Refusal of referral: The home or community-based health agency may refuse a referral for the following reasons only: The client's home or current residence is determined to not be physically safe (if not residing in a community facility) before services can be offered or continued. 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. Community Resources | Thurston County For in-home service applicants, discuss the food assistance program and inquire if the household would like to apply for food benefits. MAGI covers NF and Hospice under the scope of care. $[53j(,U+/6-FBR[lvn! }k}HG4"jhznn'XwB$\HODuDX7o u'8>@)OLA@"yoTP8nd lAO f?3-]T2j),l0/%b 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? Referral for Health Care and Support Services Service Standard print version. Full Time position. BIRTH DATE 4. Has your contact information changed in Open-ended questions often reveal that additional sources of income and assets may exist. Request verification of transfers, gifts or property sales, if applicable. 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. RW Providers must use a telehealth vendor that provides assurances to protect ePHI that includes the vendor signing a business associate agreement (BAA). The agency must document the situation in writing and contact the referring primary medical care provider. $[53j(,U+/6-FBR[lvn! }k}HG4"jhznn'XwB$\HODuDX7o u'8>@)OLA@"yoTP8nd lAO Home and Community-Based Health Services Standards print version. Ryan White Providers using telehealth must also follow DSHS HIV Care Services guidelines for telehealth and telemedicine outlined in DSHS Telemedicine Guidance. At a department of social and health services (DSHS) community services office (CSO). If you reside in one of the following counties: Island, King (ZIP codes 98011, 98019, 98072, 98077, 98133, 98177) San Juan, Skagit, Snohomish, or Whatcom and are interested in: If you reside in King County in a ZIP code not listed above and are interested in: If you reside in one of the following counties: Clallam, Clark, Cowlitz, Grays Harbor, Jefferson, Kitsap, Lewis, Mason, Pacific, Pierce, Skamania, Thurston, or Wahkiakum 800-786-3799, FAX 360-586-0499. Denos su opinin sobre sus experiencias con las instalaciones, el personal, la comunicacin y los servicios del DSHS. 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. INTAKE AND REFFERAL DSHS 10-570 (REV. If the client isn't financially eligible, notify social services. 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. Apply in-person at a local Home & Community Services office. 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. Collaborates with treating physician, psychiatric and allied health professional team to plan and direct each individual member . Fast Track is a social serviceprocess that allows the authorization of LTSS prior to a financial eligibility determination. To apply for tailored supports for older adults (TSOA), see WAC. DOCX Social Service Intake - Washington Benefits Counseling: Activities should be client-centered facilitating access to and maintenance of health and disability benefits and services. Percentage of clients accessingHome and Community-Based Health Services have follow up documentation to the referral offered in the clients primary record. Purpose: Communication to social services intake regarding an individual requesting a functional assessment for long-term services and supports (LTSS). Explain to the applicant that there is a Public Benefits Specialist (PBS) and a social service manager making determinations concurrently for LTSS eligibility. 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. 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. HCA forms, including translations are found on the HCA forms website. We send you a written notice explaining why we denied your application (per chapter. 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. The hospice provideris required to submit this form within 5 business days of a hospice election on all active and pending Medicaidcases. (PDF) Accessed on October 12, 2020. | Details of how eligibility factor(s) were verified. 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. DSH Regulations and Documents - California TK6_ PK ! Washington COPES Medicaid Waivers Program Percentage of clients who received a referral for other support services who have documented evidence of the education provided to the client on how to access these services in the primary client record. Call to request an assessment for home and community services (in-home care in a residential facility, nursing facility coverage) through the HCS central intake lines. Questions to consider when making aFast Track recommendation: Social services cant begin Fast Track until a CAREassessment is completed. Social service staff and case managers determine functional eligibility and what services to authorize based on a complete and comprehensive CAREassessment. A copy of the police report is sufficient, if applicable. 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). DOCX STATE OF WASHINGTON - Home | WA.gov Fax form to the Home and Community Services office in your region for intake. Note: Servicescan't be backdated prior to the date of the authorization until the date that financial eligibility is established. !ISWvuutZWh'gfG0^$n6g%LjQ:@(]t)eh -^k]8 zAG s#d Get Services IHSS; Medi-Cal Offices; County Public Authority; IHSS Recipients: IHSS Training/Information - Resources; Fact Sheets; Educational Videos; IHSS Providers: How to Become an IHSS Provider; How to Appeal if You are Denied; IHSS Provider Resources; IHSS Timesheet Issues/Questions: IHSS Service Desk for Providers & Recipients, (866) 376 . Exception is N21/N25 AEM MAGI. As specified in subsection (2) of this section, if you are a child, pregnant, a parent or caretaker relative, or an adult age sixty-four and under without medicare. Percentage of clients with documented evidence of referrals provided to any support services that had follow-up documentation within 10 business days of the referral in the primary client record. Home and Community-Based Health Services are therapeutic, nursing, supportive and/or compensatory health services provided by a licensed/certified home health agency in a licensed/certified home or community-based setting (e.g. How do I notify PEBB that my loved one has passed away? The HCS case manager coordinates andconsults withthe PBS to see if Fast Track is appropriate. As the primary applicant or head of household, you may start an application for apple health by providing your: Physical address, and mailing addresses (if different). When working on a case that has ACES Equal Access (EA) requirements: If changing ACES EA requirements, clearly document the reason. HOME > ben faulkner child actor Uncategorized > Uncategorized. Appropriate mental health, developmental, and rehabilitation services; Day treatment or other partial hospitalization services; Home health aide services and personal care services in the home. What is HCS (PDF in English) What is HCS (PDF in Spanish) Provider Communications Hmoob \{#+zQh=JD ld$Y39?