dshs home and community services intake and referral

\{#+zQh=JD ld$Y39?>}'C#_4$ 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. Document in ACES remarks, in detail, all eligibility factors discussed during the interview and included on the application. RWHAP Part B and State Services funds can be used to provide transitional social services to establish or re-establish linkages to the community. CONTACT(S): Rachelle Ames, HCS Program Manager 360-725-2353 amesrl@dshs.wa.gov Center for Medicare and Medicaid Services (CMS) requires an annual review at least once a year for categorically needy (CN) Medicaid. Ask about other resources not declared on the application. Go over the application, particularly what was declared in the income and resource sections. 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). Back to DSH main webpage. Demonstrate the reasonableness of decisions. A simple and sleek portal for staff. The hospital requires you to stay overnight. Explain how to request an extension if more time is needed. The determination of Fast Track is ultimately up to social services. Wage Range: $40.76-$75.17 per hour plus per diem rate. Examples are the SSI or SSI-related programs or Apple Health for Workers with Disabilities (HWD). If you have questions about submitting the form please contact your regional office at the number below. Appendix 2 to Attachment 4.19-A. 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. Case management that links a soon-to-be-released inmate with primary care is an example of appropriate transitional social services. Por favor, responda a esta breve encuesta. Full. | FAX to: 1-855-635-8305. What is HCS (PDF in English) What is HCS (PDF in Spanish) Provider Communications | Care plan is updated at least every sixty (60) calendar days. Need Mental Health 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. 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. 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 PBS also determines maximum client responsibility. You may apply for Washington apple health at any time. | word/document.xml\n8}_`u-c t?mk[X`aKHJ|Mf2DUSU~~=DX~PJ6u`r]u+K(q` Qy'AD5}]qT"{J|}]6+t. 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. What resources is the client reporting on the application or past applications? Please report broken links or content problems. HRhk\ X?Nk; $-Yqiy*KB&I4"@W>eGI'tHaOBhVPRQq[^BJ] Social Service Intake and Referral form (DSHS Form #10-570) The form is available here on the intranet: https://www.dshs.wa.gov/fsa/forms The form is available here on the internet for the public. !H!/tG|B^%=z+]F!lExBa0$ 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. Jun 2014 - Mar 201510 months. 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). 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. The authorization can't be backdated for HCB waiver, CFC, or MPC unless socialservices has fast-tracked services and the client is subsequently found financially eligible. REGION 1 - Pend Oreille, Stevens, Ferry Okanagan, Chelan, Douglas, Grant, Lincoln, Spokane, Adams, Whitman, Klickitat, Kittitas, . A full-featured portal for all users. 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. | If the 13-746 is not received timely, count back 5 businessdays from the date of receipt to determine the authorization date. TK6_ PK ! 3602 Pacific Ave., Suite 200 . For Hospice as a medicaidprogram, the hospice authorization date is based on the receipt of the 13-746 (HCA/medicaid Hospice notification). Ryan White Providers using telehealth must also follow DSHS HIV Care Services guidelines for telehealth and telemedicine outlined in DSHS Telemedicine Guidance. xar *O.c H?Y+oaB]6y&$i8]U}EvH*%94F%[%A PK ! | Home and Community-Based Health Services include the following: Home and Community-Based Health Providers work closely with the multidisciplinary care team that includes the client's case manager, primary care provider, and other appropriate health care professionals. f?3-]T2j),l0/%b Apply in-person at a local Home & Community Services office. Repaying the state for medical and long-term services and supports, DSHS 14-501 Community resource declaration (used to evaluate resources (assets) for an applicant and their spouse based on date of institutionalization. We determine eligibility as quickly as possible and respond promptly to applications and information received. DSHS HIV Care Services requires that for Ryan White Part B or SS funded services providers must use features to protect ePHI transmission between client and providers. PK ! Percentage of clients with documented evidence of assistance provided to access health insurance or Marketplace plans in the primary client record. INTAKE AND REFFERAL DSHS 10-570 (REV. Client will be contacted within one (1) business day of the referral, and services should be initiated at the time specified by the primary medical care provider, or within two (2) business days, whichever is earlier. Lead and manage training development . Current assessment and needs of the client, including activities of daily living needs (personal hygiene care, basic assistance with cleaning, and cooking activities), Need forHome and Community-Based Health Services, Types, quantity, and length of time services are to be provided. A request for service may not generate a referral. Tacoma, WA 98418. I) word/document.xmlr=U.nA;K]|K0x+CII*?tY =6KWHN Z G!i$.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. There is good information on the Washington LawHelp site that explains the timing of an LTSSapplication. Funds cannot be used to duplicate referral services provided through other service categories. If you disagree with our decision, you can ask for a hearing. $[53j(,U+/6-FBR[lvn! }k}HG4"jhznn'XwB$\HODuDX7o u'8>@)OLA@"yoTP8nd lAO 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. 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. Determine the client's financial eligibility for LTSSand noninstitutional medical assistance including 3 months retroactive medical coverage if financially eligible. Home and Community Services - LTSS Acronyms utilized should be DSHS/HCA approved. Center for Health Emergency Preparedness & Response, Texas Comprehensive Cancer Control Program, Cancer Resources for Health Professionals, Resources for Cancer Patients, Caregivers and Families, Food Manufacturers, Wholesalers, and Warehouses, Emergency Medical Services (EMS) Licensure, National Electronic Disease Surveillance System (NEDSS), Health Care Information Collection (THCIC). 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. 6. 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. Department-designated social service staff: Assess the client's functional eligibility for institutional care. An overpayment isn't established. The agency must document the situation in writing and contact the referring primary medical care provider. 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. 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. 