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For information regarding prior fiscal year files, please contact the DSH unit at, Last modified date: Case actions and why the actions were taken, and. Denos su opinin sobre sus experiencias con las instalaciones, el personal, la comunicacin y los servicios del DSHS. Authorize payment for NF care if the client is both functionally and financially eligible. | Always include the client's full name and the DSHS client id (if known) on any document mailed or faxed to DSHS. We follow the rules about notices and letters in chapter. Provide feedback on your experience with DSHS facilities, staff, communication, and services. Note: Servicescan't be backdated prior to the date of the authorization until the date that financial eligibility is established. Use the original eligibility review date to open institutional coverage. 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. 53 Community jobs available in Halford, WA on Indeed.com. Apply to Event Coordinator, Van Driver, Employment Specialist and more! Summarize the interview and items still needed to determine eligibility in the ACES narrative. Request verification of transfers, gifts or property sales, if applicable. The agency must document the situation in writing and immediately contact the client's primary medical care provider. Union Gospel Mission: www.ougm.org. PK ! Please report broken links or content problems. A copy of the police report is sufficient, if applicable. z, /|f\Z?6!Y_o]A PK ! Percentage of clients with documented evidence of referrals provided to any core services that had follow-up documentation within 10 business days of the referral in the primary client record. HRSA/HAB Ryan White Program & Grants Management, Recipient Resources. !ISWvuutZWh'gfG0^$n6g%LjQ:@(]t)eh -^k]8 zAG s#d 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. Listing for: Denham Resources. 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. Behavioral health services for American Indians & Alaska Natives (AI/AN) Recovery support services What is recovery support? 6. 1s PBS determines financial eligibility by comparing the client's income, resources and circumstances to program criteria. 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. If the client isn't financially eligible, notify social services. Encourage the applicant to gather documents as soon as possible to expedite the process. 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. A comprehensive evaluation of the clients health, psychosocial status, functional status, and home environment will be completed to include: Percentage of clients with documented evidence of needs assessment completed in the clients primary record. Name Unit Division Phone *Medicaid Helpline: Medicaid: HCS: 1-800-562-3022: Abbott, Amy: Director's Office, RCS: RCS: 360.725.2401: Acoba, Curtis: OT - IT Security $[53j(,U+/6-FBR[lvn! }k}HG4"jhznn'XwB$\HODuDX7o u'8>@)OLA@"yoTP8nd lAO Transfer/Discharge:A transfer or discharge plan shall be developed when one or more of the following criteria are met: All services discontinued under above circumstances must be accompanied by a referral to an appropriate service provider agency. Have you received Accurintand/or AVS results and reviewed the assets reported? HRSA 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), Referral for Health Care and Support Services, 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. 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. 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. Staff will follow up within 10 business days of a referral provided to support services to ensure the client accessed the service. 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. Dont open a case in ACES until you have everything needed to establish financial eligibility. 0 6 /20 20 INSTRUCTIONS HOME AND COMMUNITY SERVICES Intake and Referral DATE Section 1. Questions to consider when making aFast Track recommendation: Social services cant begin Fast Track until a CAREassessment is completed. Staff will educate clients about available benefit programs, assess eligibility, assist with applications, provide advocacy with appeals and denials, assist with re-certifications, and provide advocacy in other areas relevant to maintaining benefits/resources. The agency may discontinue services or refuse the client for as long as the threat is ongoing. 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. 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 (. v}r'kFtr4Ng n [D!n'h}c l`0_ 85yaBAhFozyJ46_ERgsEc;,'K$zTzy[1 PK ! If there are previous versions of this rule, they can be found using the Legislative Search page. Percentage of clients with documented evidence of education provided on other public and/or private benefit programs in the primary client record. Agency no longer meets the level of care required by the client. Assessment of client's access to primary care, Need for nursing, caregiver, or rehabilitation services. If the client is unable to complete the interview due to a medical condition or because no one is available to assist the client. 7wfQCfjS 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. Clients receiving services during the Fast Track period won't receive a medical services card until financial eligibility is established. 