When using Collateral Contact (CC) or Other (OT) valid value, document the details of how it was verified. N _rels/.rels ( j0@QN/c[ILj]aGzsFu]U ^[x 1xpf#I)Y*Di")c$qU~31jH[{=E~ Language assistance must be provided to individuals who have limited English proficiency and/or other communication needs at no cost to them in order to facilitate timely access to all health care and services. Clearly indicate this is a projection and the financial application is in process. A request for service may not generate a referral. p9,u eV)Pp6B*Rk[g8=g S,8!ciLu`A^2 ntw]0+ *mhX1M[zQ=~yOF594 Y8-xf[rt(>zc|C1>4o ?|aBq}D.2L3jI>&,OXOG79Z5:%A PK ! Determine if a housing maintenance allowance (HMA) is appropriate (current rule states HMA is the amount of the Federal Poverty Level). Eligibility decisions made, or next steps. (PDF) Accessed October 12, 2020. Give a projected client responsibility amount to the caseworker using the LTSS referral 07-104. ,! 4 word/_rels/document.xml.rels ( VOo0Ow| :lRt[h{sK1u\+2 \\U\K>LLhb=MMr[B\^dk*)a#L!? \{#+zQh=JD ld$Y39?>}'C#_4$ 1s Please take this short survey. Social Service Intake and Referral form (DSHS Form #10-570) The form is available here on the intranet: https://www.dshs.wa.gov/fsa/forms The form is available here on the internet for the public. Life, home, auto, AD&D, LTD, & FSA benefits, Overview of prior authorization (PA), claims & billing, Step-by-step guide for prior authorization (PA), Program benefit packages & scope of services, Community behavioral support (CBHS) services, First Steps (maternity support & infant care), Ground emergency medical transportation (GEMT), Home health care services: electronic visit verification, Substance use disorder (SUD) consent management guidance, Enroll as a health care professional practicing under a group or facility, Enroll as a billing agent or clearinghouse, Find next steps for new Medicaid providers, Washington Prescription Drug Program (WPDP), Governor's Indian Health Advisory Council, Analytics, research & measurement (ARM) data dashboard suite, Foundational Community Supports provider map, Medicaid maternal & child health measures, Washington State All Payer Claims Database (WA-APCD), Personal injury, casualty recoveries & special needs trusts, Information about novel coronavirus (COVID-19). Professional care is the provision of services in the home by licensed providers for mental health, development health care, and/or rehabilitation services. Por favor, responda a esta breve encuesta. Tacoma, WA 98418. Ting Vit, About Us Behavioral health services for American Indians & Alaska Natives (AI/AN) Recovery support services What is recovery support? Interfaith Works Homeless Services: www.iwshelter.org. Consistently report referral and coordination updates to the multidisciplinary medical care team. DSHS forms, including translations are found on the DSHS forms website. Denos su opinin sobre sus experiencias con las instalaciones, el personal, la comunicacin y los servicios del DSHS. The agency or its designee may contact an individual by phone or in writing to gather any additional information that is needed to make an eligibility determination. Day one is the date the application was received. 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. Caring at Home Respite, In-home Services, Skills, Caregiver Help, Kinship Caregiving, Services, Conferences RW Providers must use a telehealth vendor that provides assurances to protect ePHI that includes the vendor signing a business associate agreement (BAA). Please reference the HRSA Program Guidance above. All AAs and subrecipients must establish culturally and linguistically appropriate goals, policies, and management accountability, and infuse them throughout the organizations planning and operations. I) word/document.xmlr=U.nA;K]|K0x+CII*?tY =6KWHN Z G!i$.v?h;H E6K$JNI2qAK*FMQuI>sRp648!T2@p =K [20Y(GNc#TchaBid~ygj\6h !$0DU9B#1$qfMNy m@4L9542h7,~O*9Z|1)nfR>P*C utgHGKFh 5zjUtMx'+)MI[]fKR:1tw%=Or. 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. Disproportionate Share Hospital Program. Apply in-person at a local Home & Community Services office. Percentage of clients with documented evidence of a care plan completed based on the primary medical care providers order as indicated in the clients primary record. Complete - The documentation must support the eligibility decision and allow a reviewer to determine what was done and why. For people described in subsection (3) of this section who are not applying with a household containing people described in subsection (2) of this section: Call orvisit a local DSHSCSO or HCS office; or. An interview with the applicant or authorized representative is required to determine eligibility for institutional, HCB waiver services, or TSOA services. Job specializations: Social Work. Your Washington apple health (WAH) coverage starts on the first day of the month you applied for and we decided you are eligible to receive coverage, unless one of the exceptions in subsection (4) of this section applies to you. You may apply for Washington apple health for yourself. Referral for Health Care and Support Services Service Standard print version. Percentage of clients with documented evidence of referrals provided to any core services that had follow-up documentation within 10 business days of the referral in the primary client record. Provider Fraud and Elder Abuse complaint line: !ISWvuutZWh'gfG0^$n6g%LjQ:@(]t)eh -^k]8 zAG s#d A parent or caretaker relative of a child age eighteen or younger; A tax filer applying for a tax dependent; A person applying for someone who is unable to apply on their own due to a medical condition and who is in need of long-term care services. If you reside in an institution of mental diseases (as defined in WAC. Apply to Event Coordinator, Van Driver, Employment Specialist and more! Training and social services development, delivery and evaluations; budget setting; and relationship cultivation. Explain the Medicare Savings Program (MSP). 