dshs home and community services intake and referral

The agency may discontinue services or refuse the client for as long as the threat is ongoing. 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. We did not document the good cause reason before missing a time frame specified in subsection (1) of this section. 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. 6. (link is external) 360-709-9725. What is HCS (PDF in English) What is HCS (PDF in Spanish) Provider Communications 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). (Source: DSHS Policy591.00 Limitations on Ryan White and State Service Funds for Incarcerated Persons in Community Facilities, Section 5.3). The determination of Fast Track is ultimately up to social services. LTSS can begin once a client is found financially and functionally eligible and an approved provider is in place. Provide PBSstaff with the following information: Whether the client meets nursing facility level of care (NFLOC). Homeless Housing Hotline: 844-628-7343 - Call to connect with homeless services in Thurston County and get referrals to shelter and housing options. 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. The LTSSstartdate is the date the client is both financially and functionally eligible. Applications for LTSS may be submitted using any of the following methods: Mailing or faxing documents to Home and Community Services (HCS), Mail to: | word/document.xml\n8}_`u-c t?mk[X`aKHJ|Mf2DUSU~~=DX~PJ6u`r]u+K(q` Qy'AD5}]qT"{J|}]6+t. Explain participation and room and board, how the amount is determined, and that it must be paid to the provider. PDF HCS Intake and Referral - Washington If the client is unable to complete the interview due to a medical condition or because no one is available to assist the client. Applicant Information 1. Purpose: Communication to social services intake regarding an individual requesting a functional assessment for long-term services and supports (LTSS). Name Unit Division Phone *Medicaid Helpline: Medicaid: HCS: 1-800-562-3022: Abbott, Amy: Director's Office, RCS: RCS: 360.725.2401: Acoba, Curtis: OT - IT Security 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. Social service staff and case managers determine functional eligibility and what services to authorize based on a complete and comprehensive CAREassessment. Based on the agencys perception of the client's condition, the client requires a higher level of care than would be considered reasonable in a home/community setting. Center for Medicare and Medicaid Services (CMS) requires an annual review at least once a year for categorically needy (CN) Medicaid. Health Care Services: Clients should be assisted in accessing health insurance or Marketplace plans to assist with engagement in the health care system and HIV Continuum of Care, including medication payment plans or programs. The LTSSauthorization date can be backdated for nursing facility services up to 3 months prior to the date of application for a new applicant of Medicaid as long as the client is nursing facility level of care (NFLOC) and financially eligible. Demonstrate the reasonableness of decisions. Whether there is a housing maintenance allowance and the start date, if appropriate. A simple and sleek portal for staff. Lite. Home. | 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. The following Standards and Measures are guides to improving health outcomes for people living with HIV throughout the State of Texas within the Ryan White Part B and State Services Program. Give a projected client responsibility amount to the caseworker using the LTSS referral 07-104. Have you received Accurintand/or AVS results and reviewed the assets reported? Community Jobs, Employment in Halford, WA | Indeed.com Clients should be educated about and assisted with accessing and securing all available public and private benefits and entitlement programs. The agency has attempted to complete an initial assessment and the referred client has been away from home on three occasions. Note: Servicescan't be backdated prior to the date of the authorization until the date that financial eligibility is established. HRSA/HAB Ryan White Program & Grants Management, Recipient Resources. NOTE: If an 18-005 is received on an active MAGI case and the client is in a NF or Hospice care center, no action is needed by the PBS. Referral for Health Care and Support Services | Texas DSHS catholic community services hen program - Nissho-jyouhou.jp Disproportionate Share Hospital Program Eligibility. Case actions and why the actions were taken, and. | Ask about any transfers, gifts, or property sales during the 5-year look back and the circumstances of why they were made. Tagalog Ensure what you document accurately describes what happened with the case. Use the original eligibility review date to open institutional coverage. Explain the financial and social service functional eligibility process. 3602 Pacific Ave., Suite 200 . You may apply for Washington apple health at any time. Ask about other resources not declared on the application. For ABD, SSI-related Washington Apple Health programs: This process applies toSSI-related programs only MAGI-based clients are not eligible for HCBwaiver. 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. TK6_ PK ! 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. Conduct a follow-up within 90 days of completed application to determine if additional and/or ongoing needs are present. REGION 1 - Pend Oreille, Stevens, Ferry Okanagan, Chelan, Douglas, Grant, Lincoln, Spokane, Adams, Whitman, Klickitat, Kittitas, . Policy Notices and Program Letters, Ryan White HIV/AIDS Program Services: Eligible Individuals & Allowable Uses of Funds Policy Clarification Notice (PCN) #16-02 (PDF) (Revised 10/22/2018), DSHS Policy 591.000, Section 5.3 regarding Transitional Social Service linkage, Interim Guidance for the Use of Telemedicine and Telehealth for HIV Core and Support Services, March 2020, Interim Guidance for the Use of Telemedicine and Telehealth for HIV Core and Support Services Users Guide and FAQs, March 2020, HIV Medical and Support Service Categories, Research, Funding, & Educational Resources, Referral for Health Care and Support Services. Authorize payment for NF care if the client is both functionally and financially eligible. These are the forms used in the application process for LTSS. HCS Management Bulletins - Washington Consistent - Explain how conflicts or inconsistencies of information were addressed. APPPLICANT'S NAME: LAST, FIRST, MI 2. 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. 