients from the waiting

list and begin providing health care benefits through enrolled CSHCN Services providers.

It is important to renew eligibility to maintain placement on the waiting list by renewing

every six months.



Families of children with special health care needs, including those on the waiting list for

CSHCN health benefits, may be eligible to receive case management services.



Managing organization

Texas Department of State Health Services



More information

CSHCN Inquiry Line: 1-800-252-8023

Email: cshcn@dshs.state.tx.us

Web site: www.dshs.state.tx.us/cshcn/default.shtm



Department of State Health Services Health Service Region 7 (Temple):

Children with Special Health Care Needs 2408 South 37th Street

Moreton Building, Room 442 Temple, TX 76504

1100 West 49th Street Phone: 254-778-6744

Austin, TX 78756 Fax: 254-778-4066

Web site:

www.r07.tdh.state.tx.us/templet.htm









33

Children with Special Health Care Needs (CSHCN) Services Program



To find a case manager in Health Service Region 7, contact:



Department of State Health Services Scott & White Memorial Hospital

2408 South 37th Street 2401 South 31st Street

Temple, TX 76504-7168 Temple, TX 76508

Phone: 254-778-6744 Phone: 254-724-4950

Fax: 254-778-4066 Fax: 254-724-0811



DHHS Region 7 Case Management/ Community Resource Programs



Program Counties Services



Children’s Specialty Care  Bell  Case Management (care coordination

Coordination Program  Bosque model) for interdisciplinary clinics

Scott & White Memorial  Coryell  Bilingual services

Hospital  Falls

2401 South 31st Street  Freestone

Temple 76508  Hamilton

Phone: 254-724-5640  Hill

Fax: 254-724-1919  Lampasas

Web: www.sw.org  Limestone

Email:  McLennan

elara@swmail.sw.org or  Mills

jwest@swmail.sw.org



Outreach Coordinator for Same as above Community/Family Resources

Children with Special  Outreach Coordinator for Children’s

Needs Special Needs Network

P.O. Box 3724  Information & Referral

Temple 76505  Family education and conferences

Phone: 254-778-6412  Equipment

Fax: 254-778-6785

Children’s Special Needs  Bell Family Support Services for Children who

Network (CSNN)  Coryell are Medically Fragile or Medically

P.O. Box 3724  Falls Complex:

Temple 76505  Lampasas  Respite care and specialized childcare

Phone: 254-778-6412  McLennan costs

Fax: 254-778-6785  Support groups and family activities

Email:  Peaceable Kingdom Weekend Retreat

mklentzman@special-  Equipment lending services

children.org  Counseling services

 Information and referral









34

Children with Special Health Care Needs (CSHCN) Services Program







Program Counties Services



Central Texas Respite Network  Bell  Family Support Services for

Easter Seals—Central Texas  Lampasas Children who are Medically Fragile

919 West 28½ Street  Mills or Medically Complex:

Austin 78705  In-home, flexibly scheduled, and

Phone: 512-407-9500, ext. 10 emergency respite care

Fax: 512-407-9502  Center-based respite care

Email:  Therapeutic, recreational day camps

smiller@eastersealstx.com

Web: http://centraltx.easter-

seals.org



Dept. of State Health Services Any Baby Can and Family Resource Center

1101 Camino La Costa 1121 East 7th Street

Austin 78752-3930 Austin 78702

Phone: 512-467-9875 Phone: 512-454-3743

Fax: 512-451-1468 Fax: 512-454-0205









35

36

Page

Texas Department of Housing

and Community Affairs .................................................... 39









37

38

TDHCA Housing Assistance



Description

To better assist individuals on a local level, the Texas Department of Housing and

Community Affairs (TDHCA) administers its programs and services through a network

of organizations located throughout the state. For example, if you live in the Panhandle

and need assistance with your utility bill, you can call an organization in your community

for help rather than call someone in Austin.



