253-798-4400 Monday - Friday | 8 a.m. - 4:30 p.m. Hmoob NOTE: If an 18-005 is received on an active MAGI case and the client is in a NF or Hospice care center, no action is needed by the PBS. Complete - The documentation must support the eligibility decision and allow a reviewer to determine what was done and why. 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. 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. Kirkland, WA. If you are an SSI recipient, then you, your authorized representative as defined in WAC, An individual applying for Washington apple health (WAH) (as defined in WAC. Applicant Information 1. Provider Fraud and Elder Abuse complaint line: Please reference the HRSA Program Guidance above. Agency no longer meets the level of care required by the client. DSHS 10-570 ( REV. Aging and Disability Resources Office 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. MAGI covers NF and Hospice under the scope of care. Medicaid eligibility begins, the first day of the month the client is eligible for LTSS. Telehealth and Telemedicine is an alternative modality to provide most Ryan White Part B and State Services funded services. Call the DSHScommunity services customer service contact center number listed on the medicaidapplication form. Ensure what you document accurately describes what happened with the case. Apply in-person at a local Home & Community Services office. Life, home, auto, AD&D, LTD, & FSA benefits, Overview of prior authorization (PA), claims & billing, Step-by-step guide for prior authorization (PA), Program benefit packages & scope of services, Community behavioral support (CBHS) services, First Steps (maternity support & infant care), Ground emergency medical transportation (GEMT), Home health care services: electronic visit verification, Substance use disorder (SUD) consent management guidance, Enroll as a health care professional practicing under a group or facility, Enroll as a billing agent or clearinghouse, Find next steps for new Medicaid providers, Washington Prescription Drug Program (WPDP), Governor's Indian Health Advisory Council, Analytics, research & measurement (ARM) data dashboard suite, Foundational Community Supports provider map, Medicaid maternal & child health measures, Washington State All Payer Claims Database (WA-APCD), Personal injury, casualty recoveries & special needs trusts, Information about novel coronavirus (COVID-19). IHSS Fraud Hotline: 888-717-8302 The Aging and Disability Resources Program offers a wide range of community-based services that allow older adults and adults with disabilities to remain at home as long as possible. There is good information on the Washington LawHelp site that explains the timing of an LTSSapplication. L2 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. For households containing people described in subsection (2) of this section: Call the Washington Healthplanfindercustomer support center number listed on the application for health care coverage form (. the past two years? 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. 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. 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). Functional eligibility for DDA is determined prior to the submission of a financial application. 08/2017) Page 1 of 2 / Intake and Referral form for Social Services. Explain Estate Recovery and mail the Estate Recovery fact sheet. Home and Community-Based Health Services Standards print version. Lakewood, WA. CONTACT(S): Rachelle Ames, HCS Program Manager 360-725-2353 amesrl@dshs.wa.gov Exception is N21/N25 AEM MAGI. | Jun 2014 - Mar 201510 months. APPLICANT'S MAILING ADDRESS (IF DIFFERENT)CITYSTATEZIP CODE 7. 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. Por favor, responda a esta breve encuesta. COPES, for short, is a Washington State Medicaid (Apple Health) waiver program designed to enable individuals who require nursing home level care to receive that care in their home or alternative care environment, such as an assisted living residence. A simple and sleek portal for staff. HIV Medical and Support Service Categories, Research, Funding, & Educational Resources. 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. When using Collateral Contact (CC) or Other (OT) valid value, document the details of how it was verified. Determine the client's financial eligibility for LTSSmedicaid and/or noninstitutional medical assistance including a request for retro medical if needed. | FAX to: 1-855-635-8305. Ting Vit, About Us We will allow you more time if you ask for more time or need an accommodation due to disability or limited-English proficiency. Training and social services development, delivery and evaluations; budget setting; and relationship cultivation. adult daycare center) in accordance with a written, individualized plan of care established by a licensed physician. You mayapply for apple health for another person if you are: An authorized representative (as described in WAC. The PBS may waive the interview requirement. The authorization can't be backdated for HCB waiver, CFC, or MPC unless socialservices has fast-tracked services and the client is subsequently found financially eligible. N _rels/.rels ( j0@QN/c[ILj]aGzsFu]U ^[x 1xpf#I)Y*Di")c$qU~31jH[{=E~ When working on a case that has ACES Equal Access (EA) requirements: If changing ACES EA requirements, clearly document the reason. Full Time position. Refer the client tosocialservicesfor a care assessment if the client contacts the PBSfirst and document the date the client first requested NF care. When applicable, an employee of the agency has experienced a real or perceived threat to his/her safety during a visit to a client's home, in the company of an escort or not. z, /|f\Z?6!Y_o]A PK ! TK6_ PK ! How do I notify PEBB that my loved one has passed away? | | We send you a written notice explaining why we denied your application (per chapter. 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. Stick to the facts relevant to determining eligibility or benefit level. To find an HCS office near you, use the. Call the HCS intake line in the area in which you reside to schedule an assessment. 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. 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. APPPLICANT'S NAME: LAST, FIRST, MI 2. What resources is the client reporting on the application or past applications? Provide the PBS staff with the following information: Residential facility name and address, including room number, if applicable. / % [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\ 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. 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 Coordinate with other agencies in planning and linking clients to referral services (for example: legal, medical, social services, financial, and/or housing). For HCS clients, both functional and financial eligibility are determined concurrently. | Conditions of Use
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