dshs home and community services intake and referralaziende biomediche svizzera

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. ALTSA Phone Numbers - Washington 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. HRSA/HAB Division of Metropolitan HIV/AIDS Programs Program Monitoring Standards Part A April 2013. p. 43-44. An overpayment isn't established. Staff will follow-up within 10 business days of a referral provided to any core services to ensure the client accessed the service. | RW Providers must use a telehealth vendor that provides assurances to protect ePHI that includes the vendor signing a business associate agreement (BAA). Shannon Rawlings, LICSW - DSHS WSH Civil Social Work Manager - LinkedIn 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. Funds cannot be used to duplicate referral services provided through other service categories. Denos su opinin sobre sus experiencias con las instalaciones, el personal, la comunicacin y los servicios del DSHS. 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. 7wfQCfjS 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. Client transfers services to another service program. Home and Community-based Services (HCS) - Texas Collaborates with treating physician, psychiatric and allied health professional team to plan and direct each individual member . Access Health Care Language Assistance Services (SB 223). Home. APPPLICANT'S NAME: LAST, FIRST, MI 2. Percentage of clients with documented evidence of a discharge plan developed with client, as applicable, as indicated in the clients primary record. Exception is N21/N25 AEM MAGI. DSHS 14-532 Authorized representative release of information. Sometimes we can start your coverage up to three months before the month you applied (see WAC, If you are confined or incarcerated as described in WAC, You are hospitalized during your confinement; and. PK ! Housing & Community Services - Snohomish County, WA IHSS Timesheet Issues/Questions: Conduct a follow-up within 90 days of completed application to determine if additional and/or ongoing needs are present. 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. FAX to: 1-855-635-8305. 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. Por favor, responda a esta breve encuesta. If not already authorized, request authorization for AVS for the client and any applicable financially responsible people. Listing for: Denham Resources. DSH Program State Plan Amendment 14-008. f?3-]T2j),l0/%b | This section describes the application processes used by Aging and Long-term Supports Administration (ALTSA) when determining financial eligibility for Long-Term Services and Supports (LTSS). 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. A simple and sleek portal for staff. 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 . Authorize in ACES for in-home or residential HCB waiver if the client is both functionally and financially eligible. Kirkland, WA. Intake and Referral - DocsLib 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. Listed on 2023-03-03. Benefits Counseling: Activities should be client-centered facilitating access to and maintenance of health and disability benefits and services. 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. We provide equal access (EA) services as described in WAC, Ask for EA services, you apply for or receive long-term services and supports, or we determine that you would benefit from EA services; or, Have limited-English proficiency as described in WAC. DOCX Social Service Intake - Washington 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. . We do not delay a decision by using the time limits in this section as a waiting period. Call the DSHScommunity services customer service contact center number listed on the medicaidapplication form. IHSS Service Desk for Providers & Recipients, (866) 376-7066, Suspect Fraud? Posted: October 21, 2022. Welcome to CareWarePlease select your portal type. Intake Coordinator Job Fresno California USA,Social Work Please take this short survey. IHSS Fraud Hotline: 888-717-8302 | All AAs and subrecipients must establish culturally and linguistically appropriate goals, policies, and management accountability, and infuse them throughout the organizations planning and operations. | 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. LTSS can begin once a client is found financially and functionally eligible and an approved provider is in place. 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. Complete a Financial Communication to Social Services (07-104) referral when an application is received on an active MAGI case, Add text stating that unless an assessment is completed and determines HCB Waiver is needed, the client will remain on MAGI. Case management that links a soon-to-be-released inmate with primary care is an example of appropriate transitional social services. Back to DSH main webpage. DSHS forms, including translations are found on the DSHS forms website. | Consistently report referral and coordination updates to the multidisciplinary medical care team. Day one is the date the application was received. 