You must apply directly with the service provider for the following programs: The breast and cervical cancer treatment program under WAC, For the confidential pregnant minor program under WAC. You are subject to asset verification and do not provide authorization as described in WAC 182-503-0055. Client transfers services to another service program. Human Services | Pierce County, WA - Official Website PK ! 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. 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. 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. County IHSS Offices - California Department of Social Services You mayapply for apple health for another person if you are: An authorized representative (as described in WAC. The PBS may waive the interview requirement. DOCX Governor's Opportunity for Supportive Housing (GOSH) Referral | 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. For information regarding prior fiscal year files, please contact the DSH unit at, Last modified date: If there is other medical coverage and you can obtain the information during the interview, complete a. 253-798-4400 Monday - Friday | 8 a.m. - 4:30 p.m. All AAs and subrecipients must establish culturally and linguistically appropriate goals, policies, and management accountability, and infuse them throughout the organizations planning and operations. To find an HCS office near you, use the. DOCX Intake and Referral - Manuals.dshs.wa.gov Explain the medical service card, automatic Medicare D enrollment if not on a creditable coverage or Medicare D Prescription Drug Plan. WAC 182-513-1350). Full. Questions to consider when making aFast Track recommendation: Social services cant begin Fast Track until a CAREassessment is completed. 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. APPPLICANT'S NAME: LAST, FIRST, MI 2. Telehealth and Telemedicine is an alternative modality to provide most Ryan White Part B and State Services funded services. | Posted: October 21, 2022. Barcode 10570 DSHS form 10-570. The agency may discontinue services or refuse the client for as long as the threat is ongoing. Dont open a case in ACES until you have everything needed to establish financial eligibility. 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. Provide the PBS staff with the following information: Residential facility name and address, including room number, if applicable. 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. 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. Appropriate mental health, developmental, and rehabilitation services; Day treatment or other partial hospitalization services; Home health aide services and personal care services in the home. 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. If you reside in an institution of mental diseases (as defined in WAC. Home intravenous and aerosolized drug therapy (including prescription drugs administered as part of such therapy); Specialty care and vaccinations for hepatitis co-infection, provided by public and private entities. Full Time position. See "How to request an LTSS assessment" below. Examples are the SSI or SSI-related programs or Apple Health for Workers with Disabilities (HWD). Ask about any transfers, gifts, or property sales during the 5-year look back and the circumstances of why they were made. Eligibility decisions made, or next steps. N _rels/.rels ( j0@QN/c[ILj]aGzsFu]U ^[x 1xpf#I)Y*Di")c$qU~31jH[{=E~ 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 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. HCA forms, including translations are found on the HCA forms website. If the client is likely to attain institutional status. 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). Ting Vit, About Us Explain to the applicant that there is a Public Benefits Specialist (PBS) and a social service manager making determinations concurrently for LTSS eligibility. Any assaults, verbal or physical, must be reported to the monitoring entity within one (1) business day and followed by a written report. Home and Community-Based Health Services | Texas DSHS HRSA/HAB Division of State HIV/AIDS Programs National Monitoring Standards Program Part B April 2013. p. 42-43. Community Jobs, Employment in Halford, WA | Indeed.com Accessed on October 12, 2020. If you have questions about submitting the form please contact your regional office at the number below. 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. Percentage of clients with documented evidence of completed progress notes in the clients primary record. \{#+zQh=JD ld$Y39?>}'C#_4$ To apply for tailored supports for older adults (TSOA), see WAC. In that case, your coverage would start on the first day of your hospital stay; You must meet a medically needy spenddown liability (see WAC, You are eligible under the WAH alien emergency medical program (see WAC, For long-term care, the date your services start is described in WAC. Encourage the applicant to gather documents as soon as possible to expedite the process. f?3-]T2j),l0/%b Disproportionate Share Hospital Program. 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. Explain the financial and social service functional eligibility process. The Office of Community and Homeless Services (OCHS), the Office of Housing and Community Development (OHCD) and the Office of Weatherization and Energy Assistance (OWEA) operate within the Housing and Community Services Division (HCS) of the Snohomish County Human Services Department. Services may be authorized using Fast Track for a maximum of 90 days. Determine the client's financial eligibility for LTSSmedicaid and/or noninstitutional medical assistance including a request for retro medical if needed. The agency must document the situation in writing and immediately contact the client's primary medical care provider. 7wfQCfjS TK6_ PK ! Eligible clients are referred to Health Insurance Premium and Cost-Sharing Assistance (HIA) to assist clients in accessing health insurance or Marketplace plans within one (1) week of the referral for health care and support services intake. All AAs and subrecipients must establish culturally and linguistically appropriate goals, policies, and management accountability, and infuse them throughout the organizations planning and operations. 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. 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. 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. Refer the client tosocialservicesfor a care assessment if the client contacts the PBSfirst and document the date the client first requested NF care. A full-featured portal for all users. 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. z, /|f\Z?6!Y_o]A PK ! PK ! | word/document.xml\n8}_`u-c t?mk[X`aKHJ|Mf2DUSU~~=DX~PJ6u`r]u+K(q` Qy'AD5}]qT"{J|}]6+t. Ensure an Asset Verification System (AVS) Authorization is on file, and if not, follow these procedures. Benefits counseling: Services should facilitate a clients access to public/private health and disability benefits and programs. 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: | Careers Stick to the facts relevant to determining eligibility or benefit level. Did you receive verification of resources with the application? The HCS case manager coordinates andconsults withthe PBS to see if Fast Track is appropriate. The agency or its designee may contact an individual by phone or in writing to gather any additional information that is needed to make an eligibility determination. 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. Welcome to CareWarePlease select your portal type. Back to DSH main webpage. (PDF) Accessed October 12, 2020. Provide feedback on your experience with DSHS facilities, staff, communication, and services. Lite. Por favor, responda a esta breve encuesta. You may receive help filing an application. Assess the client's functional eligibility for in home or residential care. 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). Give a projected client responsibility amount to the caseworker using the LTSS referral 07-104. When information is verified using an electronic source (such as BENDEX, AVS, etc.). 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. HRSA/HAB Division of State HIV/AIDS Programs National Monitoring Standards Program Part B April, 2013, p. 13-15. The LTSSauthorization date can be backdated for nursing facility services up to 3 months prior to the date of application for a new applicant of Medicaid as long as the client is nursing facility level of care (NFLOC) and financially eligible. A copy of the police report is sufficient, if applicable. 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. Ryan White Providers using telehealth must also follow DSHS HIV Care Services guidelines for telehealth and telemedicine outlined in DSHS Telemedicine Guidance. Staff will follow-up within 10 business days of a referral provided to any core services to ensure the client accessed the service. PDF Washington Apple Health Application 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. Community Services Division Social Services Manual Revision: # 175 Category: Incapacity Determination - When HEN Referral Program Eligibility Ends Issued: February 23, 2023 Revision Author: Evelyn Acopan Division CSD Mail Stop Phone 253-778-2381 Email evelyn.acopan@dshs.wa.gov Summary 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. Provide PBSstaff with the following information: Whether the client meets nursing facility level of care (NFLOC). TK6_ PK ! 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. APPLICANT'S MAILING ADDRESS (IF DIFFERENT)CITYSTATEZIP CODE 7.