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. Hmoob Community Health Worker, Crisis Counselor. 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. Complete - The documentation must support the eligibility decision and allow a reviewer to determine what was done and why. Explain to the applicant that there is a Public Benefits Specialist (PBS) and a social service manager making determinations concurrently for LTSS eligibility. To complete an application for apple health, you must also give us all of the other information requested on the application. Aging and Disability Resources Office TK6_ PK ! HRSA/HAB Ryan White Program & Grants Management, Recipient Resources. Full Time position. We provide equal access (EA) services as described in WAC, Ask for EA services, you apply for or receive long-term services and supports, or we determine that you would benefit from EA services; or, Have limited-English proficiency as described in WAC. PK ! 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. 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. An interview with the applicant or authorized representative is required to determine eligibility for institutional, HCB waiver services, or TSOA services. There is good information on the Washington LawHelp site that explains the timing of an LTSSapplication. Is the client single or married, and which resource standard is being used to make a recommendation. A supervisor must sign the case closure summary. Referrals for health care and support services provided by case managers (medical and non-medical) should be reported in the appropriate case management service category (e.g., Medical Case Management (MCM) or Non-Medical Case Management (NMCM)). Issue the NF award letter to the applicant/recipient and the nursing facility. 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. You are subject to asset verification and do not provide authorization as described in WAC 182-503-0055. Progress notes will then be entered into the client record within 14 working days. (link is external) 360-709-9725. PK ! Give your local county office your updated contact information so you can stay enrolled. For medicaid recipients, the first date DSHS was notified of the admission by the nursing facility. RN Referral Intake Nurse Hospice and Home Health Clients receiving services during the Fast Track period won't receive a medical services card until financial eligibility is established. f?3-]T2j),l0/%b PK ! 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. This is a reprint of the official rule as published by the Office of the Code Reviser. Have you received Accurintand/or AVS results and reviewed the assets reported? RW Providers must use a telehealth vendor that provides assurances to protect ePHI that includes the vendor signing a business associate agreement (BAA). This section describes the application processes used by Aging and Long-term Supports Administration (ALTSA) when determining financial eligibility for Long-Term Services and Supports (LTSS). 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. Refer the client tosocialservicesfor a care assessment if the client contacts the PBSfirst and document the date the client first requested NF care. 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. f?3-]T2j),l0/%b Lead and manage training development . 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. Ask if any of these bills were incurred within the last 3 months. Allows at least ten calendar days to provide it. Summarize what verification is needed to complete the application and send a request for information letter. J(_ @# word/_rels/document.xml.rels ( Yo6~!0I'n:Ylw-RI"IV. All AAs and subrecipients must establish culturally and linguistically appropriate goals, policies, and management accountability, and infuse them throughout the organizations planning and operations. Help Stop Medi-Cal Fraud and Abuse Statements made by the client and/or their representative. Department-designated social service staff: Assess the client's functional eligibility for institutional care. Wage Range: $40.76-$75.17 per hour plus per diem rate. 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. Fax form to the Home and Community Services office in your region for intake. We will allow you more time if you ask for more time or need an accommodation due to disability or limited-English proficiency. Ask about any transfers, gifts, or property sales during the 5-year look back and the circumstances of why they were made. DOCX Intake and Referral - Manuals.dshs.wa.gov INTAKE AND REFFERAL DSHS 10-570 (REV. Assist clients in making informed decisions on choices of available service providers and resources. We send you a written notice explaining why we denied your application (per chapter. Ryan White Providers using telehealth must also follow DSHS HIV Care Services guidelines for telehealth and telemedicine outlined in DSHS Telemedicine Guidance. Main Office . Summarize the interview and items still needed to determine eligibility in the ACES narrative. For non-urgent mental health services, please contact your county mental health department . Disproportionate Share Hospital Program. Denos su opinin sobre sus experiencias con las instalaciones, el personal, la comunicacin y los servicios del DSHS. 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.. Por favor, responda a esta breve encuesta. Percentage of clients with documented evidence of other public and/or private benefit applications completed as appropriate within 14 business days of the eligibility determination date in the primary client record. 