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. RN Referral Intake Nurse Hospice and Home Health The LTSSstartdate is the date the client is both financially and functionally eligible. SSI recipients who need institutional services, or HCB waiver, must complete and sign an application, or the. Community Health Worker, Crisis Counselor. Use the original eligibility review date to open institutional coverage. The following Standards and Measures are guides to improving health outcomes for people living with HIV throughout the State of Texas within the Ryan White Part B and State Services Program. Transfer/Discharge:A transfer or discharge plan shall be developed when one or more of the following criteria are met: All services discontinued under above circumstances must be accompanied by a referral to an appropriate service provider agency. Provider Fraud and Elder Abuse complaint line: Denos su opinin sobre sus experiencias con las instalaciones, el personal, la comunicacin y los servicios del DSHS. The application process begins and the application date is established when the request for benefits is received. Washington COPES Medicaid Waivers Program When information is verified using an electronic source (such as BENDEX, AVS, etc.). Social Service Intake and Referral form (DSHS Form #10-570) The form is available here on the intranet: https://www.dshs.wa.gov/fsa/forms The form is available here on the internet for the public. For information regarding prior fiscal year files, please contact the DSH unit at, Last modified date: We follow the rules about notices and letters in chapter. These are the forms used in the application process for LTSS. 1-(800)-722-0432, Copyright 2023 California Department of Social Services. Encourage the applicant to gather documents as soon as possible to expedite the process. 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. Progress notes will then be entered into the client record within 14 working days. Ryan White Providers using telehealth must also follow DSHS HIV Care Services guidelines for telehealth and telemedicine outlined in DSHS Telemedicine Guidance. Call the client or their representative to complete an interview. 0 6 /20 20 INSTRUCTIONS HOME AND COMMUNITY SERVICES Intake and Referral DATE Section 1. Always include the client's full name and the DSHS client id (if known) on any document mailed or faxed to DSHS. Aging & Disability Resources | Pierce County, WA - Official Website z, /|f\Z?6!Y_o]A PK ! Acronyms utilized should be DSHS/HCA approved. 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. To find an HCS office near you, use the. Demonstrate the reasonableness of decisions. Lakewood, WA. Call the HCS intake line in the area in which you reside to schedule an assessment. Stick to the facts relevant to determining eligibility or benefit level. Applicant Information 1. Human Services | Pierce County, WA - Official Website 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. Social services will state fund Fast Track services when the client isn't financially eligible during the fast track period. You mayapply for apple health for another person if you are: An authorized representative (as described in WAC. Explain to the applicant that there is a Public Benefits Specialist (PBS) and a social service manager making determinations concurrently for LTSS eligibility. A copy of the police report is sufficient, if applicable. For ABD, SSI-related Washington Apple Health programs: This process applies toSSI-related programs only MAGI-based clients are not eligible for HCBwaiver. Coordinate with other agencies in planning and linking clients to referral services (for example: legal, medical, social services, financial, and/or housing). The agency must document the situation in writing and immediately contact the client's primary medical care provider. Allows at least ten calendar days to provide it. Clients should be educated about and assisted with accessing and securing all available public and private benefits and entitlement programs. | f?3-]T2j),l0/%b 253-798-4400 Monday - Friday | 8 a.m. - 4:30 p.m. Explain the medical service card, automatic Medicare D enrollment if not on a creditable coverage or Medicare D Prescription Drug Plan. Tacoma, WA 98418. The intake and referral form (DSHS 10-570) and instructions can be found on the DSHS forms website What is the difference between a request for services and a referral? Clearly indicate this is a projection and the financial application is in process. If you have questions about submitting the form please contact your regional office at the number below. z, /|f\Z?6!Y_o]A PK ! For non-urgent mental health services, please contact your county mental health department . Refer the client tosocialservicesfor a care assessment if the client contacts the PBSfirst and document the date the client first requested NF care. p9,u eV)Pp6B*Rk[g8=g S,8!ciLu`A^2 ntw]0+ *mhX1M[zQ=~yOF594 Y8-xf[rt(>zc|C1>4o ?|aBq}D.2L3jI>&,OXOG79Z5:%A PK ! How do I notify PEBB that my loved one has passed away? 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. Refer the client to social service intakefor a CAREassessment if the client contacts the PBS first and document the date the client first requested in-home or residential care. Fax form to the Home and Community Services office in your region for intake. If there are previous versions of this rule, they can be found using the Legislative Search page. CONTACT(S): Rachelle Ames, HCS Program Manager 360-725-2353 amesrl@dshs.wa.gov We will allow you more time if you ask for more time or need an accommodation due to disability or limited-English proficiency. Percentage of clients accessingHome and Community-Based Health Services have follow up documentation to the referral offered in the clients primary record. 