dshs home and community services intake and referraldshs home and community services intake and referral

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. Intake Coordinator Job Fresno California USA,Social Work 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. Health Care Services: Clients should be assisted in accessing health insurance or Marketplace plans to assist with engagement in the health care system and HIV Continuum of Care, including medication payment plans or programs. N _rels/.rels ( j0@QN/c[ILj]aGzsFu]U ^[x 1xpf#I)Y*Di")c$qU~31jH[{=E~ 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. Lite. Day one is the date the application was received. 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. PK ! 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. Caring at Home Respite, In-home Services, Skills, Caregiver Help, Kinship Caregiving, Services, Conferences 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. Social services will state fund Fast Track services when the client isn't financially eligible during the fast track period. All AAs and subrecipients must establish culturally and linguistically appropriate goals, policies, and management accountability, and infuse them throughout the organizations planning and operations. 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. Stick to the facts relevant to determining eligibility or benefit level. Conduct prevention activities as outlined in the DSHS . 1s Document in ACES remarks, in detail, all eligibility factors discussed during the interview and included on the application. Denos su opinin sobre sus experiencias con las instalaciones, el personal, la comunicacin y los servicios del DSHS. Lakewood, WA. Apply to Event Coordinator, Van Driver, Employment Specialist and more! Percentage of clients accessingHome and Community-Based Health Services have follow up documentation to the referral offered in the clients primary record. The PBS should reviewthe original application to ensure there are no changes and proceed to determine eligibility. 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. HRSA/HAB Division of State HIV/AIDS Programs National Monitoring Standards Program Part B April, 2013, p. 13-15. Help Stop Medi-Cal Fraud and Abuse PBS determines financial eligibility by comparing the client's income, resources and circumstances to program criteria. Department-designated social service staff: Assess the client's functional eligibility for institutional care. The hospice provideris required to submit this form within 5 business days of a hospice election on all active and pending Medicaidcases. Provide the PBS staff with the following information: Residential facility name and address, including room number, if applicable. | 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. Espaol Progress notes will then be entered into the client record within 14 working days. Back to DSH main webpage. For ABD, SSI-related Washington Apple Health programs: This process applies toSSI-related programs only MAGI-based clients are not eligible for HCBwaiver. Transitional social services should NOT exceed 180 days. | Careers | The PBS also determines maximum client responsibility. When information is verified using an electronic source (such as BENDEX, AVS, etc.). You may receive help filing an application. A simple and sleek portal for staff. Concise - Documentation is subject to public review. A request for service may not generate a referral. Case Closure Summary: Clients who are no longer in need of assistance through Referral for Health Care and Support Services must have their cases closed with a case closure summary narrative documented in the client primary record. Use the original eligibility review date to open institutional coverage. p9,u eV)Pp6B*Rk[g8=g S,8!ciLu`A^2 ntw]0+ *mhX1M[zQ=~yOF594 Y8-xf[rt(>zc|C1>4o ?|aBq}D.2L3jI>&,OXOG79Z5:%A PK ! Assist clients in making informed decisions on choices of available service providers and resources. | 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. 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. 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? Explain the Medicare Savings Program (MSP). / % [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\ The LTSS authorization date, which is described in WAC, If there is a transfer penalty as described in WAC. Your Washington apple health (WAH) coverage starts on the first day of the month you applied for and we decided you are eligible to receive coverage, unless one of the exceptions in subsection (4) of this section applies to you. Provide advocacy to clients with a clear understanding of community services and support available for their situations. Good cause for a delay in processing the application exists when we acted as promptly as possible but: The delay was the result of an emergency beyond our control; The delay was the result of needing more information or documents that could not be readily obtained; You did not give us the information within the time frame specified in subsection (1) of this section. Purpose: Communication to social services intake regarding an individual requesting a functional assessment for long-term services and supports (LTSS). Clearly indicate this is a projection and the financial application is in process. FAX to: 1-855-635-8305. 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. Professional care is the provision of services in the home by licensed providers for mental health, development health care, and/or rehabilitation services. Update a good cause code when changing a program from an SSI-related assistance unit (AU) to an LTSS AU to prevent the case from being incorrectly reported as a new application. Explain what changes of circumstances need to be reported. Intake Coordinator. 