!ISWvuutZWh'gfG0^$n6g%LjQ:@(]t)eh -^k]8 zAG s#d 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. Homeless Housing Hotline: 844-628-7343 - Call to connect with homeless services in Thurston County and get referrals to shelter and housing options. 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Dont open a case in ACES until you have everything needed to establish financial eligibility. (PDF) Accessed on October 12, 2020. How do I notify PEBB that my loved one has passed away? ,! 4 word/_rels/document.xml.rels ( VOo0Ow| :lRt[h{sK1u\+2 \\U\K>LLhb=MMr[B\^dk*)a#L!? 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If not already authorized, request authorization for AVS for the client and any applicable financially responsible people. Consistently report referral and coordination updates to the multidisciplinary medical care team. (Source: DSHS Policy591.00 Limitations on Ryan White and State Service Funds for Incarcerated Persons in Community Facilities, Section 5.3). 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. Day one is the date the application was received. When information is verified using an electronic source (such as BENDEX, AVS, etc.). Is the client single or married, and which resource standard is being used to make a recommendation. Document in ACES remarks, in detail, all eligibility factors discussed during the interview and included on the application. Information to determine clients ability to perform activities of daily living and the level of attendant care assistance the client needs to maintain living independently. Need Mental Health Services? Posted wage ranges represent the entire range from minimum to maximum. Conduct a follow-up within 90 days of completed application to determine if additional and/or ongoing needs are present. Home. 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. Eligibility decisions made, or next steps. For in-home service applicants, discuss the food assistance program and inquire if the household would like to apply for food benefits. If the 13-746 is not received timely, count back 5 businessdays from the date of receipt to determine the authorization date. HRSA/HAB Division of State HIV/AIDS Programs National Monitoring Standards Program Part B April, 2013, p. 13-15. Summarize the interview and items still needed to determine eligibility in the ACES narrative. 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$yLt'2xi? The interview requirement described in subsection (3) of this section may be waived if the applicant is unable to comply: Because the applicant does not have a family member or another individual that is able to conduct the interview on his or her behalf. I) word/document.xmlr=U.nA;K]|K0x+CII*?tY =6KWHN Z G!i$.v?h;H E6K$JNI2qAK*FMQuI>sRp648!T2@p =K [20Y(GNc#TchaBid~ygj\6h !$0DU9B#1$qfMNy m@4L9542h7,~O*9Z|1)nfR>P*C utgHGKFh 5zjUtMx'+)MI[]fKR:1tw%=Or. We will allow you more time if you ask for more time or need an accommodation due to disability or limited-English proficiency. f?3-]T2j),l0/%b Progress notes will then be entered into the client record within 14 working days. DSHS forms, including translations are found on the DSHS forms website. Explain the financial and social service functional eligibility process. Job specializations: Social Work. What resources is the client reporting on the application or past applications? Demonstrate the reasonableness of decisions. | 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. HRSA/HAB Division of State HIV/AIDS Programs National Monitoring Standards Program Part B April, 2013, p. 13-15. Welcome to CareWare - California For Hospice as a medicaidprogram, the hospice authorization date is based on the receipt of the 13-746 (HCA/medicaid Hospice notification). Update a good cause code when changing a program from an SSI-related assistance unit (AU) to an LTSS AU to prevent the case from being incorrectly reported as a new application. Encourage the applicant to gather documents as soon as possible to expedite the process. v}r'kFtr4Ng n [D!n'h}c l`0_ 85yaBAhFozyJ46_ERgsEc;,'K$zTzy[1 PK ! We follow the rules about notices and letters in chapter. The Aging and Disability Resources Program offers a wide range of community-based services that allow older adults and adults with disabilities to remain at home as long as possible. Conduct prevention activities as outlined in the DSHS . Help Stop Medi-Cal Fraud and Abuse Social Service Intake and Referral form (DSHS Form #10-570) The form is available here on the intranet: https://www.dshs.wa.gov/fsa/forms The form is available here on the internet for the public. !H!/tG|B^%=z+]F!lExBa0$ Interfaith Works Homeless Services: www.iwshelter.org. Determine the client's financial eligibility for LTSSand noninstitutional medical assistance including 3 months retroactive medical coverage if financially eligible. $41 to $75 Hourly. Issue the award letter to the applicant/recipient. Provide feedback on your experience with DSHS facilities, staff, communication, and services. 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. Consistent - Explain how conflicts or inconsistencies of information were addressed. 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. Social service staff and case managers determine functional eligibility and what services to authorize based on a complete and comprehensive CAREassessment. Fast Track is a social serviceprocess that allows the authorization of LTSS prior to a financial eligibility determination. Referral for Health Care and Support Services Service Standard print version. 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. Determine if the client is likely to attain institutional status and be likely to reside at the nursing facility for 30 days or longer WAC 182-513-1320), or notifiesthe facility when the client doesn't appear to meet the need for nursing facility care. When working on a case that has ACES Equal Access (EA) requirements: If changing ACES EA requirements, clearly document the reason. Whether there is a housing maintenance allowance and the start date, if appropriate. Issue the NF award letter to the applicant/recipient and the nursing facility. The agency has attempted to complete an initial assessment and the referred client has been away from home on three occasions. Request verification of transfers, gifts or property sales, if applicable. D@. 