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

Licensed Masters Mental Health Professional Adult Intake Specialist Access Health Care Language Assistance Services (SB 223). LTSS can begin once a client is found financially and functionally eligible and an approved provider is in place. Tagalog Referral for Health Care and Support Services (RFHC) directs a client to needed core medical or support services in person or through telephone, written, or other type of communication. Your WAH coverage may not begin on the first day of the month if: Subsection (3) of this section applies to you. The agency may discontinue services or refuse the client for as long as the threat is ongoing. Explain to the applicant that there is a Public Benefits Specialist (PBS) and a social service manager making determinations concurrently for LTSS eligibility. Provide feedback on your experience with DSHS facilities, staff, communication, and services. Include Remarks to reconcile any discrepancies, or important information not otherwise captured, including required questions left blank on the application or eligibility review form. 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. DSH Program State Plan Amendment 14-008. Is the client single or married, and which resource standard is being used to make a recommendation. For medicaid recipients, institutional services are approved based on the first date the admission is known to DSHS as long as the client meets all other eligibility factors. SSI recipients who need institutional services, or HCB waiver, must complete and sign an application, or the. We did not document the good cause reason before missing a time frame specified in subsection (1) of this section. | DOCX Intake and Referral - Manuals.dshs.wa.gov Authorize payment for NF care if the client is both functionally and financially eligible. Progress notes will then be entered into the client record within 14 working days. Home and Community-Based Health Services Standards print version. 7wfQCfjS Training and social services development, delivery and evaluations; budget setting; and relationship cultivation. catholic community services hen program. 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. | Social services will state fund Fast Track services when the client isn't financially eligible during the fast track period. HRSA/HAB Division of Metropolitan HIV/AIDS Programs Program Monitoring Standards Part A April 2013. p. 43-44. To find an HCS office near you, use the. The agency must document the situation in writing and immediately contact the client's primary medical care provider. Home and Community Services Division PO Box 45600, Olympia, WA 98504-5600 H 20 0 53 Information June 9 , 2020 TO: Area Agency on Aging (AAA) Directors Home and Community Services (HCS) Division Regional Administrators FROM: Bea Rector, Director, Home and Community Services Division SUBJECT: 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. When information is verified using an electronic source (such as BENDEX, AVS, etc.). 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. Medicaid eligibility begins, the first day of the month the client is eligible for LTSS. Determine the client's financial eligibility for LTSSmedicaid and/or noninstitutional medical assistance including a request for retro medical if needed. (PDF) Accessed on October 12, 2020. Home and Community-Based Health Services are provided to an eligible client in an integrated setting appropriate to a clients needs, based on a written plan of care established by a medical care team under the direction of a licensed clinical provider. Any assaults, verbal or physical, must be reported to the monitoring entity within one (1) business day and followed by a written report. Agency no longer meets the level of care required by the client. Eligible clients are referred to additional support services (outside of a medical, MCM, NMCM appointment), as applicable to the clients needs, with education provided to the client on how to access these services. Subrecipients must provide easy-to-understand print and multimedia materials and signage in the languages commonly used by the populations in the service area to inform all individuals of the availability of language assistance services. Por favor, responda a esta breve encuesta. Ask about other medical coverage. Appendix 2 to Attachment 4.19-A. HRSA/HAB Division of Metropolitan HIV/AIDS Programs Program Monitoring Standards Part A April 2013, p. 14-16. APPLICANT'S HOME ADDRESSCITYSTATEZIP CODE 6. L2 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. Did you receive verification of resources with the application? Services focus on assisting clients entry into and movement through the care service delivery network such that RWHAP and/or State Services funds are payer of last resort. For non-urgent mental health services, please contact your county mental health department . The interview can be conducted in person or by phone. Provide PBSstaff with the following information: Whether the client meets nursing facility level of care (NFLOC). The Home and Community-Based Provider will document in the clients primary record progress notes throughout the course of the treatment, including evidence that the client is not in need of acute care. !ISWvuutZWh'gfG0^$n6g%LjQ:@(]t)eh -^k]8 zAG s#d Demonstrate the reasonableness of decisions. The HCS case manager coordinates andconsults withthe PBS to see if Fast Track is appropriate. Explain the financial and social service functional eligibility process. 3602 Pacific Ave., Suite 200 . Wage Range: $40.76-$75.17 per hour plus per diem rate. PBS determines financial eligibility by comparing the client's income, resources and circumstances to program criteria. Department-designated social service staff: Assess the client's functional eligibility for institutional care. RW Providers must use a telehealth vendor that provides assurances to protect ePHI that includes the vendor signing a business associate agreement (BAA). 