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STATE OF WASHINGTON

DEPARTMENT OF SOCIAL AND HEALTH SERVICES

Aging and Long-Term Support Administration

Home and Community Services Division

PO Box 45600, Olympia, WA 98504-5600

H16-076 – Policy and Procedure

September 19, 2016

|TO: |Home and Community Services (HCS) Division Regional Administrators |

| | |

| |Area Agency on Aging (AAA) Directors |

|FROM: |Bea Rector, Director, Home and Community Services Division |

|SUBJECT: |Revisions to Long-Term Care (LTC) Manual Chapters 7 (a, c, d, g), 11 and 28 |

|Purpose: |To announce the release of the latest updates to LTC Manual |

| |Chapters 7, 11 and 28. |

|Background: |Changes to the chapters include: |

| |Chapter 7: Intro to Medicaid, State Plan and 1915c waivers |

| |Chapter 11: In-Home Provider Requirements |

| |Chapter 28: Medicaid Fraud |

|What’s new, changed, or |A brief list of changes include, but are not limited to: |

|Clarified | |

| |Chapter 7: Intro to Medicaid, State Plan and 1915c waivers |

| |7a – Financial Eligibility |

| |Added section for Children’s Health Insurance Program (CHIP) eligibility |

| |Fixed broken hyperlinks |

| |7c – MPC |

| |Added hyperlinks from table of contents to specific sections within the module |

| |7d – COPES |

| |Clarified language under Environment Modifications service description regarding when use of SES vendor for |

| |portable ramps is permissible |

| |7g – State Funded Programs |

| |Added hyperlinks from table of contents to specific sections within the module |

| |Chapter 11: In-Home Provider Requirements |

| |Revisions and updates to all of Sections 1 and 3 |

| |Chapter 28: Medicaid Fraud |

| |Changed the chapter contact email address to Cheryl Timmons |

| |Updated language on page 12 that CC&S be considered before allowing a provider to return to work rather than |

| |required a CC&S to be completed (link to Chapter 11 included) |

| |Added a screen shot from the ACD for the Good Cause documentation requirement for two sections (pages 7 & 8) |

| |Addition of sharing information with Tribal law enforcement |

|ACTION: |Begin using the revised LTC Manual Chapters policies and procedures. |

|ATTACHMENT(S): |Chapter 7, Intro to Medicaid, State Plan and 1915c waivers |

| |[pic][pic][pic] |

| |[pic] |

| |Chapter 11, In-Home Provider Requirements |

| |[pic] |

| | |

| |Chapter 28, Medicaid Fraud |

| | |

| |[pic] |

|CONTACT(S): |Chapters 7 |

| |Debbie Johnson, HCBS Waiver Program Manager |

| |360-725-2531 |

| |JohnsDA2@dshs. |

| | |

| |Chapter 11 |

| |Stacy Graff, IP and Administrative Hearing Program Manager |

| |360-725-2533 |

| |Stacy.graff@dshs. |

| | |

| |Chapter 28 |

| |Cheryl Timmons, Program Integrity Manager |

| |360-725-2530 |

| |Timmocl2@dshs. |

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