dshs home and community services intake and referraldshs home and community services intake and referral

If there are previous versions of this rule, they can be found using the Legislative Search page. Full. Determine the client's financial eligibility for LTSSand noninstitutional medical assistance including 3 months retroactive medical coverage if financially eligible. DSHS HIV Care Services requires that for Ryan White Part B or SS funded services providers must use features to protect ePHI transmission between client and providers. | Conditions of Use The interview can be conducted in person or by phone. Percentage of clients who received a referral for other core services who have documented evidence of the education provided to the client on how to access these services in the primary client record. Job in Fresno - Fresno County - CA California - USA , 93650. If you are experiencing a mental health crisis and need immediate assistance, please call "911" and explain the nature of your problem to the operator. Homeless Housing Hotline: 844-628-7343 - Call to connect with homeless services in Thurston County and get referrals to shelter and housing options. / % [Content_Types].xml ( N0EHC-j\X $@b/=>"RRQ{c%3X@LCV^i7 Sx[Ab7*@*HRf$g`E*} G;V )B~)K0{j17X$)+n7u9bf}^&i/52\ HRhk\ X?Nk; $-Yqiy*KB&I4"@W>eGI'tHaOBhVPRQq[^BJ] Services include: Inpatient hospitals, nursing homes, and other long-term care facilities are not considered an integrated setting for the purposes of providing Home and Community-Based Health Services. Por favor, responda a esta breve encuesta. The ALJ does not consider the previous absence of information or failure to respond in determining if you are eligible. Examples are the SSI or SSI-related programs or Apple Health for Workers with Disabilities (HWD). !H!/tG|B^%=z+]F!lExBa0$ Barcode 10570 DSHS form 10-570. When applicable, the client home or current residence is determined to not be physically safe (if not residing in a community facility) and/or appropriate for the provision ofHome and Community-Based Health Services as determined by the agency. | Ask about other resources not declared on the application. Summarize what verification is needed to complete the application and send a request for information letter. AGING AND LONG-TERM SUPPORT ADMINISTRATION (ALTSA) HOME AND COMMUNITY SERVICES (HCS) GOVERNOR'S OPPORTUNITY FOR SUPPORTIVE HOUSING (GOSH) GOSH Referral DATE HCS / AAA Case Manager (CM) to send completely filled-out Referral form, with all documents attached, toRegional GOSH PM. Washington COPES Medicaid Waivers Program Hmoob Review excess home equity, annuity and transfer of resource provisions that are specific to institutional and home and community-based (HCB) waivers. $[53j(,U+/6-FBR[lvn! }k}HG4"jhznn'XwB$\HODuDX7o u'8>@)OLA@"yoTP8nd lAO Staff will follow up within 10 business days of a referral provided to support services to ensure the client accessed the service. DOCX Intake and Referral - Manuals.dshs.wa.gov DOCX Governor's Opportunity for Supportive Housing (GOSH) Referral Behavioral health services for American Indians & Alaska Natives (AI/AN) Recovery support services What is recovery support? | Professional care is the provision of services in the home by licensed providers for mental health, development health care, and/or rehabilitation services. DSH Regulations and Documents - California You are subject to asset verification and do not provide authorization as described in WAC 182-503-0055. Ensure an Asset Verification System (AVS) Authorization is on file, and if not, follow these procedures. Explain to the applicant that there is a Public Benefits Specialist (PBS) and a social service manager making determinations concurrently for LTSS eligibility. Welcome to CareWare - California IHSS Service Desk for Providers & Recipients, (866) 376-7066, Suspect Fraud? Collaborates with treating physician, psychiatric and allied health professional team to plan and direct each individual member . | Clients active on MAGI except AEM N21 and N25), don't need to submit an additional application if they are functionally eligible for, and in need of the following: If a client needs waiver services they must submit an application and may need a disability determination. If the nursing facility admission is on a weekend or holiday, the authorization date is the date of admission as long as DSHSis notified by the next business day. Type of client interaction (phone, in-person, etc.). Update a good cause code when changing a program from an SSI-related assistance unit (AU) to an LTSS AU to prevent the case from being incorrectly reported as a new application. The following are County IHSS program websites. For the Ryan White Part B/SS funded providers and Administrative Agencies, telehealth and telemedicine services are to be provided in real-time via audio and video communication technology which can include videoconferencing software. Document in ACES remarks, in detail, all eligibility factors