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. Aging and Disability Resources Office If there are previous versions of this rule, they can be found using the Legislative Search page. Any assaults, verbal or physical, must be reported to the monitoring entity within one (1) business day and followed by a written report. Activities provided under this service category may include referrals to assist HRSA Ryan White HIV/AIDS Program (RWHAP)-eligible clients to obtain access to other public or private programs for which they may be eligible (e.g., Medicaid, Medicare Part D, State Pharmacy Assistance Programs, Pharmaceutical Manufacturers Patient Assistance Programs, and other state or local health care and supportive services, or health insurance Marketplace plans). 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. If the NF admission is on a weekend or holiday, the NF has until the first business day to report the admission. f?3-]T2j),l0/%b 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. A full-featured portal for all users. Peer support & counseling Recovery housing Prevention Substance use disorder prevention & mental health promotion Quick links Apply for or renew Apple Health coverage Apple Health for you Apple Health account logins z, /|f\Z?6!Y_o]A PK ! Benefits counseling: Services should facilitate a clients access to public/private health and disability benefits and programs. DOCX STATE OF WASHINGTON - Home | WA.gov Percentage of clients with documented evidence of a comprehensive evaluation completed by the Home and Community-Based Health Agency Provider in the clients primary record. Summarize what verification is needed to complete the application and send a request for information letter. Explain the Medicare Savings Program (MSP). Case management that links a soon-to-be-released inmate with primary care is an example of appropriate transitional social services. Percentage of clients with documented evidence of ongoing communication with the primary medical care provider and care coordination team as indicated in the clients primary record. Percentage of eligible clients with documented evidence of the follow-up and result(s) to a completed benefit application in the primary client record. f?3-]T2j),l0/%b (link is external) 360-918-8424. INTAKE AND REFFERAL DSHS 10-570 (REV. Explain how to request an extension if more time is needed. Percentage of clients who received a referral for other support services who have documented evidence of the education provided to the client on how to access these services in the primary client record. The following are County IHSS program websites. Home and Community-Based Health Services Standards print version. For HCS clients, both functional and financial eligibility are determined concurrently. The case closure summary must include a brief synopsis of all services provided and the result of those services documented as completed and/or not completed.. For in-home service applicants, discuss the food assistance program and inquire if the household would like to apply for food benefits. When using Collateral Contact (CC) or Other (OT) valid value, document the details of how it was verified. Barcode 10570 DSHS form 10-570. 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 (. You may receive help filing an application. The hospice provideris required to submit this form within 5 business days of a hospice election on all active and pending Medicaidcases. Review excess home equity, annuity and transfer of resource provisions that are specific to institutional and home and community-based (HCB) waivers. IHSS Timesheet Issues/Questions: The application process begins and the application date is established when the request for benefits is received. All AAs and subrecipients must establish culturally and linguistically appropriate goals, policies, and management accountability, and infuse them throughout the organizations planning and operations. Kirkland, WA. Questions to consider when making aFast Track recommendation: Social services cant begin Fast Track until a CAREassessment is completed. When working on a case that has ACES Equal Access (EA) requirements: If changing ACES EA requirements, clearly document the reason. Referral for Health Care and Support Services Service Standard print version. We send you a written notice explaining why we denied your application (per chapter. N _rels/.rels ( j0@QN/c[ILj]aGzsFu]U ^[x 1xpf#I)Y*Di")c$qU~31jH[{=E~ Please reference the HRSA Program Guidance above. For Hospice as a medicaidprogram, the hospice authorization date is based on the receipt of the 13-746 (HCA/medicaid Hospice notification). Need Mental Health Services? DSHS HIV Care Services requires that for Ryan White Part B or SS funded services providers must use features to protect ePHI transmission between client and providers. When applicable, an employee of the agency has experienced a real or perceived threat to his/her safety during a visit to a client's home, in the company of an escort or not. The agency will maintain ongoing communication with the multidisciplinary medical care team in compliance with Texas Medicaid and Medicare Guidelines. Give your local county office your updated contact information so you can stay enrolled. N _rels/.rels ( j0@QN/c[ILj]aGzsFu]U ^[x 1xpf#I)Y*Di")c$qU~31jH[{=E~ Home and Community Services - LTSS State Plan Amendments. | Aging & Disability Resources | Pierce County, WA - Official Website Client transfers services to another service program. xar *O.c H?Y+oaB]6y&$i8]U}EvH*%94F%[%A 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. 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. 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. 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. We determine eligibility as quickly as possible and respond promptly to applications and information received. For jobs with more than one level, the posted range reflects the minimum of the lowest level and the maximum of the highest level. HRSA/HAB Division of State HIV/AIDS Programs National Monitoring Standards Program Part B April, 2013, p. 13-15. 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. Refer the client tosocialservicesfor a care assessment if the client contacts the PBSfirst and document the date the client first requested NF care. 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). v}r'kFtr4Ng n [D!n'h}c l`0_ 85yaBAhFozyJ46_ERgsEc;,'K$zTzy[1 PK ! Assess the client's functional eligibility for in home or residential care. Washington COPES Medicaid Waivers Program TK6_ PK ! Family members and other representatives are often just learning about the client's income and resources when they apply.