Please take this short survey. Conduct prevention activities as outlined in the DSHS . 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. Espaol Home Professionals & Providers Management Bulletins 2020 HCS Management Bulletins 2020 HCS Management Bulletins Note: These documents are available only in Word and/or Excel formats. Benefits Counseling: Activities should be client-centered facilitating access to and maintenance of health and disability benefits and services. 7wfQCfjS If there is other medical coverage and you can obtain the information during the interview, complete a. Please take this short survey. Authorize in ACES for in-home or residential HCB waiver if the client is both functionally and financially eligible. All AAs and subrecipients must establish culturally and linguistically appropriate goals, policies, and management accountability, and infuse them throughout the organizations planning and operations. Percentage of clients with documented evidence, as applicable, of a transfer plan developed and documented with referral to an appropriate service provider agency as indicated in the clients primary record. How do I notify SEBB that my loved one has passed away? For medicaid recipients, the first date DSHS was notified of the admission by the nursing facility. Allows at least ten calendar days to provide it. If you have questions about submitting the form please contact your regional office at the number below. Intake Coordinator. If you seek apple health coverage and are age sixty-five or older, have a disability, are blind, need assistance with medicarecosts, or seek coverage of long-term services and supports,you may apply: By completing the application for aged, blind, disabled/long term care coverage (, In person at a local DSHSCSO or home and community services (HCS) office; or. The determination of Fast Track is ultimately up to social services. 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. f?3-]T2j),l0/%b Whether there is a housing maintenance allowance and the start date, if appropriate. 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. Fax form to the Home and Community Services office in your region for intake. HRSA/HAB Division of State HIV/AIDS Programs National Monitoring Standards Program Part B April, 2013, p. 13-15. Repaying the state for medical and long-term services and supports, DSHS 14-501 Community resource declaration (used to evaluate resources (assets) for an applicant and their spouse based on date of institutionalization. | | Referrals for health care and support services provided by case managers (medical and non-medical) should be reported in the appropriate case management service category (e.g., Medical Case Management (MCM) or Non-Medical Case Management (NMCM)). the past two years? 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. DSHS 10-570 ( REV. This service category works to maximize public funding by assisting clients in identifying all available health and disability benefits supported by funding streams other than RWHAP Part B and/or State Services funds. Clientsswitching from private pay to medicaid are advised to apply for benefits 30 to 45 days before being resource eligible for the program. 12/1/2022 2:44 PM. Ryan White Providers using telehealth must also follow DSHS HIV Care Services guidelines for telehealth and telemedicine outlined in DSHS Telemedicine Guidance. This Home and Community Based Services program provides not only care, but also other supports . A supervisor must sign the case closure summary. Note: Servicescan't be backdated prior to the date of the authorization until the date that financial eligibility is established. The LTSS authorization date, which is described in WAC, If there is a transfer penalty as described in WAC. d{ word/_rels/document.xml.rels ( VMo W87GJmziRokm:Kbi6P{3c33{Jp^MQKT %*|`3i4PwA'NX_D)BW<6t|XC{9qS4Yr-6M#jlHv$d@. V&ca\H>le?S9As<1CRYN]drRI/0!b The PBS also determines maximum client responsibility. 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. Job specializations: Social Work. Eligible clients are referred to Health Insurance Premium and Cost-Sharing Assistance (HIA) to assist clients in accessing health insurance or Marketplace plans within one (1) week of the referral for health care and support services intake. Hmoob . 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. Percentage of clients with documented evidence of referrals provided to any support services that had follow-up documentation within 10 business days of the referral in the primary client record. Percentage of clients with documented evidence of education provided on other public and/or private benefit programs in the primary client record. A phone or in-person interview is required to determine initial financial eligibility for WAH long-term care services. Per Diem. 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). We will allow you more time if you ask for more time or need an accommodation due to disability or limited-English proficiency. IHSS Fraud Hotline: 888-717-8302 Listed on 2023-03-03. Applications for LTSS may be submitted using any of the following methods: Mailing or faxing documents to Home and Community Services (HCS), Mail to: A copy of the police report is sufficient, if applicable. For HCS clients, both functional and financial eligibility are determined concurrently. If you do not have software that can open these files, you may download a free file viewer . 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. Explain the medical service card, automatic Medicare D enrollment if not on a creditable coverage or Medicare D Prescription Drug Plan. 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. Document in ACES remarks, in detail, all eligibility factors discussed during the interview and included on the application. 3602 Pacific Ave., Suite 200 . Services cannot be provided in the following facilities: inpatient hospital facilities, nursing homes, and other long term care facilities. RW Providers must use a telehealth vendor that provides assurances to protect ePHI that includes the vendor signing a business associate agreement (BAA). Social service staff and case managers determine functional eligibility and what services to authorize based on a complete and comprehensive CAREassessment. | Contact Us 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). 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. 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. | z, /|f\Z?6!Y_o]A PK ! We follow the rules about notices and letters in chapter. Homeless Housing Hotline: 844-628-7343 - Call to connect with homeless services in Thurston County and get referrals to shelter and housing options. For apple health programs for children, pregnant people, parents and caretaker relatives, and adults age sixty-four and under without medicare, (including people who have a disability or are blind), you may apply: Online via the Washington Healthplanfinder at. Client relocates out of the service delivery area. HRSA/HAB Division of Metropolitan HIV/AIDS Programs Program Monitoring Standards Part A April 2013, p. 14-16. If the NF admission is on a weekend or holiday, the NF has until the first business day to report the admission. 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. 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. $41 to $75 Hourly. Staff will follow up within 10 business days of a referral provided to support services to ensure the client accessed the service. Listing for: Denham Resources. 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. 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. Ask if any of these bills were incurred within the last 3 months. Department-designated social service staff: Assess the client's functional eligibility for institutional care. 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. 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.

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