Revision 22-4 Effective Dec. 1, 2022

The following chart may be used for the determination of financial eligibility based on automated records. The chart indicates the type program (TP) or type assistance (TA) a person may be receiving in Texas Integrated Eligibility Redesign System (TIERS), and how existing coverage affects eligibility for Community Care Services Eligibility (CCSE) services.

SNAP

TIERS Type Program or Type AssistanceDescriptionLong DescriptionEligibility for Community Care Services Eligibility
TA 51SNAP-CAP/FS-CAPSupplemental Nutrition Assistance Program Combined Application ProjectTitle XX categorically eligibility.
TA 53TSAP/FS-TSAPTexas Simplified Application Project for SNAP Food BenefitsTitle XX categorically eligibility.
TP 06SNAP (PA)/FS-PASupplemental Nutrition Assistance Program Public AssistanceTitle XX categorically eligibility.
TP 09SNAP/FS-NPASupplemental Nutrition Assistance ProgramTitle XX categorically eligibility.

TANF

TIERS Type Program or Type AssistanceDescriptionLong DescriptionEligibility for Community Care Services Eligibility
TP 01TANF BasicCash assistance for caretakers and deprived children with income below TANF recognizable needsTitle XX categorically eligible.
TP 60One-Time TANF for RelativesOnce in a lifetime TANF payment for certain relatives who are the caretaker or payee of a related dependent child certified for TANFNot categorically eligible.
TP 61TANF State ProgramCash assistance for two-parent household with income below TANF recognizable needsTitle XX categorically eligibility.
TP 71OTTANF – 1 AdultOne-Time TANF (OTTANF) payment for households with one parentNot categorically eligible.
TP 72OTTANF – 2 ParentsOTTANF payment for households with two parentsNot categorically eligible.

Medical Assistance or Programs — Texas Works (TW)