Texans can receive assistance from many of TDHCA's programs or services. Simply

follow these three easy steps:

 Identify which program or service best meets your needs.

 Learn whether you are eligible to qualify to receive assistance.

 Locate and contact the organization in your area that provides the specific service

you need.



Programs



Community Services Block Grant Program (CSBG)

The Community Services Block Grant Program (CSBG) provides administrative support

to a network of local Community Action Agencies (CAAs) that provide services to very

low-income persons in all areas of the state. The funding helps provide such essential

services as childcare; health and human services for children, families and the elderly;

housing; and other poverty-related programs.



Comprehensive Energy Assistance Program (CEAP)

The Comprehensive Energy Assistance Program (CEAP) combines case management,

education, and financial assistance to help very low- and extremely low-income

consumers reduce their utility bills to an affordable level. Services include utility

payment assistance, energy education and budget counseling.



Down Payment Assistance Program (DPAP)

The Down Payment Assistance Program (DPAP) helps very low- and low-income

families purchase a home by providing an interest-free loan ranging from $5,000 to

$10,000, depending on the county in which the property is located. This assistance is for

down payment and eligible closing costs, and the borrower pays the loan when the home

is either sold or refinanced, or at the maturity of the original mortgage.



Emergency Shelter Grants Program (ESGP)

The Emergency Shelter Grants Program (ESGP) funds provide grants to eligible entities

that provide shelter and related services for homeless persons, as well as intervention

services to persons threatened with homelessness. Activities eligible for funding include

renovation of shelters for use as homeless shelters; assistance in obtaining permanent

housing; medical and psychological counseling and supervision; and developing and

implementation of homeless prevention activities.









39

TDHCA Housing Assistance



HOME Investment Partnerships (HOME) Program

The HOME Investment Partnerships Program (HOME) provides grants and loans to help

local governments, nonprofit agencies, for-profit entities, and public housing agencies

provide safe, decent, affordable housing to extremely low-, very low- and low-income

families. HOME allocates funds through four basic activities:

 Homebuyer Assistance

 Rental Housing Development

 Owner-Occupied Housing Assistance

 Tenant-Based Rental Assistance



The program has a 15 percent set-aside for community housing development

organizations and a 10 percent set-aside for special needs, including the homeless, the

elderly, persons with disabilities, and persons with AIDS.



Housing Center

The Housing Center (Research and Planning section) in the Division of Policy and Public

Affairs acts as a central clearinghouse for information regarding TDHCA programs and

for general housing & housing related issues. The section provides educational materials

and assistance to the public, community-based housing development organizations,

nonprofit housing developers, and other state and federal agencies. This assistance

emphasizes increasing the state's capacity to develop and deliver housing for extremely

low- very low-, low-, and moderate-income individuals and families. The Housing Center

is also responsible for the publications that TDHCA is required to submit to receive

funding from both the state and federal government as well as for the certification of

Community Development Housing Organizations (CHDOs) wishing to participate in the

state's HOME Program. In addition, the Housing Center is responsible for administering

the Texas Statewide Homebuyer Education Program (TSHEP). For more information,

contact Steve Schottman at 512-305-9038.



Housing Tax Credit Program

The Housing Tax Credit Program is the primary means of directing private capital

towards the creation of affordable rental housing. Developers of low-income rental

housing use the tax credit to offset a portion of their federal tax liability in exchange for

the production of affordable rental housing. To qualify for the tax credit, either 20 percent

or more of the project's units must be rent-restricted and occupied by individuals whose

income is 50 percent or less of the median family income; or 40 percent or more of the

units must be rent-restricted and occupied by individuals whose income is 60 percent or

less of the median family income.



Housing Trust Fund Program

The Housing Trust Fund is the only state-authorized program dedicated to increasing the

state's supply of affordable housing. The program awards funds on a competitive basis to

nonprofit and for-profit organizations, local governments, public housing authorities,

community housing development organizations, and income-eligible individuals and

families for the acquisition, rehabilitation, and new construction of affordable housing.





