Board & Agendas. Social and Health Services (DSHS) and the County identified below, and is issued in 0614-39487 . 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. The HEN Resource Line 206-328-5755 is open Monday through Friday from 9 am - 2:30 pm. 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. REFERENT'S ZIP CODE Section 2. Under this system, county departments are the main provider of direct services to Colorado's families, children and adults. (DSHS . Our office number is (360) 373-0638 and our office is open Monday through Friday from 8 am - 4 pm. 0 8/2017 INSTRUCTIONS HOME AND COMMUNITY SERVICES Intake and Referral Section 1. WAC 388-447-0005 What evidence does the department consider to determine incapacity? If you have not been getting extra hours 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. 8-5 Monday-Friday. New . Other information may be included in this SER if it is relevant to the referral. Home and Community Services Division. Based on the findings of investigations, children may be placed in foster care, or families may be provided services while children remain at home. IDD Intake Line. She is a licensed social worker as well as National ROMA Implementer (NCRI). 388-101D: Requirements for providers of residential services and supports. RWHAP Part B and State Services funds can be used to provide transitional social services to establish or re-establish linkages to the community. Nancy Watkins, Owner Experienced Senior Advisor P.O. Can I get help with the application process? Eligibility: Seniors and adults with disabilities who reside in King County and are living on a fixed income. Call for intake first come first serve, office hr. Cases with risk tags of 3 or greater are accepted for investigation. Home. WAC 388-447-0001 What are the incapacity requirements for referral to the Housing and Essential Needs (HEN) program?. WAC 388-447-0005 What evidence does the department consider to determine incapacity?. 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 Frey, Kathy (DSHS/ALTSA/HCS) Company: The intake line receives over 3,000 calls a month and staff schedule nearly 2,500 appointments a month. About Us. 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. Visit dshs.wa.gov to apply for benefits online. WAC 388 -825 120 (DDD); WAC 388 -106 1315 (all other clients getting in-home personal care services through DSHS). CSO Community Services Office (DSHS) DASA Division of Alcohol and Substance Abuse - DSHS . Download Printable Dshs Form 10-570 In Pdf - The Latest Version Applicable For 2022. 388-105: Medicaid rates for contracted home and community residential care services. Join us in Transforming Lives! DSHS, Home and Community Services - Long Term Care Services, PO Box 45826 Olympia, WA 98504. Home and Community Based Services Providers and Organizations: Utah Medicaid has released the request for proposal for HCBS Infrastructure Grants using ARPA funding. 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. Please note that you will need to qualify for the ABD . HVSA Expansion Application Template. INCAPACITY AND MEDICAL EVIDENCE REQUIREMENTS. AGING AND ADULT SERVICES 388-71 Home and community services and programs. Rather, DSHS region and the history of the individual intake worker were the stronger predictors of the initial risk assigned to a referral. INTAKE AND REFERRAL DSHS 10-570 ( REV. Certified community residential services and supports. Guidelines 1. The HHP coordinates the full range of physical health, behavioral health, and community-based long-term services and supports (LTSS) needed by . The best way for members to get answers to . The Washington State Department of Social and Health Services (DSHS) 2 administers several divisions of services to vulnerable populations. DOMESTIC VIOLENCE 388-60B Domestic violence perpetrator treatment program standards. King County residents age 18-59: Call DSHS Home & Community Services/King County at 206-341-7750 (toll-free 1-800 . Please call 206-960-1582 to find out about enrollment in the ORCA LIFT program. @communityyouthservices.org 360-489-2974 www.communityyouthservices.org The Foster Care program provides intensive home and community support to . English (Word) 00-005A. Texas Department of State Health Services to develop a best-practices case management practice model for children with special health care needs in Texas. •Certified home and community-based services and Texas home living providers . SUBJECT: Revision of Home and Community Services Intake and Referral Form DSHS 10-570 . REGION 1 - Pend Oreille, Stevens, Ferry Okanagan, Chelan, Douglas, Grant, Lincoln, Spokane, Adams, Whitman, Klickitat, Kittitas, . REFERENT'S NAME 4. DSHS- Youth Empowerment Services (YES) Waiver. Your child must first be approved for Medicaid in order to apply for DD . 