discussed during the interview and included on the application. How do I notify SEBB that my loved one has passed away? If we denied your application because we do nothave enough information, the ALJ will consider the information we already have and any more information you give us. Website feedback: Tell us how were doing, Copyright 2023 Washington Health Care Authority, I help others apply for & access Apple Health, I help others apply for and access Apple Health, Long-term services & supports (LTSS) manual, www.hca.wa.gov/free-or-low-cost-health-care, Equal Access - Necessary Supplemental Accommodation (NSA) and long-term services and supports, HCA 80-020 Authorization for Release of Information, Apple Health for Workers with Disabilities (HWD), Medically Intensive Children's Program (MICP), Behavioral health services for prenatal, children & young adults, Wraparound with Intensive Services (WISe), Behavioral health services for American Indians & Alaska Natives (AI/AN), Substance use disorder prevention & mental health promotion, Introduction overview for general eligibility, General eligibility requirements that apply to all Apple Health programs, Modified Adjusted Gross Income (MAGI) based programs manual, Medical plans & benefits (including vision), Life, home, auto, AD&D, LTD, FSA, & DCAP benefits. Percentage of clients with documented evidence of completed progress notes in the clients primary record. Social service staff and case managers determine functional eligibility and what services to authorize based on a complete and comprehensive CAREassessment. Home and Community-Based Health Providers work closely with the multidisciplinary care team that includes the client's case manager, primary care provider, and other appropriate health care . Functional eligibility for DDA is determined prior to the submission of a financial application. In-home or residential services, call 800-780-7094 or 425-977-6579, FAX 425-339-4859, Nursing home services, call 800-780-7094, FAX 206-373-6855, In-home or residential services, call 206-341-7750, FAX 206-373-6855. For in-home service applicants, discuss the food assistance program and inquire if the household would like to apply for food benefits. HCA forms, including translations are found on the HCA forms website. If you are an SSI recipient, then you, your authorized representative as defined in WAC, An individual applying for Washington apple health (WAH) (as defined in WAC. You may have an authorized representative apply on your behalf as described in WAC, We help you with your application or renewal for apple health in a manner that is accessible to you. Services may be authorized using Fast Track for a maximum of 90 days. If the applicant is eligible for an MSP based on income and resource guidelines and all information is received to determine eligibility for MSP, don't hold up processing this program while the LTSS medical is pending. Community Health Worker, Crisis Counselor. Staff will educate clients about available benefit programs, assess eligibility, assist with applications, provide advocacy with appeals and denials, assist with re-certifications, and provide advocacy in other areas relevant to maintaining benefits/resources. The PBS should make a Fast Track recommendation based on the information, verifications and cross-matches available, and send this determination via 07-104 to social services. This section describes the application processes used by Aging and Long-term Supports Administration (ALTSA) when determining financial eligibility for Long-Term Services and Supports (LTSS). | Use Equal Access - Necessary Supplemental Accommodation (NSA) and long-term services and supports policies for LTSS applicants and recipients. Please take this short survey. If you reside in one of the following counties: Adams, Asotin, Chelan, Colombia, Douglas, Ferry, Franklin, Garfield, Grant, Kittitas, Klickitat, Lincoln, Okanogan, Pend Oreille, Spokane, Stevens, Walla Walla, Whitman, or Yakima509-568-3767 or 866-323-9409,FAX 509-568-3772. The agency must document the situation in writing and immediately contact the client's primary medical care provider. The following are eligibility related documents and files, including the annual final eligibility lists, peer grouping report, and the Low-Income Utilization Rate, Medicaid Utilization Rate, and Omnibus Budget Reconciliation Act formulas. You may apply for Washington apple health for yourself. Aging and Disability Resources Office Ryan White Providers using telehealth must also follow DSHS HIV Care Services guidelines for telehealth and telemedicine outlined in DSHS Telemedicine Guidance. Client will be contacted within one (1) business day of the referral, and services should be initiated at the time specified by the primary medical care provider, or within two (2) business days, whichever is earlier. Community Services Division Social Services Manual Revision: # 175 Category: Incapacity Determination - When HEN Referral Program