40

TDHCA Housing Assistance



The Housing Trust Fund also sets aside 10 percent of each annual allocation for Capacity

Building Activities and up to 10 percent for the Pre-development Revolving Loan

Program.



Manufactured Housing Division

The Manufactured Housing Division implements state and federal laws to regulate the

manufactured housing industry in Texas and is the only regulatory function of the

agency. The division ensures that manufactured homes are well-constructed and installed

correctly; that consumers are provided fair and effective remedies; and that measures are

taken to ensure economic stability for the Texas manufactured housing industry. The

division also monitors manufacturers' performance in handling complaints; performs

post-production monitoring; conducts training and issues licenses, state seals and

statements of ownership and location; performs installation inspections; and investigates

consumer complaints.



Multifamily Housing Preservation Initiatives

Preservation of existing affordable and subsidized housing stock is a critical element to

achieving the Department's mission to provide safe, decent and affordable housing. Given

current demographic projections for the state of Texas, stabilization of the existing stock

of affordable housing is as equally important as new production in terms of meeting

future demand for housing.



Multifamily Mortgage Revenue Bond Program

The Multifamily Mortgage Revenue Bond Program issues mortgage revenue bonds to

finance loans for qualified nonprofit organizations and for-profit developers. In an effort

to target low-income populations, properties financed are subject to unit set-aside

restrictions for low-income tenants, such as rent limitations and other requirements set by

TDHCA and its Governing Board. For example, 75 percent of all units created with

mortgage revenue bonds must be occupied by households that are at 80 percent or below

area median family income. In addition, five percent of the units are reserved for special-

needs tenants.



Statewide Housing Assistance Payments Program (Section 8)

The Statewide Housing Assistance Payments Program (Section 8) provides rental

assistance subsidy vouchers to families earning less than 50 percent of area median

family income, the elderly, and persons with disabilities. The statewide program is

designed specifically for needy families in small cities and rural communities served by

similar local or regional programs.



Texas "Bootstrap" Loan Program

The Texas Bootstrap Loan Program is required under Subchapter FF, Chapter 2306,

Texas Government Code, to make available $3 million for mortgage loans to very low-

income families (60% area median family income) not to exceed $30,000 per unit. This

program is a self-help construction program, which is designed to provide very low-

income families an opportunity to help themselves through the form of sweat equity. All





41

TDHCA Housing Assistance



participants under this program are required to provide at least 60 percent of labor that is

necessary to construct or rehabilitate the home. All applicable building codes will be

adhered to; under this program. In addition, nonprofit organizations can combine these

funds with other sources such as those from private lending institutions, local

governments, or any other sources. However, all combined loans can not exceed $60,000

per unit. Funds for the initiative come from the Department's Housing Trust Fund and

other sources. The program is administered through TDHCA's Colonia Self-help Centers

and State Certified Owner-Builder Housing Programs across the state. For more

information, call 1-800-462-4251.



Texas First Time Homebuyer Program

The Texas First-Time Homebuyer Program channels below-market interest rate mortgage

money through participating Texas lending institutions to eligible families, who are

purchasing their first home, or to those who have not owned a home in the past three

years. Although income limits may vary with each bond issue, the program is designed to

serve very low- to moderate-income (30 to 115 percent of AMFI) Texas families.



Weatherization Assistance Program (WAP)

The Weatherization Assistance Program (WAP) helps low-income Texans—particularly

the elderly and persons with special needs—control energy costs to ensure a healthy and

safe living environment. The program funds the installation of weatherization materials

and provides energy conservation education.



Assistance

Home repair assistance & weatherization. Home repair assistance programs offer low

interest loans or grants to help homeowners repair their houses. Weatherization provides

for energy audits (a review of your home's energy efficiency, which identifies where air

leaks may be occurring, inefficient appliances, etc.), and the installation of weatherization

measures to increase the energy efficiency of a home.