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. A copy of the police report is sufficient, if applicable. Accessed on October 12, 2020. For calculating time limits, "day one" is the day we get an application from you that includes at least the information described in WAC. An interview with the applicant or authorized representative is required to determine eligibility for institutional, HCB waiver services, or TSOA services. The DSHS consent form is preferred as it is used for all programs including medical, food and cash. PDF HCS Intake and Referral - Washington DOCX Intake and Referral - Manuals.dshs.wa.gov IHSS Service Desk for Providers & Recipients, (866) 376-7066, Suspect Fraud? 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. Ensure what you document accurately describes what happened with the case. 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. The following are County IHSS program websites. 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 . PDF Department of Social and Health Services Community Services Division $[53j(,U+/6-FBR[lvn! }k}HG4"jhznn'XwB$\HODuDX7o u'8>@)OLA@"yoTP8nd lAO Ensure that service for clients will be provided in cooperation and in collaboration with other agency services and other community HIV service providers to avoid duplication of efforts and encouraging client access to integrated health care. We send you a written notice explaining why we denied your application (per chapter. Any assaults, verbal or physical, must be reported to the monitoring entity within one (1) business day and followed by a written report. Ask about other resources not declared on the application. Ensure an Asset Verification System (AVS) Authorization is on file, and if not, follow these procedures. The hospital requires you to stay overnight. | | If you reside in an institution of mental diseases (as defined in WAC. California Department of State Hospitals Have you received Accurintand/or AVS results and reviewed the assets reported? | Conditions of Use You are subject to asset verification and do not provide authorization as described in WAC 182-503-0055. An overpayment isn't established. Telehealth and Telemedicine is an alternative modality to provide most Ryan White Part B and State Services funded services. 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. Privacy Policy | Appendix 2 to Attachment 4.19-A. 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. 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. The application process begins and the application date is established when the request for benefits is received. You are the primary applicant on an application if you complete and sign the application on behalf of your household. Determine the client's financial eligibility for LTSSmedicaid and/or noninstitutional medical assistance including a request for retro medical if needed. PO Box 45826 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. Center for Medicare and Medicaid Services (CMS) requires an annual review at least once a year for categorically needy (CN) Medicaid. | Contact Us TK6_ PK ! Applications for LTSS may be submitted using any of the following methods: Mailing or faxing documents to Home and Community Services (HCS), Mail to: | Percentage of eligible clients with documented evidence of the follow-up and result(s) to a completed benefit application in the primary client record. Olympia WA 98504-5826; or 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? ALTSA Phone Numbers - Washington Include Remarks to reconcile any discrepancies, or important information not otherwise captured, including required questions left blank on the application or eligibility review form. Provide feedback on your experience with DSHS facilities, staff, communication, and services. We do not delay a decision by using the time limits in this section as a waiting period. catholic community services hen program. 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. Call the HCS intake line in the area in which you reside to schedule an assessment. Por favor, responda a esta breve encuesta. . See "How to request an LTSS assessment" below. A referral Client transfers services to another service program. | Please report broken links or content problems. If you disagree with our decision, you can ask for a hearing. 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. !H!/tG|B^%=z+]F!lExBa0$ General open-ended questions about resources and income should also be asked. Home and Community-Based Health Services Standards print version. Questions to consider when making aFast Track recommendation: Social services cant begin Fast Track until a CAREassessment is completed. Medicaid eligibility begins, the first day of the month the client is eligible for LTSS. N _rels/.rels ( j0@QN/c[ILj]aGzsFu]U ^[x 1xpf#I)Y*Di")c$qU~31jH[{=E~ DSHS 14-532 Authorized representative release of information. Ask about any transfers, gifts, or property sales during the 5-year look back and the circumstances of why they were made. 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). The ALJ does not consider the previous absence of information or failure to respond in determining if you are eligible. 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. 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)). Percentage of clients with documented evidence of a discharge plan developed with client, as applicable, as indicated in the clients primary record. Family members and other representatives are often just learning about the client's income and resources when they apply. Applicant Information 1. 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. 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. Provide feedback on your experience with DSHS facilities, staff, communication, and services. Clients should be educated about and assisted with accessing and securing all available public and private benefits and entitlement programs.
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