For jobs with more than one level, the posted range reflects the minimum of the lowest level and the maximum of the highest level. 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 N _rels/.rels ( j0@QN/c[ILj]aGzsFu]U ^[x 1xpf#I)Y*Di")c$qU~31jH[{=E~ Clients should be educated about and assisted with accessing and securing all available public and private benefits and entitlement programs. | 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. PO Box 45826 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. Explain the medical service card, automatic Medicare D enrollment if not on a creditable coverage or Medicare D Prescription Drug Plan. 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. | If they can't be reached, or are unavailable, send an appointment letter (DSHS 0011-01) and a request for verification letter for what is needed to determine eligibility, based only on what was declared on the application. Authorize in ACES for in-home or residential HCB waiver if the client is both functionally and financially eligible. 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. IHSS Service Desk for Providers & Recipients, (866) 376-7066, Suspect Fraud? HIV Medical and Support Service Categories, Research, Funding, & Educational Resources. The hospice provideris required to submit this form within 5 business days of a hospice election on all active and pending Medicaidcases. 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. HRSA/HAB Ryan White Program & Grants Management, Recipient Resources. Day one is the date the application was received. 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. 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. SOCIAL SECURITY NUMBER 5. APPLICANT'S MAILING ADDRESS (IF DIFFERENT)CITYSTATEZIP CODE 7. HRSA/HAB Division of Metropolitan HIV/AIDS Programs Program Monitoring Standards Part A April 2013. p. 43-44. WAC 182-513-1350). | 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 . The HCS case manager coordinates andconsults withthe PBS to see if Fast Track is appropriate. 253-798-4400 Monday - Friday | 8 a.m. - 4:30 p.m. Case actions and why the actions were taken, and. For ABD, SSI-related Washington Apple Health programs: This process applies toSSI-related programs only MAGI-based clients are not eligible for HCBwaiver. | The LTSS authorization date, which is described in WAC, If there is a transfer penalty as described in WAC. Accessed on October 12, 2020. Homeless Housing Hotline: 844-628-7343 - Call to connect with homeless services in Thurston County and get referrals to shelter and housing options. Percentage of clients with documented evidence of referrals provided for HIA assistance that had follow-up documentation within 10 business days of the referral in the primary client record. Based on the agencys perception of the client's condition, the client requires a higher level of care than would be considered reasonable in a home/community setting. | The agency may discontinue services or refuse the client for as long as the threat is ongoing. If the NF admission is on a weekend or holiday, the NF has until the first business day to report the admission. 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. Ryan White Providers using telehealth must also follow DSHS HIV Care Services guidelines for telehealth and telemedicine outlined in DSHS Telemedicine Guidance. 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. Por favor, responda a esta breve encuesta. Explain how to request an extension if more time is needed. 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. For calculating time limits, "day one" is the day we get an application from you that includes at least the information described in WAC. Percentage of eligible clients with documented evidence of the follow-up and result(s) to a completed benefit application in the primary client record. 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. Tacoma, WA 98418. 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. Need Mental Health 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. We did not document the good cause reason before missing a time frame specified in subsection (1) of this section. 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. 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. Ask if any of these bills were incurred within the last 3 months. 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. 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. N _rels/.rels ( j0@QN/c[ILj]aGzsFu]U ^[x 1xpf#I)Y*Di")c$qU~31jH[{=E~ The PBS should reviewthe original application to ensure there are no changes and proceed to determine eligibility. 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. Demonstrate the reasonableness of decisions. Explain participation and room and board, how the amount is determined, and that it must be paid to the provider. Name Unit Division Phone *Medicaid Helpline: Medicaid: HCS: 1-800-562-3022: Abbott, Amy: Director's Office, RCS: RCS: 360.725.2401: Acoba, Curtis: OT - IT Security 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. Staff will follow up within 10 business days of a referral provided to support services to ensure the client accessed the service.
dshs home and community services intake and referral