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. Ensure that service for clients will be provided in cooperation and in collaboration with other agency services and other community HIV service providers to avoid duplication of efforts and encouraging client access to integrated health care. Clientsswitching from private pay to medicaid are advised to apply for benefits 30 to 45 days before being resource eligible for the program. Licensed Masters Mental Health Professional Adult Intake Specialist Have you received Accurintand/or AVS results and reviewed the assets reported? Repaying the state for medical and long-term services and supports, DSHS 14-501 Community resource declaration (used to evaluate resources (assets) for an applicant and their spouse based on date of institutionalization. A referral WAC 182-513-1350). 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. Need Mental Health Services? 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. | word/document.xml\n8}_`u-c t?mk[X`aKHJ|Mf2DUSU~~=DX~PJ6u`r]u+K(q` Qy'AD5}]qT"{J|}]6+t. Explain how to request an extension if more time is needed. We did not document the good cause reason before missing a time frame specified in subsection (1) of this section. 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. The following Standards and Measures are guides to improving healthcare outcomes for people living with HIV throughout the State of Texas within the Ryan White Part B and State Services Program. DSH Replacement State Plan Amendment 16-010. Telehealth and Telemedicine is an alternative modality to provide most Ryan White Part B and State Services funded services. This Home and Community Based Services program provides not only care, but also other supports . HRSA/HAB Division of Metropolitan HIV/AIDS Programs Program Monitoring Standards Part A April 2013, p. 14-16. PDF HCS Intake and Referral - Washington adult daycare center) in accordance with a written, individualized plan of care established by a licensed physician. MAGI covers NF and Hospice under the scope of care. Go over the application, particularly what was declared in the income and resource sections. If the client is likely to attain institutional status. 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. 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. When applicable, the client home or current residence is determined to not be physically safe (if not residing in a community facility) and/or appropriate for the provision ofHome and Community-Based Health Services as determined by the agency. You are the primary applicant on an application if you complete and sign the application on behalf of your household. The agency has attempted to complete an initial assessment and the referred client has been away from home on three occasions. Eligibility decisions made, or next steps. 6 [Content_Types].xml ( KO0#5.,5ec H0[i ~NhMsg[3xxw;) 'nY?7H(;1{H] Type of client interaction (phone, in-person, etc.). Ask about any transfers, gifts, or property sales during the 5-year look back and the circumstances of why they were made. Family members and other representatives are often just learning about the client's income and resources when they apply. Percentage of clients with documented evidence of agency refusal of services with detail on refusal in the clients primary record AND if applicable, documented evidence that a referral is provided for another home or community-based health agency. HIV Medical and Support Service Categories, Research, Funding, & Educational Resources. 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. Professional care is the provision of services in the home by licensed providers for mental health, development health care, and/or rehabilitation services. | 08/2017) Page 1 of 2 / Intake and Referral form for Social Services. 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: Center for Health Emergency Preparedness & Response, Texas Comprehensive Cancer Control Program, Cancer Resources for Health Professionals, Resources for Cancer Patients, Caregivers and Families, Food Manufacturers, Wholesalers, and Warehouses, Emergency Medical Services (EMS) Licensure, National Electronic Disease Surveillance System (NEDSS), Health Care Information Collection (THCIC), Pharmaceutical Manufacturers Patient Assistance Programs, DSHS Policy591.00 Limitations on Ryan White and State Service Funds for Incarcerated Persons in Community Facilities, Section 5.3, State Health Insurance Assistance Plans (SHIPs), Social Security Disability Insurance (SSDI). You may apply for Washington apple health at any time. DSHS 10-438 Long-term care partnership (LTCP) asset designation form (used to designate assets (resources) for those with a long-term care partnership insurance policy), DSHS 14-012 Consent (release of information form) (used for all DSHS programs), DSHS27-189Asset Verification Authorization. How do I notify SEBB that my loved one has passed away? HRSA/HAB Division of Metropolitan HIV/AIDS Programs Program Monitoring Standards Part A April 2013, p. 14-16. N _rels/.rels ( j0@QN/c[ILj]aGzsFu]U ^[x 1xpf#I)Y*Di")c$qU~31jH[{=E~ 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. Ensure an Asset Verification System (AVS) Authorization is on file, and if not, follow these procedures. HRSA/HAB Division of State HIV/AIDS Programs National Monitoring Standards Program Part B April, 2013, p. 13-15. Document in ACES remarks, in detail, all eligibility factors discussed during the interview and included on the application. For people described in subsection (3) of this section who are not applying with a household containing people described in subsection (2) of this section: Call orvisit a local DSHSCSO or HCS office; or. Send a general correspondence letter to the client indicating the application was received and because the client is currently receiving Medicaid services, additional information isn't needed for financial eligibility.

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