PDF Washington Apple Health Application See "How to request an LTSS assessment" below. f?3-]T2j),l0/%b If the 13-746 is not received timely, count back 5 businessdays from the date of receipt to determine the authorization date. v}r'kFtr4Ng n [D!n'h}c l`0_ 85yaBAhFozyJ46_ERgsEc;,'K$zTzy[1 PK ! ALTSA Phone Numbers - Washington 1-(800)-722-0432, Copyright 2023 California Department of Social Services. 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. | Contact Us If there is other medical coverage and you can obtain the information during the interview, complete a. The intake and referral form (DSHS 10-570) and instructions can be found on the DSHS forms website What is the difference between a request for services and a referral? Aging and Disability Resources Office z, /|f\Z?6!Y_o]A PK ! Benefits counseling: Services should facilitate a clients access to public/private health and disability benefits and programs. 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. Ryan White Providers using telehealth must also follow DSHS HIV Care Services guidelines for telehealth and telemedicine outlined in DSHS Telemedicine Guidance. How do I notify PEBB that my loved one has passed away? When information is verified using an electronic source (such as BENDEX, AVS, etc.). f?3-]T2j),l0/%b Case management that links a soon-to-be-released inmate with primary care is an example of appropriate transitional social services. What is HCS (PDF in English) What is HCS (PDF in Spanish) Provider Communications Fax form to the Home and Community Services office in your region for intake. You are automatically enrolled in apple healthand do not need to submit an application if you are a: Supplemental security income (SSI) recipient; Person deemed to be an SSI recipient under 1619(b) of the SSA; Child in foster care placement as described in WAC. You are subject to asset verification and do not provide authorization as described in WAC 182-503-0055. The agency will maintain ongoing communication with the multidisciplinary medical care team in compliance with Texas Medicaid and Medicare Guidelines. PDF Department of Social and Health Services Community Services Division A request for service s is any request that comes to HCS regardless of source or eligibility. Screen all clients to determine potential for HCB services. 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. A copy of the police report is sufficient, if applicable. Questions to consider when making aFast Track recommendation: Social services cant begin Fast Track until a CAREassessment is completed. $41 to $75 Hourly. The interview can be conducted in person or by phone. Caring at Home Respite, In-home Services, Skills, Caregiver Help, Kinship Caregiving, Services, Conferences Center for Medicare and Medicaid Services (CMS) requires an annual review at least once a year for categorically needy (CN) Medicaid. Referral for Health Care and Support Services Service Standard print version. A simple and sleek portal for staff. Access Health Care Language Assistance Services (SB 223). DOCX STATE OF WASHINGTON - Home | WA.gov Por favor, responda a esta breve encuesta. Social services will state fund Fast Track services when the client isn't financially eligible during the fast track period. 12/1/2022 2:44 PM. z, /|f\Z?6!Y_o]A PK ! 3602 Pacific Ave., Suite 200 . The application process begins and the application date is established when the request for benefits is received. IHSS Timesheet Issues/Questions: Call the DSHScommunity services customer service contact center number listed on the medicaidapplication form. 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. 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. Call the HCS intake line in the area in which you reside to schedule an assessment. 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. Contact a navigator, health care authority volunteer assistor, or broker. 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. Get Services IHSS; Medi-Cal Offices; County Public Authority; IHSS Recipients: IHSS Training/Information - Resources; Fact Sheets; Educational Videos; IHSS Providers: How to Become an IHSS Provider; How to Appeal if You are Denied; IHSS Provider Resources; IHSS Timesheet Issues/Questions: IHSS Service Desk for Providers & Recipients, (866) 376 . HRSA/HAB Division of State HIV/AIDS Programs National Monitoring Standards Program Part B April, 2013, p. 13-15. Client relocates out of the service delivery area. Health care services: Clients should be provided assistance in accessing health insurance or Marketplace health insurance plans to assist with engagement in the health care system and HIV Continuum of Care, including medication payment plans or programs. A good cause code must be used when finalizing any medical(AU) historically beyond 45 days. All AAs and subrecipients must establish culturally and linguistically appropriate goals, policies, and management accountability, and infuse them throughout the organizations planning and operations. 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. I) word/document.xmlr=U.nA;K]|K0x+CII*?tY =6KWHN Z G!i$.v?h;H E6K$JNI2qAK*FMQuI>sRp648!T2@p =K [20Y(GNc#TchaBid~ygj\6h !$0DU9B#1$qfMNy m@4L9542h7,~O*9Z|1)nfR>P*C utgHGKFh 5zjUtMx'+)MI[]fKR:1tw%=Or. The agency must document the situation in writing and contact the referring primary medical care provider. Clients active on MAGI except AEM N21 and N25), don't need to submit an additional application if they are functionally eligible for, and in need of the following: If a client needs waiver services they must submit an application and may need a disability determination. Home and Community-Based Health Services | Texas DSHS 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. Details of how eligibility factor(s) were verified. 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. This service category works to maximize public funding by assisting clients in identifying all available health and disability benefits supported by funding streams other than RWHAP Part B and/or State Services funds. When using Collateral Contact (CC) or Other (OT) valid value, document the details of how it was verified. Explain how to request an extension if more time is needed. A supervisor must sign the case closure summary. Issue the award letter to the applicant/recipient. 