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Disproportionate Share Hospital (DSH) Program - California (link is external) 360-709-9725. DSHS HCS Intake and . Lead and manage training development . Applications for LTSS may be submitted using any of the following methods: Mailing or faxing documents to Home and Community Services (HCS), Mail to: Demonstrate the reasonableness of decisions. These are the forms used in the application process for LTSS. 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. 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. DSHS 10-570 ( REV. Is the client single or married, and which resource standard is being used to make a recommendation. If you do not have software that can open these files, you may download a free file viewer . Ask if there are unpaid medical expenses and request verification if medical expenses exist. J(_ @# word/_rels/document.xml.rels ( Yo6~!0I'n:Ylw-RI"IV. 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. / % [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\ Ting Vit, About Us When using Collateral Contact (CC) or Other (OT) valid value, document the details of how it was verified. Services focus on assisting clients entry into and movement through the care service delivery network such that RWHAP and/or State Services funds are payer of last resort. A good cause code must be used when finalizing any medical(AU) historically beyond 45 days. Caring at Home Respite, In-home Services, Skills, Caregiver Help, Kinship Caregiving, Services, Conferences Assess the client's functional eligibility for in home or residential care. 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. $41 to $75 Hourly. AGING AND LONG-TERM SUPPORT ADMINISTRATION (ALTSA) HOME AND COMMUNITY SERVICES (HCS) GOVERNOR'S OPPORTUNITY FOR SUPPORTIVE HOUSING (GOSH) GOSH Referral DATE HCS / AAA Case Manager (CM) to send completely filled-out Referral form, with all documents attached, toRegional GOSH PM. Percentage of clients with documented evidence of assistance provided to access health insurance or Marketplace plans in the primary client record. Welcome to CareWare - California Caregiver Support Find out about caregiver support. (Source: DSHS Policy591.00 Limitations on Ryan White and State Service Funds for Incarcerated Persons in Community Facilities, Section 5.3). 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. 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. 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. HRSA/HAB Division of Metropolitan HIV/AIDS Programs Program Monitoring Standards Part A April 2013. p. 43-44. Social services will state fund Fast Track services when the client isn't financially eligible during the fast track period. RN Referral Intake Nurse Hospice and Home Health The application process begins and the application date is established when the request for benefits is received. Examples are the SSI or SSI-related programs or Apple Health for Workers with Disabilities (HWD). 53 Community jobs available in Halford, WA on Indeed.com. Case management that links a soon-to-be-released inmate with primary care is an example of appropriate transitional social services. | Refer the client tosocialservicesfor a care assessment if the client contacts the PBSfirst and document the date the client first requested NF care. Lite. 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. Determine the client's financial eligibility for LTSSand noninstitutional medical assistance including 3 months retroactive medical coverage if financially eligible. Issue the award letter to the applicant/recipient. | NOTE: If an 18-005 is received on an active MAGI case and the client is in a NF or Hospice care center, no action is needed by the PBS. DOCX STATE OF WASHINGTON - Home | WA.gov 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. Referrals for health care and support services provided by outpatient/ambulatory health care professionals should be reported under Outpatient/Ambulatory Health Services (OAHS) category. TK6_ PK ! Day one is the date the application was received. HRSA/HAB Division of Metropolitan HIV/AIDS Programs Program Monitoring Standards Part A April 2013, p. 14-16. For medicaid recipients, the first date DSHS was notified of the admission by the nursing facility. 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 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. (PDF) Accessed October 12, 2020. Case actions and why the actions were taken, and. 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. Percentage of clients with documented evidence, as applicable, of a transfer plan developed and documented with referral to an appropriate service provider agency as indicated in the clients primary record. 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. L2 | Conditions of Use Review excess home equity, annuity and transfer of resource provisions that are specific to institutional and home and community-based (HCB) waivers. There is good information on the Washington LawHelp site that explains the timing of an LTSSapplication. | 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. Complete - The documentation must support the eligibility decision and allow a reviewer to determine what was done and why. Intake and Referral - DocsLib z, /|f\Z?6!Y_o]A PK ! Need Mental Health Services? Statements made by the client and/or their representative. DSH Program State Plan Amendment 14-008. 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 . DOCX Social Service Intake - Washington If you disagree with our decision, you can ask for a hearing. 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. Disproportionate Share Hospital Program Eligibility. Has your contact information changed in 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. 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. 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. To complete an application for apple health, you must also give us all of the other information requested on the application. Provider Fraud and Elder Abuse complaint line: Staff will follow up within 10 business days of a referral provided to support services to ensure the client accessed the service. 08/2017) Page 1 of 2 / Intake and Referral form for Social Services. 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. 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 ! Shannon Rawlings, LICSW - DSHS WSH Civil Social Work Manager - LinkedIn f?3-]T2j),l0/%b When information is verified using an electronic source (such as BENDEX, AVS, etc.). Use Remarks to document information specific to the ACES page: Follow these principles when documenting: Document standard of promptness for all medical applications pending more than45 days: There are two start dates for LTSS, the medicaid eligibility date and the LTSSstart date: If an applicant has withdrawn their request for medical benefits and then decides they want to pursue the application, we will redetermine eligibility for benefits without a new application as long as the client has notified the department within 30 days of the withdrawal. 