Home and community-based services are also known as waiver-funded services or waiver programs. WAC 388-447-0010 What medical evidence do I need to provide?. The HEN Resource Line 206-328-5755 is open Monday through Friday from 9 am - 2:30 pm. The Washington State Department of Social and Health Services (DSHS) 2 administers several divisions of services to vulnerable populations. INTAKE AND REFERRAL DSHS 10-570 ( REV. Public Health in the 406. You may complete an online application or apply by contacting the Customer Service Contact Center at 877-501-2233. REFERENT'S RELATIONSHIP TO APPLICANT 5. the case manager will: •Complete the CFC Referral Form; •Refer the client for a level of care assessment to AxisPoint Health, the LIDDA, or LMHA, as appropriate; and 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 If you reside in King County in a ZIP code not listed above and are interested in: In-home or residential services, call 206-341-7750, FAX 206-373-6855 WAC 388-447-0010 What medical evidence do I need to provide?. Rather, DSHS region and the history of the individual intake worker were the stronger predictors of the initial risk assigned to a referral. HCBS provides for supports and services beyond those covered by the Medical . INCAPACITY AND MEDICAL EVIDENCE REQUIREMENTS. her home. Call the Licensing and Certification Unit at 512-438-2050 Visit the Texas Unified Licensure Information Portal (TULIP) website For application forms and instructions. Also provides assistance in applying for Medicaid. Call for intake first come first serve, office hr. Home and Community Based Services Providers and Organizations: Utah Medicaid has released the request for proposal for HCBS Infrastructure Grants using ARPA funding. 6. Transitional social services should NOT exceed 180 days. Any adult who has a disability or who is age 65 or older that is in a state of abuse, neglect, or exploitation may be eligible to receive adult protective services. To mail in your application, send to: DSHS - CSD Customer Service Center PO Box 11699 Tacoma, WA 98411-6699. Some of what you'll be doing: Complete and return the application form to the address listed on the application. Home and Community Service (HCS) Offices (Washington Aging and Disability Services Administration) State program that help adults who may need help paying for long term care due to a medical or disabling conditions. CLIENT INTAKE AND SERVICE REQUEST . The HHP coordinates the full range of physical health, behavioral health, and community-based long-term services and supports (LTSS) needed by . Department of Social and Health Services (DSHS) DDA - CSO Developmental . Housing/Homeless Services. Texas Department of State Health Services Funding Information Center Toll free: 1-888-963-7111 ext. phone, fax, DMS, etc). 388-102: Online registry of continuing care retirement communities (CCRC). Washington 2-1-1 provides the most current and comprehensive database of community resources in the State of Washington (over 27,000 listings), which serves as a central access point for connecting Washington's 7.1 million residents to community resources. 388-106: Long-term . Background: . Home. DDD serves more than 40,000 people with developmental disabilities and their . The Department of State Health Services maintains this web page, but the 84th Legislature made structural changes to the Health and Human Services system including transferring some DSHS functions to the Health and Human Services Commission (HHSC). Our office number is (360) 373-0638 and our office is open Monday through Friday from 8 am - 4 pm. Catholic Community Services Services Provided: Coordinated Entry for All (CEA) Housing Program Enrollment and housing resources. Revised January 14, 2014. Please call 206-960-1582 to find out about enrollment in the ORCA LIFT program. IDD Intake Line. 2. Help is also available from your local Area Agencies on Aging and from DSHS staff, especially for people who have Call: 1-888-549-0820 (TTY: 1-888-842-3620). Purpose: To inform staff of revisions to the Social Service Intake Form . PO Box 45600, Olympia, WA 98504-5600 . Eligibility: Seniors and adults with disabilities who reside in King County and are living on a fixed income. The largest variation in outcomes, however, was not determined by reporter type. Description DSHS ALTSA Social Service Specialist 3 Aging and Long Term Support Administration, Home and Community Services has a Social Service Specialist job open in our Tacoma Behavioral Unit. Information and Referral (I & R) is a service available to all persons who request it from the department regardless of how they make such a request. DDD provides supports and services to individuals diagnosed with one of the following developmental disabilities: Autism; Cerebral palsy; Epilepsy; Cognitive / Intellectual Disability; or. WAC 388-447-0010 What medical evidence do I need to provide? WAC 