Rental assistance. Rental assistance programs provide: rental vouchers to assist with

rental payments, rental properties, and/or assistance with security deposits.



Utility bill and other assistance. Helps households develop goals for self-sufficiency

through case management, education and a utility co-payment plan (which helps pay up

to 12 months of utility bills). These organizations also provide other services to very low-

income Texans.



Managing organization

Texas Department of Housing and Community Affairs









42

TDHCA Housing Assistance



More information



TDHCA Mailing Address: Physical Location:

P.O. BOX 13941 Waller Creek Office Building

Austin, TX 78711-3941 507 Sabine Street

Phone: 512-475-3800 Austin, TX 78701



Web sites

Programs: www.tdhca.state.tx.us/overview.htm

Assistance: www.tdhca.state.tx.us/assist_main.htm

U.S. Department of Housing and Urban Development (HUD): www.hud.gov/

HUD Fact Sheets: www.hud.gov/offices/pih/programs/hcv/about/fact_sheet.cfm









43

44

Page

Temporary Assistance for Needy Families (TANF) ...... 47

Office of the Attorney General ........................................ 53

Unemployment Insurance (UI) ........................................ 56









45

46

Temporary Assistance for Needy Families (TANF)



Description

The Texas Temporary Assistance for Needy Families (TANF) program, formerly Aid to

Families with Children (ADFC), is a support service for Texas families. The purpose of

TANF is to provide financial and medical assistance to needy dependent children and the

parents or relatives with whom they are living. Eligible TANF households receive

monthly cash and Medicaid benefits. TANF uses state funds to provide cash assistance to

families with two parents who both receive benefits with children deprived of parental

support because of the unemployment or underemployment of a parent.



TANF cash assistance provides monthly cash benefits to very low-income families based

on eligibility standards set by the states. Unlike its predecessor, Aid to Families with

Dependent Children (AFDC), TANF is not an entitlement program, meaning eligible

families are not guaranteed benefits.



Recipients must cooperate with the Personal Responsibility Agreement (PRA). The PRA

requires recipients to agree not to voluntarily quit a job, stay free of alcohol or drug

abuse, participate in parenting skills if referred, obtain medical screenings for their

children, and ensure their children are immunized and attending school.



Eligibility criteria



Residence

Applicants must reside and intend to remain in Texas.



Citizenship

Applicants must be one of the following

 a U.S. citizen, or

 an alien lawfully admitted before 8/22/96 who meets one of the following

requirements:

o a refugee admitted under Section 207 of INA,

o a victim of severe trafficking admitted under Section (101)(a)(15)(T) of

INA

o an asylee admitted under Section 208 of INA,

o an alien whose deportation is withheld under Sections 243(h) or 241(b)(3)

of INA,

o a Cuban/Haitian entrant paroled under Section 212(d)(5) of INA,

o an Amerasian Legal Permanent Resident (LPR),

o a parolee granted status under Section 212(d)(5) of INA for at least one

year,

o a Conditional Entrant admitted under Section 203(a)(7) of INA, or

o an LPR other than an Amerasian.

 an alien lawfully admitted on or after 8/22/96 who meets one of the following

requirements:

o a refugee admitted under Section 207 of INA,

o a victim of severe trafficking admitted under Section (101)(a)(15)(T) of

INA





47

Temporary Assistance for Needy Families (TANF)



o an asylee admitted under Section 208 of INA,

o an alien whose deportation is being withheld under Section 243(h) or

241(b)(3) of INA,

o a Cuban/Haitian Entrant paroled under Section 212(d)(5) of the INA, or

o an Amerasian Legal Permanent Resident (LPR).



Note: The aliens listed above meet the alien eligibility requirement

for 5 years from their legal entry date into the United States



o an alien legally admitted for permanent residence who is:

 an honorably discharged veteran, or

 active duty military personnel, or

 the spouse, unremarried surviving spouse, or minor unmarried

dependent child of an honorably discharged veteran or active duty

military personnel.