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. Consistent - Explain how conflicts or inconsistencies of information were addressed. DOCX Governor's Opportunity for Supportive Housing (GOSH) Referral For medicaid recipients, institutional services are approved based on the first date the admission is known to DSHS as long as the client meets all other eligibility factors. 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 State Plan Amendments. The agency has attempted to complete an initial assessment and the referred client has been away from home on three occasions. Job specializations: Social Work. Use the original eligibility review date to open institutional coverage. PK ! The following Standards and Measures are guides to improving health outcomes for people living with HIV throughout the State of Texas within the Ryan White Part B and State Services Program. BIRTH DATE 4. (PDF) Accessed on October 12, 2020. The agency must document the situation in writing and immediately contact the client's primary medical care provider. HRSA/HAB Ryan White Program & Grants Management, Recipient Resources. Progress notes will then be entered into the client record within 14 working days. Determine the client's financial eligibility for LTSSmedicaid and/or noninstitutional medical assistance including a request for retro medical if needed. HRhk\ X?Nk; $-Yqiy*KB&I4"@W>eGI'tHaOBhVPRQq[^BJ] Call the DSHScommunity services customer service contact center number listed on the medicaidapplication form. You may apply for Washington apple health at any time. | Careers DOCX STATE OF WASHINGTON - Home | WA.gov Open-ended questions often reveal that additional sources of income and assets may exist. SSI recipients who need institutional services, or HCB waiver, must complete and sign an application, or the. 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. Welcome to CareWarePlease select your portal type. 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. 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 . The LTSSstart date for nursing facility services on an active medicaid recipient is based on the first date the admission is reported to DSHS as long as the client meets all other eligibility factors. APPLICANT'S MAILING ADDRESS (IF DIFFERENT)CITYSTATEZIP CODE 7. Explain participation and room and board, how the amount is determined, and that it must be paid to the provider. This is a reprint of the official rule as published by the Office of the Code Reviser. You may receive help filing an application. An ongoing permanent history of actions and decisions made; A support of eligibility, ineligibility and benefit determination; Credibility for decisions when used as evidence in legal matters; A trail for reviewers to determine the accuracy of the benefits issued. Coordinate with other agencies in planning and linking clients to referral services (for example: legal, medical, social services, financial, and/or housing). Denos su opinin sobre sus experiencias con las instalaciones, el personal, la comunicacin y los servicios del DSHS. f?3-]T2j),l0/%b N _rels/.rels ( j0@QN/c[ILj]aGzsFu]U ^[x 1xpf#I)Y*Di")c$qU~31jH[{=E~ DOCX Intake and Referral - Manuals.dshs.wa.gov Home and Community Services - LTSS 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. Authorize in ACES for in-home or residential HCB waiver if the client is both functionally and financially eligible. Espaol Functional eligibility for DDA is determined prior to the submission of a financial application. PDF Department of Social and Health Services Community Services Division Ryan White Providers using telehealth must also follow DSHS HIV Care Services guidelines for telehealth and telemedicine outlined in DSHS Telemedicine Guidance. The agency must document the situation in writing and contact the referring primary medical care provider. Provide PBSstaff with the following information: Whether the client meets nursing facility level of care (NFLOC). Ryan White Providers using telehealth must also follow DSHS HIV Care Services guidelines for telehealth and telemedicine outlined in DSHS Telemedicine Guidance. 7wfQCfjS If the client isn't financially eligible, notify social services. 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). If we denied your application because we do nothave enough information, the ALJ will consider the information we already have and any more information you give us. 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. Referral for Health Care and Support Services Service Standard print version. If the client is unable to complete the interview due to a medical condition or because no one is available to assist the client. Note: Servicescan't be backdated prior to the date of the authorization until the date that financial eligibility is established. Full. Exception is N21/N25 AEM MAGI. To find an HCS office near you, use the. Homeless Housing Hotline: 844-628-7343 - Call to connect with homeless services in Thurston County and get referrals to shelter and housing options. All AAs and subrecipients must establish culturally and linguistically appropriate goals, policies, and management accountability, and infuse them throughout the organizations planning and operations. Conduct a follow-up within 90 days of completed application to determine if additional and/or ongoing needs are present. Care plan is updated at least every sixty (60) calendar days. | GENDER Male Female 3. Ask about other medical coverage. Current assessment and needs of the client, including activities of daily living needs (personal hygiene care, basic assistance with cleaning, and cooking activities), Need forHome and Community-Based Health Services, Types, quantity, and length of time services are to be provided. Por favor, responda a esta breve encuesta. Concise - Documentation is subject to public review. We will allow you more time if you ask for more time or need an accommodation due to disability or limited-English proficiency. Provide feedback on your experience with DSHS facilities, staff, communication, and services. When working on a case that has ACES Equal Access (EA) requirements: If changing ACES EA requirements, clearly document the reason. Dont open a case in ACES until you have everything needed to establish financial eligibility. 6 [Content_Types].xml ( KO0#5.,5ec H0[i ~NhMsg[3xxw;) 'nY?7H(;1{H] Home. By calling the Washington Healthplanfindercustomer support center and completing an application by telephone; By completing the application for health care coverage (.