dshs home and community services intake and referral

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? 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. MAGI covers NF and Hospice under the scope of care. N _rels/.rels ( j0@QN/c[ILj]aGzsFu]U ^[x 1xpf#I)Y*Di")c$qU~31jH[{=E~ Telehealth and Telemedicine is an alternative modality to provide most Ryan White Part B and State Services funded services. Hmoob Summarize what verification is needed to complete the application and send a request for information letter. Authorize in ACES for in-home or residential HCB waiver if the client is both functionally and financially eligible. Are you enrolled in Medi-Cal? Please report broken links or content problems. Wage Range: $40.76-$75.17 per hour plus per diem rate. Request verification of transfers, gifts or property sales, if applicable. Home and Community Services Division PO Box 45600, Olympia, WA 98504-5600 H 20 0 53 Information June 9 , 2020 TO: Area Agency on Aging (AAA) Directors Home and Community Services (HCS) Division Regional Administrators FROM: Bea Rector, Director, Home and Community Services Division SUBJECT: IHSS Timesheet Issues/Questions: | Details of how eligibility factor(s) were verified. See "How to request an LTSS assessment" below. Staff will explore the following as possible options for clients, as appropriate: Staff will assist eligible clients with completion of benefits application(s) as appropriate within 14 business days of the eligibility determination date. SSI recipients who need institutional services, or HCB waiver, must complete and sign an application, or the. (link is external) 360-709-9725. All AAs and subrecipients must establish culturally and linguistically appropriate goals, policies, and management accountability, and infuse them throughout the organizations planning and operations. I) word/document.xmlr=U.nA;K]|K0x+CII*?tY =6KWHN Z G!i$.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. Current assessment and needs of the client, including activities of daily living needs (personal hygiene care, basic assistance with cleaning, and cooking activities), Need forHome and Community-Based Health Services, Types, quantity, and length of time services are to be provided. Tagalog L2 Policy Notices and Program Letters, Ryan White HIV/AIDS Program Services: Eligible Individuals & Allowable Uses of Funds Policy Clarification Notice (PCN) #16-02 (PDF) (Revised 10/22/2018), DSHS Policy 591.000, Section 5.3 regarding Transitional Social Service linkage, Interim Guidance for the Use of Telemedicine and Telehealth for HIV Core and Support Services, March 2020, Interim Guidance for the Use of Telemedicine and Telehealth for HIV Core and Support Services Users Guide and FAQs, March 2020, HIV Medical and Support Service Categories, Research, Funding, & Educational Resources, Referral for Health Care and Support Services. | HRSA/HAB Division of State HIV/AIDS Programs National Monitoring Standards Program Part B April 2013. p. 42-43. Contact a navigator, health care authority volunteer assistor, or broker. Lite. Exception is N21/N25 AEM MAGI. Clientsswitching from private pay to medicaid are advised to apply for benefits 30 to 45 days before being resource eligible for the program. Help Stop Medi-Cal Fraud and Abuse Benefits counseling: Services should facilitate a clients access to public/private health and disability benefits and programs. Professional care is the provision of services in the home by licensed providers for mental health, development health care, and/or rehabilitation services. Posted wage ranges represent the entire range from minimum to maximum. Always include the client's full name and the DSHS client id (if known) on any document mailed or faxed to DSHS. Fast Track is a social serviceprocess that allows the authorization of LTSS prior to a financial eligibility determination. 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. Privacy Policy If you do not have software that can open these files, you may download a free file viewer . The following are eligibility related documents and files, including the annual final eligibility lists, peer grouping report, and the Low-Income Utilization Rate, Medicaid Utilization Rate, and Omnibus Budget Reconciliation Act formulas. Ensure an Asset Verification System (AVS) Authorization is on file, and if not, follow these procedures. 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. Fax form to the Home and Community Services office in your region for intake. 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. 7wfQCfjS 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. DSH Replacement State Plan Amendment 16-010. Any assaults, verbal or physical, must be reported to the monitoring entity within one (1) business day and followed by a written report. the past two years? What is HCS (PDF in English) What is HCS (PDF in Spanish) Provider Communications 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. A request for service may not generate a 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. A parent or caretaker relative of a child age eighteen or younger; A tax filer applying for a tax dependent; A person applying for someone who is unable to apply on their own due to a medical condition and who is in need of long-term care services. PK ! Home and Community-Based Health Services are provided to an eligible client in an integrated setting appropriate to a clients needs, based on a written plan of care established by a medical care team under the direction of a licensed clinical provider. Whether there is a housing maintenance allowance and the start date, if appropriate. Clients should be educated about and assisted with accessing and securing all available public and private benefits and entitlement programs. Conduct a follow-up within 90 days of completed application to determine if additional and/or ongoing needs are present. $[53j(,U+/6-FBR[lvn! }k}HG4"jhznn'XwB$\HODuDX7o u'8>@)OLA@"yoTP8nd lAO Por favor, responda a esta breve encuesta. Por favor, responda a esta breve encuesta. HRhk\ X?Nk; $-Yqiy*KB&I4"@W>eGI'tHaOBhVPRQq[^BJ] Refusal of referral: The home or community-based health agency may refuse a referral for the following reasons only: The client's home or current residence is determined to not be physically safe (if not residing in a community facility) before services can be offered or continued. Appendix 2 to Attachment 4.19-A. 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. An interview with the applicant or authorized representative is required to determine eligibility for institutional, HCB waiver services, or TSOA services. 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.. | 3602 Pacific Ave., Suite 200 . Examples are the SSI or SSI-related programs or Apple Health for Workers with Disabilities (HWD). Ask about other resources not declared on the application. Caring at Home Respite, In-home Services, Skills, Caregiver Help, Kinship Caregiving, Services, Conferences Ryan White Providers using telehealth must also follow DSHS HIV Care Services guidelines for telehealth and telemedicine outlined in DSHS Telemedicine Guidance. If there are previous versions of this rule, they can be found using the Legislative Search page. Open-ended questions often reveal that additional sources of income and assets may exist. If you reside in an institution of mental diseases (as defined in WAC. 