Fast Track is a social serviceprocess that allows the authorization of LTSS prior to a financial eligibility determination. APPLICANT'S HOME ADDRESSCITYSTATEZIP CODE 6. Staff will follow-up within 10 business days of a referral provided to HIA to determine if the client accessed HIA services. Dont open a case in ACES until you have everything needed to establish financial eligibility. Disproportionate Share Hospital Program Eligibility. 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). A referral Ting Vit, About Us Telehealth and Telemedicine is an alternative modality to provide most Ryan White Part B and State Services funded services. Agency no longer meets the level of care required by the client. We will allow you more time if you ask for more time or need an accommodation due to disability or limited-English proficiency. If you seek apple health coverage and are age sixty-five or older, have a disability, are blind, need assistance with medicarecosts, or seek coverage of long-term services and supports,you may apply: By completing the application for aged, blind, disabled/long term care coverage (, In person at a local DSHSCSO or home and community services (HCS) office; or. If you disagree with our decision, you can ask for a hearing. Concise - Documentation is subject to public review. 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. A supervisor must sign the case closure summary. Use Remarks to document information specific to the ACES page: Follow these principles when documenting: Document standard of promptness for all medical applications pending more than45 days: There are two start dates for LTSS, the medicaid eligibility date and the LTSSstart date: If an applicant has withdrawn their request for medical benefits and then decides they want to pursue the application, we will redetermine eligibility for benefits without a new application as long as the client has notified the department within 30 days of the withdrawal. Authorize in ACES for in-home or residential HCB waiver if the client is both functionally and financially eligible. This Home and Community Based Services program provides not only care, but also other supports . 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. Job specializations: Social Work. Provide feedback on your experience with DSHS facilities, staff, communication, and services. State Plan Amendments. Per Diem. RW Providers must use a telehealth vendor that provides assurances to protect ePHI that includes the vendor signing a business associate agreement (BAA). 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. TK6_ PK ! For calculating time limits, "day one" is the day we get an application from you that includes at least the information described in WAC. | | Home and Community-Based Health Services are therapeutic, nursing, supportive and/or compensatory health services provided by a licensed/certified home health agency in a licensed/certified home or community-based setting (e.g. 7wfQCfjS Listed on 2023-03-03. You are the primary applicant on an application if you complete and sign the application on behalf of your household. You mayapply for apple health for another person if you are: An authorized representative (as described in WAC. By calling the Washington Healthplanfindercustomer support center and completing an application by telephone; By completing the application for health care coverage (. Privacy Policy 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.. How do I notify SEBB that my loved one has passed away? Training and social services development, delivery and evaluations; budget setting; and relationship cultivation. Clearly indicate this is a projection and the financial application is in process. GENDER Male Female 3. The agency must document the situation in writing and immediately contact the client's primary medical care provider. 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\ To apply for tailored supports for older adults (TSOA), see WAC. Details of how eligibility factor(s) were verified. 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. You are automatically enrolled in apple healthand do not need to submit an application if you are a: Supplemental security income (SSI) recipient; Person deemed to be an SSI recipient under 1619(b) of the SSA; Child in foster care placement as described in WAC. 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. 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. 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: INTAKE AND REFFERAL DSHS 10-570 (REV. 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. 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. 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. Intake Coordinator. | Services cannot be provided in the following facilities: inpatient hospital facilities, nursing homes, and other long term care facilities. Main Office . 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 . BIRTH DATE 4. Staff will follow up within 10 business days of a referral provided to support services to ensure the client accessed the service. Social service staff and case managers determine functional eligibility and what services to authorize based on a complete and comprehensive CAREassessment. If there is other medical coverage and you can obtain the information during the interview, complete a. Apply in-person at a local Home & Community Services office. 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. Applications for clients under age 65 or ineligible for Medicare should be submitted through this site and will have a real-time determination of Washington Apple Health medical coverage eligibility under the modified adjusted gross income (MAGI) methodology. 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. Document in ACES remarks, in detail, all eligibility factors discussed during the interview and included on the application. Allows at least ten calendar days to provide it. How do I notify PEBB that my loved one has passed away? 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. HRSA/HAB Ryan White Program & Grants Management, Recipient Resources. 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. Social services indicates the start date for HCB waiver on the DSHS 14-443 (communication from social services to HCS PBS), or the DSHS 15-345 (communication from DDA case manager to the DDA PBS). | Careers Please report broken links or content problems. | HRhk\ X?Nk; $-Yqiy*KB&I4"@W>eGI'tHaOBhVPRQq[^BJ] You may apply for Washington apple health at any time. 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. PK ! z, /|f\Z?6!Y_o]A PK ! the past two years? Determine if a housing maintenance allowance (HMA) is appropriate (current rule states HMA is the amount of the Federal Poverty Level). 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. Complete - The documentation must support the eligibility decision and allow a reviewer to determine what was done and why. Case actions and why the actions were taken, and. Tacoma, WA 98418. | Accessibility Certification, 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. Provide the PBS staff with the following information: Residential facility name and address, including room number, if applicable. | The LTSSauthorization date can be backdated for nursing facility services up to 3 months prior to the date of application for a new applicant of Medicaid as long as the client is nursing facility level of care (NFLOC) and financially eligible. HRSA/HAB Division of Metropolitan HIV/AIDS Programs Program Monitoring Standards Part A April 2013. p. 43-44. 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. Encourage the applicant to gather documents as soon as possible to expedite the process. If the 13-746 is not received timely, count back 5 businessdays from the date of receipt to determine the authorization date. In the case of the community spouse, explain how all resources in excess of the $2,000 resource limit must be transferred to the spouse within 1 year and the requirement to provide verification of this by the first annual review. Benefits counseling: Services should facilitate a clients access to public/private health and disability benefits and programs. f?3-]T2j),l0/%b Back to DSH main webpage. Day one is the date the application was received. DSHS 10-570 ( REV. d{ word/_rels/document.xml.rels ( VMo W87GJmziRokm:Kbi6P{3c33{Jp^MQKT %*|`3i4PwA'NX_D)BW<6t|XC{9qS4Yr-6M#jlHv$d@. V&ca\H>le?S9As<1CRYN]drRI/0!b Location: Wilton<br>Sign-on Bonus - $5,000<br><br>Provides mental health assessment, diagnosis, treatment and crisis intervention services for adult and/or child members who present themselves from psychiatric evaluation with a broad range of mental health needs. Full. Percentage of eligible clients with documented evidence of the follow-up and result(s) to a completed benefit application in the primary client record. Provide advocacy to clients with a clear understanding of community services and support available for their situations. 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.

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