Call the HCS intake line in the area in which you reside to schedule an assessment. 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). For apple health programs for children, pregnant people, parents and caretaker relatives, and adults age sixty-four and under without medicare, (including people who have a disability or are blind), you may apply: Online via the Washington Healthplanfinder at. Percentage of clients with documented evidence of assistance provided to access health insurance or Marketplace plans in the primary client record. Complete - The documentation must support the eligibility decision and allow a reviewer to determine what was done and why. $[53j(,U+/6-FBR[lvn! }k}HG4"jhznn'XwB$\HODuDX7o u'8>@)OLA@"yoTP8nd lAO For Hospice as a medicaidprogram, the hospice authorization date is based on the receipt of the 13-746 (HCA/medicaid Hospice notification). 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. Name Unit Division Phone *Medicaid Helpline: Medicaid: HCS: 1-800-562-3022: Abbott, Amy: Director's Office, RCS: RCS: 360.725.2401: Acoba, Curtis: OT - IT Security 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. 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. Call the DSHScommunity services customer service contact center number listed on the medicaidapplication form. 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. | Careers Posted: October 21, 2022. Use Equal Access - Necessary Supplemental Accommodation (NSA) and long-term services and supports policies for LTSS applicants and recipients. Coordinate with other agencies in planning and linking clients to referral services (for example: legal, medical, social services, financial, and/or housing). Welcome to CareWarePlease select your portal type. Accessed on October 12, 2020. Explain what changes of circumstances need to be reported. APPPLICANT'S NAME: LAST, FIRST, MI 2. Social services will state fund Fast Track services when the client isn't financially eligible during the fast track period. Determine the client's financial eligibility for LTSSand noninstitutional medical assistance including 3 months retroactive medical coverage if financially eligible. Case management that links a soon-to-be-released inmate with primary care is an example of appropriate transitional social services. Staff will follow-up within 10 business days of a referral provided to any core services to ensure the client accessed the service. A comprehensive evaluation of the clients health, psychosocial status, functional status, and home environment will be completed to include: Percentage of clients with documented evidence of needs assessment completed in the clients primary record. | Explain Estate Recovery and mail the Estate Recovery fact sheet. catholic community services hen program. Details of how eligibility factor(s) were verified. Apply to Event Coordinator, Van Driver, Employment Specialist and more! How do I notify PEBB that my loved one has passed away? 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. APPLICANT'S HOME ADDRESSCITYSTATEZIP CODE 6. 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. If there are previous versions of this rule, they can be found using the Legislative Search page. DSHS forms, including translations are found on the DSHS forms website. The PBS also determines maximum client responsibility. Benefits counseling: Services should facilitate a clients access to public/private health and disability benefits and programs. If you disagree with our decision, you can ask for a hearing. 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. Location: Wilton<br>Sign-on Bonus - $5,000<br><br>Provides mental health assessment, diagnosis, treatment and crisis intervention services for adult and/or child members who present themselves from psychiatric evaluation with a broad range of mental health needs. 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). This service category works to maximize public funding by assisting clients in identifying all available health and disability benefits supported by funding streams other than RWHAP Part B and/or State Services funds. 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. 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 (. IHSS Fraud Hotline: 888-717-8302 A new application isn't required for clients active on ABD SSI-related Apple Health who need LTSS as long as the Public Benefit Specialist (PBS) is able to determine institutional eligibility using information in the current case record. You may receive help filing an application. Consistently report referral and coordination updates to the multidisciplinary medical care team. | 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. Interfaith Works Homeless Services: www.iwshelter.org. Always include the client's full name and the DSHS client id (if known) on any document mailed or faxed to DSHS. Explain the financial and social service functional eligibility process. 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. 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. RW Providers must use a telehealth vendor that provides assurances to protect ePHI that includes the vendor signing a business associate agreement (BAA). Review excess home equity, annuity and transfer of resource provisions that are specific to institutional and home and community-based (HCB) waivers. BIRTH DATE 4. f?3-]T2j),l0/%b Percentage of clients who received a referral for other support services who have documented evidence of the education provided to the client on how to access these services in the primary client record. | RW Providers must use a telehealth vendor that provides assurances to protect ePHI that includes the vendor signing a business associate agreement (BAA). f?3-]T2j),l0/%b Fax form to the Home and Community Services office in your region for intake. | 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. 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. HRSA/HAB Division of State HIV/AIDS Programs National Monitoring Standards Program Part B April, 2013, p. 13-15. The hospice provideris required to submit this form within 5 business days of a hospice election on all active and pending Medicaidcases. | 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 . 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.