 An alien who is the spouse or child of an honorably discharged veteran or active

duty personnel and who has filed a petition with BCIS as being battered by the

spouse or parent who no longer lives in the home.



Age

A child must be under 18 years old to receive assistance. Exception: The grant can be

continued through the month the child graduates if both the following conditions are met:

 the child is a full-time student, and

 the child is expected to graduate before or during the month of his 19th birthday.



Relationship and Domicile

A child must live with a relative within the required degree of relationship. These

relatives include a:

 father or mother

 grandfather or grandmother

 brother or sister

 uncle or aunt

 nephew or niece

 stepfather or stepmother

 stepbrother or stepsister

 step-grandparent

 first cousin



Note: To qualify for TANF-SP benefits, a child must be living with both his natural

or adoptive legal parents who both receive TANF benefits.









48

Temporary Assistance for Needy Families (TANF)



Deprivation

A child must be deprived of the support or care of a legal parent due to these reasons:

 death of a parent,

 absence of a parent from the home,

 physical or mental incapacity of a parent, or

 unemployment or underemployment of the primary wage earner (PWE) parent.



TANF cases for children who are deprived due to the absence or death of a parent, are

referred to the Office of the Attorney General's Child Support Enforcement Division for

potential child support collections.



Child Support

The responsible relative on a case must cooperate with the child support program

requirements by:

 providing information on the non-custodial parent,

 participating in efforts to locate the non-custodial parent, establish paternity, and

establish a child support order, and

 remitting all child support payments to the State after TANF is granted.

Exception: Households receiving TANF-SP do not have to remit child support.

Child support received in a TANF-SP household is budgeted against the case to

determine ongoing eligibility.



Failure to cooperate, without good cause, results in a full-family sanction until

cooperation is achieved. Exception: If the responsible adult is a pregnant woman or

under age 19, she will continue to receive Medicaid coverage.



The responsible relative may claim good cause for not cooperating with the child support

program if:

 cooperation could result in physical or emotional harm to the child or responsible

relative,

 the child was conceived as a result of rape or incest, or

 the child may be placed for adoption.



Resources

Eligible families cannot have more than $1,000 in resources.

Exempt resources include:

 home and surrounding property,

 burial plots,

 personal possessions,

 resources not legally available to the household,

 resources of SSI recipients,

 vehicles worth less than $4,650.









49

Temporary Assistance for Needy Families (TANF)



Transfer of resources by households for the purpose of qualifying for the program is

prohibited.



Income

The Health and Human Services Commission (HHSC) determines a household's financial

eligibility based on a figure which represents 100% of the estimated cost necessary to

meet basic needs for one month according to household size. HHSC determines benefits

based on a figure that equals 25% of the budgetary needs amount and pays a maximum

TANF grant which equals 17% of the Federal Poverty Income Limit.



HHSC includes the needs of the supervising relative on the case with the eligible child if

the adult is

 the child's legal parent, or

 another relative who is financially needy and wants to be included.



HHSC also includes the needs of a "second parent" when a child lives with both legal

parents and either parent is incapacitated or unemployed/underemployed.

All applicants and certified recipients must pass income tests:



Budgetary Needs Test - Total gross household income minus work related and child

care expenses for all applicants who have not received TANF in the past four months

cannot exceed the budgetary needs amount.



Recognizable Needs Test - Net household income for applicants and certified recipients

cannot exceed 25% of the budgetary needs amount.

HHSC has special budgeting procedures for households containing a

 non-certified stepparent,

 sponsored alien,

 parent of a minor parent, or

 disqualified legal parent.



In these cases, HHSC diverts a portion of these household member's income and applies

the remainder to the certified group.



The actual TANF grant amount may vary depending on other income (and deductions for

earned income). Texas allows the following deductions from earned income:

 $120 for work related expenses,

 up to $200 monthly dependent care expense per child under age 2,

 up to $175 monthly dependent care expense per child age 2 or older, including

incapacitated adults, and

 90% of the remainder for four months in a twelve month period. This is allowed

for active cases and applicants who have either received TANF in the four months

before applying or who pass the Budgetary Needs Test.









