dshs home and community services intake and 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. When using Collateral Contact (CC) or Other (OT) valid value, document the details of how it was verified. 12/1/2022 2:44 PM. APPLICANT'S MAILING ADDRESS (IF DIFFERENT)CITYSTATEZIP CODE 7. Home and Community-Based Health Services include the following: 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 professionals. DSHS 14-532 Authorized representative release of information. Clients receiving services during the Fast Track period won't receive a medical services card until financial eligibility is established. Summarize what verification is needed to complete the application and send a request for information letter. The interview can be conducted in person or by phone. Job in Fresno - Fresno County - CA California - USA , 93650. IHSS Fraud Hotline: 888-717-8302 When applicable, the client home or current residence is determined to not be physically safe (if not residing in a community facility) and/or appropriate for the provision ofHome and Community-Based Health Services as determined by the agency. If the NF admission is on a weekend or holiday, the NF has until the first business day to report the admission. Services include: Inpatient hospitals, nursing homes, and other long-term care facilities are not considered an integrated setting for the purposes of providing Home and Community-Based Health Services. Agency no longer meets the level of care required by the client. There is good information on the Washington LawHelp site that explains the timing of an LTSSapplication. RW Providers must use a telehealth vendor that provides assurances to protect ePHI that includes the vendor signing a business associate agreement (BAA). Explain the Medicare Savings Program (MSP). Help Stop Medi-Cal Fraud and Abuse \{#+zQh=JD ld$Y39?>}'C#_4$ Refer the client tosocialservicesfor a care assessment if the client contacts the PBSfirst and document the date the client first requested NF care. Functional eligibility for DDA is determined prior to the submission of a financial application. Explain to the applicant that there is a Public Benefits Specialist (PBS) and a social service manager making determinations concurrently for LTSS eligibility. Did you receive verification of resources with the application? Authorize in ACES for in-home or residential HCB waiver if the client is both functionally and financially eligible. Intake Coordinator. | 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. DSHS HCS Intake and . 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. (PDF) Accessed on October 12, 2020. What is HCS (PDF in English) What is HCS (PDF in Spanish) Provider Communications All AAs and subrecipients must establish culturally and linguistically appropriate goals, policies, and management accountability, and infuse them throughout the organizations planning and operations. Give a projected client responsibility amount to the caseworker using the LTSS referral 07-104. LTSS can begin once a client is found financially and functionally eligible and an approved provider is in place. Purpose: Communication to social services intake regarding an individual requesting a functional assessment for long-term services and supports (LTSS). Stick to the facts relevant to determining eligibility or benefit level. / % [Content_Types].xml ( N0EHC-j\X $@b/=>"RRQ{c%3X@LCV^i7 Sx[Ab7*@*HRf$g`E*} G;V )B~)K0{j17X$)+n7u9bf}^&i/52\ Applications for clients under age 65 or ineligible for Medicare should be submitted through this site and will have a real-time determination of Washington Apple Health medical coverage eligibility under the modified adjusted gross income (MAGI) methodology. To complete an application for apple health, you must also give us all of the other information requested on the application. N _rels/.rels ( j0@QN/c[ILj]aGzsFu]U ^[x 1xpf#I)Y*Di")c$qU~31jH[{=E~ Authorize payment for NF care if the client is both functionally and financially eligible. Client relocates out of the service delivery area. Por favor, responda a esta breve encuesta. 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. Is the client single or married, and which resource standard is being used to make a recommendation. Listed on 2023-03-03. A full-featured portal for all users. L2 Home and Community Services - LTSS Fax form to the Home and Community Services office in your region for intake. Lite. Use Equal Access - Necessary Supplemental Accommodation (NSA) and long-term services and supports policies for LTSS applicants and recipients. The hospital requires you to stay overnight. Sometimes we can start your coverage up to three months before the month you applied (see WAC, If you are confined or incarcerated as described in WAC, You are hospitalized during your confinement; and. PK ! Your WAH coverage may not begin on the first day of the month if: Subsection (3) of this section applies to you. 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. DSH Replacement State Plan Amendment 16-010. Interfaith Works Homeless Services: www.iwshelter.org. Screen all clients to determine potential for HCB services. 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. If the client isn't financially eligible, notify social services. 