DSHS ESA Social Service Specialist 2 - LinkedIn 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 (. 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 Espaol
Referrals for health care and support services provided by outpatient/ambulatory health care professionals should be reported under Outpatient/Ambulatory Health Services (OAHS) category.
Progress notes will then be entered into the client record within 14 working days.
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.
SOCIAL SECURITY NUMBER 5.
Call the client or their representative to complete an interview. A supervisor must sign the case closure summary. The following are County IHSS program websites.
Referral for Health Care and Support Services | Texas DSHS
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When using Collateral Contact (CC) or Other (OT) valid value, document the details of how it was verified.
Percentage of clients with documented evidence of other public and/or private benefit applications completed as appropriate within 14 business days of the eligibility determination date in the primary client record. Consistent - Explain how conflicts or inconsistencies of information were addressed.
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What resources is the client reporting on the application or past applications?
Stick to the facts relevant to determining eligibility or benefit level. 6.
HIV Medical and Support Service Categories, Research, Funding, & Educational Resources.
(PDF) Accessed on October 12, 2020.
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HRSA/HAB Ryan White Program & Grants Management, Recipient Resources. Open-ended questions often reveal that additional sources of income and assets may exist.
Conduct a follow-up within 90 days of completed application to determine if additional and/or ongoing needs are present. 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. Accessed on October 12, 2020. For HCS clients, both functional and financial eligibility are determined concurrently. 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.
Website feedback: Tell us how were doing, Copyright 2023 Washington Health Care Authority, I help others apply for & access Apple Health, I help others apply for and access Apple Health, Long-term services & supports (LTSS) manual, www.hca.wa.gov/free-or-low-cost-health-care, Equal Access - Necessary Supplemental Accommodation (NSA) and long-term services and supports, HCA 80-020 Authorization for Release of Information, Apple Health for Workers with Disabilities (HWD), Medically Intensive Children's Program (MICP), Behavioral health services for prenatal, children & young adults, Wraparound with Intensive Services (WISe), Behavioral health services for American Indians & Alaska Natives (AI/AN), Substance use disorder prevention & mental health promotion, Introduction overview for general eligibility, General eligibility requirements that apply to all Apple Health programs, Modified Adjusted Gross Income (MAGI) based programs manual, Medical plans & benefits (including vision), Life, home, auto, AD&D, LTD, FSA, & DCAP benefits.
Consistently report referral and coordination updates to the multidisciplinary medical care team. RW Providers must use a telehealth vendor that provides assurances to protect ePHI that includes the vendor signing a business associate agreement (BAA).
DSHS HCS Intake and . We will allow you more time if you ask for more time or need an accommodation due to disability or limited-English proficiency.
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..
If the client isn't financially eligible, notify social services. Details of how eligibility factor(s) were verified. AGING AND LONG-TERM SUPPORT ADMINISTRATION (ALTSA) HOME AND COMMUNITY SERVICES (HCS) GOVERNOR'S OPPORTUNITY FOR SUPPORTIVE HOUSING (GOSH) GOSH Referral DATE HCS / AAA Case Manager (CM) to send completely filled-out Referral form, with all documents attached, toRegional GOSH PM. 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.
Good cause for a delay in processing the application does NOT exist when: Failing to ask you for information timely; or, Failing to act promptly on requested information when you provided it timely; or. Ryan White Providers using telehealth must also follow DSHS HIV Care Services guidelines for telehealth and telemedicine outlined in DSHS Telemedicine Guidance. L@5f)a>%X5.auU!1qV!h%SAg,U--`8F ydjz 8 'gF$v5q~~
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For information regarding prior fiscal year files, please contact the DSH unit at, Last modified date:
Note: The HCA 80-020 Authorization for Release of Information is for medical benefits under Health Care Authority and will be accepted as a release of information for all medical programs including LTSSprograms. |
Interfaith Works Homeless Services: www.iwshelter.org.