TIERS Type Program or Type AssistanceDescriptionLong DescriptionEligibility for Community Care Services Eligibility
TA 31MA – Parents and Caretaker Relatives – EmergencyMedicaid for an emergency condition for parents and caretaker relatives who do not meet alien status requirements and are caring for a dependent child who receives MedicaidTitle XIX and Title XX categorical eligibility during eligible months. Note: Title XIX applicants must meet citizenship criteria.
TA 41Health Care – Healthy Texas WomenHealthy Texas Women (HTW) for women 15–44 with income at or below the applicable income limitTitle XX categorical eligibility. Can apply for Title XIX CAS, not eligible for Title XIX DAHS or PHC as not full Medicaid. 
TA 66MA – MBCC – PresumptiveMedicaid for Breast and Cervical Cancer – PresumptiveTitle XX categorically eligible. Mandatory to STAR+PLUS.
TA 67MA – MBCCMedicaid for Breast and Cervical Cancer – PresumptiveTitle XX categorically eligible. Mandatory to STAR+PLUS.
TA 74MA – Children Under 1 PresumptiveShort-term Medicaid for children under 1 with income at or below the applicable income limitNot eligible for Title XX programs. Title XIX categorically eligible for CAS only.
TA 75MA – Children 1–5 PresumptiveShort-term Medicaid for children 1–5 with income at or below the applicable income limitNot eligible for Title XX programs. Title XIX categorically eligible for CAS only.
TA 76MA – Children 6–18 PresumptiveShort-term Medicaid for children 6–18 with income at or below the applicable income limitTitle XX categorically eligible at 18. Title XIX categorically eligible for CAS only. May be on CFC or PCS verify no duplicate services are provided using Appendix XX, Mutually Exclusive Services.
TA 77Health Care – FFCHEHealth Care for Former Foster Care in Higher Education with income at or below the applicable income limitTitle XIX and Title XX categorical eligibility. May be on CFC or PCS verify no duplicate services are provided using Appendix XX, Mutually Exclusive Services.
TA 82MA – Former Foster Care ChildrenMedicaid for former foster care children 18–25Title XIX and Title XX categorical eligibility. May be on CFC or PCS verify no duplicate services are provided using Appendix XX, Mutually Exclusive Services.
TA 83MA – FFCC PresumptiveShort-term Medicaid for former foster care children 18–25Title XIX and Title XX categorical eligibility. May be on CFC or PCS verify no duplicate services are provided using Appendix XX, Mutually Exclusive Services.
TA 84CI – CHIPThe Children’s Health Insurance Program (CHIP) is health care coverage for children under 19 who are ineligible for Medicaid due to income and who have income at or below the applicable income limitTitle XX categorically eligible at 18.
TA 85CI – CHIP perinatalCHIP perinatal is health care coverage for unborn children whose mother is ineligible for Medicaid or CHIP due to income or immigration status and whose income is at or below the applicable income limitNot categorically eligible.
TA 86MA – Parents and Caretaker Relatives PresumptiveShort-term Medicaid for parents and caretaker relatives caring for a dependent childTitle XIX and Title XX categorical eligibility during eligible months.
TP 07MA – Earnings TransitionalTwelve months of transitional Medicaid resulting from an increase in earningsTitle XIX and Title XX categorical eligibility.
TP 08MA – Parents and Caretaker RelativesMedicaid for parents and caretaker relatives caring for a dependent child with income at or below the applicable income limitTitle XIX and Title XX categorical eligibility.
TP 20MA Alimony/Spousal Support TransitionalUp to four months of post Medicaid resulting from an increase in alimony or spousal supportTitle XIX and Title XX categorical eligibility during eligible months.
TP 32MA – MN w/Spend Down – EmergencyMedicaid for an emergency condition for children or pregnant women who do not meet alien status requirements and who are ineligible for any other type of Medicaid, but who have medical expenses that spend down their income to below the Medically Needy Income Limit (MNIL)Title XIX and Title XX categorical eligibility during eligible months. Note: Title XIX applicants must meet citizenship criteria.
TP 33MA – Children 1–5 – EmergencyMedicaid for an emergency condition for children 1–5 who do not meet alien status requirements and who have income at or below the applicable income limitNot eligible for Title XX programs. Title XIX categorical eligibility CAS during eligible months. Note: CAS applicants must meet citizenship criteria.
TP 34MA – Children 6–18 – EmergencyMedicaid for an emergency condition for children 6–18 who do not meet alien status requirements and who have income at or below the applicable income limitTitle XX categorically eligible at 18. Title XIX categorically eligible for CAS only during eligible months. Note: CAS applicants must meet citizenship criteria.
TP 35MA – Children Under 1 – EmergencyMedicaid for an emergency condition for children under 1 who do not meet alien status requirements and who have income at or below the applicable income limitNot eligible for Title XX programs. Title XIX categorically eligible for CAS only during eligible months. Note: CAS applicants must meet citizenship criteria.
TP 36MA – Pregnant Women – EmergencyMedicaid for an emergency condition for pregnant women who do not meet alien status requirements and who have income at or below the applicable income limitTitle XX categorical eligibility during eligible months. Title XIX categorically eligible for CAS only during eligible months. Note: CAS applicants must meet citizenship criteria.
TP 40MA – Pregnant WomenMedicaid for pregnant woman with income at or below the applicable income limitTitle XIX and XX categorical eligibility during eligible months.
TP 42MA – Pregnant Women PresumptiveShort-term Medicaid for pregnant women with income at or below the applicable income limitTitle XIX and XX categorical eligibility during eligible months.
TP 43MA – Children Under 1Medicaid for children under 1 with income at or below the applicable income limitNot eligible for Title XX programs. Title XIX categorically eligible for CAS only.
TP 44MA – Children 6–18Medicaid for children 6 –18 with income at or below the applicable income limitNot eligible for Title XX programs. Title XIX categorically eligible for CAS only.
TP 45MA – Newborn ChildrenMedicaid for children through 1 who are born to a Medicaid-eligible motherNot eligible for Title XX programs. Title XIX categorically eligible for CAS only.
TP 48MA – Children 1–5Medicaid for children 1–5 with income at or below the applicable income limitNot eligible for Title XX programs. Title XIX categorically eligible for CAS only.
TP 56MA – MN w/Spend DownMedicaid for children or pregnant women who are ineligible for any other type of Medicaid, but who have medical expenses that spend down their income to below the MNILTitle XIX and Title XX categorically eligibility during the coverage period.  Note: For Title XX must be 18.
TP 70Medicaid for the Transitioning Foster Care YouthMedicaid for Transitioning Foster Care Youth people with income at or below the applicable income limitTitle XIX and Title XX categorical eligibility. Note: For Title XX must be 18.
TPALMA – Historical FMA – EmergencyN/ATitle XIX and XX categorical eligibility during eligible months.
TPDEMA – Deceased Prior MedicalMedicaid for a deceased personNot categorically eligible.
TPPMMA/ME – Historical Prior MedicalThree months of prior Medicaid – not currently eligibleTitle XIX and XX categorical eligibility during eligible months.

