Applicant Information 1. 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: You mayapply for apple health for another person if you are: An authorized representative (as described in WAC. Union Gospel Mission: www.ougm.org. Listing for: Denham Resources. Back to DSH main webpage. Medicaid eligibility begins, the first day of the month the client is eligible for LTSS. Fast Track is a social serviceprocess that allows the authorization of LTSS prior to a financial eligibility determination. 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. 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? 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. For information regarding prior fiscal year files, please contact the DSH unit at, Last modified date: Percentage of clients with documented evidence of education provided on other public and/or private benefit programs in the primary client record. N _rels/.rels ( j0@QN/c[ILj]aGzsFu]U ^[x 1xpf#I)Y*Di")c$qU~31jH[{=E~ | Apply to Event Coordinator, Van Driver, Employment Specialist and more! Wage Range: $40.76-$75.17 per hour plus per diem rate. Department-designated social service staff: Assess the client's functional eligibility for institutional care. Issue the NF award letter to the applicant/recipient and the nursing facility. Agency no longer meets the level of care required by the client. Based on the agencys perception of the client's condition, the client requires a higher level of care than would be considered reasonable in a home/community setting. Exception is N21/N25 AEM MAGI. A request for service s is any request that comes to HCS regardless of source or eligibility. Policy Notices and Program Letters, Ryan White HIV/AIDS Program Services: Eligible Individuals & Allowable Uses of Funds Policy Clarification Notice (PCN) #16-02 (PDF) (Revised 10/22/2018), DSHS Policy 591.000, Section 5.3 regarding Transitional Social Service linkage, Interim Guidance for the Use of Telemedicine and Telehealth for HIV Core and Support Services, March 2020, Interim Guidance for the Use of Telemedicine and Telehealth for HIV Core and Support Services Users Guide and FAQs, March 2020, HIV Medical and Support Service Categories, Research, Funding, & Educational Resources, Referral for Health Care and Support Services. Use Equal Access - Necessary Supplemental Accommodation (NSA) and long-term services and supports policies for LTSS applicants and recipients. Review excess home equity, annuity and transfer of resource provisions that are specific to institutional and home and community-based (HCB) waivers. HRSA/HAB Ryan White Program & Grants Management, Recipient Resources. If you have questions about submitting the form please contact your regional office at the number below. | Authorize in ACES for in-home or residential HCB waiver if the client is both functionally and financially eligible. Provide PBSstaff with the following information: Whether the client meets nursing facility level of care (NFLOC). Have you received Accurintand/or AVS results and reviewed the assets reported? 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 Main Office . RW Providers must use a telehealth vendor that provides assurances to protect ePHI that includes the vendor signing a business associate agreement (BAA). LTSS can begin once a client is found financially and functionally eligible and an approved provider is in place. Explain the Medicare Savings Program (MSP). For long-term services and supports coverage such as nursing home care, in-home personal care, assisted living facility, adult family home programs, and TSOA Mail your application to: DSHS Home and Community Services PO Box 45826, Olympia, WA 98504-5826 Questions? You may receive help filing an application. Questions to consider when making aFast Track recommendation: Social services cant begin Fast Track until a CAREassessment is completed. Referral for Health Care and Support Services Service Standard print version. Ask if there are unpaid medical expenses and request verification if medical expenses exist. Clients should be educated about and assisted with accessing and securing all available public and private benefits and entitlement programs. 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. Case actions and why the actions were taken, and. 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. Kirkland, WA. 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. To complete an application for apple health, you must also give us all of the other information requested on the application. 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). f?3-]T2j),l0/%b 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. The DSHS consent form is preferred as it is used for all programs including medical, food and cash. 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. Family members and other representatives are often just learning about the client's income and resources when they apply. Please take this short survey. Percentage of clients with documented evidence of completed progress notes in the clients primary record. Fax form to the Home and Community Services office in your region for intake. FAX to: 1-855-635-8305. adult daycare center) in accordance with a written, individualized plan of care established by a licensed physician. Percentage of eligible clients with documented evidence of the follow-up and result(s) to a completed benefit application in the primary client record. | Accessed on October 12, 2020. Benefits counseling: Services should facilitate a clients access to public/private health and disability benefits and programs. d{ word/_rels/document.xml.rels ( VMo W87GJmziRokm:Kbi6P{3c33{Jp^MQKT %*|`3i4PwA'NX_D)BW<6t|XC{9qS4Yr-6M#jlHv$d@. V&ca\H>le?S9As<1CRYN]drRI/0!b If the client is likely to attain institutional status. 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. If the NF admission is on a weekend or holiday, the NF has until the first business day to report the admission. Call the client or their representative to complete an interview. Telehealth and Telemedicine is an alternative modality to provide most Ryan White Part B and State Services funded services. Screen all clients to determine potential for HCB services. 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. 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. 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. State Plan Amendments. The following are County IHSS program websites. General open-ended questions about resources and income should also be asked. 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. Homeless Housing Hotline: 844-628-7343 - Call to connect with homeless services in Thurston County and get referrals to shelter and housing options. Progress notes will then be entered into the client record within 14 working days. As specified in subsection (2) of this section, if you are a child, pregnant, a parent or caretaker relative, or an adult age sixty-four and under without medicare. 