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. If you are interested in submitting a proposal, review this scope of work and proposal application. Applicant Information 1. Use this SER purpose code ONLY to document the receipt of a referral. DSHS HCS Intake and . Responsibilities Scheduling 1-866-948-7198. Affordable Housing Production Plan DATE 7. Texas Center Directory . DHS is Now Hiring: Apply Today! 388-61A Domestic violence victim services and prevention efforts. SUBJECT: Revision of Home and Community Services Intake and Referral Form DSHS 10-570 . Revised January 14, 2014. Intake workers with a history of assigning higher levels of risk than their peers (which results in investigation and please call DSHS at 1-(800) 501-2233 and ask for a referral to the HEN program. 7684 Austin phone: 512- 776-7684 Fax: 512- 776-7683 Downtown Seattle Association referred to community services. Preschool, licensed child care for non-school-aged children, or home visiting services to programs enrolled in the DCYF Early Achievers Program. Fill Out The Intake And Referral - Washington Online And Print It Out For Free. WAC 388-447-0010 What medical evidence do I need to provide?. Victims of abuse, neglect, or exploitation may get . Many people need help applying. This revision of the Statewide Intake Policy and Procedures Handbook was published on June 1, 2022. . 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? 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. 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. Community Resource Referral Guide. HCS - Home & Community Services Services seniors and adults with . Removal of DSHS References in SWI Handbook (PATS . English (Excel) 00-002. 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 . Home & Community Support Services Agencies (HCSSA) Questions about enrolling? If children are placed in foster care, they may achieve permanency through reunification with Support Available to Iowans Affected by Severe Weather. Education, prevention, data, family, laboratory services, environmental health, and services by county. 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. The Intake Specialist assists with the EN bank which sees on average of 50 to 100 clients weekly. Revised on: March 23, 2018. Revised January 14, 2014. 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 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. 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. 388-06B DSHS employee background checks. Public Health in the 406. View Our COVID-19 Resources Here. INCAPACITY AND MEDICAL EVIDENCE REQUIREMENTS. Transitional social services should NOT exceed 180 days. FULL NAME OF AGENCY OR FACILITY 2. 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 . 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. By simply dialing the number 2-1-1 or searching . Texas Department of State Health Services Funding Information Center Toll free: 1-888-963-7111 ext. Call (206) 328-5900 to schedule over-the-phone assessments and enroll in services. Call (206) 328-5900 to schedule over-the-phone assessments and enroll in services. The programs must rate a level 3, 4, or 5 in the Early Achievers Program unless either: Housing/Homeless Services. If you have not been getting extra hours Are under the age of six and at risk of having a Developmental Disability. WAC 388-447-0020 How does the department assign severity . State Fiscal Quarterly Report. Home and Community Services Division. 5. individual's home based on a written plan of care established by a case management team that includes appropriate health care professionals. please call DSHS at 1-(800) 501-2233 and ask for a referral to the HEN program. 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 Stabilization Grants Available to Current Licensed, Registered Child Care Providers. Go to TULIP Civil Money Penalty (CMP) Reinvestment Program It is . Background: . CHILD SUPPORT 388-14A Division of child support rules. Periodically review the Q&A document for additional information. WAC 388-447-0020 How does the department assign severity . The Kitsap County Housing and Essential Needs Program is a program operated by Catholic Community Services. Housing/Homeless Services. Box 294 East Olympia, WA 98540 Email: nancy@assistedliving-options.com Phone: 360-584-8085 Also provides assistance in applying for Medicaid. Inform the parents or guardians of the ESIT referral and that the services are no cost to families and are voluntary. 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. Echtle Britta J. . PO Box 45600, Olympia, WA 98504-5600 . APS investigates abuse, neglect, and exploitation of adults who are elderly or have disabilities and who live in the community. 