Medical Assistance or Programs — Texas Department of Family and Protective Services (DFPS)

TIERS Type Program or Type AssistanceDescriptionLong DescriptionEligibility for Community Care Services Eligibility
TP 52MA – State Foster Care – A Medicaid Title XIX and Title XX categorical eligibility. May be on CFC or PCS verify no duplicate services are provided using Appendix XX, Mutually Exclusive Services. 
TP 53MA – State Foster Care – B Medicaid Title XIX and Title XX categorical eligibility. May be on CFC or PCS verify no duplicate services are provided using Appendix XX, Mutually Exclusive Services. 
TP 54MA – State Foster Care – 32Medicaid Title XIX and Title XX categorical eligibility. May be on CFC or PCS verify no duplicate services are provided using Appendix XX, Mutually Exclusive Services. 
TP 57MA – State Foster Care – D Medicaid Title XIX and Title XX categorical eligibility. May be on CFC or PCS verify no duplicate services are provided using Appendix XX, Mutually Exclusive Services. 
TP 58MA – State Foster Care – JPC Medicaid Title XIX and Title XX categorical eligibility. May be on CFC or PCS verify no duplicate services are provided using Appendix XX, Mutually Exclusive Services.
TA 78PCA Medicaid – Federal Match – No CashPermanency Care Assistance (PCA) Medicaid – Federal Match – No CashTitle XIX and Title XX categorical eligibility. May be on CFC or PCS verify no duplicate services are provided using Appendix XX, Mutually Exclusive Services.
TA 79PCA Medicaid – No Federal Match – No CashPCA Medicaid – No Federal Match – No CashTitle XIX and Title XX categorical eligibility. May be on CFC or PCS verify no duplicate services are provided using Appendix XX, Mutually Exclusive Services.
TA 80PCA Medicaid – Federal Match – With CashPCA Medicaid – Federal Match – With CashTitle XIX and Title XX categorical eligibility. May be on CFC or PCS verify no duplicate services are provided using Appendix XX, Mutually Exclusive Services.
TA 81PCA Medicaid – No Federal Match – With CashPCA Medicaid – No Federal Match – With CashTitle XIX and Title XX categorical eligibility. May be on CFC or PCS verify no duplicate services are provided using Appendix XX, Mutually Exclusive Services.
TP 88MA – Non-AFDC Foster Care – JPC Medicaid Title XIX and Title XX categorical eligibility. May be on CFC or PCS verify no duplicate services are provided using Appendix XX, Mutually Exclusive Services. 
TP 90MA – State Foster Care Medicaid Title XIX and Title XX categorical eligibility. May be on CFC or PCS verify no duplicate services are provided using Appendix XX, Mutually Exclusive Services. 
TP 91Adoption Assistance – Federal Match – No CashAdoption Assistance – Federal Match – No CashTitle XIX and Title XX categorical eligibility. May be on CFC or PCS verify no duplicate services are provided using Appendix XX, Mutually Exclusive Services.
TP 92Adoption Assistance – Federal Match – With CashAdoption Assistance – Federal Match – With CashTitle XIX and Title XX categorical eligibility. May be on CFC or PCS verify no duplicate services are provided using Appendix XX, Mutually Exclusive Services.
TP 93Foster Care – Federal Match – No CashFoster Care – Federal Match – No CashTitle XIX and Title XX categorical eligibility may be on CFC or PCS verify no duplicate services are provided using Appendix XX, Mutually Exclusive Services.
TP 94Foster Care – Federal Match – With CashFoster Care – Federal Match – With CashTitle XIX and Title XX categorical eligibility may be on CFC or PCS verify no duplicate services are provided using Appendix XX, Mutually Exclusive Services.
TP 95Adoption Assistance – No Federal Match – No CashAdoption Assistance – No Federal Match – No CashTitle XIX and Title XX categorical eligibility may be on CFC or PCS verify no duplicate services are provided using Appendix XX, Mutually Exclusive Services.
TP 96Adoption Assistance – No Federal Match – With CashAdoption Assistance – No Federal Match – With CashTitle XIX and Title XX categorical eligibility may be on CFC or PCS verify no duplicate services are provided using Appendix XX, Mutually Exclusive Services.
TP 97Foster Care – No Federal Match – No CashFoster Care – No Federal Match – No CashTitle XIX and Title XX categorical eligibility may be on CFC or PCS verify no duplicate services are provided using Appendix XX, Mutually Exclusive Services.
TP 98Foster Care – No Federal Match – With CashFoster Care – No Federal Match – With CashTitle XIX and Title XX categorical eligibility may be on CFC or PCS verify no duplicate services are provided using Appendix XX, Mutually Exclusive Services.
TP 99MA – Non-AFDC Foster Care Medicaid Title XIX and Title XX categorical eligibility may be on CFC or PCS verify no duplicate services are provided using Appendix XX, Mutually Exclusive Services. 
TPASMA – Historical Adoption Subsidy Medicaid Title XIX and Title XX categorical eligibility may be on CFC or PCS verify no duplicate services are provided using Appendix XX, Mutually Exclusive Services.

