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. Give a projected client responsibility amount to the caseworker using the LTSS referral 07-104. A copy of the police report is sufficient, if applicable. 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. 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 . Provide PBSstaff with the following information: Whether the client meets nursing facility level of care (NFLOC). PDF HOME SAFE PROGRAM SURVIVOR ADVOCATE - Wscadv.org 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). DOCX Governor's Opportunity for Supportive Housing (GOSH) Referral HRhk\ X?Nk; $-Yqiy*KB&I4"@W>eGI'tHaOBhVPRQq[^BJ] Listing for: Denham Resources. A new application isn't required for clients active on ABD SSI-related Apple Health who need LTSS as long as the Public Benefit Specialist (PBS) is able to determine institutional eligibility using information in the current case record. Full Time position. Ask about any transfers, gifts, or property sales during the 5-year look back and the circumstances of why they were made. HIV Medical and Support Service Categories, Research, Funding, & Educational Resources. Espaol You may apply for Washington apple health at any time. Provide the PBS staff with the following information: Residential facility name and address, including room number, if applicable. Note: The HCA 80-020 Authorization for Release of Information is for medical benefits under Health Care Authority and will be accepted as a release of information for all medical programs including LTSSprograms. DOCX STATE OF WASHINGTON - Home | WA.gov !ISWvuutZWh'gfG0^$n6g%LjQ:@(]t)eh -^k]8 zAG s#d County IHSS Offices - California Department of Social Services Privacy Policy Percentage of clients who are no longer in need of assistance through Referral for Health Care and Support Services that have a documented case closure summary in the primary client record. 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. 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. 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), Pharmaceutical Manufacturers Patient Assistance Programs, DSHS Policy591.00 Limitations on Ryan White and State Service Funds for Incarcerated Persons in Community Facilities, Section 5.3, State Health Insurance Assistance Plans (SHIPs), Social Security Disability Insurance (SSDI). Mienh waac Explain how to request an extension if more time is needed. 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. Consistent - Explain how conflicts or inconsistencies of information were addressed. Consistently report referral and coordination updates to the multidisciplinary medical care team. Aging and Disability Resources Office 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. N _rels/.rels ( j0@QN/c[ILj]aGzsFu]U ^[x 1xpf#I)Y*Di")c$qU~31jH[{=E~ We did not document the good cause reason before missing a time frame specified in subsection (1) of this section. Lead and manage training development . 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). 1-(800)-722-0432, Copyright 2023 California Department of Social Services. 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. 253-798-4400 Monday - Friday | 8 a.m. - 4:30 p.m. | The PBS also determines maximum client responsibility. Call the DSHScommunity services customer service contact center number listed on the medicaidapplication form. (PDF) Accessed October 12, 2020. All AAs and subrecipients must establish culturally and linguistically appropriate goals, policies, and management accountability, and infuse them throughout the organizations planning and operations. 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. We follow the rules about notices and letters in chapter. GENDER Male Female 3. PO Box 45826 HRSA/HAB Ryan White Program & Grants Management, Recipient Resources. 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. Issue the NF award letter to the applicant/recipient and the nursing facility. Posted wage ranges represent the entire range from minimum to maximum. If the client isn't financially eligible, notify social services. A request for service may not generate a referral. | A simple and sleek portal for staff. An overpayment isn't established. 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 you are experiencing a mental health crisis and need immediate assistance, please call "911" and explain the nature of your problem to the operator. For calculating time limits, "day one" is the day we get an application from you that includes at least the information described in WAC. Always include the client's full name and the DSHS client id (if known) on any document mailed or faxed to DSHS. 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. What is HCS (PDF in English) What is HCS (PDF in Spanish) Provider Communications DSHS HCS Intake and . How do I notify SEBB that my loved one has passed away? Medicaid eligibility begins, the first day of the month the client is eligible for LTSS. 1s When working on a case that has ACES Equal Access (EA) requirements: If changing ACES EA requirements, clearly document the reason. Client transfers services to another service program. Telehealth and Telemedicine is an alternative modality to provide most Ryan White Part B and State Services funded services. Wage Range: $40.76-$75.17 per hour plus per diem rate. Home. Caring at Home Respite, In-home Services, Skills, Caregiver Help, Kinship Caregiving, Services, Conferences Lakewood, WA. 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. PK ! When using Collateral Contact (CC) or Other (OT) valid value, document the details of how it was verified. Contact a navigator, health care authority volunteer assistor, or broker. Progress notes will be kept in the client's primary record and must be written the day services are rendered. 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 (. At a department of social and health services (DSHS) community services office (CSO). DOCX STATE OF WASHINGTON - Home | WA.gov 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. 