HRSA Ryan White HIV/AIDS Program Services: Eligible Individuals & Allowable Uses of Funds Policy Clarification Notice (PCN) #16-02(Revised 10/22/2018) Accessed on October 16, 2020. | Explain how to request an extension if more time is needed. 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? !H!/tG|B^%=z+]F!lExBa0$ Use the original eligibility review date to open institutional coverage. HRSA/HAB Division of State HIV/AIDS Programs National Monitoring Standards Program Part B April 2013. p. 42-43. | Conditions of Use DSHS 10-570 ( REV. A full-featured portal for all users. 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. 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. Ryan White Providers using telehealth must also follow DSHS HIV Care Services guidelines for telehealth and telemedicine outlined in DSHS Telemedicine Guidance. 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. / % [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\ The agency will maintain ongoing communication with the multidisciplinary medical care team in compliance with Texas Medicaid and Medicare Guidelines. The agency may discontinue services or refuse the client for as long as the threat is ongoing. Refusal of referral: The home or community-based health agency may refuse a referral for the following reasons only: The client's home or current residence is determined to not be physically safe (if not residing in a community facility) before services can be offered or continued. An overpayment isn't established. 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. Give a projected client responsibility amount to the caseworker using the LTSS referral 07-104. Use Equal Access - Necessary Supplemental Accommodation (NSA) and long-term services and supports policies for LTSS applicants and recipients. Interfaith Works Homeless Services: www.iwshelter.org. Issue the NF award letter to the applicant/recipient and the nursing facility. 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. | An ongoing permanent history of actions and decisions made; A support of eligibility, ineligibility and benefit determination; Credibility for decisions when used as evidence in legal matters; A trail for reviewers to determine the accuracy of the benefits issued. The application process begins and the application date is established when the request for benefits is received. 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. Document in ACES remarks, in detail, all eligibility factors discussed during the interview and included on the application. Call the DSHScommunity services customer service contact center number listed on the medicaidapplication form. 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. Family members and other representatives are often just learning about the client's income and resources when they apply. If the client isn't financially eligible, notify social services. Go over the application, particularly what was declared in the income and resource sections. adult daycare center) in accordance with a written, individualized plan of care established by a licensed physician. Apply in-person at a local Home & Community Services office. 7wfQCfjS f?3-]T2j),l0/%b Details of how eligibility factor(s) were verified. Complete - The documentation must support the eligibility decision and allow a reviewer to determine what was done and why. Caregiver Support Find out about caregiver support. Call the client or their representative to complete an interview. Help Stop Medi-Cal Fraud and Abuse Appendix 2 to Attachment 4.19-A. Hmoob The LTSSstartdate is the date the client is both financially and functionally eligible. | 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. A copy of the police report is sufficient, if applicable. Explain the medical service card, automatic Medicare D enrollment if not on a creditable coverage or Medicare D Prescription Drug Plan. f?3-]T2j),l0/%b Provider Fraud and Elder Abuse complaint line: Fast Track is a social serviceprocess that allows the authorization of LTSS prior to a financial eligibility determination. 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 Denos su opinin sobre sus experiencias con las instalaciones, el personal, la comunicacin y los servicios del DSHS. Stick to the facts relevant to determining eligibility or benefit level. Services may be authorized using Fast Track for a maximum of 90 days. (PDF) Accessed on October 12, 2020. State Plan Amendments. 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. 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. We determine eligibility as quickly as possible and respond promptly to applications and information received. 1-(800)-722-0432, Copyright 2023 California Department of Social Services. The HCS case manager coordinates andconsults withthe PBS to see if Fast Track is appropriate. Applicant Information 1. Union Gospel Mission: www.ougm.org. DSHS 14-532 Authorized representative release of information. 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. Caring at Home Respite, In-home Services, Skills, Caregiver Help, Kinship Caregiving, Services, Conferences (link is external) 360-918-8424. Assessment of client's access to primary care, Need for nursing, caregiver, or rehabilitation services. 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. Provide the PBS staff with the following information: Residential facility name and address, including room number, if applicable. Aging and Disability Resources Office Questions to consider when making aFast Track recommendation: Social services cant begin Fast Track until a CAREassessment is completed. The PBS also determines maximum client responsibility. 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. To find an HCS office near you, use the. 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. 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 . 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. The LTSS authorization date, which is described in WAC, If there is a transfer penalty as described in WAC. 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. The agency has attempted to complete an initial assessment and the referred client has been away from home on three occasions. You may receive help filing an application. L2 Conduct a follow-up within 90 days of completed application to determine if additional and/or ongoing needs are present. FAX to: 1-855-635-8305. These are the forms used in the application process for LTSS. Ensure AVS procedures are followed. Any assaults, verbal or physical, must be reported to the monitoring entity within one (1) business day and followed by a written report. HRSA/HAB Division of State HIV/AIDS Programs National Monitoring Standards Program Part B April 2013. p. 42-43. | 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. Telehealth and Telemedicine is an alternative modality to provide most Ryan White Part B and State Services funded services. Telehealth and Telemedicine is an alternative modality to provide most Ryan White Part B and State Services funded services. Call the HCS intake line in the area in which you reside to schedule an assessment. If the client is unable to complete the interview due to a medical condition or because no one is available to assist the client. Referrals for health care and support services provided by case managers (medical and non-medical) should be reported in the appropriate case management service category (e.g., Medical Case Management (MCM) or Non-Medical Case Management (NMCM)). 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. Please report broken links or content problems. For medicaid applicants, institutional services are approved based on the date the client is eligible up to 3 months prior to the date of application. Provide PBSstaff with the following information: Whether the client meets nursing facility level of care (NFLOC). 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. The interview requirement described in subsection (3) of this section may be waived if the applicant is unable to comply: Because the applicant does not have a family member or another individual that is able to conduct the interview on his or her behalf. If you have questions about submitting the form please contact your regional office at the number below. PO Box 45826 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. 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 By calling the Washington Healthplanfindercustomer support center and completing an application by telephone; By completing the application for health care coverage (. Examples are the SSI or SSI-related programs or Apple Health for Workers with Disabilities (HWD). Percentage of clients with documented evidence of a discharge plan developed with client, as applicable, as indicated in the clients primary record. Encourage the applicant to gather documents as soon as possible to expedite the process. 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.
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