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. Conduct prevention activities as outlined in the DSHS . Whether there is a housing maintenance allowance and the start date, if appropriate. Medicaid eligibility begins, the first day of the month the client is eligible for LTSS. PO Box 45826 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. Olympia WA 98504-5826; or f?3-]T2j),l0/%b For Hospice as a medicaidprogram, the hospice authorization date is based on the receipt of the 13-746 (HCA/medicaid Hospice notification). Coordinate with other agencies in planning and linking clients to referral services (for example: legal, medical, social services, financial, and/or housing). RWHAP Part B and State Services funds can be used to provide transitional social services to establish or re-establish linkages to the community. We do not delay a decision by using the time limits in this section as a waiting period. Fast Track is a social serviceprocess that allows the authorization of LTSS prior to a financial eligibility determination. Home. | Percentage of clients with documented evidence of referrals provided for HIA assistance that had follow-up documentation within 10 business days of the referral in the primary client record. The ALJ does not consider the previous absence of information or failure to respond in determining if you are eligible. DSHS HCS Intake and . What resources is the client reporting on the application or past applications? Access Health Care Language Assistance Services (SB 223). Applications for clients under age 65 or ineligible for Medicare should be submitted through this site and will have a real-time determination of Washington Apple Health medical coverage eligibility under the modified adjusted gross income (MAGI) methodology. | 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 Determine the client's financial eligibility for LTSSand noninstitutional medical assistance including 3 months retroactive medical coverage if financially eligible. If they can't be reached, or are unavailable, send an appointment letter (DSHS 0011-01) and a request for verification letter for what is needed to determine eligibility, based only on what was declared on the application. The LTSSstartdate is the date the client is both financially and functionally eligible. 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. | Care plan is updated at least every sixty (60) calendar days. PK ! Home and Community Services - LTSS Espaol This is a reprint of the official rule as published by the Office of the Code Reviser. 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. Refer the client tosocialservicesfor a care assessment if the client contacts the PBSfirst and document the date the client first requested NF care. REGION 1 - Pend Oreille, Stevens, Ferry Okanagan, Chelan, Douglas, Grant, Lincoln, Spokane, Adams, Whitman, Klickitat, Kittitas, . Client transfers services to another service program. | 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. 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. Assist clients in making informed decisions on choices of available service providers and resources. Type of client interaction (phone, in-person, etc.). (Source: DSHS Policy591.00 Limitations on Ryan White and State Service Funds for Incarcerated Persons in Community Facilities, Section 5.3). 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. Accessed on October 12, 2020. 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. 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. For jobs with more than one level, the posted range reflects the minimum of the lowest level and the maximum of the highest level. $[53j(,U+/6-FBR[lvn! }k}HG4"jhznn'XwB$\HODuDX7o u'8>@)OLA@"yoTP8nd lAO Training and social services development, delivery and evaluations; budget setting; and relationship cultivation. Explain Estate Recovery and mail the Estate Recovery fact sheet. \{#+zQh=JD ld$Y39?>}'C#_4$ Funds cannot be used to duplicate referral services provided through other service categories. | Conditions of Use Consistent - Explain how conflicts or inconsistencies of information were addressed. AGING AND LONG-TERM SUPPORT ADMINISTRATION (ALTSA) HOME AND COMMUNITY SERVICES (HCS) GOVERNOR'S OPPORTUNITY FOR SUPPORTIVE HOUSING (GOSH) GOSH Referral DATE HCS / AAA Case Manager (CM) to send completely filled-out Referral form, with all documents attached, toRegional GOSH PM. TK6_ PK ! Explain what changes of circumstances need to be reported. Contact a navigator, health care authority volunteer assistor, or broker. Call the HCS intake line in the area in which you reside to schedule an assessment. 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. Disproportionate Share Hospital Program. A phone or in-person interview is required to determine initial financial eligibility for WAH long-term care services. Note: The HCA 80-020 Authorization for Release of Information is for medical benefits under Health Care Authority and will be accepted as a release of information for all medical programs including LTSSprograms. 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. FAX to: 1-855-635-8305. 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. How do I notify PEBB that my loved one has passed away? 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. 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. By calling the Washington Healthplanfindercustomer support center and completing an application by telephone; By completing the application for health care coverage (. 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. Eligible clients are referred to additional support services (outside of a medical, MCM, NMCM appointment), as applicable to the clients needs, with education provided to the client on how to access these services. 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. 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. Collaborates with treating physician, psychiatric and allied health professional team to plan and direct each individual member . If not already authorized, request authorization for AVS for the client and any applicable financially responsible people. You may receive help filing an application. Posted wage ranges represent the entire range from minimum to maximum. Percentage of clients with documented evidence of a comprehensive evaluation completed by the Home and Community-Based Health Agency Provider in the clients primary record. Ting Vit, About Us Provide the PBS staff with the following information: Residential facility name and address, including room number, if applicable. 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? Please take this short survey. Percentage of clients who received a referral for other core services who have documented evidence of the education provided to the client on how to access these services in the primary client record. Day one is the date the application was received. 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.

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