50

Temporary Assistance for Needy Families (TANF)



The TANF household is eligible for "medical assistance only" (MAO) if the TANF case

is denied because of:

 an increase in child support income or new or increased earnings, or

 the loss of the 90% deduction.



Texas exempts certain types of income including:

 adoption subsidies,

 earned income of certain children attending school,

 educational assistance,

 certain energy assistance payments,

 Foster Care payments,

 in-kind and vendor payments,

 certain Workforce Investment Act (WIA) payments,

 certain payments from government sponsored programs such as Native and Indian

claims,

 income of SSI recipients, and

 reimbursements for items not included in the need standard.



Social Security Number

Applicants must provide a Social Security number or apply for one.



Employment

Each caretaker applicant age 16 through 59 who is not exempt must participate in

employment services. Exemptions include persons who are:

 children under age 19,

 age 60 and over,

 single parents or relatives caring for a child under age one,

 needed at home to provide care for an ill or disabled household member,

 temporarily or permanently disabled,

 pregnant and unable to work, or

 single grandparents, age 50 or over, caring for a child under age three.



Managing organization

Texas Health and Human Services Commission



More information



HHSC Mailing Address: HHSC Physical Address:

Texas Health and Human Services Commission HHSC Headquarters

Office of the Ombudsman, MC H-700 Brown-Heatly Building

P O Box 13247 4900 N. Lamar Blvd., 7th Floor

Austin, TX 78711-3247 Austin, TX 78751









51

Temporary Assistance for Needy Families (TANF)



Dial 2-1-1 for access to information about health and human services in your community.

Callers from outside Texas and those calling from cellular phones will need to call their

2-1-1 Area Information Center directly.

Or call the Ombudsman’s Office, toll-free, at 877-787-8999



TDD: 888-425-6889



Fax: 512-491-1967



Email: contact@hhsc.state.tx.us









52

Office of the Attorney General



Description

The Attorney General is the constitutional, statewide elected official who acts as the

attorney for the State of Texas. The Attorney General:

 enforces state consumer protection laws;

 collects court-ordered child support; and

 administers the Crime Victims' Compensation Fund.



Many Texans look to the Office of the Attorney General for guidance with disputes and

legal issues. The agency receives hundreds of letters, phone calls and visits each week

about crime victims’ compensation, child support, abuse in nursing homes, possible

consumer fraud and other topics.



We can and do answer many of these questions directly. We can send you an application

for crime victims’ compensation, for example, or for child support services. In some

cases, we may refer you to another agency that serves your particular need. Under Texas

law, however, we cannot give you legal advice or answer questions about particular laws

or statutes.



As the official child support enforcement agency for the State of Texas, the Office of the

Attorney General provides services for parents who wish to obtain or provide support for

their children. The Child Support Division determines, on a case-by-case basis, which of

the child support services listed below are appropriate:

 Locating a non-custodial parent

 Establishing paternity

 Establishing and enforcing child support orders

 Establishing and enforcing medical support orders

 Reviewing and adjusting child support payments

 Collecting and distributing child support payments



Some Frequently Asked Questions



I need an attorney. Can the Attorney General's office represent me?

By law, the Office of the Attorney General may not represent private citizens in legal

disputes. The Lawyer Referral Service at the State Bar of Texas can assist you in

contacting an attorney in Texas with expertise relevant to your situation. The Lawyer

Referral Service can be reached at 1-800-252-9690.



I have questions about my child support case. Where do I call?

For information about child support services, call the Office of the Attorney General’s

Child Support Division at 1-800-252-8014 or consult your phone directory for the

number to your local office. Information is also available at www.oag.state.tx.us.

Issues involving child custody and visitation are resolved through the court system.

