dshs home and community services intake and referral

RW Providers must use a telehealth vendor that provides assurances to protect ePHI that includes the vendor signing a business associate agreement (BAA). Per Diem. Have you received Accurintand/or AVS results and reviewed the assets reported? Behavioral health services for American Indians & Alaska Natives (AI/AN) Recovery support services What is recovery support? The ALJ does not consider the previous absence of information or failure to respond in determining if you are eligible. HIV Medical and Support Service Categories, Research, Funding, & Educational Resources. You must apply directly with the service provider for the following programs: The breast and cervical cancer treatment program under WAC, For the confidential pregnant minor program under WAC. The determination of Fast Track is ultimately up to social services. Eligible clients are referred to other core services (outside of a medical, MCM, or NMCM appointment), as applicable to the clients needs, with education provided to the client on how to access these services. | What resources is the client reporting on the application or past applications? Dont open a case in ACES until you have everything needed to establish financial eligibility. 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. 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. 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. | Contact a navigator, health care authority volunteer assistor, or broker. Lead and manage training development . 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. Denos su opinin sobre sus experiencias con las instalaciones, el personal, la comunicacin y los servicios del DSHS. DSHS HCS Intake and . Full Time position. For in-home service applicants, discuss the food assistance program and inquire if the household would like to apply for food benefits. Call the client or their representative to complete an interview. By calling the Washington Healthplanfindercustomer support center and completing an application by telephone; By completing the application for health care coverage (. Ask if there are unpaid medical expenses and request verification if medical expenses exist. Any assaults, verbal or physical, must be reported to the monitoring entity within one (1) business day and followed by a written report. Demonstrate the reasonableness of decisions. 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. 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. Union Gospel Mission: www.ougm.org. It is the primary responsibility of staff to ensure clients are receiving all needed public and/or private benefits and/or resources for which they are eligible. Explain participation and room and board, how the amount is determined, and that it must be paid to the provider. Authorize payment for NF care if the client is both functionally and financially eligible. D@. PK ! Case management that links a soon-to-be-released inmate with primary care is an example of appropriate transitional social services. HRSA/HAB Ryan White Program & Grants Management, Recipient Resources. $41 to $75 Hourly. 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. Ask about any transfers, gifts, or property sales during the 5-year look back and the circumstances of why they were made. The agency will maintain ongoing communication with the multidisciplinary medical care team in compliance with Texas Medicaid and Medicare Guidelines. A simple and sleek portal for staff. HRSA/HAB Division of State HIV/AIDS Programs National Monitoring Standards Program Part B April, 2013, p. 13-15. Ask if any of these bills were incurred within the last 3 months. Barcode 10570 DSHS form 10-570. We send you a written notice explaining why we denied your application (per chapter. Department-designated social service staff: Assess the client's functional eligibility for institutional care. PK ! Jun 2014 - Mar 201510 months. Request verification of transfers, gifts or property sales, if applicable. Ask about other resources not declared on the application. A referral Acronyms utilized should be DSHS/HCA approved. WAC 182-513-1350). 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? 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. | A supervisor must sign the case closure summary. 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. For information regarding prior fiscal year files, please contact the DSH unit at, Last modified date: 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. Fast Track is a social serviceprocess that allows the authorization of LTSS prior to a financial eligibility determination. For medicaid recipients, the first date DSHS was notified of the admission by the nursing facility. Determine the client's financial eligibility for LTSSmedicaid and/or noninstitutional medical assistance including a request for retro medical if needed. 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. Please reference the HRSA Program Guidance above. Complete a Financial Communication to Social Services (07-104) referral when an application is received on an active MAGI case, Add text stating that unless an assessment is completed and determines HCB Waiver is needed, the client will remain on MAGI. 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. Ensure an Asset Verification System (AVS) Authorization is on file, and if not, follow these procedures. Assist clients in making informed decisions on choices of available service providers and resources. Purpose: Communication to social services intake regarding an individual requesting a functional assessment for long-term services and supports (LTSS). 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. 