STATE OF WASHINGTON



348615022860000STATE OF WASHINGTONDEPARTMENT OF SOCIAL AND HEALTH SERVICESAging and Long-Term Support AdministrationHome and Community Services DivisionPO Box 45600, Olympia, WA 98504-560094996016065500H20-056 – Policy and ProcedureJune 17, 2020 TO: Home and Community Services (HCS) Division Regional AdministratorsArea Agency on Aging (AAA) DirectorsDevelopmental Disabilities Administration (DDA) FROM:Bea Rector, Director, Home and Community Services DivisionSUBJECT: Revisions to Long-Term Care (LTC) Manual Chapters 7a, 7f, 8, 9b, 10, 22, and 30d. Purpose:To announce the release of the latest updates to LTC Manual Chapters. Background:Changes to the chapter include:Chapter 7a: Financial Eligibility for Core Programs Chapter 7f: Residential Support Waiver Chapter 8: Residential Services Chapter 9b: State Hospital Assessments Chapter 10: Nursing Facility Case Management and Relocation Chapter 22: Managed Care Chapter 30d: Supportive Housing What’s new, changed, orClarified:A brief list of changes include, but are not limited to: Chapter 7a: Financial Eligibility for Core Programs Updated Medicaid Programs-LTSS ChartUpdated HWD EligibilityChapter 7f: Residential Support Waiver Clarifying the Wellness Education available under Client Support TrainingAdding the RSW CFC Ancillary Fast Track RACChanging the ESF Referral process to replace Clinical Reviews with a review by the Mental Health Nurse Program ManagerChapter 8: Residential Services Update to Bed Hold ExpertTable of Content Links correctedMeaningful DayMeaningful Day overview expandedClarification on client eligibilityClarification on authorizationsBed HoldsHQ Responsibilities RemovedField Staff responsibilities updatedCARE documentations for Sharing an AL RoomReviewing the NSA/NCPCM signature requirement removedChapter 9b: Updates to chapter include reorganizing content, information related to Strategic Measures and State Hospital Report, hospital admissions and discharge planning (see pages 17-18 of chapter). Chapter 10: Nursing Facility Case Management and RelocationClarified Expanded Services Coordination language to include communication timelines to HQ to authorize the exceptional daily rate associated with these services. Refined procedure for Case Managers when the Nursing Facility resident no longer meets NFLOCUpdated Regional Kroger Transition Checklists in Resource SectionChapter 22: Managed Care Deleted all BHO reference Deleted 19-0025 formUpdated the MCO table contentsNew section: My client should be enrolled in managed care but isn’t?Added new locations and zip codes for Providence Elderplace (PACE)Chapter 30d: Supportive Housing Section 2: Hyperlink to ALTSA Housing Regional Map with Program Manager contact information addedSection 4: Information and documents related to the GOSH Step-Down process and GOSH State Subsidy added.ACTION:Begin using the revised LTC Manual Chapters policies and procedures. ATTACHMENT(S): Chapter 7a\sChapter 7f\sChapter 8\sChapter 9b\sChapter 10\sChapter 22 \sChapter 30d \sCONTACT(S): Chapter 7aAmanda Aseph, Financial Policy Analyst 360-725-3486Amanda.aseph@dshs. Chapter 7fSandy Spiegelberg, Residential Support Program Manager360-725-2370Sandra.spiegelberg@dshs. Chapters 8 Natalie Lehl, Residential Policy and Resource Development Program Manager360-725-2370Natalie.Lehl@dshs. Chapter 9bAshley Beckley, Behavior Support Trainer509-992-5040 (cell)Ashley.beckley@dshs. Chapters 10 Julie Cope, Systems Change Specialist360-725-32529Julie.Cope@dshs. Chapter 22 Kathryn Pittelkau, PACE Policy Program Manager360-725-2366kathryn.pittelkau@dshs.Chapter 30dWhitney Joy Howard, Lead Supportive Housing Program Manager 360-791-2358howarwj@dshs. ................
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