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. (PDF) Accessed on October 12, 2020. RW Providers must use a telehealth vendor that provides assurances to protect ePHI that includes the vendor signing a business associate agreement (BAA). f?3-]T2j),l0/%b 1-(800)-722-0432, Copyright 2023 California Department of Social Services. 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. HRSA/HAB Division of Metropolitan HIV/AIDS Programs Program Monitoring Standards Part A April 2013, p. 14-16. Percentage of clients with documented evidence of ongoing communication with the primary medical care provider and care coordination team as indicated in the clients primary record. Case management that links a soon-to-be-released inmate with primary care is an example of appropriate transitional social services. The LTSSstartdate is the date the client is both financially and functionally eligible. 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. Job specializations: Social Work. Determine if a housing maintenance allowance (HMA) is appropriate (current rule states HMA is the amount of the Federal Poverty Level). Explain Estate Recovery and mail the Estate Recovery fact sheet. 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. What resources is the client reporting on the application or past applications? | Conditions of Use 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. 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. Day one is the date the application was received. DSHS forms, including translations are found on the DSHS forms website. Have you received Accurintand/or AVS results and reviewed the assets reported? Provider Fraud and Elder Abuse complaint line: Agency no longer meets the level of care required by the client. Home and Community-Based Health Services Standards print version. 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. The PBS also determines maximum client responsibility. HRSA/HAB Ryan White Program & Grants Management, Recipient Resources. Homeless Housing Hotline: 844-628-7343 - Call to connect with homeless services in Thurston County and get referrals to shelter and housing options. How do I notify PEBB that my loved one has passed away? Benefits Counseling: Activities should be client-centered facilitating access to and maintenance of health and disability benefits and services. The LTSS authorization date, which is described in WAC, If there is a transfer penalty as described in WAC. 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 Provide feedback on your experience with DSHS facilities, staff, communication, and services. Caregiver Support Find out about caregiver support. | LTSS can begin once a client is found financially and functionally eligible and an approved provider is in place. 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. For ABD, SSI-related Washington Apple Health programs: This process applies toSSI-related programs only MAGI-based clients are not eligible for HCBwaiver. | 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. Assess the client's functional eligibility for in home or residential care. To apply for tailored supports for older adults (TSOA), see WAC. IHSS Service Desk for Providers & Recipients, (866) 376-7066, Suspect Fraud? DSH Program State Plan Amendment 14-008. Explain the Medicare Savings Program (MSP). Dont open a case in ACES until you have everything needed to establish financial eligibility. 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. 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. 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. | (link is external) 360-918-8424. | Provide advocacy to clients with a clear understanding of community services and support available for their situations. 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 (. Transitional social services should NOT exceed 180 days. IHSS Fraud Hotline: 888-717-8302 Give a projected client responsibility amount to the caseworker using the LTSS referral 07-104. Social service staff and case managers determine functional eligibility and what services to authorize based on a complete and comprehensive CAREassessment. We do not delay a decision by using the time limits in this section as a waiting period. Denos su opinin sobre sus experiencias con las instalaciones, el personal, la comunicacin y los servicios del DSHS. 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). If you reside in one of the following counties: Island, King (ZIP codes 98011, 98019, 98072, 98077, 98133, 98177) San Juan, Skagit, Snohomish, or Whatcom and are interested in: If you reside in King County in a ZIP code not listed above and are interested in: If you reside in one of the following counties: Clallam, Clark, Cowlitz, Grays Harbor, Jefferson, Kitsap, Lewis, Mason, Pacific, Pierce, Skamania, Thurston, or Wahkiakum 800-786-3799, FAX 360-586-0499. A good cause code must be used when finalizing any medical(AU) historically beyond 45 days. You may have an authorized representative apply on your behalf as described in WAC, We help you with your application or renewal for apple health in a manner that is accessible to you. We deny your application forapple health coverage when: You tell us either orally or in writing to withdraw your request for coverage; or, Based on all information we have received from you and other sources within the time frames stated in WAC, We are unable to determine that you are eligible; or. Purpose: Communication to social services intake regarding an individual requesting a functional assessment for long-term services and supports (LTSS). Determine if the client is likely to attain institutional status and be likely to reside at the nursing facility for 30 days or longer WAC 182-513-1320), or notifiesthe facility when the client doesn't appear to meet the need for nursing facility care. Percentage of clients with documented evidence of a discharge plan developed with client, as applicable, as indicated in the clients primary record. Por favor, responda a esta breve encuesta. 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. Olympia WA 98504-5826; or | Espaol PO Box 45826 For non-urgent mental health services, please contact your county mental health department . The agency must document the situation in writing and immediately contact the client's primary medical care provider. We determine eligibility as quickly as possible and respond promptly to applications and information received. | f?3-]T2j),l0/%b Care plan is updated at least every sixty (60) calendar days. 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. 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. DSHS 10-570 ( REV. FAX to: 1-855-635-8305. 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. 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 .