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. An overpayment isn't established. TK6_ PK ! PBS determines financial eligibility by comparing the client's income, resources and circumstances to program criteria. 253-798-4400 Monday - Friday | 8 a.m. - 4:30 p.m. 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. HRSA/HAB Division of Metropolitan HIV/AIDS Programs Program Monitoring Standards Part A April 2013, p. 14-16. (Source: DSHS Policy591.00 Limitations on Ryan White and State Service Funds for Incarcerated Persons in Community Facilities, Section 5.3). 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. | word/document.xml\n8}_`u-c t?mk[X`aKHJ|Mf2DUSU~~=DX~PJ6u`r]u+K(q` Qy'AD5}]qT"{J|}]6+t. DSHS HCS Intake and . For information regarding prior fiscal year files, please contact the DSH unit at, Last modified date: Type of client interaction (phone, in-person, etc.). Clients should be educated about and assisted with accessing and securing all available public and private benefits and entitlement programs. 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. Please report broken links or content problems. 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. For calculating time limits, "day one" is the day we get an application from you that includes at least the information described in WAC. Jun 2014 - Mar 201510 months. Collaborates with treating physician, psychiatric and allied health professional team to plan and direct each individual member . Denos su opinin sobre sus experiencias con las instalaciones, el personal, la comunicacin y los servicios del DSHS. 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. Apply in-person at a local Home & Community Services office. Client will be contacted within one (1) business day of the referral, and services should be initiated at the time specified by the primary medical care provider, or within two (2) business days, whichever is earlier. catholic community services hen program. Go over the application, particularly what was declared in the income and resource sections. DSH Program State Plan Amendment 14-008. Agency no longer meets the level of care required by the client. Mienh waac Referrals for health care and support services provided by outpatient/ambulatory health care professionals should be reported under Outpatient/Ambulatory Health Services (OAHS) category. 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. 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. 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. The interview can be conducted in person or by phone. Per Diem. Review excess home equity, annuity and transfer of resource provisions that are specific to institutional and home and community-based (HCB) waivers. | 3602 Pacific Ave., Suite 200 . 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. | xar *O.c H?Y+oaB]6y&$i8]U}EvH*%94F%[%A PK ! (PDF) Accessed on October 12, 2020. Call the client or their representative to complete an interview. If the applicant is eligible for an MSP based on income and resource guidelines and all information is received to determine eligibility for MSP, don't hold up processing this program while the LTSS medical is pending. The following are eligibility related documents and files, including the annual final eligibility lists, peer grouping report, and the Low-Income Utilization Rate, Medicaid Utilization Rate, and Omnibus Budget Reconciliation Act formulas. Authorize payment for NF care if the client is both functionally and financially eligible. Staff will educate clients about available benefit programs, assess eligibility, assist with applications, provide advocacy with appeals and denials, assist with re-certifications, and provide advocacy in other areas relevant to maintaining benefits/resources. Issue the NF award letter to the applicant/recipient and the nursing facility. 6. Percentage of clients with documented evidence of a comprehensive evaluation completed by the Home and Community-Based Health Agency Provider in the clients primary record. | Careers HRSA/HAB Ryan White Program & Grants Management, Recipient Resources. Provider Fraud and Elder Abuse complaint line: A referral Any assaults, verbal or physical, must be reported to the monitoring entity within one (1) business day and followed by a written report. (PDF) Accessed October 12, 2020. Include Remarks to reconcile any discrepancies, or important information not otherwise captured, including required questions left blank on the application or eligibility review form. \{#+zQh=JD ld$Y39?>}'C#_4$ 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. Caregiver Support Find out about caregiver support. Ask about other medical coverage. Benefits Counseling: Activities should be client-centered facilitating access to and maintenance of health and disability benefits and services. Main Office . Ask about any transfers, gifts, or property sales during the 5-year look back and the circumstances of why they were made. Full. 