For calculating time limits, "day one" is the day we get an application from you that includes at least the information described in WAC. 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. Questions to consider when making aFast Track recommendation: Social services cant begin Fast Track until a CAREassessment is completed. HRSA/HAB Ryan White Program & Grants Management, Recipient Resources. RW Providers must use a telehealth vendor that provides assurances to protect ePHI that includes the vendor signing a business associate agreement (BAA). DOCX Social Service Intake - Washington 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. Disproportionate Share Hospital (DSH) Program - California 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. Back to DSH main webpage. 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. Human Services | Pierce County, WA - Official Website 1s Community Resources | Thurston County 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. We follow the rules about notices and letters in chapter. 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. Home and Community-Based Health Services | Texas DSHS 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. adult daycare center) in accordance with a written, individualized plan of care established by a licensed physician. If the NF admission is on a weekend or holiday, the NF has until the first business day to report the admission. Por favor, responda a esta breve encuesta. Include Remarks to reconcile any discrepancies, or important information not otherwise captured, including required questions left blank on the application or eligibility review form. Case management that links a soon-to-be-released inmate with primary care is an example of appropriate transitional social services. Homeless Housing Hotline: 844-628-7343 - Call to connect with homeless services in Thurston County and get referrals to shelter and housing options. DOCX STATE OF WASHINGTON - Home | WA.gov 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. (PDF) Accessed on October 12, 2020. Jun 2014 - Mar 201510 months. 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. (link is external) 360-709-9725. Refer the client tosocialservicesfor a care assessment if the client contacts the PBSfirst and document the date the client first requested NF care. You mayapply for apple health for another person if you are: An authorized representative (as described in WAC. 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). Progress notes will then be entered into the client record within 14 working days. 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). Allows at least ten calendar days to provide it. 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. 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 WAC 182-513-1350). Assessment of client's access to primary care, Need for nursing, caregiver, or rehabilitation services. FAX to: 1-855-635-8305. The HCS case manager coordinates andconsults withthe PBS to see if Fast Track is appropriate. Home and Community Services - LTSS A referral Aging & Disability Resources | Pierce County, WA - Official Website The PBS also determines maximum client responsibility. (Source: DSHS Policy591.00 Limitations on Ryan White and State Service Funds for Incarcerated Persons in Community Facilities, Section 5.3). Department-designated social service staff: Assess the client's functional eligibility for institutional care. 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. Agency no longer meets the level of care required by the client. Client relocates out of the service delivery area. 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 . Percentage of clients with documented evidence of education provided on other public and/or private benefit programs in the primary client record. Espaol Aging and Disability Resources Office Por favor, responda a esta breve encuesta. PDF HCS Intake and Referral - Washington Welcome to CareWare - California Has your contact information changed in CONTACT(S): Rachelle Ames, HCS Program Manager 360-725-2353 amesrl@dshs.wa.gov Applications for LTSS may be submitted using any of the following methods: Mailing or faxing documents to Home and Community Services (HCS), Mail to: 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. Concise - Documentation is subject to public review. Request verification of transfers, gifts or property sales, if applicable. Explain what changes of circumstances need to be reported. 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. Kirkland, WA. Please reference the HRSA Program Guidance above. Intake Coordinator Job Fresno California USA,Social Work Lakewood, WA. | Ensure that service for clients will be provided in cooperation and in collaboration with other agency services and other community HIV service providers to avoid duplication of efforts and encouraging client access to integrated health care. Barcode 10570 DSHS form 10-570. Stick to the facts relevant to determining eligibility or benefit level. If there is other medical coverage and you can obtain the information during the interview, complete a. HRhk\ X?Nk; $-Yqiy*KB&I4"@W>eGI'tHaOBhVPRQq[^BJ] At a department of social and health services (DSHS) community services office (CSO). If the 13-746 is not received timely, count back 5 businessdays from the date of receipt to determine the authorization date. Licensed Masters Mental Health Professional Adult Intake Specialist Explain the medical service card, automatic Medicare D enrollment if not on a creditable coverage or Medicare D Prescription Drug Plan. Consistently report referral and coordination updates to the multidisciplinary medical care team. When using Collateral Contact (CC) or Other (OT) valid value, document the details of how it was verified. IHSS Timesheet Issues/Questions: N _rels/.rels ( j0@QN/c[ILj]aGzsFu]U ^[x 1xpf#I)Y*Di")c$qU~31jH[{=E~ 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. Is the client single or married, and which resource standard is being used to make a recommendation. Benefits Counseling: Activities should be client-centered facilitating access to and maintenance of health and disability benefits and services. 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 ! Tagalog Encourage the applicant to gather documents as soon as possible to expedite the process. 