dshs home and community services intake and referral
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 (. Apply in-person at a local Home & Community Services office. Use the original eligibility review date to open institutional coverage. Social services will state fund Fast Track services when the client isn't financially eligible during the fast track period. 253-798-4400 Monday - Friday | 8 a.m. - 4:30 p.m. 08/2017) Page 1 of 2 / Intake and Referral form for Social Services. Ensure an Asset Verification System (AVS) Authorization is on file, and if not, follow these procedures. 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. The agency will maintain ongoing communication with the multidisciplinary medical care team in compliance with Texas Medicaid and Medicare Guidelines. 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 process applications for Washington apple health medicaid within forty-five calendar days, with the following exceptions: If you are pregnant, we process your application within fifteen calendar days; If you are applying for a program that requires a disability decision, we process your application within sixty calendar days; or. 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. Clients receiving services during the Fast Track period won't receive a medical services card until financial eligibility is established. Case actions and why the actions were taken, and. Benefits Counseling: Activities should be client-centered facilitating access to and maintenance of health and disability benefits and services. For in-home service applicants, discuss the food assistance program and inquire if the household would like to apply for food benefits. We did not document the good cause reason before missing a time frame specified in subsection (1) of this section. 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. Lite. DSHS 10-570 ( REV. Percentage of clients accessingHome and Community-Based Health Services have follow up documentation to the referral offered in the clients primary record. Lead and manage training development . Services may be authorized using Fast Track for a maximum of 90 days. 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. 13-15. Percentage of clients with documented evidence of education provided on other public and/or private benefit programs in the primary client record. Apply to Event Coordinator, Van Driver, Employment Specialist and more! $[53j(,U+/6-FBR[lvn! }k}HG4"jhznn'XwB$\HODuDX7o u'8>@)OLA@"yoTP8nd lAO Explain the medical service card, automatic Medicare D enrollment if not on a creditable coverage or Medicare D Prescription Drug Plan. An ongoing permanent history of actions and decisions made; A support of eligibility, ineligibility and benefit determination; Credibility for decisions when used as evidence in legal matters; A trail for reviewers to determine the accuracy of the benefits issued. 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. 7wfQCfjS Disproportionate Share Hospital Program. IHSS Fraud Hotline: 888-717-8302 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. 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. Your WAH coverage may not begin on the first day of the month if: Subsection (3) of this section applies to you. For jobs with more than one level, the posted range reflects the minimum of the lowest level and the maximum of the highest level. 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? 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. Request verification of transfers, gifts or property sales, if applicable. Document in ACES remarks, in detail, all eligibility factors discussed during the interview and included on the application. Concise - Documentation is subject to public review. Por favor, responda a esta breve encuesta. f?3-]T2j),l0/%b Determine the client's financial eligibility for LTSSmedicaid and/or noninstitutional medical assistance including a request for retro medical if needed. Determine if a housing maintenance allowance (HMA) is appropriate (current rule states HMA is the amount of the Federal Poverty Level). For non-urgent mental health services, please contact your county mental health department . Collaborates with treating physician, psychiatric and allied health professional team to plan and direct each individual member . Jun 2014 - Mar 201510 months. 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. Explain to the applicant that there is a Public Benefits Specialist (PBS) and a social service manager making determinations concurrently for LTSS eligibility. These are the forms used in the application process for LTSS. Ryan White Providers using telehealth must also follow DSHS HIV Care Services guidelines for telehealth and telemedicine outlined in DSHS Telemedicine Guidance. All AAs and subrecipients must establish culturally and linguistically appropriate goals, policies, and management accountability, and infuse them throughout the organizations planning and operations. N _rels/.rels ( j0@QN/c[ILj]aGzsFu]U ^[x 1xpf#I)Y*Di")c$qU~31jH[{=E~ Percentage of clients with documented evidence of agency refusal of services with detail on refusal in the clients primary record AND if applicable, documented evidence that a referral is provided for another home or community-based health agency. Call the DSHScommunity services customer service contact center number listed on the medicaidapplication form. 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. HRhk\ X?Nk; $-Yqiy*KB&I4"@W>eGI'tHaOBhVPRQq[^BJ] 3602 Pacific Ave., Suite 200 . 0 6 /20 20 INSTRUCTIONS HOME AND COMMUNITY SERVICES Intake and Referral DATE Section 1. 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. RW Providers must use a telehealth vendor that provides assurances to protect ePHI that includes the vendor signing a business associate agreement (BAA). 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. 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. We deny your application forapple health coverage when: You tell us either orally or in writing to withdraw your request for coverage; or, Based on all information we have received from you and other sources within the time frames stated in WAC, We are unable to determine that you are eligible; or. The LTSSstartdate is the date the client is both financially and functionally eligible. For calculating time limits, "day one" is the day we get an application from you that includes at least the information described in WAC. Department-designated social service staff: Assess the client's functional eligibility for institutional care. Provide advocacy to clients with a clear understanding of community services and support available for their situations. 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. 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. Assist clients in making informed decisions on choices of available service providers and resources. The authorization can't be backdated for HCB waiver, CFC, or MPC unless socialservices has fast-tracked services and the client is subsequently found financially eligible. For HCS clients, both functional and financial eligibility are determined concurrently. 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. Issue the award letter to the applicant/recipient. If you are an SSI recipient, then you, your authorized representative as defined in WAC, An individual applying for Washington apple health (WAH) (as defined in WAC. Policy Notices and Program Letters, Ryan White HIV/AIDS Program Services: Eligible Individuals & Allowable Uses of Funds Policy Clarification Notice (PCN) #16-02, Health Education-Risk Reduction (HE/RR) - Minority AIDS Initiative, Health Insurance Premium and Cost Sharing Assistance for Low-Income Individuals, Local AIDS Pharmaceutical Assistance (LPAP), Medical Case Management (including Treatment Adherence Services), Outreach Services - Minority AIDS Initiative (MAI), Interim Guidance for the Use of Telemedicine, Teledentistry, and Telehealth for HIV Core and Support Services - Users Guide and FAQs, Interim Guidance for the Use of Telemedicine, Teledentistry, and Telehealth for HIV Core and Support Services, Referral to health care/supportive services, Health Insurance Plans/Payment Options (CARE/, Pharmaceutical Patient Assistance Programs (PAPS).
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