Eligibility Ends Issued: February 23, 2023 Revision Author: Evelyn Acopan Division CSD Mail Stop Phone 253-778-2381 Email evelyn.acopan@dshs.wa.gov Summary The PBS also determines maximum client responsibility. Medicaid eligibility begins, the first day of the month the client is eligible for LTSS. If the client is unable to complete the interview due to a medical condition or because no one is available to assist the client. Percentage of clients with documented evidence of care plans reviewed and/or updated as necessary based on changes in the clients situation at least every sixty (60) calendar days as evidenced in the clients primary record. Request verification of transfers, gifts or property sales, if applicable. Applications for LTSS | Washington State Health Care Authority Explain what changes of circumstances need to be reported. A request for service may not generate a referral. Disproportionate Share Hospital Program Eligibility. When working on a case that has ACES Equal Access (EA) requirements: If changing ACES EA requirements, clearly document the reason. Interfaith Works Homeless Services: www.iwshelter.org. Referral for Health Care and Support Services Service Standard print version. Send a general correspondence letter to the client indicating the application was received and because the client is currently receiving Medicaid services, additional information isn't needed for financial eligibility. At a department of social and health services (DSHS) community services office (CSO). HRSA/HAB Division of Metropolitan HIV/AIDS Programs Program Monitoring Standards Part A April 2013, p. 14-16. Disproportionate Share Hospital (DSH) Program - California SOCIAL SECURITY NUMBER 5. DSHS 10-438 Long-term care partnership (LTCP) asset designation form (used to designate assets (resources) for those with a long-term care partnership insurance policy), DSHS 14-012 Consent (release of information form) (used for all DSHS programs), DSHS27-189Asset Verification Authorization. Summarize the interview and items still needed to determine eligibility in the ACES narrative. Lakewood, WA. Consistently report referral and coordination updates to the multidisciplinary medical care team. Percentage of clients who are no longer in need of assistance through Referral for Health Care and Support Services that have a documented case closure summary in the primary client record. PDF Washington Apple Health Application | Telehealth and Telemedicine is an alternative modality to provide most Ryan White Part B and State Services funded services. | Ask if any of these bills were incurred within the last 3 months. WAC 182-513-1350). The interview requirement described in subsection (3) of this section may be waived if the applicant is unable to comply: Because the applicant does not have a family member or another individual that is able to conduct the interview on his or her behalf. Use the original eligibility review date to open institutional coverage. Call the HCS intake line in the area in which you reside to schedule an assessment. f?3-]T2j),l0/%b z, /|f\Z?6!Y_o]A PK ! Health care services: Clients should be provided assistance in accessing health insurance or Marketplace health insurance plans to assist with engagement in the health care system and HIV Continuum of Care, including medication payment plans or programs. If we need more information to decide if you can get apple healthcoverage, we will send you a letter within twenty calendar days of your initial application that: States the additional information we need; and. Has your contact information changed in Training and social services development, delivery and evaluations; budget setting; and relationship cultivation. DSHS forms, including translations are found on the DSHS forms website. Intake and Referral - DocsLib Clearly indicate this is a projection and the financial application is in process. Welcome to CareWarePlease select your portal type. Applications for clients under age 65 or ineligible for Medicare should be submitted through this site and will have a real-time determination of Washington Apple Health medical coverage eligibility under the modified adjusted gross income (MAGI) methodology. Use Remarks to document information specific to the ACES page: Follow these principles when documenting: Document standard of promptness for all medical applications pending more than45 days: There are two start dates for LTSS, the medicaid eligibility date and the LTSSstart date: If an applicant has withdrawn their request for medical benefits and then decides they want to pursue the application, we will redetermine eligibility for benefits without a new application as long as the client has notified the department within 30 days of the withdrawal. Progress notes will then be entered into the client record within 14 working days. The HCS case manager coordinates andconsults withthe PBS to see if Fast Track is appropriate.
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