If you disagree with our decision, you can ask for a hearing. For non-urgent mental health services, please contact your county mental health department . 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. Provide advocacy to clients with a clear understanding of community services and support available for their situations. RW Providers must use a telehealth vendor that provides assurances to protect ePHI that includes the vendor signing a business associate agreement (BAA). 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). | Contact Us Applicant Information 1. It is the primary responsibility of staff to ensure clients are receiving all needed public and/or private benefits and/or resources for which they are eligible. Ryan White Providers using telehealth must also follow DSHS HIV Care Services guidelines for telehealth and telemedicine outlined in DSHS Telemedicine Guidance. Clients receiving services during the Fast Track period won't receive a medical services card until financial eligibility is established. 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. 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. Referral for Health Care and Support Services (RFHC) directs a client to needed core medical or support services in person or through telephone, written, or other type of communication. As specified in subsection (2) of this section, if you are a child, pregnant, a parent or caretaker relative, or an adult age sixty-four and under without medicare. Clientsswitching from private pay to medicaid are advised to apply for benefits 30 to 45 days before being resource eligible for the program. You may receive help filing an application. | Posted wage ranges represent the entire range from minimum to maximum. At a department of social and health services (DSHS) community services office (CSO). 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. Telehealth and Telemedicine is an alternative modality to provide most Ryan White Part B and State Services funded services. All AAs and subrecipients must establish culturally and linguistically appropriate goals, policies, and management accountability, and infuse them throughout the organizations planning and operations. | The modified adjusted gross income (MAGI)-based apple healthapplication process using Washington Healthplanfinder may provide faster or real-time determination of eligibility for medicaid. Provide PBSstaff with the following information: Whether the client meets nursing facility level of care (NFLOC). Posted: October 21, 2022. For medicaid recipients, the first date DSHS was notified of the admission by the nursing facility. 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. N _rels/.rels ( j0@QN/c[ILj]aGzsFu]U ^[x 1xpf#I)Y*Di")c$qU~31jH[{=E~ To apply for tailored supports for older adults (TSOA), see WAC. Cases without a delay reason code or updated with "No Good Cause (NG)" to the DSHS secretary. / % [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\ 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. Por favor, responda a esta breve encuesta. Por favor, responda a esta breve encuesta. A simple and sleek portal for staff. We determine eligibility as quickly as possible and respond promptly to applications and information received. For jobs with more than one level, the posted range reflects the minimum of the lowest level and the maximum of the highest level. An overpayment isn't established. 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. When information is verified using an electronic source (such as BENDEX, AVS, etc.). By calling the Washington Healthplanfindercustomer support center and completing an application by telephone; By completing the application for health care coverage (. When using Collateral Contact (CC) or Other (OT) valid value, document the details of how it was verified. Purpose: Communication to social services intake regarding an individual requesting a functional assessment for long-term services and supports (LTSS). Call the DSHScommunity services customer service contact center number listed on the medicaidapplication form. The agency must document the situation in writing and immediately contact the client's primary medical care provider. 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. | Refer the client tosocialservicesfor a care assessment if the client contacts the PBSfirst and document the date the client first requested NF care. 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. | p9,u eV)Pp6B*Rk[g8=g S,8!ciLu`A^2 ntw]0+ *mhX1M[zQ=~yOF594 Y8-xf[rt(>zc|C1>4o ?|aBq}D.2L3jI>&,OXOG79Z5:%A PK ! In the case of the community spouse, explain how all resources in excess of the $2,000 resource limit must be transferred to the spouse within 1 year and the requirement to provide verification of this by the first annual review. Help Stop Medi-Cal Fraud and Abuse | Percentage of clients with documented evidence of a care plan completed based on the primary medical care providers order as indicated in the clients primary record. MAGI covers NF and Hospice under the scope of care. Acronyms utilized should be DSHS/HCA approved. Intake Coordinator. !H!/tG|B^%=z+]F!lExBa0$ If you are experiencing a mental health crisis and need immediate assistance, please call "911" and explain the nature of your problem to the operator. 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. Appendix 2 to Attachment 4.19-A. 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. 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. Explain what changes of circumstances need to be reported. 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. Percentage of clients with documented evidence of education provided on other public and/or private benefit programs in the primary client record. The PBS also determines maximum client responsibility. What is HCS (PDF in English) What is HCS (PDF in Spanish) Provider Communications 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. Services cannot be provided in the following facilities: inpatient hospital facilities, nursing homes, and other long term care facilities. Services may be authorized using Fast Track for a maximum of 90 days. Determine the client's financial eligibility for LTSSand noninstitutional medical assistance including 3 months retroactive medical coverage if financially eligible. Lakewood, WA. For households containing people described in subsection (2) of this section: Call the Washington Healthplanfindercustomer support center number listed on the application for health care coverage form (. 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. 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 Division of Metropolitan HIV/AIDS Programs Program Monitoring Standards Part A April 2013. p. 43-44. $[53j(,U+/6-FBR[lvn! }k}HG4"jhznn'XwB$\HODuDX7o u'8>@)OLA@"yoTP8nd lAO 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. If there is other medical coverage and you can obtain the information during the interview, complete a. Explain participation and room and board, how the amount is determined, and that it must be paid to the provider. Social service staff and case managers determine functional eligibility and what services to authorize based on a complete and comprehensive CAREassessment. Per Diem. Explain Estate Recovery and mail the Estate Recovery fact sheet. | word/document.xml\n8}_`u-c t?mk[X`aKHJ|Mf2DUSU~~=DX~PJ6u`r]u+K(q` Qy'AD5}]qT"{J|}]6+t. Use the original eligibility review date to open institutional coverage. HRSA Ryan White HIV/AIDS Program Services: Eligible Individuals & Allowable Uses of Funds Policy Clarification Notice (PCN) #16-02(Revised 10/22/2018) Accessed on October 16, 2020. If the 13-746 is not received timely, count back 5 businessdays from the date of receipt to determine the authorization date. Functional eligibility for DDA is determined prior to the submission of a financial application. Summarize the interview and items still needed to determine eligibility in the ACES narrative. | A good cause code must be used when finalizing any medical(AU) historically beyond 45 days. APPLICANT'S MAILING ADDRESS (IF DIFFERENT)CITYSTATEZIP CODE 7. Family members and other representatives are often just learning about the client's income and resources when they apply. 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. Telehealth and Telemedicine is an alternative modality to provide most Ryan White Part B and State Services funded services. Fax form to the Home and Community Services office in your region for intake. Need Mental Health Services? APPLICANT'S HOME ADDRESSCITYSTATEZIP CODE 6. 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. An interview with the applicant or authorized representative is required to determine eligibility for institutional, HCB waiver services, or TSOA services. Funds cannot be used to duplicate referral services provided through other service categories. Consistently report referral and coordination updates to the multidisciplinary medical care team. HRSA/HAB Division of Metropolitan HIV/AIDS Programs Program Monitoring Standards Part A April 2013. p. 43-44. 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. Type of client interaction (phone, in-person, etc.). 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