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. If the client is likely to attain institutional status. RN Referral Intake Nurse Hospice and Home Health Home and Community-based Services (HCS) - Texas Home intravenous and aerosolized drug therapy (including prescription drugs administered as part of such therapy); Specialty care and vaccinations for hepatitis co-infection, provided by public and private entities. 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). (link is external) 360-918-8424. The hospital requires you to stay overnight. Ensure an Asset Verification System (AVS) Authorization is on file, and if not, follow these procedures. 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. Please take this short survey. HRSA/HAB Division of Metropolitan HIV/AIDS Programs Program Monitoring Standards Part A April 2013. p. 43-44. Explain the Medicare Savings Program (MSP). 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. 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. TK6_ PK ! Telehealth and Telemedicine is an alternative modality to provide most Ryan White Part B and State Services funded services. 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. 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. Percentage of eligible clients with documented evidence of the follow-up and result(s) to a completed benefit application in the primary client record. Posted: October 21, 2022. Per Diem. 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. 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. Call the HCS intake line in the area in which you reside to schedule an assessment. Caregiver Support Find out about caregiver support. A full-featured portal for all users. Provide advocacy to clients with a clear understanding of community services and support available for their situations. Intake and Referral - DocsLib All AAs and subrecipients must establish culturally and linguistically appropriate goals, policies, and management accountability, and infuse them throughout the organizations planning and operations. Interfaith Works Homeless Services: www.iwshelter.org. Home and Community-Based Health Services Standards print version. Caring at Home Respite, In-home Services, Skills, Caregiver Help, Kinship Caregiving, Services, Conferences Explain to the applicant that there is a Public Benefits Specialist (PBS) and a social service manager making determinations concurrently for LTSS eligibility. Welcome to CareWarePlease select your portal type. The agency must document the situation in writing and contact the referring primary medical care provider. Percentage of clients with documented evidence of completed progress notes 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. Refusal of referral: The home or community-based health agency may refuse a referral for the following reasons only: The client's home or current residence is determined to not be physically safe (if not residing in a community facility) before services can be offered or continued. Did you receive verification of resources with the application? Community Health Worker, Crisis Counselor. Day one is the date the application was received. There is good information on the Washington LawHelp site that explains the timing of an LTSSapplication. PK ! Access Health Care Language Assistance Services (SB 223). 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. z, /|f\Z?6!Y_o]A PK ! Denos su opinin sobre sus experiencias con las instalaciones, el personal, la comunicacin y los servicios del DSHS. Determine the client's financial eligibility for LTSSand noninstitutional medical assistance including 3 months retroactive medical coverage if financially eligible. A simple and sleek portal for staff. APPLICANT'S HOME ADDRESSCITYSTATEZIP CODE 6. 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 working on a case that has ACES Equal Access (EA) requirements: If changing ACES EA requirements, clearly document the reason. HRSA/HAB Division of Metropolitan HIV/AIDS Programs Program Monitoring Standards Part A April 2013, p. 14-16. We send you a written notice explaining why we denied your application (per chapter. This is used for any cash, food or medical care services (MCS) request as MCS is tied to ABD cash/HEN eligibility, HCA 14-194 Medical coverage information (used to report third party insurance coverage including LTC insurance), DSHS14-539 Revocable burial fund provision for SSI-related health care, DSHS 14-540 Irrevocable burial fund provision for SSI-related health care, DSHS 14-454 Estate recovery fact sheet. For jobs with more than one level, the posted range reflects the minimum of the lowest level and the maximum of the highest level. PK ! 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. 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 (. REGION 1 - Pend Oreille, Stevens, Ferry Okanagan, Chelan, Douglas, Grant, Lincoln, Spokane, Adams, Whitman, Klickitat, Kittitas, . catholic community services hen program. RW Providers must use a telehealth vendor that provides assurances to protect ePHI that includes the vendor signing a business associate agreement (BAA). If you reside in one of the following counties: Island, King (ZIP codes 98011, 98019, 98072, 98077, 98133, 98177) San Juan, Skagit, Snohomish, or Whatcom and are interested in: If you reside in King County in a ZIP code not listed above and are interested in: If you reside in one of the following counties: Clallam, Clark, Cowlitz, Grays Harbor, Jefferson, Kitsap, Lewis, Mason, Pacific, Pierce, Skamania, Thurston, or Wahkiakum 800-786-3799, FAX 360-586-0499. Document in ACES remarks, in detail, all eligibility factors discussed during the interview and included on the application. A phone or in-person interview is required to determine initial financial eligibility for WAH long-term care services. For in-home service applicants, discuss the food assistance program and inquire if the household would like to apply for food benefits. 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. Medicaid eligibility begins, the first day of the month the client is eligible for LTSS. Conduct a follow-up within 90 days of completed application to determine if additional and/or ongoing needs are present. Main Office . 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. 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). Contact a navigator, health care authority volunteer assistor, or broker. An overpayment isn't established.