388-447-0020 How does the department APS investigates abuse, neglect, and exploitation of adults who are elderly or have disabilities and who live in the community. The Social Services Manual provides policy guidance for Social Services staff within the Community Services Division (CSD). DATE 7. Reach Out to Your Life Iowa For Free, Confidential Support, Available 24/7. TANF (Temporary Assistance for Needy Families) Apply online Apply in-person at your local Community Service Office Home & Community Support Services Agencies (HCSSA) Questions about enrolling? Adults who are unable to work for at least 90 days due to a physical and/or mental incapacity and who meet the criteria in the following EAZ Manual WACS may be eligible for a Housing and Essential Needs (HEN) referral: WAC 388-447-0001 What are the incapacity requirements for referral to the Housing and Essential Needs (HEN) program? The name waiver comes from the fact that the federal government "waives" medical assistance rules for institutional care in order for Pennsylvania to use the funds for HCBS. SUBJECT: Revision of Home and Community Services Intake and Referral Form DSHS 10-570 . The best way for members to get answers to . Cases with risk tags of 3 or greater are accepted for investigation. Resources available to assist the client will vary depending on whether the client is currently receiving services from DSHS. 388-61A Domestic violence victim services and prevention efforts. HCS - Home & Community Services Services seniors and adults with . RWHAP Part B and State Services funds can be used to provide transitional social services to establish or re-establish linkages to the community. If your primary language is not English, language assistance services are available to you, free of charge. Call (206) 328-5900 to schedule over-the-phone assessments and enroll in services. DFPS protects the unprotected - children, elderly, and people with disabilities - from abuse, neglect, and exploitation. 0 8/2017 INSTRUCTIONS HOME AND COMMUNITY SERVICES Intake and Referral Section 1. Box 294 East Olympia, WA 98540 Email: nancy@assistedliving-options.com Phone: 360-584-8085 Home and Community Services Division. Can I get help with the application process? Home and Community Services Division. 388-06B DSHS employee background checks. Guidelines 1. AGING AND ADULT SERVICES 388-71 Home and community services and programs. General questions about human services or DHS ( DHS.info@state.mn.us) Health care provider billing and policy questions ( dhs.healthcare-providers@state.mn.us ) The best way to get answers to provider billing and policy questions is to call the Provider Resource Center at 651-431-2700 or 800-366-5411. Frey, Kathy (DSHS/ALTSA/HCS) Company: j. It is . Victims of abuse, neglect, or exploitation may get . Beneficial In-Home Care Inc. 323-0390 Chesterfield Services 326-4655 Family Resource Home Care 473-4949 Havenwood 535-1546 Home and Community Services/ Medicaid In Home Intake 568-3700 ResCare of Washington 847-0300 Spokane Tribe of Indians 458-6500 Volunteer Chore 459-6172. WAC 388-447-0005 What evidence does the department consider to determine incapacity? . Referent Information 1. Under this system, county departments are the main provider of direct services to Colorado's families, children and adults. Downtown Seattle Association CSO Community Services Office (DSHS) DASA Division of Alcohol and Substance Abuse - DSHS . What is HCS (PDF in English) What is HCS (PDF in Spanish) Provider Communications FULL NAME OF AGENCY OR FACILITY 2. 388-103: Adult protective services. INTERPRETER SERVICES. Social and Health Services (DSHS) and the County identified below, and is issued in 0614-39487 . Echtle Britta J. . Iowa Medicaid Holding Regular Virtual Town Hall Meetings. 3. The Intake Specialist assists with the EN bank which sees on average of 50 to 100 clients weekly. New . DSHS HCS Intake and . Community MH Services and Substance Use Disorder Treatment Community Mental Health Services Substance Use Disorder Treatment Adults 173,815 41,002 Youth 47,289 (Ages 9-17) 5,423 (Ages 12-17) Source: Texas Department of State Health Services, 2015 Inform the parents or guardians of the ESIT referral and that the services are no cost to families and are voluntary. About Us. Case management that links a soon-to-be-released inmate with primary care is an example of appropriate transitional social services. If you are interested in submitting a proposal, review this scope of work and proposal application. WAC 388 -825 120 (DDD); WAC 388 -106 1315 (all other clients getting in-home personal care services through DSHS). Intake •When a DSHS case manager is referred a . Mental Health Crisis Hotline and Intake Screening. As of September 2016, all Mental Health and Substance Use programs transferred to HHSC from DSHS. WAC 388-447-0005 What evidence does the department consider to determine