Percentage of clients with documented evidence of completed progress notes in the clients primary record. Ask about other medical coverage. f?3-]T2j),l0/%b IHSS Fraud Hotline: 888-717-8302 Olympia WA 98504-5826; 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. Dont open a case in ACES until you have everything needed to establish financial eligibility. Percentage of clients with documented evidence of care plans reviewed and/or updated as necessary based on changes in the clients situation at least every sixty (60) calendar days as evidenced in the clients primary record. Activities provided under this service category may include referrals to assist HRSA Ryan White HIV/AIDS Program (RWHAP)-eligible clients to obtain access to other public or private programs for which they may be eligible (e.g., Medicaid, Medicare Part D, State Pharmacy Assistance Programs, Pharmaceutical Manufacturers Patient Assistance Programs, and other state or local health care and supportive services, or health insurance Marketplace plans). If not already authorized, request authorization for AVS for the client and any applicable financially responsible people. Referrals for health care and support services provided by outpatient/ambulatory health care professionals should be reported under Outpatient/Ambulatory Health Services (OAHS) category. (PDF) Accessed October 12, 2020. Use Equal Access - Necessary Supplemental Accommodation (NSA) and long-term services and supports policies for LTSS applicants and recipients. . Peer support & counseling Recovery housing Prevention Substance use disorder prevention & mental health promotion Quick links Apply for or renew Apple Health coverage Apple Health for you Apple Health account logins Homeless Housing Hotline: 844-628-7343 - Call to connect with homeless services in Thurston County and get referrals to shelter and housing options. Go over the application, particularly what was declared in the income and resource sections. 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. If you do not have software that can open these files, you may download a free file viewer . Ask about other resources not declared on the application. As the primary applicant or head of household, you may start an application for apple health by providing your: Physical address, and mailing addresses (if different). The hospital requires you to stay overnight. The Home and Community-Based Provider will document in the clients primary record progress notes throughout the course of the treatment, including evidence that the client is not in need of acute care. Explain how to request an extension if more time is needed. Explain the medical service card, automatic Medicare D enrollment if not on a creditable coverage or Medicare D Prescription Drug Plan. 7wfQCfjS 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. Community Health Worker, Crisis Counselor. WAC 182-513-1350). Get Services IHSS; Medi-Cal Offices; County Public Authority; IHSS Recipients: IHSS Training/Information - Resources; Fact Sheets; Educational Videos; IHSS Providers: How to Become an IHSS Provider; How to Appeal if You are Denied; IHSS Provider Resources; IHSS Timesheet Issues/Questions: IHSS Service Desk for Providers & Recipients, (866) 376 . 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. Complete - The documentation must support the eligibility decision and allow a reviewer to determine what was done and why. Appendix 2 to Attachment 4.19-A. When information is verified using an electronic source (such as BENDEX, AVS, etc.). 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. CONTACT(S): Rachelle Ames, HCS Program Manager 360-725-2353 amesrl@dshs.wa.gov Provide feedback on your experience with DSHS facilities, staff, communication, and services. 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). 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. 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. Ensure AVS procedures are followed. Funds cannot be used to duplicate referral services provided through other service categories. HRSA/HAB Division of State HIV/AIDS Programs National Monitoring Standards Program Part B April 2013. p. 42-43. HIV Medical and Support Service Categories, Research, Funding, & Educational Resources. The LTSSauthorization date can be backdated for nursing facility services up to 3 months prior to the date of application for a new applicant of Medicaid as long as the client is nursing facility level of care (NFLOC) and financially eligible. Stick to the facts relevant to determining eligibility or benefit level. Explain what changes of circumstances need to be reported. Type of client interaction (phone, in-person, etc.). For Hospice as a medicaidprogram, the hospice authorization date is based on the receipt of the 13-746 (HCA/medicaid Hospice notification). Disproportionate Share Hospital Program Eligibility. What resources is the client reporting on the application or past applications? 12/1/2022 2:44 PM. The LTSS authorization date, which is described in WAC, If there is a transfer penalty as described in WAC. 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. Purpose: Communication to social services intake regarding an individual requesting a functional assessment for long-term services and supports (LTSS). Please take this short survey. \{#+zQh=JD ld$Y39?>}'C#_4$ Center for Medicare and Medicaid Services (CMS) requires an annual review at least once a year for categorically needy (CN) Medicaid. There is good information on the Washington LawHelp site that explains the timing of an LTSSapplication. You mayapply for apple health for another person if you are: An authorized representative (as described in WAC. N _rels/.rels ( j0@QN/c[ILj]aGzsFu]U ^[x 1xpf#I)Y*Di")c$qU~31jH[{=E~ 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. 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. If you have questions about submitting the form please contact your regional office at the number below. HRSA/HAB Division of Metropolitan HIV/AIDS Programs Program Monitoring Standards Part A April 2013. p. 43-44. Home. Access Health Care Language Assistance Services (SB 223). | Por favor, responda a esta breve encuesta. Posted: October 21, 2022. 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. 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 should reviewthe original application to ensure there are no changes and proceed to determine eligibility. Kirkland, WA. f?3-]T2j),l0/%b Please take this short survey. All AAs and subrecipients must establish culturally and linguistically appropriate goals, policies, and management accountability, and infuse them throughout the organizations planning and operations. | 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. If there are previous versions of this rule, they can be found using the Legislative Search page. What is HCS (PDF in English) What is HCS (PDF in Spanish) Provider Communications Include Remarks to reconcile any discrepancies, or important information not otherwise captured, including required questions left blank on the application or eligibility review form. Explain to the applicant that there is a Public Benefits Specialist (PBS) and a social service manager making determinations concurrently for LTSS eligibility. Percentage of clients with documented evidence of education provided on other public and/or private benefit programs in the primary client record. Medicaid eligibility begins, the first day of the month the client is eligible for LTSS. Staff will follow-up within 10 business days of a referral provided to any core services to ensure the client accessed the service. Tagalog The interview can be conducted in person or by phone. 