Staff will follow-up within 10 business days of a referral provided to any core services to ensure the client accessed the service. 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. RW Providers must use a telehealth vendor that provides assurances to protect ePHI that includes the vendor signing a business associate agreement (BAA). DSH Program State Plan Amendment 14-008. 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. State Plan Amendments. You may receive help filing an application. 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? 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. Eligibility decisions made, or next steps. D@. (link is external) 360-709-9725. The LTSS authorization date, which is described in WAC, If there is a transfer penalty as described in WAC. The PBS should reviewthe original application to ensure there are no changes and proceed to determine eligibility. Main Office . You are subject to asset verification and do not provide authorization as described in WAC 182-503-0055. $[53j(,U+/6-FBR[lvn! }k}HG4"jhznn'XwB$\HODuDX7o u'8>@)OLA@"yoTP8nd lAO 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. z, /|f\Z?6!Y_o]A PK ! Clearly indicate this is a projection and the financial application is in process. Percentage of clients accessingHome and Community-Based Health Services have follow up documentation to the referral offered in the clients primary record. Ryan White Providers using telehealth must also follow DSHS HIV Care Services guidelines for telehealth and telemedicine outlined in DSHS Telemedicine Guidance. Homeless Housing Hotline: 844-628-7343 - Call to connect with homeless services in Thurston County and get referrals to shelter and housing options. We follow the rules about notices and letters in chapter. J(_ @# word/_rels/document.xml.rels ( Yo6~!0I'n:Ylw-RI"IV. 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. Appendix 2 to Attachment 4.19-A. Fast Track is a social serviceprocess that allows the authorization of LTSS prior to a financial eligibility determination. (PDF) Accessed on October 12, 2020. Coordinate with other agencies in planning and linking clients to referral services (for example: legal, medical, social services, financial, and/or housing). Refer the client tosocialservicesfor a care assessment if the client contacts the PBSfirst and document the date the client first requested NF care. f?3-]T2j),l0/%b | Questions to consider when making aFast Track recommendation: Social services cant begin Fast Track until a CAREassessment is completed. | If not already authorized, request authorization for AVS for the client and any applicable financially responsible people. | Please report broken links or content problems. CONTACT(S): Rachelle Ames, HCS Program Manager 360-725-2353 amesrl@dshs.wa.gov Job specializations: Social Work. Conduct prevention activities as outlined in the DSHS . | Accessibility Certification, 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. 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. Explain what changes of circumstances need to be reported. 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. Intake Coordinator. An overpayment isn't established. 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. Ask if there are unpaid medical expenses and request verification if medical expenses exist. Life, home, auto, AD&D, LTD, & FSA benefits, Overview of prior authorization (PA), claims & billing, Step-by-step guide for prior authorization (PA), Program benefit packages & scope of services, Community behavioral support (CBHS) services, First Steps (maternity support & infant care), Ground emergency medical transportation (GEMT), Home health care services: electronic visit verification, Substance use disorder (SUD) consent management guidance, Enroll as a health care professional practicing under a group or facility, Enroll as a billing agent or clearinghouse, Find next steps for new Medicaid providers, Washington Prescription Drug Program (WPDP), Governor's Indian Health Advisory Council, Analytics, research & measurement (ARM) data dashboard suite, Foundational Community Supports provider map, Medicaid maternal & child health measures, Washington State All Payer Claims Database (WA-APCD), Personal injury, casualty recoveries & special needs trusts, Information about novel coronavirus (COVID-19). PO Box 45826 Welcome to CareWarePlease select your portal type. COPES, for short, is a Washington State Medicaid (Apple Health) waiver program designed to enable individuals who require nursing home level care to receive that care in their home or alternative care environment, such as an assisted living residence. For non-urgent mental health services, please contact your county mental health department . PK ! 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. z, /|f\Z?6!Y_o]A PK ! Location: Wilton<br>Sign-on Bonus - $5,000<br><br>Provides mental health assessment, diagnosis, treatment and crisis intervention services for adult and/or child members who present themselves from psychiatric evaluation with a broad range of mental health needs. 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. 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. HRSA/HAB Division of State HIV/AIDS Programs National Monitoring Standards Program Part B April, 2013, p. 13-15. Funds cannot be used to duplicate referral services provided through other service categories. The hospice provideris required to submit this form within 5 business days of a hospice election on all active and pending Medicaidcases. Note: Servicescan't be backdated prior to the date of the authorization until the date that financial eligibility is established. 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. | 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. When using Collateral Contact (CC) or Other (OT) valid value, document the details of how it was verified. 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 0 6 /20 20 INSTRUCTIONS HOME AND COMMUNITY SERVICES Intake and Referral DATE Section 1. If the 13-746 is not received timely, count back 5 businessdays from the date of receipt to determine the authorization date. Back to DSH main webpage. 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. 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. To complete an application for apple health, you must also give us all of the other information requested on the application. A Master's degree in social services, human services, behavioral sciences, or an allied field, and one year as a Social Service Specialist 1 or equivalent paid social Service experience Lakewood, WA. Home and Community Services - LTSS N _rels/.rels ( j0@QN/c[ILj]aGzsFu]U ^[x 1xpf#I)Y*Di")c$qU~31jH[{=E~ 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. 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. 