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. Some of what you'll be doing: Help is also available from your local Area Agencies on Aging and from DSHS staff, especially for people who have Department of Family and Protective Services, Policy Handbooks. either at CPS Intake or after the completion of a CPS investigation. NEXUS Inland NW 800 -214 3323 or 328 9220 Voice . DDD provides supports and services to individuals diagnosed with one of the following developmental disabilities: Autism; Cerebral palsy; Epilepsy; Cognitive / Intellectual Disability; or. "Client" means any child or adult wh,o is authorized service~ by DSHS. Background: The Intake and Referral form (10-570) replaced all regional intake forms effective March 1, 2016. . Catholic Community Services Services Provided: Coordinated Entry for All (CEA) Housing Program Enrollment and housing resources. www.dshs.wa.gov Shelton DSHS Community Services Office provides assistance with cash, food, and . 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. Colorado has a state-supervised and county-administered human services system. You may complete an online application or apply by contacting the Customer Service Contact Center at 877-501-2233. Case management that links a soon-to-be-released inmate with primary care is an example of appropriate transitional social services. . Dshs Form 10-570 Is Often Used In Washington State Department Of Social And Health Services, Washington Legal Forms And United States Legal Forms. The largest variation in outcomes, however, was not determined by reporter type. SW, Tumwater, WA 98501 PO Box 45610, Olympia, WA 98504-5610 PHONE NUMBER EXT. If your primary language is not English, language assistance services are available to you, free of charge. WAC 388-447-0005 What evidence does the department consider to determine incapacity? 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. Downtown Seattle Association centralized intake, advice and referral service for low in come people seeking free legal advice with civil (not criminal) legal prob- ELIGIBILITY WAC 388-447-0005 What evidence does the department consider to determine incapacity?. 6. Our office number is (360) 373-0638 and our office is open Monday through Friday from 8 am - 4 pm. DSHS is one department: the administrations and divisions share one vision, one mission, one set of core values. 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. TANF (Temporary Assistance for Needy Families) Apply online Apply in-person at your local Community Service Office 388-106: Long-term . 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. HCS Home and Community Services - DSHS . "Community . Iowa Medicaid Holding Regular Virtual Town Hall Meetings. REFERENT'S RELATIONSHIP TO APPLICANT 5. These populations include the elderly, children, the indigent, and the disabled. Services to support home, school, mobility & employment. 388-102: Online registry of continuing care retirement communities (CCRC). Purpose: To inform staff of revisions to the Social Service Intake Form . In 1981, President Reagan signed into law the Medicaid Home and Community-Based Services (HCBS) Waiver . ' f. "CA" means Children's Administration, which is an Administration within DSHS. Family members or friends may be able to help. 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. . - Re-engage in VA Medical Care (Vet Receives Objective Feedback Regarding Drinking) j. How to apply: Call.Bilingual services are available. COVID- 19 Prevention, Intervention and Quarantine Plan. WAC 388 -825 120 (DDD); WAC 388 -106 1315 (all other clients getting in-home personal care services through DSHS). 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. Priority attention is given to low-income families and individuals. WAC 388-447-0010 What medical evidence do I need to provide? 2. Call: 1-888-549-0820 (TTY: 1-888-842-3620). phone, fax, DMS, etc). All information provided will be kept confidential and guarded against unofficial use. her home. TYPE OF FACILITY 3. 388-61 Family violence. Coordinated Entry. English (Word) 00-005. - 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. 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. Intake •When a DSHS case manager is referred a . The Kitsap County Housing and Essential Needs Program is a program operated by Catholic Community Services. . The Q&A period . • Fax form to the Home and Community Services office in your region for intake. Screening and referral for case management services are provided through the Washington State DSHS Home and Community Services and Community Living Connections: . WAC 388-447-0010 What medical evidence do I need to provide? 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. HCBS provides for supports and services beyond those covered by the Medical . DFPS protects the unprotected - children, elderly, and people with disabilities - from abuse, neglect, and exploitation. 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. 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. 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 . Referent Information 1. Many people need help applying for services or Medicaid. Mental Health Crisis Hotline and Intake Screening.
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