Federal law prohibits the Office of the Attorney General from intervening in these

matters. Therefore, you may wish to discuss custody and visitation questions with a







53

Office of the Attorney General



private attorney. The non-profit Family Law Hotline at 1-800-777-3247 also provides

legal counsel in family law matters.



I’m the victim of a violent crime in Texas. Can the Attorney General help?

The purpose of the Attorney General’s Crime Victims’ Compensation Program is to

provide all available statutory benefits to victims of violent crime and their families who

have incurred out-of-pocket expenses because of the crime. You can call the Crime

Victims’ Compensation Program toll-free for more information at 1-800-983-9933, or

feel free to visit www.oag.state.tx.us.



I know of someone who has broken the law. Can you prosecute the case?

In Texas, the county or district attorney has original jurisdiction to pursue alleged

violations of the law. These prosecutors are granted discretion in determining which

cases will be prosecuted. The Attorney General has no role or oversight of their

decisions. We can assist local prosecutors in criminal matters, but only at their request.

Therefore, you may want to contact your local prosecutor’s office for assistance.



I have a complaint about another state agency. Can your office contact the agency on

my behalf or take action against it?

The policies, procedures and actions of other state agencies are overseen by the

administrators of those agencies and are not subject to review by our office. You may

want to continue working with the agency in question regarding your complaint. Many

agencies have ombudsmen or complaint resolution procedures available to Texans.

Ultimate oversight of state agencies is maintained by the Texas Legislature, which

establishes agency mandates and approves agency budgets. You may want to contact

your legislators regarding your concerns.



I have questions about my credit. Where can I go for help?

The Office of the Consumer Credit Commissioner (OCCC) provides information about

consumer credit in Texas. You can reach that office at 1-800-538-1579 or at Web site:

www.occc.state.tx.us.



More information

If you have questions about the activities of this office, other state agencies or

government in general, the Office has a staff of public affairs specialists who are

available to help you.

Phone: 1-800 252-8011

Fax: 1-512-476-2653

Web site: www.oag.state.tx.us

Email: public.information@oag.state.tx.us









54

Office of the Attorney General



Mailing Address: Physical Location:

Office of the Attorney General 200 West 15th Street

PIA-027 Austin, TX 78701

P.O. Box 12548

Austin, TX 78711-2548



Child Support



Phone: 1-800-252-8014

Frequently asked questions about Child Support: www.oag.state.tx.us/child/faq.shtml

Child support email: child.support@oag.state.tx.us



Child Support Local Field Offices



Office 704 - Temple

Counties served by this office: Bell, Coryell, Lampasas

Office Manager: Debbie Owen

Mailing Address: Physical Address:

P. O. Box 5229 3009 Saulsbury Drive

Temple, TX 76505-5229 Temple, TX 76504-2273

Phone: 254-778-1841 or 800-687-8268

Fax: 254-771-2791



Office 705 - Waco

Counties served by this office: Bosque, Falls, Freestone, Hamilton, Hill, Limestone,

McLennan, Mills

Office Manager: Diana Claverie

Mailing Address: Physical Address:

P. O. Box 1969 801 Austin Avenue, Suite 210

Waco, TX 76703-1969 Waco, TX 76701-1937

Phone: 254-754-5402 or 800-687-8269

Fax: 254-752-1864









55

Unemployment Insurance





Description

Unemployment insurance benefits provide temporary financial assistance to workers

unemployed through no fault of their own that meet Texas' eligibility requirements.



Eligibility criteria

In order to qualify for this benefit program, you must have worked in Texas during the

past 12 to 18 months and have earned at least a minimum amount of wages as determined

by our guidelines. You must also be able to work and available for work each week that

you are collecting benefits.



Managing organization

Texas Workforce Commission



More Information

Phone: 1-800-939-6631

Web sites:

www.twc.state.tx.us/

To apply for unemployment insurance benefits online, go to

www.twc.state.tx.us/ui/uiclaim.html









56


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