Explain the medical service card, automatic Medicare D enrollment if not on a creditable coverage or Medicare D Prescription Drug Plan. Client relocates out of the service delivery area. p9,u eV)Pp6B*Rk[g8=g S,8!ciLu`A^2 ntw]0+
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0 6 /20 20 INSTRUCTIONS HOME AND COMMUNITY SERVICES Intake and Referral DATE Section 1. 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. DSHS forms, including translations are found on the DSHS forms website. The HCS case manager coordinates andconsults withthe PBS to see if Fast Track is appropriate.
Licensed Masters Mental Health Professional Adult Intake Specialist
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.
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.
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If the 13-746 is not received timely, count back 5 businessdays from the date of receipt to determine the authorization date. 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. 253-798-4400 Monday - Friday | 8 a.m. - 4:30 p.m.
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Provide PBSstaff with the following information: Whether the client meets nursing facility level of care (NFLOC). Apply to Event Coordinator, Van Driver, Employment Specialist and more! Home.
Demonstrate the reasonableness of decisions. Union Gospel Mission: www.ougm.org.
Coordinate with other agencies in planning and linking clients to referral services (for example: legal, medical, social services, financial, and/or housing). Request verification of transfers, gifts or property sales, if applicable.
Job specializations: Social Work. 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. 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. Day one is the date the application was received.
Housing & Community Services - Snohomish County, WA
DSH Regulations and Documents - California
PK ! Concise - Documentation is subject to public review. Main Office .
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To apply for tailored supports for older adults (TSOA), see WAC.
Cases without a delay reason code or updated with "No Good Cause (NG)" to the DSHS secretary.
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.
Transitional social services should NOT exceed 180 days. 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. Ask about other medical coverage.
To complete an application for apple health, you must also give us all of the other information requested on the application.
LTSS can begin once a client is found financially and functionally eligible and an approved provider is in place.
Examples are the SSI or SSI-related programs or Apple Health for Workers with Disabilities (HWD).
Client transfers services to another service program.
FAX to: 1-855-635-8305.
The agency has attempted to complete an initial assessment and the referred client has been away from home on three occasions.
If the nursing facility admission is on a weekend or holiday, the authorization date is the date of admission as long as DSHSis notified by the next business day.
Call to request an assessment for home and community services (in-home care in a residential facility, nursing facility coverage) through the HCS central intake lines. Call the DSHScommunity services customer service contact center number listed on the medicaidapplication form.
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^[x 1xpf#I)Y*Di")c$qU~31jH[{=E~ A good cause code must be used when finalizing any medical(AU) historically beyond 45 days.
The PBS should make a Fast Track recommendation based on the information, verifications and cross-matches available, and send this determination via 07-104 to social services. Give your local county office your updated contact information so you can stay enrolled. Benefits counseling: Services should facilitate a clients access to public/private health and disability benefits and programs.
You may apply for Washington apple health for yourself. Determine if a housing maintenance allowance (HMA) is appropriate (current rule states HMA is the amount of the Federal Poverty Level).
catholic community services hen program. D@. Provide advocacy to clients with a clear understanding of community services and support available for their situations.
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This is a reprint of the official rule as published by the Office of the Code Reviser.
DOCX STATE OF WASHINGTON - Home | WA.gov
Issue the NF award letter to the applicant/recipient and the nursing facility.
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.
INTAKE AND REFFERAL DSHS 10-570 (REV.
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Explain the Medicare Savings Program (MSP). Activities provided under this service category may include referrals to assist HRSA Ryan White HIV/AIDS Program (RWHAP)-eligible clients to obtain access to other public or private programs for which they may be eligible (e.g., Medicaid, Medicare Part D, State Pharmacy Assistance Programs, Pharmaceutical Manufacturers Patient Assistance Programs, and other state or local health care and supportive services, or health insurance Marketplace plans). Per Diem. Kirkland, WA.
Collaborates with treating physician, psychiatric and allied health professional team to plan and direct each individual member . Ask if there are unpaid medical expenses and request verification if medical expenses exist.