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. HRSA/HAB Division of Metropolitan HIV/AIDS Programs Program Monitoring Standards Part A April 2013. p. 43-44. N _rels/.rels ( j0@QN/c[ILj]aGzsFu]U ^[x 1xpf#I)Y*Di")c$qU~31jH[{=E~ Sometimes we can start your coverage up to three months before the month you applied (see WAC, If you are confined or incarcerated as described in WAC, You are hospitalized during your confinement; and. Family members and other representatives are often just learning about the client's income and resources when they apply. Explain Estate Recovery and mail the Estate Recovery fact sheet. Good cause for a delay in processing the application exists when we acted as promptly as possible but: The delay was the result of an emergency beyond our control; The delay was the result of needing more information or documents that could not be readily obtained; You did not give us the information within the time frame specified in subsection (1) of this section. Staff will explore the following as possible options for clients, as appropriate: Staff will assist eligible clients with completion of benefits application(s) as appropriate within 14 business days of the eligibility determination date. Call the client or their representative to complete an interview. For jobs with more than one level, the posted range reflects the minimum of the lowest level and the maximum of the highest level. Intake Coordinator. Type of client interaction (phone, in-person, etc.). | Client transfers services to another service program. You may receive help filing an application. PK ! IHSS Fraud Hotline: 888-717-8302 Mienh waac Denos su opinin sobre sus experiencias con las instalaciones, el personal, la comunicacin y los servicios del DSHS. 1s Listing for: Denham Resources. 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. 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 education provided on other public and/or private benefit programs in the primary client record. 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. | Privacy Policy Contact a navigator, health care authority volunteer assistor, or broker. For non-urgent mental health services, please contact your county mental health department . Professional care is the provision of services in the home by licensed providers for mental health, development health care, and/or rehabilitation services. HIV Medical and Support Service Categories, Research, Funding, & Educational Resources. 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. The DSHS consent form is preferred as it is used for all programs including medical, food and cash. 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 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.. 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. How do I notify SEBB that my loved one has passed away? Ask if any of these bills were incurred within the last 3 months. HCA 18-003 Rights and responsibilities (translations can be found at Health Care Authority (HCA) forms under 14-113), HCA 18-005 Washington Apple Health application for aged, blind, disabled/long-term care coverage, HCA 18-008 Washington Apple Health application for tailored supports for older adults (TSOA), DSHS14-001 Application for cash or food assistance. 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. Accessed on October 12, 2020. f?3-]T2j),l0/%b 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. A copy of the police report is sufficient, if applicable. Posted wage ranges represent the entire range from minimum to maximum. Call the DSHScommunity services customer service contact center number listed on the medicaidapplication form. 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. Home and Community-Based Health Services are therapeutic, nursing, supportive and/or compensatory health services provided by a licensed/certified home health agency in a licensed/certified home or community-based setting (e.g. Functional eligibility for DDA is determined prior to the submission of a financial application. If there is other medical coverage and you can obtain the information during the interview, complete a. 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. The modified adjusted gross income (MAGI)-based apple healthapplication process using Washington Healthplanfinder may provide faster or real-time determination of eligibility for medicaid. | Union Gospel Mission: www.ougm.org. Home and Community-Based Health Services Standards print version. Case Closure Summary: Clients who are no longer in need of assistance through Referral for Health Care and Support Services must have their cases closed with a case closure summary narrative documented in the client primary record. Call the HCS intake line in the area in which you reside to schedule an assessment. 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. If the client isn't financially eligible, notify social services. 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. APPPLICANT'S NAME: LAST, FIRST, MI 2. We reconsider our decision to deny your apple healthcoverage without a new application from you when: We receive the information that we need to decide if you are eligible within thirty days of the date on the denial notice; You give us authorization to verify your assets as described in WAC 182-503-0055 within thirty days of the date on the denial notice; You request a hearing within ninety days of the date on the denial letter and an administrative law judge (ALJ) or HCA review judge decides our denial was wrong (per chapter. 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. f?3-]T2j),l0/%b Clients should be educated about and assisted with accessing and securing all available public and private benefits and entitlement programs. Is the client single or married, and which resource standard is being used to make a recommendation. (link is external) 360-918-8424. How do I notify PEBB that my loved one has passed away? Assess the client's functional eligibility for in home or residential care. adult daycare center) in accordance with a written, individualized plan of care established by a licensed physician. 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. 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. 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. z, /|f\Z?6!Y_o]A PK ! HRSA/HAB Division of State HIV/AIDS Programs National Monitoring Standards Program Part B April, 2013, p. 13-15. Main Office . 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. Job specializations: Social Work. | Services may be authorized using Fast Track for a maximum of 90 days. Appropriate mental health, developmental, and rehabilitation services; Day treatment or other partial hospitalization services; Home health aide services and personal care services in the home. Consistent - Explain how conflicts or inconsistencies of information were addressed. Summarize what verification is needed to complete the application and send a request for information letter. 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. 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. General open-ended questions about resources and income should also be asked. N _rels/.rels ( j0@QN/c[ILj]aGzsFu]U ^[x 1xpf#I)Y*Di")c$qU~31jH[{=E~ 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. 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. 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. | Conditions of Use | Careers

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