Medical Assistance or Programs — Social Security Administration (SSA)

TIERS Type Assistance or Type ProgramDescriptionLong DescriptionEligibility for Community Care Services Eligibility
TA 02ME – SSI WaiversSSI Recipient WaiversTitle XIX DAHS categorical eligibility CLASS, DBMD, HCS, MDCP, and TxHmL. Title XX HDM categorical eligibility for TxHmL only. See Appendix XX, Mutually Exclusive Services.
TA 03ME – Manual SSI WaiversManual SSI WaiversTitle XIX DAHS categorical eligibility CLASS, DBMD, HCS, MDCP, and TxHmL. Title XX HDM categorical eligibility for TxHmL only. See Appendix XX, Mutually Exclusive Services.
TA 04ME – Manual SSI State Group HomeManual SSI Recipient State Community-based Group HomesNot eligible for CCSE.**
TA 05ME – Manual SSI Non-State Group HomeManual SSI Recipient Non-State Community-based Group HomesNot eligible for CCSE.**
TA 06ME – Manual SSI Nursing FacilityMedicaid for Nursing Facility ResidentNot eligible for CCSE.**
TA 07ME – Manual SSI State HospitalMedicaid for State Hospital ResidentNot eligible for CCSE.**
TA 08ME – SSI State Group HomeSSI Recipient State Community Based Group HomeNot eligible for CCSE.**
TA 09ME – Manual SSI State Supported Living CenterMedicaid for State Supported Living Center ResidentNot eligible for CCSE.**
TA 22ME – Manual SSIManually certified SSI — processed by SSATitle XIX categorically eligible.
TA 26ME – SSI Non-State Group HomeSSI Non-State Community-based Group HomesNot eligible for CCSE.**
TP 13ME – SSISSI (processed by SSA)Title XIX categorical eligibility. See Appendix XX, Mutually Exclusive Services.
TP 38ME – SSI Nursing FacilityMedicaid for Nursing Facility ResidentNot eligible for CCSE.**
TP 39ME – SSI State HospitalMedicaid for State Hospital ResidentNot eligible for CCSE.**
TP 46ME – SSI State Supported Living CenterMedicaid for State Supported Living Center ResidentsNot eligible for CCSE.**

Medical Assistance or Programs — Medicaid for the Elderly and People with Disabilities (MEPD)

