Clients receiving services during the Fast Track period won't receive a medical services card until financial eligibility is established. HIV Medical and Support Service Categories, Research, Funding, & Educational Resources. 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. 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. 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. 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: 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. 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. Cases without a delay reason code or updated with "No Good Cause (NG)" to the DSHS secretary. Training and social services development, delivery and evaluations; budget setting; and relationship cultivation. 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. $41 to $75 Hourly. DSHS forms, including translations are found on the DSHS forms website. SSI recipients who need institutional services, or HCB waiver, must complete and sign an application, or the. SOCIAL SECURITY NUMBER 5. 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. 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. 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. Consistent - Explain how conflicts or inconsistencies of information were addressed. Please take this short survey. Caring at Home Respite, In-home Services, Skills, Caregiver Help, Kinship Caregiving, Services, Conferences 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. How do I notify PEBB that my loved one has passed away? Provide feedback on your experience with DSHS facilities, staff, communication, and services. Tacoma, WA 98418. What resources is the client reporting on the application or past applications? 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. When using Collateral Contact (CC) or Other (OT) valid value, document the details of how it was verified. How do I notify SEBB that my loved one has passed away? 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. A good cause code must be used when finalizing any medical(AU) historically beyond 45 days. 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. Note: The HCA 80-020 Authorization for Release of Information is for medical benefits under Health Care Authority and will be accepted as a release of information for all medical programs including LTSSprograms. Services may be authorized using Fast Track for a maximum of 90 days. catholic community services hen program. PK ! TK6_ PK ! All AAs and subrecipients must establish culturally and linguistically appropriate goals, policies, and management accountability, and infuse them throughout the organizations planning and operations. 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. 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. 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. To apply for tailored supports for older adults (TSOA), see WAC. 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. Shannon Rawlings, LICSW - DSHS WSH Civil Social Work Manager - LinkedIn For HCS clients, both functional and financial eligibility are determined concurrently. 0 6 /20 20 INSTRUCTIONS HOME AND COMMUNITY SERVICES Intake and Referral DATE Section 1. Home and Community Services - LTSS When working on a case that has ACES Equal Access (EA) requirements: If changing ACES EA requirements, clearly document the reason. DOCX Governor's Opportunity for Supportive Housing (GOSH) Referral HRSA/HAB Division of State HIV/AIDS Programs National Monitoring Standards Program Part B April, 2013, p. 13-15. Referral for Health Care and Support Services (RFHC) directs a client to needed core medical or support services in person or through telephone, written, or other type of communication. HRSA/HAB Ryan White Program & Grants Management, Recipient Resources. Disproportionate Share Hospital (DSH) Program - California The agency may discontinue services or refuse the client for as long as the threat is ongoing. Explain what changes of circumstances need to be reported. The LTSS authorization date, which is described in WAC, If there is a transfer penalty as described in WAC. (link is external) 360-709-9725. A copy of the police report is sufficient, if applicable. 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. Include Remarks to reconcile any discrepancies, or important information not otherwise captured, including required questions left blank on the application or eligibility review form. Day one is the date the application was received. Community Health Worker, Crisis Counselor. Explain the Medicare Savings Program (MSP). Percentage of clients with documented evidence of completed progress notes in the clients primary record. Benefits counseling: Services should facilitate a clients access to public/private health and disability benefits and programs. Transitional social services should NOT exceed 180 days. Posted wage ranges represent the entire range from minimum to maximum. For calculating time limits, "day one" is the day we get an application from you that includes at least the information described in WAC. Espaol Concise - Documentation is subject to public review. Listing for: Denham Resources. If the client isn't financially eligible, notify social services. County IHSS Offices - California Department of Social Services If you have questions about submitting the form please contact your regional office at the number below. 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. Did you receive verification of resources with the application? The interview can be conducted in person or by phone. 08/2017) Page 1 of 2 / Intake and Referral form for Social Services. PDF HOME SAFE PROGRAM SURVIVOR ADVOCATE - Wscadv.org Ensure AVS procedures are followed. INTAKE AND REFFERAL DSHS 10-570 (REV. Purpose: Communication to social services intake regarding an individual requesting a functional assessment for long-term services and supports (LTSS). 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. 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. 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). | 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. PDF Washington Apple Health Application 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. 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 z, /|f\Z?6!Y_o]A PK ! 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. Full. Summarize what verification is needed to complete the application and send a request for information letter. IHSS Service Desk for Providers & Recipients, (866) 376-7066, Suspect Fraud? Type of client interaction (phone, in-person, etc.). 1-(800)-722-0432, Copyright 2023 California Department of Social Services. DSH Program State Plan Amendment 14-008. 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.