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. Issue the award letter to the applicant/recipient. N _rels/.rels ( j0@QN/c[ILj]aGzsFu]U ^[x 1xpf#I)Y*Di")c$qU~31jH[{=E~ Por favor, responda a esta breve encuesta. The determination of Fast Track is ultimately up to social services. 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 in-home service applicants, discuss the food assistance program and inquire if the household would like to apply for food benefits. PK ! Telehealth and Telemedicine is an alternative modality to provide most Ryan White Part B and State Services funded services. Percentage of eligible clients with documented evidence of the follow-up and result(s) to a completed benefit application in the primary client record. Conduct a follow-up within 90 days of completed application to determine if additional and/or ongoing needs are present. Services include: Inpatient hospitals, nursing homes, and other long-term care facilities are not considered an integrated setting for the purposes of providing Home and Community-Based Health Services. 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. LTSS can begin once a client is found financially and functionally eligible and an approved provider is in place. The agency may discontinue services or refuse the client for as long as the threat is ongoing. Staff will follow-up within 10 business days of a referral provided to any core services to ensure the client accessed the service. $[53j(,U+/6-FBR[lvn! }k}HG4"jhznn'XwB$\HODuDX7o u'8>@)OLA@"yoTP8nd lAO When using Collateral Contact (CC) or Other (OT) valid value, document the details of how it was verified. . If the client is likely to attain institutional status. Hmoob The HCS case manager coordinates andconsults withthe PBS to see if Fast Track is appropriate. RW Providers must use a telehealth vendor that provides assurances to protect ePHI that includes the vendor signing a business associate agreement (BAA). Your WAH coverage may not begin on the first day of the month if: Subsection (3) of this section applies to you. Policy Notices and Program Letters, Ryan White HIV/AIDS Program Services: Eligible Individuals & Allowable Uses of Funds Policy Clarification Notice (PCN) #16-02, Health Education-Risk Reduction (HE/RR) - Minority AIDS Initiative, Health Insurance Premium and Cost Sharing Assistance for Low-Income Individuals, Local AIDS Pharmaceutical Assistance (LPAP), Medical Case Management (including Treatment Adherence Services), Outreach Services - Minority AIDS Initiative (MAI), Interim Guidance for the Use of Telemedicine, Teledentistry, and Telehealth for HIV Core and Support Services - Users Guide and FAQs, Interim Guidance for the Use of Telemedicine, Teledentistry, and Telehealth for HIV Core and Support Services, Referral to health care/supportive services, Health Insurance Plans/Payment Options (CARE/, Pharmaceutical Patient Assistance Programs (PAPS). The hospital requires you to stay overnight. $41 to $75 Hourly. IHSS Service Desk for Providers & Recipients, (866) 376-7066, Suspect Fraud? If you reside in an institution of mental diseases (as defined in WAC. f?3-]T2j),l0/%b Staff will follow-up within 10 business days of a referral provided to HIA to determine if the client accessed HIA services. How do I notify PEBB that my loved one has passed away? L2 Determine the client's financial eligibility for LTSSmedicaid and/or noninstitutional medical assistance including a request for retro medical if needed. Back to DSH main webpage. 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. 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 . Explain Estate Recovery and mail the Estate Recovery fact sheet. GENDER Male Female 3. Services cannot be provided in the following facilities: inpatient hospital facilities, nursing homes, and other long term care facilities. 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. Community Health Worker, Crisis Counselor. 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. 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. MAGI covers NF and Hospice under the scope of care. z, /|f\Z?6!Y_o]A PK ! Percentage of clients with documented evidence of assistance provided to access health insurance or Marketplace plans in the primary client record. Details of how eligibility factor(s) were verified. 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. 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. (link is external) 360-709-9725. Apply to Event Coordinator, Van Driver, Employment Specialist and more! Whether there is a housing maintenance allowance and the start date, if appropriate. The hospice provideris required to submit this form within 5 business days of a hospice election on all active and pending Medicaidcases. 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