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. Consistent - Explain how conflicts or inconsistencies of information were addressed. Provider Fraud and Elder Abuse complaint line: If the client isn't financially eligible, notify social services. xar *O.c H?Y+oaB]6y&$i8]U}EvH*%94F%[%A PK ! Coordination of Services and Referrals: If referrals are appropriate or deemed necessary, the agency will: Percentage of clients accessingHome and Community-Based Health Services with documented evidence of referrals, as applicable, to other services as indicated in the clients primary record. PK ! Case management that links a soon-to-be-released inmate with primary care is an example of appropriate transitional social services. Referral for Health Care and Support Services Service Standard print version. Client transfers services to another service program. 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. 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. | Percentage of clients accessingHome and Community-Based Health Services have follow up documentation to the referral offered in the clients primary record. 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. Posted wage ranges represent the entire range from minimum to maximum. We determine eligibility as quickly as possible and respond promptly to applications and information received. 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. 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. If the NF admission is on a weekend or holiday, the NF has until the first business day to report the admission. 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. 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. Ryan White Providers using telehealth must also follow DSHS HIV Care Services guidelines for telehealth and telemedicine outlined in DSHS Telemedicine Guidance. 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. HRSA/HAB Division of State HIV/AIDS Programs National Monitoring Standards Program Part B April, 2013, p. 13-15. Authorize payment for NF care if the client is both functionally and financially eligible. 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. / % [Content_Types].xml ( N0EHC-j\X $@b/=>"RRQ{c%3X@LCV^i7 Sx[Ab7*@*HRf$g`E*} G;V )B~)K0{j17X$)+n7u9bf}^&i/52\ Client will be contacted within one (1) business day of the referral, and services should be initiated at the time specified by the primary medical care provider, or within two (2) business days, whichever is earlier. Privacy Policy If they can't be reached, or are unavailable, send an appointment letter (DSHS 0011-01) and a request for verification letter for what is needed to determine eligibility, based only on what was declared on the application. catholic community services hen program. Clients should be educated about and assisted with accessing and securing all available public and private benefits and entitlement programs. If you are experiencing a mental health crisis and need immediate assistance, please call "911" and explain the nature of your problem to the operator. Ask if any of these bills were incurred within the last 3 months. N _rels/.rels ( j0@QN/c[ILj]aGzsFu]U ^[x 1xpf#I)Y*Di")c$qU~31jH[{=E~ Provide advocacy to clients with a clear understanding of community services and support available for their situations. z, /|f\Z?6!Y_o]A PK ! How do I notify SEBB that my loved one has passed away? SSI recipients who need institutional services, or HCB waiver, must complete and sign an application, or the. 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. A simple and sleek portal for staff. 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. Professional care is the provision of services in the home by licensed providers for mental health, development health care, and/or rehabilitation services. A referral 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. $[53j(,U+/6-FBR[lvn! }k}HG4"jhznn'XwB$\HODuDX7o u'8>@)OLA@"yoTP8nd lAO Request verification of transfers, gifts or property sales, if applicable. | TK6_ PK ! Cases without a delay reason code or updated with "No Good Cause (NG)" to the DSHS secretary. 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. 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. If you disagree with our decision, you can ask for a hearing. State Plan Amendments. RW Providers must use a telehealth vendor that provides assurances to protect ePHI that includes the vendor signing a business associate agreement (BAA). 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 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. Day one is the date the application was received. 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. Job in Fresno - Fresno County - CA California - USA , 93650. 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. HRSA/HAB Division of Metropolitan HIV/AIDS Programs Program Monitoring Standards Part A April 2013, p. 14-16. 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 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: / % [Content_Types].xml ( N0EHC-j\X $@b/=>"RRQ{c%3X@LCV^i7 Sx[Ab7*@*HRf$g`E*} G;V )B~)K0{j17X$)+n7u9bf}^&i/52\ Authorize in ACES for in-home or residential HCB waiver if the client is both functionally and financially eligible. HRSA/HAB Division of State HIV/AIDS Programs National Monitoring Standards Program Part B April 2013. p. 42-43. SOCIAL SECURITY NUMBER 5. An interview with the applicant or authorized representative is required to determine eligibility for institutional, HCB waiver services, or TSOA services. Summarize what verification is needed to complete the application and send a request for information letter. A phone or in-person interview is required to determine initial financial eligibility for WAH long-term care services. Did you receive verification of resources with the application? Wage Range: $40.76-$75.17 per hour plus per diem rate. Assist clients in making informed decisions on choices of available service providers and resources. 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. Behavioral health services for American Indians & Alaska Natives (AI/AN) Recovery support services What is recovery support? 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. HRSA/HAB Division of Metropolitan HIV/AIDS Programs Program Monitoring Standards Part A April 2013, p. 14-16.
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