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. Use Remarks to document information specific to the ACES page: Follow these principles when documenting: Document standard of promptness for all medical applications pending more than45 days: There are two start dates for LTSS, the medicaid eligibility date and the LTSSstart date: If an applicant has withdrawn their request for medical benefits and then decides they want to pursue the application, we will redetermine eligibility for benefits without a new application as long as the client has notified the department within 30 days of the withdrawal. The hospice provideris required to submit this form within 5 business days of a hospice election on all active and pending Medicaidcases. HRSA/HAB Division of State HIV/AIDS Programs National Monitoring Standards Program Part B April 2013. p. 42-43. The following Standards and Measures are guides to improving healthcare outcomes for people living with HIV throughout the State of Texas within the Ryan White Part B and State Services Program. WAC 182-513-1350). If the client is unable to complete the interview due to a medical condition or because no one is available to assist the client. RW Providers must use a telehealth vendor that provides assurances to protect ePHI that includes the vendor signing a business associate agreement (BAA). APPPLICANT'S NAME: LAST, FIRST, MI 2. Explain the financial and social service functional eligibility process. | At a department of social and health services (DSHS) community services office (CSO). Job specializations: Social Work. Percentage of clients accessingHome and Community-Based Health Services have follow up documentation to the referral offered in the clients primary record. 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. 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. Olympia WA 98504-5826; or | The HCS case manager coordinates andconsults withthe PBS to see if Fast Track is appropriate. Community Health Worker, Crisis Counselor. Current assessment and needs of the client, including activities of daily living needs (personal hygiene care, basic assistance with cleaning, and cooking activities), Need forHome and Community-Based Health Services, Types, quantity, and length of time services are to be provided. Services cannot be provided in the following facilities: inpatient hospital facilities, nursing homes, and other long term care facilities. 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. 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. For medicaid recipients, the first date DSHS was notified of the admission by the nursing facility. Functional eligibility for DDA is determined prior to the submission of a financial application. Client transfers services to another service program. Provider Fraud and Elder Abuse complaint line: Give your local county office your updated contact information so you can stay enrolled. HRSA/HAB Division of State HIV/AIDS Programs National Monitoring Standards Program Part B April, 2013, p. 13-15. Por favor, responda a esta breve encuesta. HRSA/HAB Division of State HIV/AIDS Programs National Monitoring Standards Program Part B April 2013. p. 42-43. SSI recipients who need institutional services, or HCB waiver, must complete and sign an application, or the. 1-(800)-722-0432, Copyright 2023 California Department of Social Services. 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. Need Mental Health Services? There is good information on the Washington LawHelp site that explains the timing of an LTSSapplication. 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. IHSS Timesheet Issues/Questions: | DSHS 14-532 Authorized representative release of information. Funds cannot be used to duplicate referral services provided through other service categories. Social service staff and case managers determine functional eligibility and what services to authorize based on a complete and comprehensive CAREassessment. If you disagree with our decision, you can ask for a hearing. Clientsswitching from private pay to medicaid are advised to apply for benefits 30 to 45 days before being resource eligible for the program. Assess the client's functional eligibility for in home or residential care. Provide feedback on your experience with DSHS facilities, staff, communication, and services. Assessment of client's access to primary care, Need for nursing, caregiver, or rehabilitation services. If the 13-746 is not received timely, count back 5 businessdays from the date of receipt to determine the authorization date. For calculating time limits, "day one" is the day we get an application from you that includes at least the information described in WAC. For apple health programs for children, pregnant people, parents and caretaker relatives, and adults age sixty-four and under without medicare, (including people who have a disability or are blind), you may apply: Online via the Washington Healthplanfinder at. The case closure summary must include a brief synopsis of all services provided and the result of those services documented as completed and/or not completed.. Caregiver Support Find out about caregiver support. HRSA/HAB Ryan White Program & Grants Management, Recipient Resources. This service category works to maximize public funding by assisting clients in identifying all available health and disability benefits supported by funding streams other than RWHAP Part B and/or State Services funds. (link is external) 360-918-8424. 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. 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. 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. 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. Ensure what you document accurately describes what happened with the case. The PBS also determines maximum client responsibility. Explain how to request an extension if more time is needed. Any assaults, verbal or physical, must be reported to the monitoring entity within one (1) business day and followed by a written report. 53 Community jobs available in Halford, WA on Indeed.com. Ask about other medical coverage. CONTACT(S): Rachelle Ames, HCS Program Manager 360-725-2353 amesrl@dshs.wa.gov Provide advocacy to clients with a clear understanding of community services and support available for their situations. Clearly indicate this is a projection and the financial application is in process. The agency will maintain ongoing communication with the multidisciplinary medical care team in compliance with Texas Medicaid and Medicare Guidelines.

Bisd Pay Schedule, Articles D