dshs home and community services intake and referral dshs home and community services intake and referral

Explain to the applicant that there is a Public Benefits Specialist (PBS) and a social service manager making determinations concurrently for LTSS eligibility. Services may be authorized using Fast Track for a maximum of 90 days. Authorize in ACES for in-home or residential HCB waiver if the client is both functionally and financially eligible. Give a projected client responsibility amount to the caseworker using the LTSS referral 07-104. Summarize the interview and items still needed to determine eligibility in the ACES narrative. 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. 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. If the client is likely to attain institutional status. 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). Applications for LTSS may be submitted using any of the following methods: Mailing or faxing documents to Home and Community Services (HCS), Mail to: Referrals for health care and support services provided by case managers (medical and non-medical) should be reported in the appropriate case management service category (e.g., Medical Case Management (MCM) or Non-Medical Case Management (NMCM)). (Source: DSHS Policy591.00 Limitations on Ryan White and State Service Funds for Incarcerated Persons in Community Facilities, Section 5.3). 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 (. To find an HCS office near you, use the. 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. Allows at least ten calendar days to provide it. | Clients should be educated about and assisted with accessing and securing all available public and private benefits and entitlement programs. 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. 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. 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. 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. RWHAP Part B and State Services funds can be used to provide transitional social services to establish or re-establish linkages to the community. RW Providers must use a telehealth vendor that provides assurances to protect ePHI that includes the vendor signing a business associate agreement (BAA). 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. GENDER Male Female 3. 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. The agency may discontinue services or refuse the client for as long as the threat is ongoing. A phone or in-person interview is required to determine initial financial eligibility for WAH long-term care services. We determine eligibility as quickly as possible and respond promptly to applications and information received. Give your local county office your updated contact information so you can stay enrolled. We send you a written notice explaining why we denied your application (per chapter. Ensure what you document accurately describes what happened with the case. Transitional social services should NOT exceed 180 days. Apply in-person at a local Home & Community Services office. The determination of Fast Track is ultimately up to social services. Social services will state fund Fast Track services when the client isn't financially eligible during the fast track period. Full Time position. 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. 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. The agency will maintain ongoing communication with the multidisciplinary medical care team in compliance with Texas Medicaid and Medicare Guidelines. Department-designated social service staff: Assess the client's functional eligibility for institutional care. z, /|f\Z?6!Y_o]A PK ! Questions to consider when making aFast Track recommendation: Social services cant begin Fast Track until a CAREassessment is completed. IHSS Fraud Hotline: 888-717-8302 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. There is good information on the Washington LawHelp site that explains the timing of an LTSSapplication. 6. 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. 53 Community jobs available in Halford, WA on Indeed.com. If we denied your application because we do nothave enough information, the ALJ will consider the information we already have and any more information you give us. Request verification of transfers, gifts or property sales, if applicable. Home. Caring at Home Respite, In-home Services, Skills, Caregiver Help, Kinship Caregiving, Services, Conferences 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. N _rels/.rels ( j0@QN/c[ILj]aGzsFu]U ^[x 1xpf#I)Y*Di")c$qU~31jH[{=E~ MAGI covers NF and Hospice under the scope of care. You may apply for Washington apple health for yourself. Website feedback: Tell us how were doing, Copyright 2023 Washington Health Care Authority, I help others apply for & access Apple Health, I help others apply for and access Apple Health, Long-term services & supports (LTSS) manual, www.hca.wa.gov/free-or-low-cost-health-care, Equal Access - Necessary Supplemental Accommodation (NSA) and long-term services and supports, HCA 80-020 Authorization for Release of Information, Apple Health for Workers with Disabilities (HWD), Medically Intensive Children's Program (MICP), Behavioral health services for prenatal, children & young adults, Wraparound with Intensive Services (WISe), Behavioral health services for American Indians & Alaska Natives (AI/AN), Substance use disorder prevention & mental health promotion, Introduction overview for general eligibility, General eligibility requirements that apply to all Apple Health programs, Modified Adjusted Gross Income (MAGI) based programs manual, Medical plans & benefits (including vision), Life, home, auto, AD&D, LTD, FSA, & DCAP benefits. An overpayment isn't established. Percentage of eligible clients with documented evidence of the follow-up and result(s) to a completed benefit application in the primary client record. | For ABD, SSI-related Washington Apple Health programs: This process applies toSSI-related programs only MAGI-based clients are not eligible for HCBwaiver. v}r'kFtr4Ng n [D!n'h}c l`0_ 85yaBAhFozyJ46_ERgsEc;,'K$zTzy[1 PK ! | word/document.xml\n8}_`u-c t?mk[X`aKHJ|Mf2DUSU~~=DX~PJ6u`r]u+K(q` Qy'AD5}]qT"{J|}]6+t. RW Providers must use a telehealth vendor that provides assurances to protect ePHI that includes the vendor signing a business associate agreement (BAA). PK ! To complete an application for apple health, you must also give us all of the other information requested on the application. Listing for: Denham Resources. Agency no longer meets the level of care required by the client. HRSA/HAB Division of Metropolitan HIV/AIDS Programs Program Monitoring Standards Part A April 2013, p. 14-16. 