08/2017) Page 1 of 2 / Intake and Referral form for Social Services. Review excess home equity, annuity and transfer of resource provisions that are specific to institutional and home and community-based (HCB) waivers. Conduct a follow-up within 90 days of completed application to determine if additional and/or ongoing needs are present. What is HCS (PDF in English) What is HCS (PDF in Spanish) Provider Communications If the NF admission is on a weekend or holiday, the NF has until the first business day to report the admission. Percentage of clients with documented evidence of referrals provided for HIA assistance that had follow-up documentation within 10 business days of the referral in the primary client record. Fax form to the Home and Community Services office in your region for intake. Issue the award letter to the applicant/recipient. ALTSA Phone Numbers - Washington | Olympia WA 98504-5826; or Home. 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 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. adult daycare center) in accordance with a written, individualized plan of care established by a licensed physician. 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. Purpose: Communication to social services intake regarding an individual requesting a functional assessment for long-term services and supports (LTSS). IHSS Timesheet Issues/Questions: A request for service may not generate a referral. You are automatically enrolled in apple healthand do not need to submit an application if you are a: Supplemental security income (SSI) recipient; Person deemed to be an SSI recipient under 1619(b) of the SSA; Child in foster care placement as described in WAC. Encourage the applicant to gather documents as soon as possible to expedite the process. We will allow you more time if you ask for more time or need an accommodation due to disability or limited-English proficiency. Details of how eligibility factor(s) were verified. DSH Regulations and Documents - California L@5f)a>%X5.auU!1qV!h%SAg,U--`8F ydjz 8 'gF$v5q~~ enLr38uX*#XH)'#+Uabj8 ,]-r8| HuS.q"1,4>5H0 v!Nya" &~'iOJZG8eCvvJj(FMuT_j4f18#/SiO*i )nJE3 UXO+!h(G;:iYB0^,-x;p =8rkOS%Paa"gb-wSc%@/-|FJxD:`Au$yLt'2xi? In the case of the community spouse, explain how all resources in excess of the $2,000 resource limit must be transferred to the spouse within 1 year and the requirement to provide verification of this by the first annual review. Percentage of clients with documented evidence of completed progress notes in the clients primary record. 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. Clients receiving services during the Fast Track period won't receive a medical services card until financial eligibility is established. When applicable, an employee of the agency has experienced a real or perceived threat to his/her safety during a visit to a client's home, in the company of an escort or not. Applicant Information 1. We process applications for Washington apple health medicaid within forty-five calendar days, with the following exceptions: If you are pregnant, we process your application within fifteen calendar days; If you are applying for a program that requires a disability decision, we process your application within sixty calendar days; or. Provide the PBS staff with the following information: Residential facility name and address, including room number, if applicable. J(_ @# word/_rels/document.xml.rels ( Yo6~!0I'n:Ylw-RI"IV. Refer the client tosocialservicesfor a care assessment if the client contacts the PBSfirst and document the date the client first requested NF care. | Authorize in ACES for in-home or residential HCB waiver if the client is both functionally and financially eligible. As the primary applicant or head of household, you may start an application for apple health by providing your: Physical address, and mailing addresses (if different). Staff will follow-up within 10 business days of a referral provided to any core services to ensure the client accessed the service. catholic community services hen program - Nissho-jyouhou.jp Have you received Accurintand/or AVS results and reviewed the assets reported? Provide advocacy to clients with a clear understanding of community services and support available for their situations. For HCS clients, both functional and financial eligibility are determined concurrently. DSHS ESA Social Service Specialist 2 - LinkedIn Provider Fraud and Elder Abuse complaint line: v}r'kFtr4Ng n [D!n'h}c l`0_ 85yaBAhFozyJ46_ERgsEc;,'K$zTzy[1 PK ! f?3-]T2j),l0/%b At a department of social and health services (DSHS) community services office (CSO). 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 ! As specified in subsection (2) of this section, if you are a child, pregnant, a parent or caretaker relative, or an adult age sixty-four and under without medicare. Explain participation and room and board, how the amount is determined, and that it must be paid to the provider. Cases without a delay reason code or updated with "No Good Cause (NG)" to the DSHS secretary. If you do not have software that can open these files, you may download a free file viewer . There is good information on the Washington LawHelp site that explains the timing of an LTSSapplication. For households containing people described in subsection (2) of this section: Call the Washington Healthplanfindercustomer support center number listed on the application for health care coverage form (. Percentage of clients accessingHome and Community-Based Health Services have follow up documentation to the referral offered in the clients primary record. RW Providers must use a telehealth vendor that provides assurances to protect ePHI that includes the vendor signing a business associate agreement (BAA). 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 .