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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

H16-044 – Policy and Procedure

May 16, 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 3, 5, 6, 10, 16, and 29 |

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

| |Chapters 3, 5, 6, 10, 16, and 29 |

|Background: |Changes to the chapters include: |

| |Chapter 3: Assessment and Care Planning |

| |Chapter 5: Case Management |

| |Chapter 6: Adult Protective Services |

| |Chapter 10: Nursing Facility Case Management and Relocation |

| |Chapter 16: Assistive Technology |

| |Chapter 29: Roads to Community Living/WA Roads |

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

|Clarified | |

| |Chapter 3: Assessment and Care Planning |

| |Community First Choice implementation |

| |IPOne/P1 |

| |Weekly Plan of Care |

| |Chapter 5: Case Management |

| |Workload Efficiencies (MB 15-050) |

| |Update to 30 day visit/contact (MB 16-010) |

| |Community First Choice/Person Centered Planning |

| |Chapter 6: Adult Protective Services |

| |Clarification between when to place a “restriction” vs “high profile and critical incidents” |

| |Update in reporting to Medicaid Fraud Control Unit (MFCU) |

| |Addition of sharing information with Tribal law enforcement |

| | |

| |Chapter 10: Nursing Facility Case Management and Relocation |

| |Added references to Community First Choice |

| |Clarification that a client returning to a different Skilled Nursing Facility following a hospitalization |

| |needs a new NFLOC assessment |

| |Adds details on how to authorize the use of state funds for clients who do not meet NFLOC |

| |Chapter 16: Assistive Technology |

| |Clarification and language clean-up |

| |Chapter 29: Roads to Community Living/WA Roads |

| |Removed references to WA Roads |

| |Clarification that a client must choose between RCL and ECS when eligible for both |

| |Added process to re-enroll an RCL participant following a SNF stay of greater than 30 days |

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

|ATTACHMENT(S): |Chapter 3, Assessment and Care Planning |

| |[pic] |

| | |

| |Chapter 5, Case Management |

| |[pic] |

| | |

| |Chapter 6, Adult Protective Services |

| |[pic] |

| | |

| |Chapter 10, Nursing Facility Case Management and Relocation |

| |[pic] |

| |Chapter 16, Assistive Technology |

| |[pic] |

| | |

| |Chapter 29, Roads to Community Living |

| |[pic] |

|CONTACT(S): |Chapters 3 and 5 |

| |Rachelle Ames, CARE Program Manager |

| |360-725-2353 |

| |AmesRL@dshs. |

| | |

| |Chapter 6 |

| |Jackie Heinselman, APS Program Manager |

| |360-725-2616 |

| |heinsje@dshs. |

| | |

| |Chapter 10 and 29 |

| |Debbie Blackner, Systems Change Specialist |

| |360-725-2557 |

| |BenneD@dshs. |

| | |

| |Chapter 16 |

| |Patty McDonald, ADA/LEP Program Manager |

| |360-725-2559 |

| |McDonPM@dshs. |

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