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 Use Equal Access - Necessary Supplemental Accommodation (NSA) and long-term services and supports policies for LTSS applicants and recipients. HRhk\ X?Nk; $-Yqiy*KB&I4"@W>eGI'tHaOBhVPRQq[^BJ] Summarize what verification is needed to complete the application and send a request for information letter. 7wfQCfjS 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. If you reside in one of the following counties: Adams, Asotin, Chelan, Colombia, Douglas, Ferry, Franklin, Garfield, Grant, Kittitas, Klickitat, Lincoln, Okanogan, Pend Oreille, Spokane, Stevens, Walla Walla, Whitman, or Yakima509-568-3767 or 866-323-9409,FAX 509-568-3772. APPLICANT'S HOME ADDRESSCITYSTATEZIP CODE 6. Case actions and why the actions were taken, and. Ryan White Providers using telehealth must also follow DSHS HIV Care Services guidelines for telehealth and telemedicine outlined in DSHS Telemedicine Guidance. 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. Main Office . PDF HCS Intake and Referral - Washington Provide the PBS staff with the following information: Residential facility name and address, including room number, if applicable. 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). 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. Care plan is updated at least every sixty (60) calendar days. The modified adjusted gross income (MAGI)-based apple healthapplication process using Washington Healthplanfinder may provide faster or real-time determination of eligibility for medicaid. The hospice provideris required to submit this form within 5 business days of a hospice election on all active and pending Medicaidcases. SOCIAL SECURITY NUMBER 5. Behavioral health services for American Indians & Alaska Natives (AI/AN) Recovery support services What is recovery support? PDF Department of Social and Health Services Community Services Division A copy of the police report is sufficient, if applicable. How do I notify SEBB that my loved one has passed away? When applicable, the client home or current residence is determined to not be physically safe (if not residing in a community facility) and/or appropriate for the provision ofHome and Community-Based Health Services as determined by the agency. Percentage of clients with documented evidence of ongoing communication with the primary medical care provider and care coordination team as indicated in the clients primary record. f?3-]T2j),l0/%b There is good information on the Washington LawHelp site that explains the timing of an LTSSapplication. Questions to consider when making aFast Track recommendation: Social services cant begin Fast Track until a CAREassessment is completed. | Careers Please reference the HRSA Program Guidance above. All AAs and subrecipients must establish culturally and linguistically appropriate goals, policies, and management accountability, and infuse them throughout the organizations planning and operations. Ting Vit, About Us 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. | Contact Us 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. 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. 253-798-4400 Monday - Friday | 8 a.m. - 4:30 p.m. 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. Clearly indicate this is a projection and the financial application is in process. 1s HRSA/HAB Division of Metropolitan HIV/AIDS Programs Program Monitoring Standards Part A April 2013. p. 43-44. 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. Hmoob 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. 53 Community jobs available in Halford, WA on Indeed.com. If there is other medical coverage and you can obtain the information during the interview, complete a. 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. Services cannot be provided in the following facilities: inpatient hospital facilities, nursing homes, and other long term care facilities. Lakewood, WA. The interview can be conducted in person or by phone. Refer the client tosocialservicesfor a care assessment if the client contacts the PBSfirst and document the date the client first requested NF care. 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. Explain participation and room and board, how the amount is determined, and that it must be paid to the provider. The Office of Community and Homeless Services (OCHS), the Office of Housing and Community Development (OHCD) and the Office of Weatherization and Energy Assistance (OWEA) operate within the Housing and Community Services Division (HCS) of the Snohomish County Human Services Department. DOCX STATE OF WASHINGTON - Home | WA.gov | Telehealth and Telemedicine is an alternative modality to provide most Ryan White Part B and State Services funded services. 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 . APPLICANT'S MAILING ADDRESS (IF DIFFERENT)CITYSTATEZIP CODE 7. Client will be contacted within one (1) business day of the referral, and services should be initiated at the time specified by the primary medical care provider, or within two (2) business days, whichever is earlier. 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. | Percentage of clients with documented evidence of education provided on other public and/or private benefit programs in the primary client record. The HCS case manager coordinates andconsults withthe PBS to see if Fast Track is appropriate. Ask about any transfers, gifts, or property sales during the 5-year look back and the circumstances of why they were made. PK ! To apply for tailored supports for older adults (TSOA), see WAC. Medicaid eligibility begins, the first day of the month the client is eligible for LTSS. 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. Coordinate with other agencies in planning and linking clients to referral services (for example: legal, medical, social services, financial, and/or housing). Applications for LTSS may be submitted using any of the following methods: Mailing or faxing documents to Home and Community Services (HCS), Mail to: DSHS ESA Social Service Specialist 2 - LinkedIn Please take this short survey. 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). We send you a written notice explaining why we denied your application (per chapter. 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. Call the client or their representative to complete an interview.