Professional care is the provision of services in the home by licensed providers for mental health, development health care, and/or rehabilitation services. 3602 Pacific Ave., Suite 200 . The agency must document the situation in writing and immediately contact the client's primary medical care provider. 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. 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. J(_ @# word/_rels/document.xml.rels ( Yo6~!0I'n:Ylw-RI"IV. Explain participation and room and board, how the amount is determined, and that it must be paid to the provider. 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. Explain the Medicare Savings Program (MSP). What is HCS (PDF in English) What is HCS (PDF in Spanish) Provider Communications Contact a navigator, health care authority volunteer assistor, or broker. Disproportionate Share Hospital Program Eligibility. Functional eligibility for DDA is determined prior to the submission of a financial application. Referral for Health Care and Support Services Service Standard print version. Location: Wilton<br>Sign-on Bonus - $5,000<br><br>Provides mental health assessment, diagnosis, treatment and crisis intervention services for adult and/or child members who present themselves from psychiatric evaluation with a broad range of mental health needs. DSHS 10-570 ( REV. (Source: DSHS Policy591.00 Limitations on Ryan White and State Service Funds for Incarcerated Persons in Community Facilities, Section 5.3). 6. Need Mental Health Services? Conduct prevention activities as outlined in the DSHS . Back to DSH main webpage. A comprehensive evaluation of the clients health, psychosocial status, functional status, and home environment will be completed to include: Percentage of clients with documented evidence of needs assessment completed in the clients primary record. If the client is unable to complete the interview due to a medical condition or because no one is available to assist the client. Home and Community Services - LTSS HRSA Ryan White HIV/AIDS Program Services: Eligible Individuals & Allowable Uses of Funds Policy Clarification Notice (PCN) #16-02(Revised 10/22/2018) Accessed on October 16, 2020. If the applicant is eligible for an MSP based on income and resource guidelines and all information is received to determine eligibility for MSP, don't hold up processing this program while the LTSS medical is pending. L2 catholic community services hen program. L@5f)a>%X5.auU!1qV!h%SAg,U--`8F ydjz 8 'gF$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$yLt'2xi? Clientsswitching from private pay to medicaid are advised to apply for benefits 30 to 45 days before being resource eligible for the program. Percentage of clients with documented evidence of assistance provided to access health insurance or Marketplace plans in the primary client record. Clearly indicate this is a projection and the financial application is in process. !H!/tG|B^%=z+]F!lExBa0$ IHSS Service Desk for Providers & Recipients, (866) 376-7066, Suspect Fraud? Provide the PBS staff with the following information: Residential facility name and address, including room number, if applicable. Full. Explain how to request an extension if more time is needed. Telehealth and Telemedicine is an alternative modality to provide most Ryan White Part B and State Services funded services. Applications for clients under age 65 or ineligible for Medicare should be submitted through this site and will have a real-time determination of Washington Apple Health medical coverage eligibility under the modified adjusted gross income (MAGI) methodology. 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. HRSA/HAB Division of State HIV/AIDS Programs National Monitoring Standards Program Part B April 2013. p. 42-43. In-home or residential services, call 800-780-7094 or 425-977-6579, FAX 425-339-4859, Nursing home services, call 800-780-7094, FAX 206-373-6855, In-home or residential services, call 206-341-7750, FAX 206-373-6855. 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. State Plan Amendments. 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. Benefits counseling: Services should facilitate a clients access to public/private health and disability benefits and programs. We will allow you more time if you ask for more time or need an accommodation due to disability or limited-English proficiency. APPLICANT'S HOME ADDRESSCITYSTATEZIP CODE 6. 