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. In the case of the community spouse, explain how all resources in excess of the $2,000 resource limit must be transferred to the spouse within 1 year and the requirement to provide verification of this by the first annual review. Screen all clients to determine potential for HCB services. Clients receiving services during the Fast Track period won't receive a medical services card until financial eligibility is established. | Summarize the interview and items still needed to determine eligibility in the ACES narrative. For medicaid recipients, the first date DSHS was notified of the admission by the nursing facility. Por favor, responda a esta breve encuesta. Functional eligibility for DDA is determined prior to the submission of a financial application. The Home and Community-Based Provider will document in the clients primary record progress notes throughout the course of the treatment, including evidence that the client is not in need of acute care. | Staff will follow up within 10 business days of a referral provided to support services to ensure the client accessed the service. p9,u eV)Pp6B*Rk[g8=g S,8!ciLu`A^2 ntw]0+ *mhX1M[zQ=~yOF594 Y8-xf[rt(>zc|C1>4o ?|aBq}D.2L3jI>&,OXOG79Z5:%A PK ! WAC 182-513-1350). If you do not have software that can open these files, you may download a free file viewer . Tacoma, WA 98418. d{ word/_rels/document.xml.rels ( VMo W87GJmziRokm:Kbi6P{3c33{Jp^MQKT %*|`3i4PwA'NX_D)BW<6t|XC{9qS4Yr-6M#jlHv$d@. V&ca\H>le?S9As<1CRYN]drRI/0!b Percentage of clients with documented evidence of a discharge plan developed with client, as applicable, as indicated in the clients primary record. We provide equal access (EA) services as described in WAC, Ask for EA services, you apply for or receive long-term services and supports, or we determine that you would benefit from EA services; or, Have limited-English proficiency as described in WAC. APPPLICANT'S NAME: LAST, FIRST, MI 2. You may receive help filing an application. Fast Track is a social serviceprocess that allows the authorization of LTSS prior to a financial eligibility determination. 12/1/2022 2:44 PM. J(_ @# word/_rels/document.xml.rels ( Yo6~!0I'n:Ylw-RI"IV. 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. Percentage of eligible clients with documented evidence of the follow-up and result(s) to a completed benefit application in the primary client record. Ask about other medical coverage. The PBS should reviewthe original application to ensure there are no changes and proceed to determine eligibility. 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. The LTSSstart date for nursing facility services on an active medicaid recipient is based on the first date the admission is reported to DSHS as long as the client meets all other eligibility factors. Acronyms utilized should be DSHS/HCA approved. 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. The intake and referral form (DSHS 10-570) and instructions can be found on the DSHS forms website What is the difference between a request for services and a referral? Collaborates with treating physician, psychiatric and allied health professional team to plan and direct each individual member . | TK6_ PK ! Services cannot be provided in the following facilities: inpatient hospital facilities, nursing homes, and other long term care facilities. Refer the client tosocialservicesfor a care assessment if the client contacts the PBSfirst and document the date the client first requested NF care. 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. N _rels/.rels ( j0@QN/c[ILj]aGzsFu]U ^[x 1xpf#I)Y*Di")c$qU~31jH[{=E~ 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 Note: Servicescan't be backdated prior to the date of the authorization until the date that financial eligibility is established. FAX to: 1-855-635-8305. Assist clients in making informed decisions on choices of available service providers and resources. PDF HCS Intake and Referral - Washington If the client is likely to attain institutional status. 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. Community Resources | Thurston County 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). 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). 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. Explain participation and room and board, how the amount is determined, and that it must be paid to the provider. Intake Coordinator Job Fresno California USA,Social Work The LTSSstartdate is the date the client is both financially and functionally eligible. General open-ended questions about resources and income should also be asked. RW Providers must use a telehealth vendor that provides assurances to protect ePHI that includes the vendor signing a business associate agreement (BAA). Document in ACES remarks, in detail, all eligibility factors discussed during the interview and included on the application. z, /|f\Z?6!Y_o]A PK ! LTSS can begin once a client is found financially and functionally eligible and an approved provider is in place. 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. 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. Licensed Masters Mental Health Professional Adult Intake Specialist 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. The following Standards and Measures are guides to improving healthcare outcomes for people living with HIV throughout the State of Texas within the Ryan White Part B and State Services Program. In that case, your coverage would start on the first day of your hospital stay; You must meet a medically needy spenddown liability (see WAC, You are eligible under the WAH alien emergency medical program (see WAC, For long-term care, the date your services start is described in WAC. 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. 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. RN Referral Intake Nurse Hospice and Home Health
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