The intake and referral form (DSHS 10-570) and instructions can be found on the DSHS forms website What is the difference between a request for services and a referral? A request for service s is any request that comes to HCS regardless of source or eligibility. 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. | RW Providers must use a telehealth vendor that provides assurances to protect ePHI that includes the vendor signing a business associate agreement (BAA). Referral for Health Care and Support Services (RFHC) directs a client to needed core medical or support services in person or through telephone, written, or other type of communication. the past two years? The PBS should reviewthe original application to ensure there are no changes and proceed to determine eligibility. DSH Program State Plan Amendment 14-008. Family members and other representatives are often just learning about the client's income and resources when they apply. | Careers Access Health Care Language Assistance Services (SB 223). | You may apply for Washington apple health at any time. Ryan White Providers using telehealth must also follow DSHS HIV Care Services guidelines for telehealth and telemedicine outlined in DSHS Telemedicine Guidance. 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. 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. SOCIAL SECURITY NUMBER 5. | 253-798-4400 Monday - Friday | 8 a.m. - 4:30 p.m. 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 (. HRSA/HAB Ryan White Program & Grants Management, Recipient Resources. DSHS forms, including translations are found on the DSHS forms website. An overpayment isn't established. A good cause code must be used when finalizing any medical(AU) historically beyond 45 days. Mienh waac HRSA/HAB Division of State HIV/AIDS Programs National Monitoring Standards Program Part B April 2013. p. 42-43. What is HCS (PDF in English) What is HCS (PDF in Spanish) Provider Communications Your WAH coverage may not begin on the first day of the month if: Subsection (3) of this section applies to you. Services may be authorized using Fast Track for a maximum of 90 days. WAC 182-513-1350). Home and Community-Based Health Providers work closely with the multidisciplinary care team that includes the client's case manager, primary care provider, and other appropriate health care . The following Standards and Measures are guides to improving health outcomes for people living with HIV throughout the State of Texas within the Ryan White Part B and State Services Program. Privacy Policy 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. In-home or residential services, call 800-780-7094 or 425-977-6579, FAX 425-339-4859, Nursing home services, call 800-780-7094, FAX 206-373-6855, In-home or residential services, call 206-341-7750, FAX 206-373-6855. Appendix 2 to Attachment 4.19-A. Explain what changes of circumstances need to be reported. 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. !H!/tG|B^%=z+]F!lExBa0$ 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). 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 ! Caring at Home Respite, In-home Services, Skills, Caregiver Help, Kinship Caregiving, Services, Conferences Kirkland, WA. BIRTH DATE 4. Summarize the interview and items still needed to determine eligibility in the ACES narrative. The Home and Community-Based Provider will document in the clients primary record progress notes throughout the course of the treatment, including evidence that the client is not in need of acute care. 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. Client transfers services to another service program. 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. We follow the rules about notices and letters in chapter. Fax form to the Home and Community Services office in your region for intake. The hospital requires you to stay overnight. Progress notes will be kept in the client's primary record and must be written the day services are rendered. The following are eligibility related documents and files, including the annual final eligibility lists, peer grouping report, and the Low-Income Utilization Rate, Medicaid Utilization Rate, and Omnibus Budget Reconciliation Act formulas. | Conditions of Use 6 [Content_Types].xml ( KO0#5.,5ec H0[i ~NhMsg[3xxw;) 'nY?7H(;1{H] Percentage of clients accessingHome and Community-Based Health Services have follow up documentation to the referral offered in the clients primary record. Social service staff and case managers determine functional eligibility and what services to authorize based on a complete and comprehensive CAREassessment. | The ALJ does not consider the previous absence of information or failure to respond in determining if you are eligible. 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. There is good information on the Washington LawHelp site that explains the timing of an LTSSapplication. Authorize in ACES for in-home or residential HCB waiver if the client is both functionally and financially eligible. Case actions and why the actions were taken, and. Home and Community-Based Health Services Standards print version. If the client is unable to complete the interview due to a medical condition or because no one is available to assist the client. Has your contact information changed in