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. Main Office . For medicaid applicants, institutional services are approved based on the date the client is eligible up to 3 months prior to the date of application. Percentage of clients with documented evidence of agency refusal of services with detail on refusal in the clients primary record AND if applicable, documented evidence that a referral is provided for another home or community-based health agency. Statements made by the client and/or their representative. IHSS Timesheet Issues/Questions: 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. This is a reprint of the official rule as published by the Office of the Code Reviser. Provide the PBS staff with the following information: Residential facility name and address, including room number, if applicable. Issue the NF award letter to the applicant/recipient and the nursing facility. Jun 2014 - Mar 201510 months. Transfer/Discharge:A transfer or discharge plan shall be developed when one or more of the following criteria are met: All services discontinued under above circumstances must be accompanied by a referral to an appropriate service provider agency. Referral for Health Care and Support Services includes benefits/entitlement counseling and referral to health care services to assist eligible clients to obtain access to other public and private programs for which they may be eligible. The intake and referral form (DSHS 10-570) and instructions can be found on the DSHS forms website What is the difference between a request for services and a referral? Conduct prevention activities as outlined in the DSHS . Kirkland, WA. Por favor, responda a esta breve encuesta. Information to determine clients ability to perform activities of daily living and the level of attendant care assistance the client needs to maintain living independently. 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. APPLICANT'S MAILING ADDRESS (IF DIFFERENT)CITYSTATEZIP CODE 7. Review excess home equity, annuity and transfer of resource provisions that are specific to institutional and home and community-based (HCB) waivers. For medicaid recipients, the first date DSHS was notified of the admission by the nursing facility. z, /|f\Z?6!Y_o]A PK ! Allows at least ten calendar days to provide it. Explain what changes of circumstances need to be reported. Good cause for a delay in processing the application does NOT exist when: Failing to ask you for information timely; or, Failing to act promptly on requested information when you provided it timely; or. We will allow you more time if you ask for more time or need an accommodation due to disability or limited-English proficiency. Dont open a case in ACES until you have everything needed to establish financial eligibility. 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. Please take this short survey. IHSS Fraud Hotline: 888-717-8302 Posted wage ranges represent the entire range from minimum to maximum. We did not document the good cause reason before missing a time frame specified in subsection (1) of this section. The LTSS authorization date, which is described in WAC, If there is a transfer penalty as described in WAC. 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). f?3-]T2j),l0/%b (link is external) 360-918-8424. 53 Community jobs available in Halford, WA on Indeed.com. There are a a few sites that do not have IHSS details, however you can use the links below to find the appropriate Social Services office contact information. Determine if the client is likely to attain institutional status and be likely to reside at the nursing facility for 30 days or longer WAC 182-513-1320), or notifiesthe facility when the client doesn't appear to meet the need for nursing facility care. Listing for: Denham Resources. Complete a Financial Communication to Social Services (07-104) referral when an application is received on an active MAGI case, Add text stating that unless an assessment is completed and determines HCB Waiver is needed, the client will remain on MAGI. Accessed on October 12, 2020. PK ! The modified adjusted gross income (MAGI)-based apple healthapplication process using Washington Healthplanfinder may provide faster or real-time determination of eligibility for medicaid. A supervisor must sign the case closure summary. This Home and Community Based Services program provides not only care, but also other supports . We follow the rules about notices and letters in chapter. The agency has attempted to complete an initial assessment and