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. | HRSA/HAB Ryan White Program & Grants Management, Recipient Resources. $[53j(,U+/6-FBR[lvn! }k}HG4"jhznn'XwB$\HODuDX7o u'8>@)OLA@"yoTP8nd lAO Is the client single or married, and which resource standard is being used to make a recommendation. The ALJ does not consider the previous absence of information or failure to respond in determining if you are eligible. Complete - The documentation must support the eligibility decision and allow a reviewer to determine what was done and why. Benefits Counseling: Activities should be client-centered facilitating access to and maintenance of health and disability benefits and services. DSHS HCS Intake and . Coordinate with other agencies in planning and linking clients to referral services (for example: legal, medical, social services, financial, and/or housing). 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 The PBS may waive the interview requirement. To apply for tailored supports for older adults (TSOA), see WAC. Apply in-person at a local Home & Community Services office. CONTACT(S): Rachelle Ames, HCS Program Manager 360-725-2353 amesrl@dshs.wa.gov Examples are the SSI or SSI-related programs or Apple Health for Workers with Disabilities (HWD). Lite. Have you received Accurintand/or AVS results and reviewed the assets reported? If the 13-746 is not received timely, count back 5 businessdays from the date of receipt to determine the authorization date. | v}r'kFtr4Ng n [D!n'h}c l`0_ 85yaBAhFozyJ46_ERgsEc;,'K$zTzy[1 PK ! 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. | Questions to consider when making aFast Track recommendation: Social services cant begin Fast Track until a CAREassessment is completed. 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. An ongoing permanent history of actions and decisions made; A support of eligibility, ineligibility and benefit determination; Credibility for decisions when used as evidence in legal matters; A trail for reviewers to determine the accuracy of the benefits issued. Applications for LTSS may be submitted using any of the following methods: Mailing or faxing documents to Home and Community Services (HCS), Mail to: Please take this short survey. / % [Content_Types].xml ( N0EHC-j\X $@b/=>"RRQ{c%3X@LCV^i7 Sx[Ab7*@*HRf$g`E*} G;V )B~)K0{j17X$)+n7u9bf}^&i/52\ 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. z, /|f\Z?6!Y_o]A PK ! For in-home service applicants, discuss the food assistance program and inquire if the household would like to apply for food benefits. Issue the award letter to the applicant/recipient. Dont open a case in ACES until you have everything needed to establish financial eligibility. Give your local county office your updated contact information so you can stay enrolled. Include Remarks to reconcile any discrepancies, or important information not otherwise captured, including required questions left blank on the application or eligibility review form. z, /|f\Z?6!Y_o]A PK ! REGION 1 - Pend Oreille, Stevens, Ferry Okanagan, Chelan, Douglas, Grant, Lincoln, Spokane, Adams, Whitman, Klickitat, Kittitas, . TK6_ PK ! Clients should be educated about and assisted with accessing and securing all available public and private benefits and entitlement programs. 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. Funds cannot be used to duplicate referral services provided through other service categories. HIV Medical and Support Service Categories, Research, Funding, & Educational Resources. 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. Fax form to the Home and Community Services office in your region for intake. Issue the NF award letter to the applicant/recipient and the nursing facility. Mienh waac The DSHS consent form is preferred as it is used for all programs including medical, food and cash. 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. f?3-]T2j),l0/%b 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. Provider Fraud and Elder Abuse complaint line: 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. SSI recipients who need institutional services, or HCB waiver, must complete and sign an application, or the. Give a projected client responsibility amount to the caseworker using the LTSS referral 07-104. Case actions and why the actions were taken, and. Asset verification, if not already authorized on the application by the client and financially responsible people (if applicable), may be authorized during the interview process. D@. All AAs and subrecipients must establish culturally and linguistically appropriate goals, policies, and management accountability, and infuse them throughout the organizations planning and operations. Screen all clients to determine potential for HCB services. PK ! Listing for: Denham Resources. | Open-ended questions often reveal that additional sources of income and assets may exist. Massachusetts Department of Public Health Bureau of Infectious Disease Office of HIV/AIDS Standards of Care for HIV/AIDS Services 2009, San Francisco EMA Home-Based Home Health Care Standards of Care February 2004, Texas Administrative Code, Title 40, Part 1, Chapter 97, Subchapter B, Rule 97.211. 