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. Referral for Health Care and Support Services Service Standard print version. Applications for LTSS may be submitted using any of the following methods: Mailing or faxing documents to Home and Community Services (HCS), Mail to: Provide PBSstaff with the following information: Whether the client meets nursing facility level of care (NFLOC). Social services will state fund Fast Track services when the client isn't financially eligible during the fast track period. f?3-]T2j),l0/%b Repaying the state for medical and long-term services and supports, DSHS 14-501 Community resource declaration (used to evaluate resources (assets) for an applicant and their spouse based on date of institutionalization. If the 13-746 is not received timely, count back 5 businessdays from the date of receipt to determine the authorization date. Mienh waac Explain what changes of circumstances need to be reported. If there are previous versions of this rule, they can be found using the Legislative Search page. HRSA/HAB Division of Metropolitan HIV/AIDS Programs Program Monitoring Standards Part A April 2013. p. 43-44. Tacoma, WA 98418. z, /|f\Z?6!Y_o]A PK ! 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 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. 08/2017) Page 1 of 2 / Intake and Referral form for Social Services. REGION 1 - Pend Oreille, Stevens, Ferry Okanagan, Chelan, Douglas, Grant, Lincoln, Spokane, Adams, Whitman, Klickitat, Kittitas, . Training and social services development, delivery and evaluations; budget setting; and relationship cultivation. 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. Hmoob 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. | You are the primary applicant on an application if you complete and sign the application on behalf of your household. For calculating time limits, "day one" is the day we get an application from you that includes at least the information described in WAC. 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. 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. Por favor, responda a esta breve encuesta. | word/document.xml\n8}_`u-c t?mk[X`aKHJ|Mf2DUSU~~=DX~PJ6u`r]u+K(q` Qy'AD5}]qT"{J|}]6+t. Apply in-person at a local Home & Community Services office. HRSA/HAB Division of State HIV/AIDS Programs National Monitoring Standards Program Part B April, 2013, p. 13-15. Clearly indicate this is a projection and the financial application is in process. Questions to consider when making aFast Track recommendation: Social services cant begin Fast Track until a CAREassessment is completed. As the primary applicant or head of household, you may start an application for apple health by providing your: Physical address, and mailing addresses (if different). HRSA/HAB Division of State HIV/AIDS Programs National Monitoring Standards Program Part B April 2013. p. 42-43. 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 . Give your local county office your updated contact information so you can stay enrolled. Issue the award letter to the applicant/recipient. Behavioral health services for American Indians & Alaska Natives (AI/AN) Recovery support services What is recovery support? If you have questions about submitting the form please contact your regional office at the number below. 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. Accessed on October 12, 2020. What resources is the client reporting on the application or past applications? Provide advocacy to clients with a clear understanding of community services and support available for their situations. For long-term services and supports coverage such as nursing home care, in-home personal care, assisted living facility, adult family home programs, and TSOA Mail your application to: DSHS Home and Community Services PO Box 45826, Olympia, WA 98504-5826 Questions? f?3-]T2j),l0/%b Lead and manage training development . 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. Percentage of clients with documented evidence of a comprehensive evaluation completed by the Home and Community-Based Health Agency Provider in the clients primary record. CONTACT(S): Rachelle Ames, HCS Program Manager 360-725-2353 amesrl@dshs.wa.gov Staff will follow up within 10 business days of a referral provided to support services to ensure the client accessed the service. 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. 1-(800)-722-0432, Copyright 2023 California Department of Social Services. Wage Range: $40.76-$75.17 per hour plus per diem rate. 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. 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. Listing for: Denham Resources. Caring at Home Respite, In-home Services, Skills, Caregiver Help, Kinship Caregiving, Services, Conferences Provider Fraud and Elder Abuse complaint line: The PBS may waive the interview requirement. 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. Denos su opinin sobre sus experiencias con las instalaciones, el personal, la comunicacin y los servicios del DSHS. 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. 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. Call the DSHScommunity services customer service contact center number listed on the medicaidapplication form. Coordinate with other agencies in planning and linking clients to referral services (for example: legal, medical, social services, financial, and/or housing). For non-urgent mental health services, please contact your county mental health department . IHSS Timesheet Issues/Questions: Cases without a delay reason code or updated with "No Good Cause (NG)" to the DSHS secretary. 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. If you do not have software that can open these files, you may download a free file viewer . 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.