incapacity?. Purpose: To inform staff of minor revisions to the Social Service Intake Form . @communityyouthservices.org 360-489-2974 www.communityyouthservices.org The Foster Care program provides intensive home and community support to . REFERENT'S NAME 4. SSI Facilitation - Supporting Home and Community Services (HCS) March 1, 2007: 47: Statewide SSI Facilitator Contact List: March 1, 2007: 46: Incapacity Determination - When HEN Referral eligibility ends: March 1, 2007: 45 February 1, 2007: 44: SSI Facilitation - Tracking: December 1, 2006: 43: SSI Facilitation - Special Situations - Children's . If you have been getting more in-home personal care hours than the CARE assessment would have given you and DSHS later cuts or ends the ETR for the extra hours, you have a right to a hearing. Housing/Homeless Services. WAC 388-447-0005 What evidence does the department consider to determine incapacity?. Screening and referral for case management services are provided through the Washington State DSHS Home and Community Services and Community Living Connections: . If you have been getting more in-home personal care hours than the CARE assessment would have given you and DSHS later cuts or ends the ETR for the extra hours, you have a right to a hearing. NEXUS Inland NW 800 -214 3323 or 328 9220 Voice . The Kitsap County Housing and Essential Needs Program is a program operated by Catholic Community Services. Points of view in this report are those of the authors and participants and do not necessarily represent the official positions or policies of the Texas Department of State Health Services. Priority attention is given to low-income families and individuals. This revision of the Statewide Intake Policy and Procedures Handbook was published on June 1, 2022. . Removal of DSHS References in SWI Handbook (PATS . WAC 388-447-0001 What are the incapacity requirements for referral to the Housing and Essential Needs (HEN) program?. Please note that you will need to qualify for the ABD . WAC 388-447-0020 How does the department assign severity . DSHS- Youth Empowerment Services (YES) Waiver. Fenn Jorstad Self Sufficiency Matrix Use Request Form (PDF) Point in Time Reports The PIT information has been moved to a new Point In Time webpage. Texas Department of State Health Services to develop a best-practices case management practice model for children with special health care needs in Texas. Download Printable Dshs Form 10-570 In Pdf - The Latest Version Applicable For 2022. 8-5 Monday-Friday. "Community . Affordable Housing Production Plan 388-105: Medicaid rates for contracted home and community residential care services. WAC 388 -825 120 (DDD); WAC 388 -106 1315 (all other clients getting in-home personal care services through DSHS). Intake workers with a history of assigning higher levels of risk than their peers (which results in investigation and "Client" means any child or adult wh,o is authorized service~ by DSHS. (DSHS . Join us in Transforming Lives! Periodically review the Q&A document for additional information. Texas Center Directory . Many people need help applying for services or Medicaid. please call DSHS at 1-(800) 501-2233 and ask for a referral to the HEN program. 1-866-948-7198. HCS Home and Community Services - DSHS . The Health Homes Program (HHP) is desi gned to serve eligible Medi-Cal beneficiaries with complex medical needs and chronic conditions who may benefit from enhanced care managem ent and coordination. Responsibilities Scheduling centralized intake, advice and referral service for low in come people seeking free legal advice with civil (not criminal) legal prob- In addition, a person may contact a Home and Community Services office by calling their local intake line, or by contacting an Area Agency on Aging (AAA) office at 1-855-567-0252. Call (206) 328-5900 to schedule over-the-phone assessments and enroll in services. WAC 388-447-0010 What medical evidence do I need to provide? Based on the findings of investigations, children may be placed in foster care, or families may be provided services while children remain at home. English (Word) 00-005A. Board & Agendas. Are under the age of six and at risk of having a Developmental Disability. When we have current objective information that indicates an ABD or HEN Referral recipient may have a substance use disorder that is material to the client's incapacitating or disabling condition (s), ABD and HEN Referral recipients must complete a substance use assessment as a condition of eligibility. COVID- 19 Prevention, Intervention and Quarantine Plan. Bridget James (she/her) is the Intake and Referral Manager for DuPage County Community Services, a public sector organization that is a I&R along with Community Action Agency, Case Coordination Unit and part of the local Continuum of Care. Preschool, licensed child care for non-school-aged children, or home visiting services