Give your local county office your updated contact information so you can stay enrolled. Provide the PBS staff with the following information: Residential facility name and address, including room number, if applicable. Explain participation and room and board, how the amount is determined, and that it must be paid to the provider. | 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. Percentage of eligible clients with documented evidence of the follow-up and result(s) to a completed benefit application in the primary client record. Staff will follow-up within 10 business days of a referral provided to HIA to determine if the client accessed HIA services. ,! 4 word/_rels/document.xml.rels ( VOo0Ow| :lRt[h{sK1u\+2 \\U\K>LLhb=MMr[B\^dk*)a#L!? You may apply for Washington apple health for yourself. N _rels/.rels ( j0@QN/c[ILj]aGzsFu]U ^[x 1xpf#I)Y*Di")c$qU~31jH[{=E~ $41 to $75 Hourly. Lakewood, WA. WAC 182-513-1350). Did you receive verification of resources with the application? Case Closure Summary: Clients who are no longer in need of assistance through Referral for Health Care and Support Services must have their cases closed with a case closure summary narrative documented in the client primary record. Accessed on October 12, 2020. | Document in ACES remarks, in detail, all eligibility factors discussed during the interview and included on the application. HRSA/HAB Division of Metropolitan HIV/AIDS Programs Program Monitoring Standards Part A April 2013, p. 14-16. An interview with the applicant or authorized representative is required to determine eligibility for institutional, HCB waiver services, or TSOA services. DSH Replacement State Plan Amendment 16-010. | Contact Us Family members and other representatives are often just learning about the client's income and resources when they apply. Please take this short survey. Provider Fraud and Elder Abuse complaint line: For in-home service applicants, discuss the food assistance program and inquire if the household would like to apply for food benefits. FAX to: 1-855-635-8305. The PBS may waive the interview requirement. The modified adjusted gross income (MAGI)-based apple healthapplication process using Washington Healthplanfinder may provide faster or real-time determination of eligibility for medicaid. Ask about other resources not declared on the application. TK6_ PK ! A simple and sleek portal for staff. Home and Community-Based Health Services Standards print version. (Source: DSHS Policy591.00 Limitations on Ryan White and State Service Funds for Incarcerated Persons in Community Facilities, Section 5.3). 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. | Conduct a follow-up within 90 days of completed application to determine if additional and/or ongoing needs are present. Include Remarks to reconcile any discrepancies, or important information not otherwise captured, including required questions left blank on the application or eligibility review form. d{ word/_rels/document.xml.rels ( VMo W87GJmziRokm:Kbi6P{3c33{Jp^MQKT %*|`3i4PwA'NX_D)BW<6t|XC{9qS4Yr-6M#jlHv$d@. V&ca\H>le?S9As<1CRYN]drRI/0!b Case actions and why the actions were taken, and. 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. 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. Authorize payment for NF care if the client is both functionally and financially eligible. A supervisor must sign the case closure summary. Hmoob 08/2017) Page 1 of 2 / Intake and Referral form for Social Services. 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. Determine if a housing maintenance allowance (HMA) is appropriate (current rule states HMA is the amount of the Federal Poverty Level). HRSA/HAB Division of Metropolitan HIV/AIDS Programs Program Monitoring Standards Part A April 2013. p. 43-44. 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. See "How to request an LTSS assessment" below. $[53j(,U+/6-FBR[lvn! }k}HG4"jhznn'XwB$\HODuDX7o u'8>@)OLA@"yoTP8nd lAO 3602 Pacific Ave., Suite 200 . Full. Percentage of clients with documented evidence of referrals provided to any core services that had follow-up documentation within 10 business days of the referral in the primary client record. 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. For Hospice as a medicaidprogram, the hospice authorization date is based on the receipt of the 13-746 (HCA/medicaid Hospice notification). All AAs and subrecipients must establish culturally and linguistically appropriate goals, policies, and management accountability, and infuse them throughout the organizations planning and operations. All AAs and subrecipients must establish culturally and linguistically appropriate goals, policies, and management accountability, and infuse them throughout the organizations planning and operations. These are the forms used in the application process for LTSS. 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 disagree with our decision, you can ask for a hearing. 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. Need Mental Health Services? Benefits counseling: Services should facilitate a clients access to public/private health and disability benefits and programs. DSHS 10-570 ( REV. Day one is the date the application was received. 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. Welcome to CareWarePlease select your portal type. :.U`:8H"Jtv&edPi\ZbNu]$#;w2F.v~u\E}:=~G gQDYQ2xe*rhB/Y>as1j{s2Zo3(\XIEfe687jdP|A2L(o5E".eYR?UUCWel6/,/`^jQ[. \{#+zQh=JD ld$Y39?>}'C#_4$ You may apply for Washington apple health at any time. Percentage of clients with documented evidence of completed progress notes in the clients primary record. Clearly indicate this is a projection and the financial application is in process. Department-designated social service staff: Assess the client's functional eligibility for institutional care. There is good information on the Washington LawHelp site that explains the timing of an LTSSapplication. Eligibility decisions made, or next steps. Ask if there are unpaid medical expenses and request verification if medical expenses exist. Assess the client's functional eligibility for in home or residential care. Progress notes will then be entered into the client record within 14 working days. 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. 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. 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. 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. L@5f)a>%X5.auU!1qV!h%SAg,U--`8F ydjz 8 'gF$v5q~~ enLr38uX*#XH)'#+Uabj8 ,]-r8| HuS.q"1,4>5H0 v!Nya" &~'iOJZG8eCvvJj(FMuT_j4f18#/SiO*i )nJE3 UXO+!h(G;:iYB0^,-x;p =8rkOS%Paa"gb-wSc%@/-|FJxD:`Au$yLt'2xi? Staff will follow-up within 10 business days of a referral provided to any core services to ensure the client accessed the service. (PDF) Accessed October 12, 2020. Determine the client's financial eligibility for LTSSand noninstitutional medical assistance including 3 months retroactive medical coverage if financially eligible. If you reside in an institution of mental diseases (as defined in WAC. How do I notify SEBB that my loved one has passed away? z, /|f\Z?6!Y_o]A PK ! When using Collateral Contact (CC) or Other (OT) valid value, document the details of how it was verified. | The agency must document the situation in writing and immediately contact the client's primary medical care provider. The interview can be conducted in person or by phone. 