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 Coordinator Job Fresno California USA,Social Work 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. | Care plan is updated at least every sixty (60) calendar days. PDF HCS Intake and Referral - Washington If you disagree with our decision, you can ask for a hearing. Home. You may receive help filing an application. To find an HCS office near you, use the. Housing & Community Services - Snohomish County, WA This Home and Community Based Services program provides not only care, but also other supports . (Source: DSHS Policy591.00 Limitations on Ryan White and State Service Funds for Incarcerated Persons in Community Facilities, Section 5.3). adult daycare center) in accordance with a written, individualized plan of care established by a licensed physician. 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. 6 [Content_Types].xml ( KO0#5.,5ec H0[i ~NhMsg[3xxw;) 'nY?7H(;1{H] 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. For jobs with more than one level, the posted range reflects the minimum of the lowest level and the maximum of the highest level. Ask about other medical coverage. For ABD, SSI-related Washington Apple Health programs: This process applies toSSI-related programs only MAGI-based clients are not eligible for HCBwaiver. Percentage of clients with documented evidence of a care plan completed based on the primary medical care providers order as indicated in the clients primary record. HCS Management Bulletins - Washington Concise - Documentation is subject to public review. ,! 4 word/_rels/document.xml.rels ( VOo0Ow| :lRt[h{sK1u\+2 \\U\K>LLhb=MMr[B\^dk*)a#L!? Tacoma, WA 98418. See "How to request an LTSS assessment" below. DSHS HCS Intake and . DSH Regulations and Documents - California For Hospice as a medicaidprogram, the hospice authorization date is based on the receipt of the 13-746 (HCA/medicaid Hospice notification). Always include the client's full name and the DSHS client id (if known) on any document mailed or faxed to DSHS. v}r'kFtr4Ng n [D!n'h}c l`0_ 85yaBAhFozyJ46_ERgsEc;,'K$zTzy[1 PK ! Referrals for health care and support services provided by outpatient/ambulatory health care professionals should be reported under Outpatient/Ambulatory Health Services (OAHS) category. The DSHS consent form is preferred as it is used for all programs including medical, food and cash. Ensure AVS procedures are followed. Social services will state fund Fast Track services when the client isn't financially eligible during the fast track period. 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. IHSS Service Desk for Providers & Recipients, (866) 376-7066, Suspect Fraud? Ask if there are unpaid medical expenses and request verification if medical expenses exist. Center for Medicare and Medicaid Services (CMS) requires an annual review at least once a year for categorically needy (CN) Medicaid. | Telehealth and Telemedicine is an alternative modality to provide most Ryan White Part B and State Services funded services. xar *O.c H?Y+oaB]6y&$i8]U}EvH*%94F%[%A PK ! Determine if a housing maintenance allowance (HMA) is appropriate (current rule states HMA is the amount of the Federal Poverty Level). 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. HRSA/HAB Division of State HIV/AIDS Programs National Monitoring Standards Program Part B April, 2013, p. 13-15. Home and Community-Based Health Services are provided to an eligible client in an integrated setting appropriate to a clients needs, based on a written plan of care established by a medical care team under the direction of a licensed clinical provider. 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. 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. Provide feedback on your experience with DSHS facilities, staff, communication, and services. 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. You may apply for Washington apple health for yourself. Community Services Division Social Services Manual Revision: # 175 Category: Incapacity Determination - When HEN Referral Program Eligibility Ends Issued: February 23, 2023 Revision Author: Evelyn Acopan Division CSD Mail Stop Phone 253-778-2381 Email evelyn.acopan@dshs.wa.gov Summary Applications for LTSS | Washington State Health Care Authority | Conditions of Use Provide PBSstaff with the following information: Whether the client meets nursing facility level of care (NFLOC). Olympia WA 98504-5826; or Cases without a delay reason code or updated with "No Good Cause (NG)" to the DSHS secretary. Include Remarks to reconcile any discrepancies, or important information not otherwise captured, including required questions left blank on the application or eligibility review form. Job specializations: Social Work. Acronyms utilized should be DSHS/HCA approved. Home and Community-based Services (HCS) - Texas If you have questions about submitting the form please contact your regional office at the number below. The application process begins and the application date is established when the request for benefits is received. 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. At a department of social and health services (DSHS) community services office (CSO). 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? 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. DSHS 10-570 ( REV. If the 13-746 is not received timely, count back 5 businessdays from the date of receipt to determine the authorization date. Are you enrolled in Medi-Cal? 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. General open-ended questions about resources and income should also be asked. The agency must document the situation in writing and immediately contact the client's primary medical care provider. Client transfers services to another service program. DSHS 14-532 Authorized representative release of information. If you do not have software that can open these files, you may download a free file viewer .

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