Conduct a follow-up within 90 days of completed application to determine if additional and/or ongoing needs are present. We process applications for Washington apple health medicaid within forty-five calendar days, with the following exceptions: If you are pregnant, we process your application within fifteen calendar days; If you are applying for a program that requires a disability decision, we process your application within sixty calendar days; or. Contact a navigator, health care authority volunteer assistor, or broker. Your Washington apple health (WAH) coverage starts on the first day of the month you applied for and we decided you are eligible to receive coverage, unless one of the exceptions in subsection (4) of this section applies to you. Has your contact information changed in Health Care Services: Clients should be assisted in accessing health insurance or Marketplace plans to assist with engagement in the health care system and HIV Continuum of Care, including medication payment plans or programs. the past two years? 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. Please take this short survey. 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. You must apply directly with the service provider for the following programs: The breast and cervical cancer treatment program under WAC, For the confidential pregnant minor program under WAC. 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. The PBS also determines maximum client responsibility. v}r'kFtr4Ng n [D!n'h}c l`0_ 85yaBAhFozyJ46_ERgsEc;,'K$zTzy[1 PK ! Provide feedback on your experience with DSHS facilities, staff, communication, and services. Funds cannot be used to duplicate referral services provided through other service categories. Apply in-person at a local Home & Community Services office. 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. The agency may discontinue services or refuse the client for as long as the threat is ongoing. HRSA/HAB Division of Metropolitan HIV/AIDS Programs Program Monitoring Standards Part A April 2013. p. 43-44. A copy of the police report is sufficient, if applicable. HRSA/HAB Division of State HIV/AIDS Programs National Monitoring Standards Program Part B April, 2013, p. 13-15. APPPLICANT'S NAME: LAST, FIRST, MI 2. SSI recipients who need institutional services, or HCB waiver, must complete and sign an application, or the. Explain the Medicare Savings Program (MSP). Purpose: Communication to social services intake regarding an individual requesting a functional assessment for long-term services and supports (LTSS). What resources is the client reporting on the application or past applications? Explain participation and room and board, how the amount is determined, and that it must be paid to the provider. 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. Assist clients in making informed decisions on choices of available service providers and resources. Explain the financial and social service functional eligibility process. 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. 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. 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. HRhk\ X?Nk; $-Yqiy*KB&I4"@W>eGI'tHaOBhVPRQq[^BJ] Appropriate mental health, developmental, and rehabilitation services; Day treatment or other partial hospitalization services; Home health aide services and personal care services in the home. | Careers Statements made by the client and/or their representative. INTAKE AND REFFERAL DSHS 10-570 (REV. HCA 18-003 Rights and responsibilities (translations can be found at Health Care Authority (HCA) forms under 14-113), HCA 18-005 Washington Apple Health application for aged, blind, disabled/long-term care coverage, HCA 18-008 Washington Apple Health application for tailored supports for older adults (TSOA), DSHS14-001 Application for cash or food assistance. Ask about other resources not declared on the application. Screen all clients to determine potential for HCB services. Repaying the state for medical and long-term services and supports, DSHS 14-501 Community resource declaration (used to evaluate resources (assets) for an applicant and their spouse based on date of institutionalization. The agency or its designee may contact an individual by phone or in writing to gather any additional information that is needed to make an eligibility determination. If you have questions about submitting the form please contact your regional office at the number below. SOCIAL SECURITY NUMBER 5. Appendix 2 to Attachment 4.19-A. IHSS Fraud Hotline: 888-717-8302 Per Diem. Concise - Documentation is subject to public review. If you are experiencing a mental health crisis and need immediate assistance, please call "911" and explain the nature of your problem to the operator. N _rels/.rels ( j0@QN/c[ILj]aGzsFu]U ^[x 1xpf#I)Y*Di")c$qU~31jH[{=E~ Professional care is the provision of services in the home by licensed providers for mental health, development health care, and/or rehabilitation services. By calling the Washington Healthplanfindercustomer support center and completing an application by telephone; By completing the application for health care coverage (. Housing & Community Services - Snohomish County, WA Wage Range: $40.76-$75.17 per hour plus per diem rate. Benefits counseling: Services should facilitate a clients access to public/private health and disability benefits and programs. RW Providers must use a telehealth vendor that provides assurances to protect ePHI that includes the vendor signing a business associate agreement (BAA). Explain how to request an extension if more time is needed. Explain Estate Recovery and mail the Estate Recovery fact sheet. DOCX STATE OF WASHINGTON - Home | WA.gov Por favor, responda a esta breve encuesta. 