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. Consistent - Explain how conflicts or inconsistencies of information were addressed. | word/document.xml\n8}_`u-c t?mk[X`aKHJ|Mf2DUSU~~=DX~PJ6u`r]u+K(q` Qy'AD5}]qT"{J|}]6+t. Ting Vit, About Us Tacoma, WA 98418. The interview requirement described in subsection (3) of this section may be waived if the applicant is unable to comply: Because the applicant does not have a family member or another individual that is able to conduct the interview on his or her behalf. Exception is N21/N25 AEM MAGI. Determine if a housing maintenance allowance (HMA) is appropriate (current rule states HMA is the amount of the Federal Poverty Level). 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. This is a reprint of the official rule as published by the Office of the Code Reviser. 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. 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. Disproportionate Share Hospital Program. HRSA/HAB Division of Metropolitan HIV/AIDS Programs Program Monitoring Standards Part A April 2013. p. 43-44. There are a a few sites that do not have IHSS details, however you can use the links below to find the appropriate Social Services office contact information. The Aging and Disability Resources Program offers a wide range of community-based services that allow older adults and adults with disabilities to remain at home as long as possible. Home and Community-Based Health Services Standards print version. Job in Fresno - Fresno County - CA California - USA , 93650. 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. 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. 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. If the client is unable to complete the interview due to a medical condition or because no one is available to assist the client. Percentage of clients with documented evidence of education provided on other public and/or private benefit programs in the primary client record. Welcome to CareWarePlease select your portal type. SOCIAL SECURITY NUMBER 5. At a department of social and health services (DSHS) community services office (CSO). To apply for tailored supports for older adults (TSOA), see WAC. Allows at least ten calendar days to provide it. Denos su opinin sobre sus experiencias con las instalaciones, el personal, la comunicacin y los servicios del DSHS. 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. Eligibility decisions made, or next steps. General open-ended questions about resources and income should also be asked. 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. PBS determines financial eligibility by comparing the client's income, resources and circumstances to program criteria. | 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. Assess the client's functional eligibility for in home or residential care. 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. 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. Social service staff and case managers determine functional eligibility and what services to authorize based on a complete and comprehensive CAREassessment. 1-(800)-722-0432, Copyright 2023 California Department of Social Services. IHSS Service Desk for Providers & Recipients, (866) 376-7066, Suspect Fraud? The following are eligibility related documents and files, including the annual final eligibility lists, peer grouping report, and the Low-Income Utilization Rate, Medicaid Utilization Rate, and Omnibus Budget Reconciliation Act formulas. The PBS may waive the interview requirement. Home and Community-Based Health Services are therapeutic, nursing, supportive and/or compensatory health services provided by a licensed/certified home health agency in a licensed/certified home or community-based setting (e.g. HRSA/HAB Division of State HIV/AIDS Programs National Monitoring Standards Program Part B April, 2013, p. 13-15. Use the original eligibility review date to open institutional coverage. Refer the client to social service intakefor a CAREassessment if the client contacts the PBS first and document the date the client first requested in-home or residential care. Home and Community Services Division PO Box 45600, Olympia, WA 98504-5600 H 20 0 53 Information June 9 , 2020 TO: Area Agency on Aging (AAA) Directors Home and Community Services (HCS) Division Regional Administrators FROM: Bea Rector, Director, Home and Community Services Division SUBJECT: Referral for Health Care and Support Services Service Standard print version. Aging and Disability Resources Office Kirkland, WA. Percentage of clients with documented evidence of completed progress notes in the clients primary record. Tagalog HRSA/HAB Division of State HIV/AIDS Programs National Monitoring Standards Program Part B April 2013. p. 42-43. Referral for Health Care and Support Services includes benefits/entitlement counseling and referral to health care services to assist eligible clients to obtain access to other public and private programs for which they may be eligible. Is the client single or married, and which resource standard is being used to make a recommendation. 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. Telehealth and Telemedicine is an alternative modality to provide most Ryan White Part B and State Services funded services. For non-urgent mental health services, please contact your county mental health department . Please take this short survey. | (PDF) Accessed October 12, 2020. The agency may discontinue services or refuse the client for as long as the threat is ongoing. | The PBS also determines maximum client responsibility. 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. 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. 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. Wage Range: $40.76-$75.17 per hour plus per diem rate. | Conditions of Use

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