:.U`:8H"Jtv&edPi\ZbNu]$#;w2F.v~u\E}:=~G gQDYQ2xe*rhB/Y>as1j{s2Zo3(\XIEfe687jdP|A2L(o5E".eYR?UUCWel6/,/`^jQ[. Contact a navigator, health care authority volunteer assistor, or broker. INTAKE AND REFFERAL DSHS 10-570 (REV. | Contact Us Based on the agencys perception of the client's condition, the client requires a higher level of care than would be considered reasonable in a home/community setting. 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. 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. 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. 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. 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. Open-ended questions often reveal that additional sources of income and assets may exist. The PBS may waive the interview requirement. LTSS can begin once a client is found financially and functionally eligible and an approved provider is in place. Full Time position. Call the HCS intake line in the area in which you reside to schedule an assessment. You are the primary applicant on an application if you complete and sign the application on behalf of your household. 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. If you do not have software that can open these files, you may download a free file viewer . | 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. Disproportionate Share Hospital Program. Life, home, auto, AD&D, LTD, & FSA benefits, Overview of prior authorization (PA), claims & billing, Step-by-step guide for prior authorization (PA), Program benefit packages & scope of services, Community behavioral support (CBHS) services, First Steps (maternity support & infant care), Ground emergency medical transportation (GEMT), Home health care services: electronic visit verification, Substance use disorder (SUD) consent management guidance, Enroll as a health care professional practicing under a group or facility, Enroll as a billing agent or clearinghouse, Find next steps for new Medicaid providers, Washington Prescription Drug Program (WPDP), Governor's Indian Health Advisory Council, Analytics, research & measurement (ARM) data dashboard suite, Foundational Community Supports provider map, Medicaid maternal & child health measures, Washington State All Payer Claims Database (WA-APCD), Personal injury, casualty recoveries & special needs trusts, Information about novel coronavirus (COVID-19). | 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. | Careers v}r'kFtr4Ng n [D!n'h}c l`0_ 85yaBAhFozyJ46_ERgsEc;,'K$zTzy[1 PK ! Transitional social services should NOT exceed 180 days. Percentage of clients with documented evidence of referrals provided for HIA assistance that had follow-up documentation within 10 business days of the referral in the primary client record. The agency must document the situation in writing and immediately contact the client's primary medical care provider. | Progress notes will be kept in the client's primary record and must be written the day services are rendered. Back to DSH main webpage. 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. Ting Vit, About Us 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. Applications for LTSS may be submitted using any of the following methods: Mailing or faxing documents to Home and Community Services (HCS), Mail to: Give a projected client responsibility amount to the caseworker using the LTSS referral 07-104. Explain participation and room and board, how the amount is determined, and that it must be paid to the provider. Care plan is updated at least every sixty (60) calendar 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. Intake Coordinator. DSHS 10-570 ( REV. There is good information on the Washington LawHelp site that explains the timing of an LTSSapplication. Telehealth and Telemedicine is an alternative modality to provide most Ryan White Part B and State Services funded services. This is a reprint of the official rule as published by the Office of the Code Reviser. Department-designated social service staff: Assess the client's functional eligibility for institutional care. Community Health Worker, Crisis Counselor. 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. Per Diem. Listed on 2023-03-03. Use Equal Access - Necessary Supplemental Accommodation (NSA) and long-term services and supports policies for LTSS applicants and recipients. A copy of the police report is sufficient, if applicable. Authorize in ACES for in-home or residential HCB waiver if the client is both functionally and financially eligible. | Staff will follow up within 10 business days of a referral provided to support services to ensure the client accessed the service. If you disagree with our decision, you can ask for a hearing. Ensure an Asset Verification System (AVS) Authorization is on file, and if not, follow these procedures. For medicaid applicants, institutional services are approved based on the date the client is eligible up to 3 months prior to the date of 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. The LTSS authorization date, which is described in WAC, If there is a transfer penalty as described in WAC. 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. 12/1/2022 2:44 PM. 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 Ask about other resources not declared on the application. HCA forms, including translations are found on the HCA forms website. HRSA/HAB Division of Metropolitan HIV/AIDS Programs Program Monitoring Standards Part A April 2013, p. 14-16. Social services will state fund Fast Track services when the client isn't financially eligible during the fast track period. 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. When information is verified using an electronic source (such as BENDEX, AVS, etc.). Client relocates out of the service delivery area. A supervisor must sign the case closure summary. Clearly indicate this is a projection and the financial application is in process. 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. f?3-]T2j),l0/%b Explain the medical service card, automatic Medicare D enrollment if not on a creditable coverage or Medicare D Prescription Drug Plan. Consistently report referral and coordination updates to the multidisciplinary medical care team. Conduct a follow-up within 90 days of completed application to determine if additional and/or ongoing needs are present. Explain what changes of circumstances need to be reported. HRSA/HAB Division of State HIV/AIDS Programs National Monitoring Standards Program Part B April 2013. p. 42-43. A full-featured portal for all users. Percentage of clients with documented evidence of completed progress notes in the clients primary record. 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. A simple and sleek portal for staff. 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. 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. We follow the rules about notices and letters in chapter.

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