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). 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. FAX to: 1-855-635-8305. 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. 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. Please reference the HRSA Program Guidance above. Espaol When working on a case that has ACES Equal Access (EA) requirements: If changing ACES EA requirements, clearly document the reason. Transitional social services should NOT exceed 180 days. 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. Use Equal Access - Necessary Supplemental Accommodation (NSA) and long-term services and supports policies for LTSS applicants and recipients. For long-term services and supports coverage such as nursing home care, in-home personal care, assisted living facility, adult family home programs, and TSOA Mail your application to: DSHS Home and Community Services PO Box 45826, Olympia, WA 98504-5826 Questions? f?3-]T2j),l0/%b For medicaid recipients, the first date DSHS was notified of the admission by the nursing facility. The hospice provideris required to submit this form within 5 business days of a hospice election on all active and pending Medicaidcases. HRSA/HAB Division of State HIV/AIDS Programs National Monitoring Standards Program Part B April 2013. p. 42-43. Care plan is updated at least every sixty (60) calendar days. 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. Por favor, responda a esta breve encuesta. Lakewood, WA. 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. Intake Coordinator. Explain Estate Recovery and mail the Estate Recovery fact sheet. Encourage the applicant to gather documents as soon as possible to expedite the process. 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. Kirkland, WA. 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. If the client isn't financially eligible, notify social services. Caring at Home Respite, In-home Services, Skills, Caregiver Help, Kinship Caregiving, Services, Conferences If you have questions about submitting the form please contact your regional office at the number below. Agency no longer meets the level of care required by the client. Union Gospel Mission: www.ougm.org. To complete an application for apple health, you must also give us all of the other information requested on the application. (link is external) 360-918-8424. | 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. | Contact Us Case management that links a soon-to-be-released inmate with primary care is an example of appropriate transitional social services. HRSA/HAB Division of State HIV/AIDS Programs National Monitoring Standards Program Part B April, 2013, p. 13-15. Explain the medical service card, automatic Medicare D enrollment if not on a creditable coverage or Medicare D Prescription Drug Plan. 08/2017) Page 1 of 2 / Intake and Referral form for Social Services. / % [Content_Types].xml ( N0EHC-j\X $@b/=>"RRQ{c%3X@LCV^i7 Sx[Ab7*@*HRf$g`E*} G;V )B~)K0{j17X$)+n7u9bf}^&i/52\ Whether there is a housing maintenance allowance and the start date, if appropriate. Staff will follow up within 10 business days of a referral provided to support services to ensure the client accessed the service. Ask about other resources not declared on the application. If the NF admission is on a weekend or holiday, the NF has until the first business day to report the admission. Note: The HCA 80-020 Authorization for Release of Information is for medical benefits under Health Care Authority and will be accepted as a release of information for all medical programs including LTSSprograms. 1-(800)-722-0432, Copyright 2023 California Department of Social Services. Percentage of eligible clients with documented evidence of the follow-up and result(s) to a completed benefit application in the primary client record. Listed on 2023-03-03. HRSA/HAB Division of State HIV/AIDS Programs National Monitoring Standards Program Part B April, 2013, p. 13-15. :.U`:8H"Jtv&edPi\ZbNu]$#;w2F.v~u\E}:=~G gQDYQ2xe*rhB/Y>as1j{s2Zo3(\XIEfe687jdP|A2L(o5E".eYR?UUCWel6/,/`^jQ[. HCA forms, including translations are found on the HCA forms website. 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. Posted wage ranges represent the entire range from minimum to maximum. Home and Community-Based Health Services Standards print version. 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. Refer the client tosocialservicesfor a care assessment if the client contacts the PBSfirst and document the date the client first requested NF care. RW Providers must use a telehealth vendor that provides assurances to protect ePHI that includes the vendor signing a business associate agreement (BAA).
dshs home and community services intake and referral