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. For calculating time limits, "day one" is the day we get an application from you that includes at least the information described in WAC. Listed on 2023-03-03. Consistently report referral and coordination updates to the multidisciplinary medical care team. Union Gospel Mission: www.ougm.org. For ABD, SSI-related Washington Apple Health programs: This process applies toSSI-related programs only MAGI-based clients are not eligible for HCBwaiver. Client relocates out of the service delivery area. 08/2017) Page 1 of 2 / Intake and Referral form for Social Services. 12/1/2022 2:44 PM. The agency may discontinue services or refuse the client for as long as the threat is ongoing. Complete - The documentation must support the eligibility decision and allow a reviewer to determine what was done and why. Applicant Information 1. 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. 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 forms, including translations are found on the DSHS forms website. 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. The agency has attempted to complete an initial assessment and the referred client has been away from home on three occasions. Clientsswitching from private pay to medicaid are advised to apply for benefits 30 to 45 days before being resource eligible for the program. IHSS Timesheet Issues/Questions: Ryan White Providers using telehealth must also follow DSHS HIV Care Services guidelines for telehealth and telemedicine outlined in DSHS Telemedicine Guidance. Home and Community-Based Health Providers work closely with the multidisciplinary care team that includes the client's case manager, primary care provider, and other appropriate health care . Wage Range: $40.76-$75.17 per hour plus per diem rate. Authorize in ACES for in-home or residential HCB waiver if the client is both functionally and financially eligible. HRSA/HAB Division of State HIV/AIDS Programs National Monitoring Standards Program Part B April 2013. p. 42-43. If you seek apple health coverage and are age sixty-five or older, have a disability, are blind, need assistance with medicarecosts, or seek coverage of long-term services and supports,you may apply: By completing the application for aged, blind, disabled/long term care coverage (, In person at a local DSHSCSO or home and community services (HCS) office; or. If we need more information to decide if you can get apple healthcoverage, we will send you a letter within twenty calendar days of your initial application that: States the additional information we need; and. Client transfers services to another service program. N _rels/.rels ( j0@QN/c[ILj]aGzsFu]U ^[x 1xpf#I)Y*Di")c$qU~31jH[{=E~ 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. A good cause code must be used when finalizing any medical(AU) historically beyond 45 days. For HCS clients, both functional and financial eligibility are determined concurrently. catholic community services hen program. 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. All AAs and subrecipients must establish culturally and linguistically appropriate goals, policies, and management accountability, and infuse them throughout the organizations planning and operations. 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 the financial and social service functional eligibility process. Allows at least ten calendar days to provide it. Jun 2014 - Mar 201510 months. The PBS may waive the interview requirement. In-home or residential services, call 800-780-7094 or 425-977-6579, FAX 425-339-4859, Nursing home services, call 800-780-7094, FAX 206-373-6855, In-home or residential services, call 206-341-7750, FAX 206-373-6855. adult daycare center) in accordance with a written, individualized plan of care established by a licensed physician. Explain Estate Recovery and mail the Estate Recovery fact sheet. Statements made by the client and/or their representative. DSH Replacement State Plan Amendment 16-010. Summarize the interview and items still needed to determine eligibility in the ACES narrative. We do not delay a decision by using the time limits in this section as a waiting period. You mayapply for apple health for another person if you are: An authorized representative (as described in WAC. Disproportionate Share Hospital Program Eligibility. INTAKE AND REFFERAL DSHS 10-570 (REV. 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. | SOCIAL SECURITY NUMBER 5. Policy Notices and Program Letters, 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), 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, Referral to health care/supportive services, Health Insurance Plans/Payment Options (CARE/, Pharmaceutical Patient Assistance Programs (PAPS). Your WAH coverage may not begin on the first day of the month if: Subsection (3) of this section applies to you. Referrals for health care and support services provided by outpatient/ambulatory health care professionals should be reported under Outpatient/Ambulatory Health Services (OAHS) category. 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. 53 Community jobs available in Halford, WA on Indeed.com. Conduct a follow-up within 90 days of completed application to determine if additional and/or ongoing needs are present. v}r'kFtr4Ng n [D!n'h}c l`0_ 85yaBAhFozyJ46_ERgsEc;,'K$zTzy[1 PK ! HIV Medical and Support Service Categories, Research, Funding, & Educational Resources. 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. 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. Lead and manage training development . Kirkland, WA. Cases without a delay reason code or updated with "No Good Cause (NG)" to the DSHS secretary. The application process begins and the application date is established when the request for benefits is received. For jobs with more than one level, the posted range reflects the minimum of the lowest level and the maximum of the highest level. DSHS HCS Intake and . 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. When working on a case that has ACES Equal Access (EA) requirements: If changing ACES EA requirements, clearly document the reason. Accessed on October 12, 2020. 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. These are the forms used in the application process for LTSS. How do I notify PEBB that my loved one has passed away? FAX to: 1-855-635-8305. Staff will follow-up within 10 business days of a referral provided to HIA to determine if the client accessed HIA services. !H!/tG|B^%=z+]F!lExBa0$ RWHAP Part B and State Services funds can be used to provide transitional social services to establish or re-establish linkages to the community. Ask about other resources not declared on the application. Fax form to the Home and Community Services office in your region for intake. 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. 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. The interview can be conducted in person or by phone. Are you enrolled in Medi-Cal? Information to determine clients ability to perform activities of daily living and the level of attendant care assistance the client needs to maintain living independently.

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