The following are County IHSS program websites. Percentage of clients with documented evidence of referrals provided to any support services that had follow-up documentation within 10 business days of the referral in the primary client record. HRSA/HAB Division of Metropolitan HIV/AIDS Programs Program Monitoring Standards Part A April 2013. p. 43-44. Clients receiving services during the Fast Track period won't receive a medical services card until financial eligibility is established. What resources is the client reporting on the application or past applications? Explain Estate Recovery and mail the Estate Recovery fact sheet. SOCIAL SECURITY NUMBER 5. Ask about other resources not declared on the application. Family members and other representatives are often just learning about the client's income and resources when they apply. Ask if any of these bills were incurred within the last 3 months. Intake Coordinator. HOME > ben faulkner child actor Uncategorized > Uncategorized. Home and Community Services - LTSS Open-ended questions often reveal that additional sources of income and assets may exist. Client transfers services to another service program. 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. | Contact Us A full-featured portal for all users. If the client is likely to attain institutional status. Referral for Health Care and Support Services includes benefits/entitlement counseling and referral to health care services to assist eligible clients to obtain access to other public and private programs for which they may be eligible. Encourage the applicant to gather documents as soon as possible to expedite the process. 6. HRSA Ryan White HIV/AIDS Program Services: Eligible Individuals & Allowable Uses of Funds Policy Clarification Notice (PCN) #16-02(Revised 10/22/2018) Accessed on October 16, 2020. A referral 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. Provide the PBS staff with the following information: Residential facility name and address, including room number, if applicable. 7wfQCfjS 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. Case management that links a soon-to-be-released inmate with primary care is an example of appropriate transitional social services. 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. 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. Request verification of transfers, gifts or property sales, if applicable. Ensure an Asset Verification System (AVS) Authorization is on file, and if not, follow these procedures. We determine eligibility as quickly as possible and respond promptly to applications and information received. Dont open a case in ACES until you have everything needed to establish financial eligibility. Concise - Documentation is subject to public review. 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. If the applicant is eligible for an MSP based on income and resource guidelines and all information is received to determine eligibility for MSP, don't hold up processing this program while the LTSS medical is pending. Fax form to the Home and Community Services office in your region for intake. HRSA/HAB Ryan White Program & Grants Management, Recipient Resources. For jobs with more than one level, the posted range reflects the minimum of the lowest level and the maximum of the highest level. Behavioral health services for American Indians & Alaska Natives (AI/AN) Recovery support services What is recovery support? | Careers The PBS should reviewthe original application to ensure there are no changes and proceed to determine eligibility. 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. 1s At a department of social and health services (DSHS) community services office (CSO). 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.. Clients should be educated about and assisted with accessing and securing all available public and private benefits and entitlement programs. 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). Provide advocacy to clients with a clear understanding of community services and support available for their situations. Por favor, responda a esta breve encuesta. Acronyms utilized should be DSHS/HCA approved. The modified adjusted gross income (MAGI)-based apple healthapplication process using Washington Healthplanfinder may provide faster or real-time determination of eligibility for medicaid. Wage Range: $40.76-$75.17 per hour plus per diem rate. The interview can be conducted in person or by phone. Use the original eligibility review date to open institutional coverage. z, /|f\Z?6!Y_o]A PK ! f?3-]T2j),l0/%b For households containing people described in subsection (2) of this section: Call the Washington Healthplanfindercustomer support center number listed on the application for health care coverage form (. Review excess home equity, annuity and transfer of resource provisions that are specific to institutional and home and community-based (HCB) waivers. Authorize in ACES for in-home or residential HCB waiver if the client is both functionally and financially eligible. Summarize what verification is needed to complete the application and send a request for information letter. Per Diem. A request for service s is any request that comes to HCS regardless of source or eligibility. Give your local county office your updated contact information so you can stay enrolled. Ask if there are unpaid medical expenses and request verification if medical expenses exist. 