dshs home and community services intake and referral

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. | word/document.xml\n8}_`u-c t?mk[X`aKHJ|Mf2DUSU~~=DX~PJ6u`r]u+K(q` Qy'AD5}]qT"{J|}]6+t. What resources is the client reporting on the application or past applications? 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. 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. Exception is N21/N25 AEM MAGI. 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. At a department of social and health services (DSHS) community services office (CSO). Human Services | Pierce County, WA - Official Website Home and Community Services - LTSS N _rels/.rels ( j0@QN/c[ILj]aGzsFu]U ^[x 1xpf#I)Y*Di")c$qU~31jH[{=E~ To find an HCS office near you, use the. Concise - Documentation is subject to public review. IHSS Service Desk for Providers & Recipients, (866) 376-7066, Suspect Fraud? Determine the client's financial eligibility for LTSSmedicaid and/or noninstitutional medical assistance including a request for retro medical if needed. Welcome to CareWare - California Lead and manage training development . (PDF) Accessed October 12, 2020. Call the client or their representative to complete an interview. If you are an SSI recipient, then you, your authorized representative as defined in WAC, An individual applying for Washington apple health (WAH) (as defined in WAC. PK ! | Language assistance must be provided to individuals who have limited English proficiency and/or other communication needs at no cost to them in order to facilitate timely access to all health care and services. Encourage the applicant to gather documents as soon as possible to expedite the process. Staff will follow-up within 10 business days of a referral provided to any core services to ensure the client accessed the service. Benefits counseling: Services should facilitate a clients access to public/private health and disability benefits and programs. Fast Track is a social serviceprocess that allows the authorization of LTSS prior to a financial eligibility determination. An overpayment isn't established. This is a reprint of the official rule as published by the Office of the Code Reviser. MAGI covers NF and Hospice under the scope of care. !ISWvuutZWh'gfG0^$n6g%LjQ:@(]t)eh -^k]8 zAG s#d 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. Ask if there are unpaid medical expenses and request verification if medical expenses exist. 1-(800)-722-0432, Copyright 2023 California Department of Social Services. TK6_ PK ! Wage Range: $40.76-$75.17 per hour plus per diem rate. | | We provide equal access (EA) services as described in WAC, Ask for EA services, you apply for or receive long-term services and supports, or we determine that you would benefit from EA services; or, Have limited-English proficiency as described in WAC. A supervisor must sign the case closure summary. Good cause for a delay in processing the application does NOT exist when: Failing to ask you for information timely; or, Failing to act promptly on requested information when you provided it timely; or. These are the forms used in the application process for LTSS. The LTSS authorization date, which is described in WAC, If there is a transfer penalty as described in WAC. Community Health Worker, Crisis Counselor. Health Care Services: Clients should be assisted in accessing health insurance or Marketplace plans to assist with engagement in the health care system and HIV Continuum of Care, including medication payment plans or programs. Mienh waac the past two years? HRSA/HAB Division of State HIV/AIDS Programs National Monitoring Standards Program Part B April 2013. p. 42-43. APPLICANT'S MAILING ADDRESS (IF DIFFERENT)CITYSTATEZIP CODE 7. !H!/tG|B^%=z+]F!lExBa0$ Refer the client tosocialservicesfor a care assessment if the client contacts the PBSfirst and document the date the client first requested NF care. 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.. Details of how eligibility factor(s) were verified. For information regarding prior fiscal year files, please contact the DSH unit at, Last modified date: Disproportionate Share Hospital Program. PK ! / % [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\ The application process begins and the application date is established when the request for benefits is received. DSHS 10-570 ( REV. PBS determines financial eligibility by comparing the client's income, resources and circumstances to program criteria. 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. The PBS also determines maximum client responsibility. REGION 1 - Pend Oreille, Stevens, Ferry Okanagan, Chelan, Douglas, Grant, Lincoln, Spokane, Adams, Whitman, Klickitat, Kittitas, . 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. Go over the application, particularly what was declared in the income and resource sections. Assessment of client's access to primary care, Need for nursing, caregiver, or rehabilitation services. RW Providers must use a telehealth vendor that provides assurances to protect ePHI that includes the vendor signing a business associate agreement (BAA). Eligibility decisions made, or next steps. | Applicant Information 1. If you have questions about submitting the form please contact your regional office at the number below. Provide feedback on your experience with DSHS facilities, staff, communication, and services. Coordinate with other agencies in planning and linking clients to referral services (for example: legal, medical, social services, financial, and/or housing). DSH Program State Plan Amendment 14-008. Percentage of eligible clients with documented evidence of the follow-up and result(s) to a completed benefit application in the primary client record. HRSA/HAB Division of State HIV/AIDS Programs National Monitoring Standards Program Part B April, 2013, p. 13-15. The agency will maintain ongoing communication with the multidisciplinary medical care team in compliance with Texas Medicaid and Medicare Guidelines. 