>}'C#_4$ If you do not have software that can open these files, you may download a free file viewer . DSH Program State Plan Amendment 14-008. Lead and manage training development . | Conditions of Use Explain what changes of circumstances need to be reported. the past two years? 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. Privacy Policy By calling the Washington Healthplanfindercustomer support center and completing an application by telephone; By completing the application for health care coverage (. Dont open a case in ACES until you have everything needed to establish financial eligibility. DSH Replacement State Plan Amendment 16-010. 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. 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. 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. Applications for LTSS may be submitted using any of the following methods: Mailing or faxing documents to Home and Community Services (HCS), Mail to: We determine eligibility as quickly as possible and respond promptly to applications and information received. 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. (PDF) Accessed October 12, 2020. How do I notify SEBB that my loved one has passed away? | If you disagree with our decision, you can ask for a hearing. | word/document.xml\n8}_`u-c t?mk[X`aKHJ|Mf2DUSU~~=DX~PJ6u`r]u+K(q` Qy'AD5}]qT"{J|}]6+t. Include Remarks to reconcile any discrepancies, or important information not otherwise captured, including required questions left blank on the application or eligibility review form. 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. A supervisor must sign the case closure summary. Functional eligibility for DDA is determined prior to the submission of a financial application. | Percentage of clients who are no longer in need of assistance through Referral for Health Care and Support Services that have a documented case closure summary in the primary client record. 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. PK ! Issue the award letter to the applicant/recipient. Olympia WA 98504-5826; or The DSHS consent form is preferred as it is used for all programs including medical, food and cash. Determine the client's financial eligibility for LTSSand noninstitutional medical assistance including 3 months retroactive medical coverage if financially eligible. 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. Apply to Event Coordinator, Van Driver, Employment Specialist and more! DOCX Intake and Referral - Manuals.dshs.wa.gov | 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. Use the original eligibility review date to open institutional coverage. 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. Behavioral health services for American Indians & Alaska Natives (AI/AN) Recovery support services What is recovery support? 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. DOCX STATE OF WASHINGTON - Home | WA.gov When applicable, an employee of the agency has experienced a real or perceived threat to his/her safety during a visit to a client's home, in the company of an escort or not. FAX to: 1-855-635-8305. Family members and other representatives are often just learning about the client's income and resources when they apply. Welcome to CareWare - California 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? 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. Full. We reconsider our decision to deny your apple healthcoverage without a new application from you when: We receive the information that we need to decide if you are eligible within thirty days of the date on the denial notice; You give us authorization to verify your assets as described in WAC 182-503-0055 within thirty days of the date on the denial notice; You request a hearing within ninety days of the date on the denial letter and an administrative law judge (ALJ) or HCA review judge decides our denial was wrong (per chapter. 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. Always include the client's full name and the DSHS client id (if known) on any document mailed or faxed to DSHS. | Careers Provide advocacy to clients with a clear understanding of community services and support available for their situations. / % [Content_Types].xml ( N0EHC-j\X $@b/=>"RRQ{c%3X@LCV^i7 Sx[Ab7*@*HRf$g`E*} G;V )B~)K0{j17X$)+n7u9bf}^&i/52\ A request for service may not generate a referral. Welcome to CareWarePlease select your portal type. Explain the medical service card, automatic Medicare D enrollment if not on a creditable coverage or Medicare D Prescription Drug Plan. catholic community services hen program. Provide the PBS staff with the following information: Residential facility name and address, including room number, if applicable. Ting Vit, About Us RWHAP Part B and State Services funds can be used to provide transitional social services to establish or re-establish linkages to the community. Client will be contacted within one (1) business day of the referral, and services should be initiated at the time specified by the primary medical care provider, or within two (2) business days, whichever is earlier. The agency must document the situation in writing and immediately contact the client's primary medical care provider. Consistently report referral and coordination updates to the multidisciplinary medical care team. Benefits counseling: Services should facilitate a clients access to public/private health and disability benefits and programs. 3602 Pacific Ave., Suite 200 . Referrals for health care and support services provided by outpatient/ambulatory health care professionals should be reported under Outpatient/Ambulatory Health Services (OAHS) category. HCS Management Bulletins - Washington Whether there is a housing maintenance allowance and the start date, if appropriate. SSI recipients who need institutional services, or HCB waiver, must complete and sign an application, or the. Use Equal Access - Necessary Supplemental Accommodation (NSA) and long-term services and supports policies for LTSS applicants and recipients. I) word/document.xmlr=U.nA;K]|K0x+CII*?tY =6KWHN Z G!i$.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. 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. Aging & Disability Resources | Pierce County, WA - Official Website