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. DSH Replacement State Plan Amendment 16-010. This is a reprint of the official rule as published by the Office of the Code Reviser. Job in Fresno - Fresno County - CA California - USA , 93650. HCA forms, including translations are found on the HCA forms website. Explain participation and room and board, how the amount is determined, and that it must be paid to the provider. HRSA 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), Referral for Health Care and Support Services, 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. Applications for LTSS may be submitted using any of the following methods: Mailing or faxing documents to Home and Community Services (HCS), Mail to: We process applications for Washington apple health medicaid within forty-five calendar days, with the following exceptions: If you are pregnant, we process your application within fifteen calendar days; If you are applying for a program that requires a disability decision, we process your application within sixty calendar days; or. N _rels/.rels ( j0@QN/c[ILj]aGzsFu]U ^[x 1xpf#I)Y*Di")c$qU~31jH[{=E~ A request for service may not generate a referral. Funds cannot be used to duplicate referral services provided through other service categories. 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. Provide PBSstaff with the following information: Whether the client meets nursing facility level of care (NFLOC). Refer the client tosocialservicesfor a care assessment if the client contacts the PBSfirst and document the date the client first requested NF care. Full. To complete an application for apple health, you must also give us all of the other information requested on the application. Document in ACES remarks, in detail, all eligibility factors discussed during the interview and included on the application. Ask about any transfers, gifts, or property sales during the 5-year look back and the circumstances of why they were made. Encourage the applicant to gather documents as soon as possible to expedite the process. For HCS clients, both functional and financial eligibility are determined concurrently. 1s Massachusetts Department of Public Health Bureau of Infectious Disease Office of HIV/AIDS Standards of Care for HIV/AIDS Services 2009, San Francisco EMA Home-Based Home Health Care Standards of Care February 2004, Texas Administrative Code, Title 40, Part 1, Chapter 97, Subchapter B, Rule 97.211. 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. The agency must document the situation in writing and immediately contact the client's primary medical care provider. 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. 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. If not already authorized, request authorization for AVS for the client and any applicable financially responsible people. 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. PK ! 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). HRSA/HAB Ryan White Program & Grants Management, Recipient Resources. Por favor, responda a esta breve encuesta. For non-urgent mental health services, please contact your county mental health department . 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. | Main Office . Accessed on October 12, 2020. REGION 1 - Pend Oreille, Stevens, Ferry Okanagan, Chelan, Douglas, Grant, Lincoln, Spokane, Adams, Whitman, Klickitat, Kittitas, . Listing for: Denham Resources. DOCX Intake and Referral - Manuals.dshs.wa.gov Percentage of clients with documented evidence of assistance provided to access health insurance or Marketplace plans in the primary client record. Jun 2014 - Mar 201510 months. Eligible clients are referred to additional support services (outside of a medical, MCM, NMCM appointment), as applicable to the clients needs, with education provided to the client on how to access these services. Provide advocacy to clients with a clear understanding of community services and support available for their situations. What resources is the client reporting on the application or past applications? Consistent - Explain how conflicts or inconsistencies of information were addressed. Assess the client's functional eligibility for in home or residential care. Good cause for a delay in processing the application does NOT exist when: Failing to ask you for information timely; or, Failing to act promptly on requested information when you provided it timely; or. 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. 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 The PBS also determines maximum client responsibility. 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. You may apply for Washington apple health at any time. Explain Estate Recovery and mail the Estate Recovery fact sheet. If the nursing facility admission is on a weekend or holiday, the authorization date is the date of admission as long as DSHSis notified by the next business day. Statements made by the client and/or their representative. 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. 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. A full-featured portal for all users. 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). / % [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\ 7wfQCfjS Mienh waac For medicaid recipients, the first date DSHS was notified of the admission by the nursing facility. Percentage of eligible clients with documented evidence of the follow-up and result(s) to a completed benefit application in the primary client record. 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.. 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. 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. State Plan Amendments. 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?
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