STATE OF WASHINGTON



348615022860000STATE OF WASHINGTONDEPARTMENT OF SOCIAL AND HEALTH SERVICESAging and Long-Term Support AdministrationHome and Community Services DivisionPO Box 45600, Olympia, WA 98504-560094996016065500H19-048 – Policy and ProcedureSeptember 9, 2019TO: 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 8, 10, 22, and 30dPurpose:To announce the release of the latest updates to LTC Manual Chapters 8, 10, 22, and 30d. Background:Changes to the chapter include:Chapter 8: Residential Services Chapter 10: Nursing Facility Case Management and Relocation Chapter 22: Managed Care Chapter 30d: Supportive HouseWhat’s new, changed, orClarified:A brief list of changes include, but are not limited to: Chapter 8: Residential Services Removed Lynne Korte from “Ask the Expert” Section IV: Meaningful Day Activities added to chapter Section V: Meaning Day Activities added Section VI: Medical Escort Fee and Meaningful Day Activities addedSection X: Reviewing Negotiated Service Agreement - Clarification on policy for AFH providers to return NSASDCP Staff Checklist documentation requirements updatedChapter 10: Nursing Facility Case Management and RelocationClarified language regarding the timeline for Nursing Facility Level of Care determination. Nursing Facility Case Managers are to complete NFLOC determination process within 10 calendar days of case assignment in CARE. Clarified notification process for nursing facility residents requesting an exception to rule for social and therapeutic leaveUpdated language to reflect Assessments completed via CARE WebChapter 22: Managed Care Updated the Regional Service Area map to include managed care plans for each region Page 21 – updates to the Roles for HCS/AAA providers Page 22 – updated Enrollment Confirmed section, removing second to last Monday of the month with 23rd of the month for enrollment the following month Page 22 – Ongoing HCS SW Responsibilities, notify financial of SNF stay that go beyond 30 days Page 22 – HCS and PO Coordination stating admin or discharge from a nursing facility – HCS must notify financial if over 30 days Page 28 – added information to Eligibility for clients who have limited PRISM data – there is a Clinical Eligibility Tool that may be used to determine a risk score Removed duplicative links and corrected links Chapter 30d: Supportive Housing Changed chapter contact from Liz Prince to Whitney Joy Howard“Background” - updated wording“Supportive Housing Service Areas and Case Coordination” - added MCO language and updated form name to Personal Care Authorization“If someone receiving Supportive Housing services “refuses” or declines personal care, do I need to close the case for all services?” - updated wording, including green box considerations “Foundational Community Supports: Supportive Housing” – updated: “Referral Process”; “Reimbursements”; “Can an individual on DDA services receive Supportive Housing Services”“Governor’s Opportunity for Supportive Housing (GOSH) Services” - updated “Eligibility” to include the new diversion definitionRemoved referenced documents/attachments at end of chapter ACTION:Begin using the revised LTC Manual Chapter policies and procedures. ATTACHMENT(S): Chapter 8\sChapter 10\sChapter 22\sChapter 30d \sCONTACT(S): Chapter 8Natalie Lehl, Residential Policy and Resource Development Program Manager360-725-2370lehlnr@dshs. Chapter 10 Julie Cope, Systems Change Specialist 360-725-2529Copejf@dshs. Chapter 22 Ethan Leon, Managed Care Policy Analyst 360-725-3566LeonER1@dshs. Chapter 30dWhitney Joy Howard, Lead Supportive Housing Program Manager 360-791-2358howarwj@dshs. ................
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