the referred client has been away from home on three occasions. Please report broken links or content problems. When working on a case that has ACES Equal Access (EA) requirements: If changing ACES EA requirements, clearly document the reason. REGION 1 - Pend Oreille, Stevens, Ferry Okanagan, Chelan, Douglas, Grant, Lincoln, Spokane, Adams, Whitman, Klickitat, Kittitas, . | Percentage of clients with documented evidence of other public and/or private benefit applications completed as appropriate within 14 business days of the eligibility determination date in the primary client record. A phone or in-person interview is required to determine initial financial eligibility for WAH long-term care services. Functional eligibility for DDA is determined prior to the submission of a financial application. TK6_ PK ! If they can't be reached, or are unavailable, send an appointment letter (DSHS 0011-01) and a request for verification letter for what is needed to determine eligibility, based only on what was declared on the application. Consistent - Explain how conflicts or inconsistencies of information were addressed. What resources is the client reporting on the application or past applications? Has your contact information changed in Case actions and why the actions were taken, and. The Home and Community-based Services program provides individualized services and supports to persons with intellectual disabilities who are living with their family, in their own home or in other community settings, such as small group homes. Determine the client's financial eligibility for LTSSmedicaid and/or noninstitutional medical assistance including a request for retro medical if needed. Go over the application, particularly what was declared in the income and resource sections. A full-featured portal for all users. Explain how to request an extension if more time is needed. FAX to: 1-855-635-8305. Call the HCS intake line in the area in which you reside to schedule an assessment. Welcome to CareWarePlease select your portal type. If you do not have software that can open these files, you may download a free file viewer . Percentage of clients with documented evidence of education provided on other public and/or private benefit programs in the primary client record. Type of client interaction (phone, in-person, etc.). The agency must document the situation in writing and contact the referring primary medical care provider. An overpayment isn't established. Explain participation and room and board, how the amount is determined, and that it must be paid to the provider. Referrals for health care and support services provided by outpatient/ambulatory health care professionals should be reported under Outpatient/Ambulatory Health Services (OAHS) category. COPES, for short, is a Washington State Medicaid (Apple Health) waiver program designed to enable individuals who require nursing home level care to receive that care in their home or alternative care environment, such as an assisted living residence. MAGI covers NF and Hospice under the scope of care. Ask about other medical coverage. Policy Notices and Program Letters, Ryan White HIV/AIDS Program Services: Eligible Individuals & Allowable Uses of Funds Policy Clarification Notice (PCN) #16-02, Health Education-Risk Reduction (HE/RR) - Minority AIDS Initiative, Health Insurance Premium and Cost Sharing Assistance for Low-Income Individuals, Local AIDS Pharmaceutical Assistance (LPAP), Medical Case Management (including Treatment Adherence Services), Outreach Services - Minority AIDS Initiative (MAI), Interim Guidance for the Use of Telemedicine, Teledentistry, and Telehealth for HIV Core and Support Services - Users Guide and FAQs, Interim Guidance for the Use of Telemedicine, Teledentistry, and Telehealth for HIV Core and Support Services, Referral to health care/supportive services, Health Insurance Plans/Payment Options (CARE/, Pharmaceutical Patient Assistance Programs (PAPS). | Conditions of Use Home and Community Services - LTSS 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 . Coordination of Services and Referrals: If referrals are appropriate or deemed necessary, the agency will: Percentage of clients accessingHome and Community-Based Health Services with documented evidence of referrals, as applicable, to other services as indicated in the clients primary record. Eligible clients are referred to other core services (outside of a medical, MCM, or NMCM appointment), as applicable to the clients needs, with education provided to the client on how to access these services. 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. 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. 12/1/2022 2:44 PM. The DSHS consent form is preferred as it is used for all programs including medical, food and cash. HIV Medical and Support Service Categories, Research, Funding, & Educational Resources. Authorize payment for NF care if the client is both functionally and financially eligible. (link is external) 360-709-9725. RW Providers must use a telehealth vendor that provides assurances to protect ePHI that includes the vendor signing a business associate agreement (BAA). 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.
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