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. Day one is the date the application was received. Have you received Accurintand/or AVS results and reviewed the assets reported? REGION 1 - Pend Oreille, Stevens, Ferry Okanagan, Chelan, Douglas, Grant, Lincoln, Spokane, Adams, Whitman, Klickitat, Kittitas, . 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). Give your local county office your updated contact information so you can stay enrolled. HRSA/HAB Ryan White Program & Grants Management, Recipient Resources. 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. Help Stop Medi-Cal Fraud and Abuse Olympia WA 98504-5826; or ALTSA Phone Numbers - Washington Please reference the HRSA Program Guidance above. Kirkland, WA. Por favor, responda a esta breve encuesta. 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. Allows at least ten calendar days to provide it. Ting Vit, About Us 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. Ryan White Providers using telehealth must also follow DSHS HIV Care Services guidelines for telehealth and telemedicine outlined in DSHS Telemedicine Guidance. Clearly indicate this is a projection and the financial application is in process. Complete - The documentation must support the eligibility decision and allow a reviewer to determine what was done and why. 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. Home and Community-Based Health Services | Texas DSHS $[53j(,U+/6-FBR[lvn! }k}HG4"jhznn'XwB$\HODuDX7o u'8>@)OLA@"yoTP8nd lAO Explain to the applicant that there is a Public Benefits Specialist (PBS) and a social service manager making determinations concurrently for LTSS eligibility. The interview can be conducted in person or by phone. ,! 4 word/_rels/document.xml.rels ( VOo0Ow| :lRt[h{sK1u\+2 \\U\K>LLhb=MMr[B\^dk*)a#L!? The agency will maintain ongoing communication with the multidisciplinary medical care team in compliance with Texas Medicaid and Medicare Guidelines. The DSHS consent form is preferred as it is used for all programs including medical, food and cash. Peer support & counseling Recovery housing Prevention Substance use disorder prevention & mental health promotion Quick links Apply for or renew Apple Health coverage Apple Health for you Apple Health account logins Listing for: Denham Resources. A full-featured portal for all users. Use Equal Access - Necessary Supplemental Accommodation (NSA) and long-term services and supports policies for LTSS applicants and recipients. 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. Medicaid eligibility begins, the first day of the month the client is eligible for LTSS. If the 13-746 is not received timely, count back 5 businessdays from the date of receipt to determine the authorization date. Any assaults, verbal or physical, must be reported to the monitoring entity within one (1) business day and followed by a written report. Welcome to CareWarePlease select your portal type. There is good information on the Washington LawHelp site that explains the timing of an LTSSapplication. Percentage of clients who are no longer in need of assistance through Referral for Health Care and Support Services that have a documented case closure summary in the primary client record. A good cause code must be used when finalizing any medical(AU) historically beyond 45 days. 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. 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. Applications for LTSS may be submitted using any of the following methods: Mailing or faxing documents to Home and Community Services (HCS), Mail to: Lead and manage training development . HRSA/HAB Division of State HIV/AIDS Programs National Monitoring Standards Program Part B April, 2013, p. 13-15. 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. 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 ! | When working on a case that has ACES Equal Access (EA) requirements: If changing ACES EA requirements, clearly document the reason. 53 Community jobs available in Halford, WA on Indeed.com. Ensure what you document accurately describes what happened with the case. We send you a written notice explaining why we denied your application (per chapter. If the client is likely to attain institutional status. 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.. Is the client single or married, and which resource standard is being used to make a recommendation. At a department of social and health services (DSHS) community services office (CSO). See "How to request an LTSS assessment" below. IHSS Service Desk for Providers & Recipients, (866) 376-7066, Suspect Fraud? 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. Massachusetts Department of Public Health Bureau of Infectious Disease Office of HIV/AIDS Standards of Care for HIV/AIDS Services 2009, San Francisco EMA Home-Based Home Health Care Standards of Care February 2004, Texas Administrative Code, Title 40, Part 1, Chapter 97, Subchapter B, Rule 97.211. An overpayment isn't established. Issue the award letter to the applicant/recipient. PDF HOME SAFE PROGRAM SURVIVOR ADVOCATE - Wscadv.org The ALJ does not consider the previous absence of information or failure to respond in determining if you are eligible. You may apply for Washington apple health for yourself. 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. Did you receive verification of resources with the application? DSHS ESA Social Service Specialist 2 - LinkedIn 7wfQCfjS Your WAH coverage may not begin on the first day of the month if: Subsection (3) of this section applies to you. f?3-]T2j),l0/%b | Ensure an Asset Verification System (AVS) Authorization is on file, and if not, follow these procedures. General open-ended questions about resources and income should also be asked. Privacy Policy 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.