to programs enrolled in the DCYF Early Achievers Program. Many people need help applying. These populations include the elderly, children, the indigent, and the disabled. Catholic Community Services Services Provided: Coordinated Entry for All (CEA) Housing Program Enrollment and housing resources. individual's home based on a written plan of care established by a case management team that includes appropriate health care professionals. Stabilization Grants Available to Current Licensed, Registered Child Care Providers. Revised on: March 23, 2018. Education, prevention, data, family, laboratory services, environmental health, and services by county. Certified community residential services and supports. The intake line receives over 3,000 calls a month and staff schedule nearly 2,500 appointments a month. REGION 1 - Pend Oreille, Stevens, Ferry Okanagan, Chelan, Douglas, Grant, Lincoln, Spokane, Adams, Whitman, Klickitat, Kittitas, . Services to support home, school, mobility & employment. Coordinated Entry is a process for people to access the prevention, housing and/or other services that they need. 388-101D: Requirements for providers of residential services and supports. DHS is Now Hiring: Apply Today! If you have not been getting extra hours Your child must first be approved for Medicaid in order to apply for DD . In 1981, President Reagan signed into law the Medicaid Home and Community-Based Services (HCBS) Waiver . Applicant Information 1. Substance Abuse & Mental Health Services Administration (SAMSHA) Dept. SUBJECT: Revision of Home and Community Services Intake and Referral Form DSHS 10-570 . www.dsb.wa.gov Community Services for the Blind (800)458-4888 Community Services for the Deaf/Hearing Impaired (877)301-0006 Learning Disability Association of Washington (425)882-0820 Provides a referral service for individuals with learning disabilities Island County Assistance WAC 388-447-0020 How does the department assign severity . ELIGIBILITY Contact the local regional Family and Community Services (FACS) Developmental Disability Program office at 208-334-6500 or toll free at 877-333-9681 for information and an application. TYPE OF FACILITY 3. We are looking for a senior-level Customer Service Specialist that serves as the first point of contact with clients, families, community members, internal and external stakeholders, and advocates inquiring about and seeking assistance through Home and Community services programs. State Fiscal Quarterly Report. If you have not been getting extra hours • Fax form to the Home and Community Services office in your region for intake. Client Intake: 888-201-1014 Fax: 360-452-4053 Toll-free/Seattle: 888-201-1012 Website: www.nwjustice.org Olympic Area Agency on Aging / Senior Information & Assistance . View Our COVID-19 Resources Here. • If you have questions about submitting the form please contact your regional office at the number below. King County residents age 18-59: Call DSHS Home & Community Services/King County at 206-341-7750 (toll-free 1-800 . Our office number is (360) 373-0638 and our office is open Monday through Friday from 8 am - 4 pm. - Re-engage in VA Medical Care (Vet Receives Objective Feedback Regarding Drinking) Go to TULIP Civil Money Penalty (CMP) Reinvestment Program Please note that you will need to qualify for the ABD . 7684 Austin phone: 512- 776-7684 Fax: 512- 776-7683 1915(C) Waiver 1915(i) State Plan Program CMS HCBS Regulations Self-Determination Program Public Notice Archive Medicaid, known as Medi-Cal in California, is a jointly-funded, federal-state health insurance program for certain low income and needy people that includes long-term care benefits. All information provided will be kept confidential and guarded against unofficial use. 3000 Rockefeller Ave., M/S 305 Everett, WA 98201 Or submit the form by email the form to Debbi Trosvig or by email to Jackie Anderson. You can also contact us by email at HENKC@ccsww.org. How to apply: Call.Bilingual services are available. She is a licensed social worker as well as National ROMA Implementer (NCRI). www.dshs.wa.gov Shelton DSHS Community Services Office provides assistance with cash, food, and . PHONE NUMBER EXT. HVSA Expansion Application Template. - Referral: DSHS Re-assessment for "Home and Community Services," Including Lengthy Detailed Advocacy Letter - Referral: King County Veterans for Interim Choreworker and Vet's Own Cleaning Supplies - Hands -On Assistance With Reading Mail, Paying Bills, etc. Background: The Intake and Referral form (10-570) replaced all regional intake forms effective March 1, 2016. . . ' f. "CA" means Children's Administration, which is an Administration within DSHS. either at CPS Intake or after the completion of a CPS investigation. please call DSHS at 1-(800) 501-2233 and ask for a referral to the HEN program. INCAPACITY AND MEDICAL EVIDENCE REQUIREMENTS. English (Word) 00-005. 