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. the past two years? For information regarding prior fiscal year files, please contact the DSH unit at, Last modified date: The agency must document the situation in writing and immediately contact the client's primary medical care provider. Caregiver Support Find out about caregiver support. The DSHS consent form is preferred as it is used for all programs including medical, food and cash. Home Professionals & Providers Management Bulletins 2020 HCS Management Bulletins 2020 HCS Management Bulletins Note: These documents are available only in Word and/or Excel formats. The following are County IHSS program websites. The agency has attempted to complete an initial assessment and the referred client has been away from home on three occasions. Interfaith Works Homeless Services: www.iwshelter.org. 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. Summarize what verification is needed to complete the application and send a request for information letter. 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. Your WAH coverage may not begin on the first day of the month if: Subsection (3) of this section applies to you. PO Box 45826 We did not document the good cause reason before missing a time frame specified in subsection (1) of this section. Percentage of clients with documented evidence of assistance provided to access health insurance or Marketplace plans in the primary client record. 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. 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? Hmoob Provide feedback on your experience with DSHS facilities, staff, communication, and services. 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. 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. 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. Progress notes will then be entered into the client record within 14 working days. Accessed on October 12, 2020. Open-ended questions often reveal that additional sources of income and assets may exist. 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. Any assaults, verbal or physical, must be reported to the monitoring entity within one (1) business day and followed by a written report. HRSA/HAB Division of Metropolitan HIV/AIDS Programs Program Monitoring Standards Part A April 2013, p. 14-16. 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. 1-(800)-722-0432, Copyright 2023 California Department of Social Services. Refer the client tosocialservicesfor a care assessment if the client contacts the PBSfirst and document the date the client first requested NF care. N _rels/.rels ( j0@QN/c[ILj]aGzsFu]U ^[x 1xpf#I)Y*Di")c$qU~31jH[{=E~ Call to request an assessment for home and community services (in-home care in a residential facility, nursing facility coverage) through the HCS central intake lines. BIRTH DATE 4. Care plan is updated at least every sixty (60) calendar days. APPLICANT'S HOME ADDRESSCITYSTATEZIP CODE 6. Note: Servicescan't be backdated prior to the date of the authorization until the date that financial eligibility is established. 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). Contact a navigator, health care authority volunteer assistor, or broker. Case actions and why the actions were taken, and. 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. 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). D@. Explain what changes of circumstances need to be reported. 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 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. We will allow you more time if you ask for more time or need an accommodation due to disability or limited-English proficiency. Determine the client's financial eligibility for LTSSand noninstitutional medical assistance including 3 months retroactive medical coverage if financially eligible. 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. Back to DSH main webpage. Whether there is a housing maintenance allowance and the start date, if appropriate. Apply to Event Coordinator, Van Driver, Employment Specialist and more! Ask about any transfers, gifts, or property sales during the 5-year look back and the circumstances of why they were made. You are subject to asset verification and do not provide authorization as described in WAC 182-503-0055. Applicant Information 1. Lite. If the 13-746 is not received timely, count back 5 businessdays from the date of receipt to determine the authorization date. Ask about other resources not declared on the application. Privacy Policy Aging and Disability Resources Office Staff will follow up within 10 business days of a referral provided to support services to ensure the client accessed the service. Por favor, responda a esta breve encuesta. $[53j(,U+/6-FBR[lvn! }k}HG4"jhznn'XwB$\HODuDX7o u'8>@)OLA@"yoTP8nd lAO Professional care is the provision of services in the home by licensed providers for mental health, development health care, and/or rehabilitation services. Consistently report referral and coordination updates to the multidisciplinary medical care team.