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Transitional social services should NOT exceed 180 days. Need Mental Health Services? For the Ryan White Part B/SS funded providers and Administrative Agencies, telehealth and telemedicine services are to be provided in real-time via audio and video communication technology which can include videoconferencing software. Benefits counseling: Services should facilitate a clients access to public/private health and disability benefits and programs. We did not document the good cause reason before missing a time frame specified in subsection (1) of this section. 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. Explain participation and room and board, how the amount is determined, and that it must be paid to the provider. Give a projected client responsibility amount to the caseworker using the LTSS referral 07-104. Document in ACES remarks, in detail, all eligibility factors discussed during the interview and included on the application. Social service staff and case managers determine functional eligibility and what services to authorize based on a complete and comprehensive CAREassessment. DSHS 10-438 Long-term care partnership (LTCP) asset designation form (used to designate assets (resources) for those with a long-term care partnership insurance policy), DSHS 14-012 Consent (release of information form) (used for all DSHS programs), DSHS27-189Asset Verification Authorization. The ALJ does not consider the previous absence of information or failure to respond in determining if you are eligible. Ensure what you document accurately describes what happened with the case. Home and Community-Based Health Services include the following: Home and Community-Based Health Providers work closely with the multidisciplinary care team that includes the client's case manager, primary care provider, and other appropriate health care professionals. To apply for tailored supports for older adults (TSOA), see WAC. A phone or in-person interview is required to determine initial financial eligibility for WAH long-term care services. Call to request an assessment for home and community services (in-home care in a residential facility, nursing facility coverage) through the HCS central intake lines. 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. 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. Provide PBSstaff with the following information: Whether the client meets nursing facility level of care (NFLOC). Activities provided under this service category may include referrals to assist HRSA Ryan White HIV/AIDS Program (RWHAP)-eligible clients to obtain access to other public or private programs for which they may be eligible (e.g., Medicaid, Medicare Part D, State Pharmacy Assistance Programs, Pharmaceutical Manufacturers Patient Assistance Programs, and other state or local health care and supportive services, or health insurance Marketplace plans). MAGI covers NF and Hospice under the scope of care. Request verification of transfers, gifts or property sales, if applicable. adult daycare center) in accordance with a written, individualized plan of care established by a licensed physician. Repaying the state for medical and long-term services and supports, DSHS 14-501 Community resource declaration (used to evaluate resources (assets) for an applicant and their spouse based on date of institutionalization. Authorize payment for NF care if the client is both functionally and financially eligible. Behavioral health services for American Indians & Alaska Natives (AI/AN) Recovery support services What is recovery support? Give your local county office your updated contact information so you can stay enrolled. Note: Servicescan't be backdated prior to the date of the authorization until the date that financial eligibility is established. $41 to $75 Hourly. We send you a written notice explaining why we denied your application (per chapter. 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. Questions to consider when making aFast Track recommendation: Social services cant begin Fast Track until a CAREassessment is completed. Telehealth and Telemedicine is an alternative modality to provide most Ryan White Part B and State Services funded services. Statements made by the client and/or their representative. How do I notify PEBB that my loved one has passed away? A referral PBS determines financial eligibility by comparing the client's income, resources and circumstances to program criteria. 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. Posted: October 21, 2022. Please report broken links or content problems. IHSS Fraud Hotline: 888-717-8302 | HRSA/HAB Ryan White Program & Grants Management, Recipient Resources. HRSA/HAB Ryan White Program & Grants Management, Recipient Resources. 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. Explain how to request an extension if more time is needed. Provide advocacy to clients with a clear understanding of community services and support available for their situations. Interfaith Works Homeless Services: www.iwshelter.org. Staff will follow-up within 10 business days of a referral provided to any core services to ensure the client accessed the service. 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). 08/2017) Page 1 of 2 / Intake and Referral form for Social Services. A copy of the police report is sufficient, if applicable. 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. Are you enrolled in Medi-Cal? Care plan is updated at least every sixty (60) calendar days. 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. 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? All AAs and subrecipients must establish culturally and linguistically appropriate goals, policies, and management accountability, and infuse them throughout the organizations planning and operations. 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. Family members and other representatives are often just learning about the client's income and resources when they apply. Provide feedback on your experience with DSHS facilities, staff, communication, and services. Clientsswitching from private pay to medicaid are advised to apply for benefits 30 to 45 days before being resource eligible for the program. 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: Caring at Home Respite, In-home Services, Skills, Caregiver Help, Kinship Caregiving, Services, Conferences Open-ended questions often reveal that additional sources of income and assets may exist. 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. 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. 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 (. 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. Has your contact information changed in 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). 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. Client transfers services to another service program. Client relocates out of the service delivery area. Your WAH coverage may not begin on the first day of the month if: Subsection (3) of this section applies to you. Percentage of clients with documented evidence of education provided on other public and/or private benefit programs in the primary client record. 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. If you have questions about submitting the form please contact your regional office at the number below. We will allow you more time if you ask for more time or need an accommodation due to disability or limited-English proficiency. Por favor, responda a esta breve encuesta. Welcome to CareWarePlease select your portal type. The modified adjusted gross income (MAGI)-based apple healthapplication process using Washington Healthplanfinder may provide faster or real-time determination of eligibility for medicaid. 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 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. Professional care is the provision of services in the home by licensed providers for mental health, development health care, and/or rehabilitation services. (PDF) Accessed October 12, 2020. 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. An interview with the applicant or authorized representative is required to determine eligibility for institutional, HCB waiver services, or TSOA services. The hospital requires you to stay overnight. The agency will maintain ongoing communication with the multidisciplinary medical care team in compliance with Texas Medicaid and Medicare Guidelines. Coordinate with other agencies in planning and linking clients to referral services (for example: legal, medical, social services, financial, and/or housing). HCA forms, including translations are found on the HCA forms website. Department-designated social service staff: Assess the client's functional eligibility for institutional care. HRSA/HAB Division of State HIV/AIDS Programs National Monitoring Standards Program Part B April 2013. p. 42-43. A new application isn't required for clients active on ABD SSI-related Apple Health who need LTSS as long as the Public Benefit Specialist (PBS) is able to determine institutional eligibility using information in the current case record. REGION 1 - Pend Oreille, Stevens, Ferry Okanagan, Chelan, Douglas, Grant, Lincoln, Spokane, Adams, Whitman, Klickitat, Kittitas, . 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. For the Ryan White Part B/SS funded providers and Administrative Agencies, telehealth and telemedicine services are to be provided in real-time via audio and video communication technology which can include videoconferencing software. You are the primary applicant on an application if you complete and sign the application on behalf of your household. Home and Community-Based Health Providers work closely with the multidisciplinary care team that includes the client's case manager, primary care provider, and other appropriate health care . HIV Medical and Support Service Categories, Research, Funding, & Educational Resources. Explain Estate Recovery and mail the Estate Recovery fact sheet. 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. If you reside in one of the following counties: Adams, Asotin, Chelan, Colombia, Douglas, Ferry, Franklin, Garfield, Grant, Kittitas, Klickitat, Lincoln, Okanogan, Pend Oreille, Spokane, Stevens, Walla Walla, Whitman, or Yakima509-568-3767 or 866-323-9409,FAX 509-568-3772. Referrals for health care and support services provided by case managers (medical and non-medical) should be reported in the appropriate case management service category (e.g., Medical Case Management (MCM) or Non-Medical Case Management (NMCM)).