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. f?3-]T2j),l0/%b Coordinate with other agencies in planning and linking clients to referral services (for example: legal, medical, social services, financial, and/or housing). The PBS also determines maximum client responsibility. The HCS case manager coordinates andconsults withthe PBS to see if Fast Track is appropriate. The application process begins and the application date is established when the request for benefits is received. DSH Replacement State Plan Amendment 16-010. 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 of assistance provided to access health insurance or Marketplace plans in the primary client record. HRhk\ X?Nk; $-Yqiy*KB&I4"@W>eGI'tHaOBhVPRQq[^BJ] 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. Ensure AVS procedures are followed. If the client is unable to complete the interview due to a medical condition or because no one is available to assist the client. 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. Espaol Privacy Policy For Hospice as a medicaidprogram, the hospice authorization date is based on the receipt of the 13-746 (HCA/medicaid Hospice notification). | Conditions of Use The agency may discontinue services or refuse the client for as long as the threat is ongoing. 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. 253-798-4400 Monday - Friday | 8 a.m. - 4:30 p.m. Main Office . TK6_ PK ! Note: Servicescan't be backdated prior to the date of the authorization until the date that financial eligibility is established. You are the primary applicant on an application if you complete and sign the application on behalf of your household. Include Remarks to reconcile any discrepancies, or important information not otherwise captured, including required questions left blank on the application or eligibility review form. 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. PO Box 45826 the past two years? 1-(800)-722-0432, Copyright 2023 California Department of Social Services. The LTSS authorization date, which is described in WAC, If there is a transfer penalty as described in WAC. | 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. Por favor, responda a esta breve encuesta. 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). 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. Assist clients in making informed decisions on choices of available service providers and resources. A supervisor must sign the case closure summary. Examples are the SSI or SSI-related programs or Apple Health for Workers with Disabilities (HWD). Explain what changes of circumstances need to be reported. To find an HCS office near you, use the. Call the HCS intake line in the area in which you reside to schedule an assessment. Functional eligibility for DDA is determined prior to the submission of a financial application. The authorization can't be backdated for HCB waiver, CFC, or MPC unless socialservices has fast-tracked services and the client is subsequently found financially eligible. | 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. 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. Demonstrate the reasonableness of decisions. Mienh waac 3602 Pacific Ave., Suite 200 . L2 Assessment of client's access to primary care, Need for nursing, caregiver, or rehabilitation services. 53 Community jobs available in Halford, WA on Indeed.com. Welcome to CareWarePlease select your portal type. 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 ! 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. Issue the NF award letter to the applicant/recipient and the nursing facility. The ALJ does not consider the previous absence of information or failure to respond in determining if you are eligible. For non-urgent mental health services, please contact your county mental health department . The LTSSstartdate is the date the client is both financially and functionally eligible. Funds cannot be used to duplicate referral services provided through other service categories. Conduct prevention activities as outlined in the DSHS . Explain the medical service card, automatic Medicare D enrollment if not on a creditable coverage or Medicare D Prescription Drug Plan. | Please reference the HRSA Program Guidance above. Appendix 2 to Attachment 4.19-A. Department-designated social service staff: Assess the client's functional eligibility for institutional care. Explain the Medicare Savings Program (MSP). You are subject to asset verification and do not provide authorization as described in WAC 182-503-0055. LTSS can begin once a client is found financially and functionally eligible and an approved provider is in place. The DSHS consent form is preferred as it is used for all programs including medical, food and cash. Stick to the facts relevant to determining eligibility or benefit level. The agency has attempted to complete an initial assessment and the referred client has been away from home on three occasions. 08/2017) Page 1 of 2 / Intake and Referral form for Social Services. Staff will follow-up within 10 business days of a referral provided to HIA to determine if the client accessed HIA services. RW Providers must use a telehealth vendor that provides assurances to protect ePHI that includes the vendor signing a business associate agreement (BAA).
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