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. L2 HRSA/HAB Division of State HIV/AIDS Programs National Monitoring Standards Program Part B April, 2013, p. 13-15. Percentage of clients with documented evidence of a care plan completed based on the primary medical care providers order as indicated in the clients primary record. State Plan Amendments. 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: 6 [Content_Types].xml ( KO0#5.,5ec H0[i ~NhMsg[3xxw;) 'nY?7H(;1{H] The hospice provideris required to submit this form within 5 business days of a hospice election on all active and pending Medicaidcases. Percentage of clients with documented evidence of agency refusal of services with detail on refusal in the clients primary record AND if applicable, documented evidence that a referral is provided for another home or community-based health agency. The DSHS consent form is preferred as it is used for all programs including medical, food and cash. the past two years? xar *O.c H?Y+oaB]6y&$i8]U}EvH*%94F%[%A PK ! 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. Summarize what verification is needed to complete the application and send a request for information letter. 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. Ask about other medical coverage. A referral How do I notify PEBB that my loved one has passed away? 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. RWHAP Part B and State Services funds can be used to provide transitional social services to establish or re-establish linkages to the community. BIRTH DATE 4. Tagalog The interview requirement described in subsection (3) of this section may be waived if the applicant is unable to comply: Because the applicant does not have a family member or another individual that is able to conduct the interview on his or her behalf. Homeless Housing Hotline: 844-628-7343 - Call to connect with homeless services in Thurston County and get referrals to shelter and housing options. Percentage of clients with documented evidence of a discharge plan developed with client, as applicable, as indicated in the clients primary record. The LTSS authorization date, which is described in WAC, If there is a transfer penalty as described in WAC. Assist clients in making informed decisions on choices of available service providers and resources. The LTSSstartdate is the date the client is both financially and functionally eligible. 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. Social service staff and case managers determine functional eligibility and what services to authorize based on a complete and comprehensive CAREassessment. Clientsswitching from private pay to medicaid are advised to apply for benefits 30 to 45 days before being resource eligible for the program. | Kirkland, WA. Provide feedback on your experience with DSHS facilities, staff, communication, and services. Purpose: Communication to social services intake regarding an individual requesting a functional assessment for long-term services and supports (LTSS). Medicaid eligibility begins, the first day of the month the client is eligible for LTSS. 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. 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. 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. HRSA/HAB Ryan White Program & Grants Management, Recipient Resources. Aging and Disability Resources Office Staff will educate clients about available benefit programs, assess eligibility, assist with applications, provide advocacy with appeals and denials, assist with re-certifications, and provide advocacy in other areas relevant to maintaining benefits/resources. LTSS can begin once a client is found financially and functionally eligible and an approved provider is in place. Applicant Information 1. 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 . 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 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. z, /|f\Z?6!Y_o]A PK ! Call the client or their representative to complete an interview. DSHS forms, including translations are found on the DSHS forms website. J(_ @# word/_rels/document.xml.rels ( Yo6~!0I'n:Ylw-RI"IV. z, /|f\Z?6!Y_o]A PK ! 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. Consistent - Explain how conflicts or inconsistencies of information were addressed. The agency must document the situation in writing and contact the referring primary medical care provider. You are subject to asset verification and do not provide authorization as described in WAC 182-503-0055. When applicable, an employee of the agency has experienced a real or perceived threat to his/her safety during a visit to a client's home, in the company of an escort or not. Clients receiving services during the Fast Track period won't receive a medical services card until financial eligibility is established. | 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. If the NF admission is on a weekend or holiday, the NF has until the first business day to report the admission. 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. Ensure AVS procedures are followed. Progress notes will be kept in the client's primary record and must be written the day services are rendered. Ensure what you document accurately describes what happened with the case. 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. We send you a written notice explaining why we denied your application (per chapter. Details of how eligibility factor(s) were verified. Caring at Home Respite, In-home Services, Skills, Caregiver Help, Kinship Caregiving, Services, Conferences Ryan White Providers using telehealth must also follow DSHS HIV Care Services guidelines for telehealth and telemedicine outlined in DSHS Telemedicine Guidance. 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. Appendix 2 to Attachment 4.19-A. Telehealth and Telemedicine is an alternative modality to provide most Ryan White Part B and State Services funded services. DSHS 14-532 Authorized representative release of information. Type of client interaction (phone, in-person, etc.). Percentage of clients accessingHome and Community-Based Health Services have follow up documentation to the referral offered in the clients primary record. To find an HCS office near you, use the. 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. 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. 6. D@. Job in Fresno - Fresno County - CA California - USA , 93650. Explain Estate Recovery and mail the Estate Recovery fact sheet. Home. The Home and Community-based Services program provides individualized services and supports to persons with intellectual disabilities who are living with their family, in their own home or in other community settings, such as small group homes. 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. Job specializations: Social Work. 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.. Explain the Medicare Savings Program (MSP). Full Time position. $[53j(,U+/6-FBR[lvn! }k}HG4"jhznn'XwB$\HODuDX7o u'8>@)OLA@"yoTP8nd lAO !H!/tG|B^%=z+]F!lExBa0$ 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.

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