What resources is the client reporting on the application or past applications? Espaol
Encourage the applicant to gather documents as soon as possible to expedite the process. Examples are the SSI or SSI-related programs or Apple Health for Workers with Disabilities (HWD).
The HCS case manager coordinates andconsults withthe PBS to see if Fast Track is appropriate.
FAX to: 1-855-635-8305.
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.
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The LTSSstartdate is the date the client is both financially and functionally eligible.
If there are previous versions of this rule, they can be found using the Legislative Search page. Telehealth and Telemedicine is an alternative modality to provide most Ryan White Part B and State Services funded services. Case management that links a soon-to-be-released inmate with primary care is an example of appropriate transitional social services. The PBS may waive the interview requirement.
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Health care services: Clients should be provided assistance in accessing health insurance or Marketplace health insurance plans to assist with engagement in the health care system and HIV Continuum of Care, including medication payment plans or programs.
Coordination of Services and Referrals: If referrals are appropriate or deemed necessary, the agency will: Percentage of clients accessingHome and Community-Based Health Services with documented evidence of referrals, as applicable, to other services as indicated in the clients primary record. A supervisor must sign the case closure summary.
Benefits counseling: Services should facilitate a clients access to public/private health and disability benefits and programs.
For long-term services and supports coverage such as nursing home care, in-home personal care, assisted living facility, adult family home programs, and TSOA Mail your application to: DSHS Home and Community Services PO Box 45826, Olympia, WA 98504-5826 Questions? Per Diem.
Whether there is a housing maintenance allowance and the start date, if appropriate.
The Home and Community-Based Provider will document in the clients primary record progress notes throughout the course of the treatment, including evidence that the client is not in need of acute care. Main Office .
Stick to the facts relevant to determining eligibility or benefit level.
Ask if any of these bills were incurred within the last 3 months.
For medicaid recipients, institutional services are approved based on the first date the admission is known to DSHS as long as the client meets all other eligibility factors. 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. For non-urgent mental health services, please contact your county mental health department .
Home and Community-Based Health Services Standards print version.
REGION 1 - Pend Oreille, Stevens, Ferry Okanagan, Chelan, Douglas, Grant, Lincoln, Spokane, Adams, Whitman, Klickitat, Kittitas, . We did not document the good cause reason before missing a time frame specified in subsection (1) of this section. Exception is N21/N25 AEM MAGI.
The agency has attempted to complete an initial assessment and the referred client has been away from home on three occasions.
Questions to consider when making aFast Track recommendation: Social services cant begin Fast Track until a CAREassessment is completed.
DOCX Social Service Intake - Washington 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. 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 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. BIRTH DATE 4.
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. f?3-]T2j),l0/%b
Progress notes will then be entered into the client record within 14 working days.
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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.
Go over the application, particularly what was declared in the income and resource sections.
Disproportionate Share Hospital (DSH) Program - California
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. This is used for any cash, food or medical care services (MCS) request as MCS is tied to ABD cash/HEN eligibility, HCA 14-194 Medical coverage information (used to report third party insurance coverage including LTC insurance), DSHS14-539 Revocable burial fund provision for SSI-related health care, DSHS 14-540 Irrevocable burial fund provision for SSI-related health care, DSHS 14-454 Estate recovery fact sheet.
Services focus on assisting clients entry into and movement through the care service delivery network such that RWHAP and/or State Services funds are payer of last resort.
The PBS should reviewthe original application to ensure there are no changes and proceed to determine eligibility.
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Refer the client tosocialservicesfor a care assessment if the client contacts the PBSfirst and document the date the client first requested NF care.
Applications for LTSS | Washington State Health Care Authority
We follow the rules about notices and letters in chapter.
HCA forms, including translations are found on the HCA forms website.
The PBS also determines maximum client responsibility.
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.
The agency or its designee may contact an individual by phone or in writing to gather any additional information that is needed to make an eligibility determination.
| word/document.xml\n8}_`u-c t?mk[X`aKHJ|Mf2DUSU~~=DX~PJ6u`r]u+K(q` Qy'AD5}]qT"{J|}]6+t. Services may be authorized using Fast Track for a maximum of 90 days. IHSS Service Desk for Providers & Recipients, (866) 376-7066, Suspect Fraud?
HRSA/HAB Division of State HIV/AIDS Programs National Monitoring Standards Program Part B April, 2013, p. 13-15. Conduct a follow-up within 90 days of completed application to determine if additional and/or ongoing needs are present.
Disproportionate Share Hospital Program Eligibility. 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. Please take this short survey.
Provide advocacy to clients with a clear understanding of community services and support available for their situations.
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.
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6. 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.
Ryan White Providers using telehealth must also follow DSHS HIV Care Services guidelines for telehealth and telemedicine outlined in DSHS Telemedicine Guidance. 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).