5. By simply dialing the number 2-1-1 or searching . Helping Washington connect to services. Visit dshs.wa.gov to apply for benefits online. DSHS is one department: the administrations and divisions share one vision, one mission, one set of core values. . Dshs Form 10-570 Is Often Used In Washington State Department Of Social And Health Services, Washington Legal Forms And United States Legal Forms. Fill Out The Intake And Referral - Washington Online And Print It Out For Free. If children are placed in foster care, they may achieve permanency through reunification with The Q&A period . WAC 388-447-0001 What are the incapacity requirements for referral to the Housing and Essential Needs (HEN) program?. . referred to community services. The following programs, services, and information are addressed in this manual: Aged, Blind, or Disabled (ABD) Program Housing and Essential Needs (HEN) Referral Program Supplemental Security Income (SSI) Facilitation Services Revised January 14, 2014. The Home and Community-based Services program provides individualized services and supports to persons with intellectual disabilities who are living with their family, in their own home or in other community settings, such as small group homes. Home and community based care providers must also make assurances regarding compliance with applicable federal and state laws, regulations, and orders relative to the provision of services. Intake Specialist answers client questions and provide basic information and referral for services in King County. Community Resource Referral Guide. Address: 1229 W. Smith St. Kent, WA 98032 Phone Number: (206) 328-5787 Toll Free: 1-888-649-6850 Web Address: www.ccsww.org Hours/Days: 9:00 a.m.-3:30 p.m., Monday through Friday. SW, Tumwater, WA 98501 PO Box 45610, Olympia, WA 98504-5610 Family members or friends may be able to help. The Kitsap County Housing and Essential Needs Program is a program operated by Catholic Community Services. The Colorado Department of Human Services connects people with assistance, resources and support for living independently in our state. Colorado has a state-supervised and county-administered human services system. Other information may be included in this SER if it is relevant to the referral. CHILD SUPPORT 388-14A Division of child support rules. Support Available to Iowans Affected by Severe Weather. The information provided on this site is intended as a resource for current home and community based care providers and potential contractors. Nancy Watkins, Owner Experienced Senior Advisor P.O. at 1-844-348-5464 or e-mail info@communitylivingconnections.org. Services include durable medical equipment; home health aide services and personal care services in the home; day treatment or other partial hospitalization services; home intravenous and aerosolized . 388-61 Family violence. Our Department of Social and Health Services (DSHS) mission to Transform Lives requires that we come together with a sense of belonging, common purpose, shared values, and meaningful work. DSHS, Home and Community Services - Long Term Care Services, PO Box 45826 Olympia, WA 98504. Downtown Seattle Association •Certified home and community-based services and Texas home living providers . English (Excel) 00-002. WAC 388-447-0005 What evidence does the department consider to determine incapacity? . DOMESTIC VIOLENCE 388-60B Domestic violence perpetrator treatment program standards. of Aging and Disability Services (DADS) Now HHSC. Department of Family and Protective Services, Policy Handbooks. REFERENT'S ZIP CODE Section 2. Coordinated Entry. Coordinated entry incorporates uniform screening and assessment, prioritization and program matching, and connections to mainstream services to help those seeking housing and services access appropriate programs more efficiently. Use Purpose Code "Intake Referral Received" and enter the contact date that the intake unit first became aware of the referral by any method (e.g. Note: (Items marked with an (*) must be completed) *The information on this form is required by your local service provider, the Area Agency on Aging (AAA), and the Texas Health and Human Services Commission. DSHS Home & Community Services 3451 Galvin Rd, Centralia, WA 98531 360-669-2910 or toll-free 1-800-487-0360 Lewis-Mason-Thurston Area Agency on Aging 1651 S. Market Boulevard, Chehalis, WA 98532 360-748-2288 Mason County: DSHS Home & Community Services 6639 Capitol Blvd. The programs must rate a level 3, 4, or 5 in the Early Achievers Program unless either: Visit dshs.wa.gov to apply for benefits online. Use this SER purpose code ONLY to document the receipt of a referral. Revised January 14, 2014 INCAPACITY AND MEDICAL EVIDENCE REQUIREMENTS WAC 388-447-0001 What are the incapacity requirements for referral to the Housing and Essential Needs (HEN) program?

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