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. Explain to the applicant that there is a Public Benefits Specialist (PBS) and a social service manager making determinations concurrently for LTSS eligibility. 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. 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. Services focus on assisting clients entry into and movement through the care service delivery network such that RWHAP and/or State Services funds are payer of last resort. 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. HCA forms, including translations are found on the HCA forms website. 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. Referral for Health Care and Support Services includes benefits/entitlement counseling and referral to health care services to assist eligible clients to obtain access to other public and private programs for which they may be eligible. State Plan Amendments. The hospice provideris required to submit this form within 5 business days of a hospice election on all active and pending Medicaidcases. The PBS should make a Fast Track recommendation based on the information, verifications and cross-matches available, and send this determination via 07-104 to social services. 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). Caregiver Support Find out about caregiver support. Aging and Disability Resources Office 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? 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. For medicaid recipients, institutional services are approved based on the first date the admission is known to DSHS as long as the client meets all other eligibility factors. Ask about other medical coverage. 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. 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\ Union Gospel Mission: www.ougm.org. f?3-]T2j),l0/%b ,! 4 word/_rels/document.xml.rels ( VOo0Ow| :lRt[h{sK1u\+2 \\U\K>LLhb=MMr[B\^dk*)a#L!? If there is other medical coverage and you can obtain the information during the interview, complete a. Peer support & counseling Recovery housing Prevention Substance use disorder prevention & mental health promotion Quick links Apply for or renew Apple Health coverage Apple Health for you Apple Health account logins Tacoma, WA 98418. Shannon Rawlings, LICSW - DSHS WSH Civil Social Work Manager - LinkedIn We determine eligibility as quickly as possible and respond promptly to applications and information received. A request for service may not generate a referral. Tagalog This section describes the application processes used by Aging and Long-term Supports Administration (ALTSA) when determining financial eligibility for Long-Term Services and Supports (LTSS). You are subject to asset verification and do not provide authorization as described in WAC 182-503-0055. RWHAP Part B and State Services funds can be used to provide transitional social services to establish or re-establish linkages to the community. Intake Coordinator Job Fresno California USA,Social Work Client will be contacted within one (1) business day of the referral, and services should be initiated at the time specified by the primary medical care provider, or within two (2) business days, whichever is earlier. 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. GENDER Male Female 3. Provide PBSstaff with the following information: Whether the client meets nursing facility level of care (NFLOC). 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. Transitional social services should NOT exceed 180 days. Funds cannot be used to duplicate referral services provided through other service categories. HCS Management Bulletins - Washington 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. RW Providers must use a telehealth vendor that provides assurances to protect ePHI that includes the vendor signing a business associate agreement (BAA). All AAs and subrecipients must establish culturally and linguistically appropriate goals, policies, and management accountability, and infuse them throughout the organizations planning and operations. DSH Replacement State Plan Amendment 16-010. We did not document the good cause reason before missing a time frame specified in subsection (1) of this section. 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? Case management that links a soon-to-be-released inmate with primary care is an example of appropriate transitional social services. Explain how to request an extension if more time is needed. Percentage of clients who received a referral for other support services who have documented evidence of the education provided to the client on how to access these services in the primary client record. 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. 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. Whether there is a housing maintenance allowance and the start date, if appropriate. The interview can be conducted in person or by phone. Back to DSH main webpage. Dont open a case in ACES until you have everything needed to establish financial eligibility. Services may be authorized using Fast Track for a maximum of 90 days. | L2 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. The agency may discontinue services or refuse the client for as long as the threat is ongoing. Denos su opinin sobre sus experiencias con las instalaciones, el personal, la comunicacin y los servicios del DSHS. 12/1/2022 2:44 PM. Por favor, responda a esta breve encuesta. Statements made by the client and/or their representative. 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.

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