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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. Care plan is updated at least every sixty (60) calendar days. Assessment of client's access to primary care, Need for nursing, caregiver, or rehabilitation services. 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. Provide feedback on your experience with DSHS facilities, staff, communication, and services. | When using Collateral Contact (CC) or Other (OT) valid value, document the details of how it was verified. A Master's degree in social services, human services, behavioral sciences, or an allied field, and one year as a Social Service Specialist 1 or equivalent paid social Service experience You may receive help filing an application. 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. Listed on 2023-03-03. Agency no longer meets the level of care required by the client. N _rels/.rels ( j0@QN/c[ILj]aGzsFu]U ^[x 1xpf#I)Y*Di")c$qU~31jH[{=E~ If the client isn't financially eligible, notify social services. Por favor, responda a esta breve encuesta. The agency must document the situation in writing and contact the referring primary medical care provider. !ISWvuutZWh'gfG0^$n6g%LjQ:@(]t)eh -^k]8 zAG s#d The interview can be conducted in person or by phone. | | A phone or in-person interview is required to determine initial financial eligibility for WAH long-term care services. Assist clients in making informed decisions on choices of available service providers and resources. What resources is the client reporting on the application or past applications? 3602 Pacific Ave., Suite 200 . Listing for: Denham Resources. Percentage of clients accessingHome and Community-Based Health Services have follow up documentation to the referral offered in the clients primary record. 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. Ask if any of these bills were incurred within the last 3 months. f?3-]T2j),l0/%b | 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 . Espaol Questions to consider when making aFast Track recommendation: Social services cant begin Fast Track until a CAREassessment is completed. TK6_ PK ! 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? Eligibility decisions made, or next steps. Need Mental Health Services? 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. Summarize the interview and items still needed to determine eligibility in the ACES narrative. 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. IHSS Fraud Hotline: 888-717-8302 We do not delay a decision by using the time limits in this section as a waiting period. You are subject to asset verification and do not provide authorization as described in WAC 182-503-0055. Benefits Counseling: Activities should be client-centered facilitating access to and maintenance of health and disability benefits and services. 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. 0 6 /20 20 INSTRUCTIONS HOME AND COMMUNITY SERVICES Intake and Referral DATE Section 1. 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. ,! 4 word/_rels/document.xml.rels ( VOo0Ow| :lRt[h{sK1u\+2 \\U\K>LLhb=MMr[B\^dk*)a#L!? Whether there is a housing maintenance allowance and the start date, if appropriate. 6. 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. !H!/tG|B^%=z+]F!lExBa0$ Clearly indicate this is a projection and the financial application is in process. Percentage of clients with documented evidence of a discharge plan developed with client, as applicable, as indicated in the clients primary record. Help Stop Medi-Cal Fraud and Abuse We did not document the good cause reason before missing a time frame specified in subsection (1) of this section. Always include the client's full name and the DSHS client id (if known) on any document mailed or faxed to DSHS. If you disagree with our decision, you can ask for a hearing. Determine if a housing maintenance allowance (HMA) is appropriate (current rule states HMA is the amount of the Federal Poverty Level). Your Washington apple health (WAH) coverage starts on the first day of the month you applied for and we decided you are eligible to receive coverage, unless one of the exceptions in subsection (4) of this section applies to you. 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. 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. We will allow you more time if you ask for more time or need an accommodation due to disability or limited-English proficiency. | 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. You may apply for Washington apple health at any time. 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. 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. 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. 6 [Content_Types].xml ( KO0#5.,5ec H0[i ~NhMsg[3xxw;) 'nY?7H(;1{H] RW Providers must use a telehealth vendor that provides assurances to protect ePHI that includes the vendor signing a business associate agreement (BAA). 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. SSI recipients who need institutional services, or HCB waiver, must complete and sign an application, or the. Accessed on October 12, 2020. MAGI covers NF and Hospice under the scope of care. 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). 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. How do I notify PEBB that my loved one has passed away? 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). $[53j(,U+/6-FBR[lvn! }k}HG4"jhznn'XwB$\HODuDX7o u'8>@)OLA@"yoTP8nd lAO The ALJ does not consider the previous absence of information or failure to respond in determining if you are eligible. There is good information on the Washington LawHelp site that explains the timing of an LTSSapplication. N _rels/.rels ( j0@QN/c[ILj]aGzsFu]U ^[x 1xpf#I)Y*Di")c$qU~31jH[{=E~ IHSS Service Desk for Providers & Recipients, (866) 376-7066, Suspect Fraud? 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. 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. The application process begins and the application date is established when the request for benefits is received. | Conditions of Use 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. APPLICANT'S HOME ADDRESSCITYSTATEZIP CODE 6. | Day one is the date the application was received. PK ! If the 13-746 is not received timely, count back 5 businessdays from the date of receipt to determine the authorization date. Professional care is the provision of services in the home by licensed providers for mental health, development health care, and/or rehabilitation services. HRSA/HAB Division of State HIV/AIDS Programs National Monitoring Standards Program Part B April 2013. p. 42-43. Give a projected client responsibility amount to the caseworker using the LTSS referral 07-104. Applicant Information 1. Your WAH coverage may not begin on the first day of the month if: Subsection (3) of this section applies to you. To find an HCS office near you, use the. Determine the client's financial eligibility for LTSSand noninstitutional medical assistance including 3 months retroactive medical coverage if financially eligible. HCA forms, including translations are found on the HCA forms website. LTSS can begin once a client is found financially and functionally eligible and an approved provider is in place. Progress notes will be kept in the client's primary record and must be written the day services are rendered. A supervisor must sign the case closure summary. Issue the NF award letter to the applicant/recipient and the nursing facility. Consistently report referral and coordination updates to the multidisciplinary medical care team. Call the HCS intake line in the area in which you reside to schedule an assessment. Hmoob Ask about other resources not declared on the application. Benefits counseling: Services should facilitate a clients access to public/private health and disability benefits and programs. Complete - The documentation must support the eligibility decision and allow a reviewer to determine what was done and why. Posted wage ranges represent the entire range from minimum to maximum. 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.