TIERS Type Assistance or Type ProgramDescriptionLong DescriptionEligibility for Community Care Services Eligibility
TA 10ME – WaiversHome and Community-Based (HCBS) MedicaidTitle XIX DAHS categorical eligibility CLASS, DBMD, HCS, MDCP, and TxHmL. Title XX HDM categorical eligibility for TxHmL only. See Appendix XX, Mutually Exclusive Services.
TA 12ME – State Group HomeMedicaid for ICF/IID ResidentNot eligible for CCSE.*
TA 27ME – Prior Medicaid Institutional/WaiverPrior Medicaid for person applying for Institutional or Waiver MedicaidCategorically eligible for Title XX during eligible months.
TA 88ME – Medicaid Buy-In for Children (ME-MBIC)Medicaid for eligible children with disabilities up 19 years old who pay a share of the Medicaid premium to be eligible for Medicaid Title XX and Title XIX categorical eligibility for DAHS, PHC and TxHmL waiver. See Appendix XX, Mutually Exclusive Services.
TP 03ME – PickleRSDI COLA Disregard Programs — considered eligible based on the 1977 Pickle AmendmentTitle XIX categorical eligibility.
TP 10ME – State Supported Living CenterMedicaid for State Support Living Center ResidentNot eligible for CCSE.*
TP 11ME – SSI PriorSSI, two or three months prior, as appropriateCategorically eligible for Title XIX during eligible months. See Appendix XX, Mutually Exclusive Services.
TP 14ME – Community AttendantCommunity Attendant ServicesTitle XIX CAS program provides PHC, funded through §1929(b)(2)(B) of the Social Security Act.
TP 15ME – Non-State Group HomeMedicaid for ICF/IID ResidentNot eligible for CCSE.*
TP 16ME – State HospitalMedicaid for State Hospital ResidentNot eligible for CCSE.*
TP 17ME – Nursing FacilityMedicaid for Nursing Facility ResidentNot eligible for CCSE.*
TP 18ME – Disabled Adult ChildAdult children at least 18 who have a disability and who were denied SSI due to an entitlement to or an increase in their RSDI Disabled Adult Child (DAC) benefits and who are eligible for Medicaid to ensure continued coverageTitle XIX categorical eligibility.
TP 21ME – Disabled Widow(er)Widows, widowers or surviving divorced spouses who are at least 50 and less than 60 with a disability and who are ineligible for Medicare and were denied SSI due to an increase in their RSDI widow or widower benefits. They are eligible for Medicaid under TP 21 until they reach 60 or become eligible for Medicare, whichever occurs firstTitle XIX categorical eligibility.
TP 22ME – Early Aged Widow(er)Early age widows, widowers or surviving divorced spouses who are 50–65 and ineligible for Medicare and who were denied SSI due to an increase in their RSDI widow or widower benefits. They are eligible for Medicaid under TP 22 until they reach 65 or become eligible for Medicare, whichever occurs firstTitle XIX categorical eligibility.
TP 23MC – SLMBMedicare Savings Program — Specified Low-Income Medicare BenefitsTitle XX categorical eligibility.
TP 24MC – QMBMedicare Savings Program — Qualified Medicare BeneficiaryTitle XX categorical eligibility.
TP 25MC – QDWIQualified Disabled and Working Individuals — A special Medicare savings program that pays Part A Medicare premiums for certain working people under 65 who have a disability and are no longer eligible for free Medicare Part A because of earningsTitle XX categorical eligibility.
TP 26MC – QI 1Medicare savings program — Qualified peopleTitle XX categorical eligibility.
TP 30ME – A and D EmergencyEmergency Medicaid for a nonqualified alienTitle XIX and Title XX categorical eligibility during eligible months. Note: Title XIX applicants must meet citizenship criteria.
TP 87ME – Medicaid Buy In (ME-MBI)Working people with disabilities who pay a share of the Medicaid premium to be eligible for Medicaid.Title XIX DAHS categorical eligibility CLASS, DBMD, HCS, MDCP, and TxHmL. Title XX HDM categorical eligibility for TxHmL only. See Appendix XX, Mutually Exclusive Services.

STAR+PLUS members are entitled to Title XX services if all eligibility criteria are met. However, CCSE staff must first ensure that approval of the request would not result in a duplication of services.

STAR members are entitled to Title XIX and Title XX services if all eligibility criteria are met. However, CCSE staff must first ensure that approval of the request would not result in a duplication of services.

CCSE staff must not authorize any Title XX services for people enrolled in the STAR+PLUS HCBS program.

Note: When Medicaid type indicates facility or institutional living arrangement the person is not eligible for CCSE services. See asterisks below for specific instructions for reporting changes.

 * Not eligible for CCSE programs under this type assistance (TA) or type program (TP). Confirm living arrangement with the person or authorized representative (AR), send H1746-A to MEPD staff to process the change in living arrangement and referral. MEPD staff will test for community programs.

** Not eligible for CCSE under this TA or TP. Confirm living arrangement with the person or AR, then have them contact SSA (at the local office or at 800-772-1213) to correct the living arrangement.

Note: HHSC is not responsible for making SSA changes, all changes need to be reported to SSA.