STATE OF WASHINGTON



348615022860000STATE OF WASHINGTONDEPARTMENT OF SOCIAL AND HEALTH SERVICESAging and Long-Term Support AdministrationHome and Community Services DivisionPO Box 45600, Olympia, WA 98504-560094996016065500H17-078 – Policy and ProcedureOctober 23, 2017TO: Home and Community Services (HCS) Division Regional AdministratorsArea Agency on Aging (AAA) DirectorsFROM:Bea Rector, Director, Home and Community Services DivisionSUBJECT: Revisions to Long-Term Care (LTC) Manual Chapters 3, 5, 7b, 8, 10, 12, 14, 20, 22, and 29 Purpose:To announce the release of the latest updates to LTC Manual Chapters 3, 5, 7b, 8, 10, 12, 14, 20, 22, and 29 Background:Changes to the chapters include:Chapter 3: Assessment and Care Planning Chapter 5: Case Management Chapter 7b: Community First ChoiceChapter 8: Residential ServicesChapter 10: Nursing Facility Case Management and RelocationChapter 12: Adult Day Services Chapter 14: Legal ServicesChapter 20: TransportationChapter 22: Managed Care Chapter 29: Roads to Community Living What’s new, changed, orClarified:A brief list of changes include, but are not limited to: Chapter 3: Assessment and Care Planning Updates to residential ETR section related to notices Clarification in ETR section related to effective datesClarification to IP Overtime Appendices Section Addition of new Contract Action section in IP Overtime AppendicesChapter 5: Case Management Revised list of required documents to submit to HIU prior to transferring a caseWA Roads section:Provides information regarding the sustainability of WA Roads services once RCL has endedInstructs staff to use Community Transition Services (CTS) prior to WA Roads, including requesting an ETR, for clients eligible for CTSProvides detailed instructions on how to switch programs from WA Roads to RCL when a client in a Skilled Nursing Facility (SNF) becomes eligibleIncludes a note that Behavior Support is now available through Client Training for clients eligible for COPES and that the service in WA Roads should be limited to those not eligible for COPESProvides hyperlinks to Service Code Data Sheets for all service codes includedIncludes a brief instruction regarding the bathroom ETR process, which will soon be added to the Social Service Authorization Manual (SSAM)Clarifies the length of time WA Roads services can be authorizedIncludes updated WA Roads forms (Emergency Rental Assistance and Cohort III Verification)Chapter 7b: Community First Choice Changes based on the CFC State Plan Amendment Chapter 8: Residential ServicesChanges include Community Integration, Community Integration Mileage Reimbursement, Medical Mileage Reimbursement, and Exception to Rule Process to room exemptionChapter 10: Nursing Facility Case Management and RelocationClarification on using Form 15-442 (NFLOC for MAGI)PASRR SER instructions per MB H17-020 Instructions to create a new line for a client who no longer meets Nursing Facility Level of Care (NFLOC)Instructions to send a PAN for decisions regarding Home Maintenance Allowance (HMA)Additional information regarding Community Transition Services (a CFC service)Instructions regarding verification of a fully executed WA State contract prior to placement in an out-of-state SNFChapter 12: Adult Day Services Updated resource (Adult Day Services brochure) Updated Adult Day Service goalsUpdated ADC and ADH eligibilityUpdated referral process for ADC and ADHUpdated definition of skilled nursing and skilled rehabilitative therapy servicesChapter 14: Legal Services General formatting updates for easier reading Created clear Section Summary with integrated hyperlinks/bookmarksRemoved obsolete reference links to training toolsAdded extensive Resource options for Legal Services to support aging services network, Older American Act priorities, target marketing, and language support optionsAdded new DSHS Legal Assistance Developer contact information while deleting obsolete contact informationCore content and structure remains unchangedChapter 20: Transportation Updates to the following sections:Community Choice GuidesIndividual Provider Mileage ReimbursementFunding transportation services for Adult Day Health/Care Medical mileage reimbursement for Adult Family Home ProvidersChapter 22: Managed Care ProgramAddition of staff contact information for MCOs Addition of Health Home Program Clean-up and clarification of existing language Chapter 29: Roads to Community Living Provides information regarding the sustainability plan for RCL services once MFP has endedAdds a comprehensive list of RCL Demonstration services with links to the corresponding Service Code Data SheetRemoves outdated reference to the RSNRemoves confusing language regarding eligibilityRemoves all references to the baseline survey which has been discontinued (follow ups continue until completion of those who had received a baseline in the past)Removes redundant sectionsClarifies the RCL End date is based on the actual discharge date, not the date the RCL RAC was assignedProvides additional information regarding those who do not discharge onto RCL (clarifying that some may have discharged, but not onto the RLC program)Adds a reference to the bathroom ETR processACTION:Begin using the revised LTC Manual Chapters policies and procedures. ATTACHMENT(S): Chapter 3, Assessment and Care Planning \sChapter 5, Case Management \sChapter 7b, Community First Choice\sChapter 8, Residential Services\sChapter 10, Nursing Facility Case Management and Relocation\sChapter 12, Adult Day Services \sChapter 14, Legal Services\sChapter 20, Transportation \sChapter 22, Managed Care\sChapter 29, Roads to Community Living\sCONTACT(S): Chapter 3Rachelle Ames, CARE Policy, Case Management and IP Overtime Policy Program Manager360-725-2353Rachelle.Ames@dshs. Chapter 5Debbie Blackner, Systems Change Specialist360-725-2557Debbie.Blackner@dshs. Chapter 7bJacqueine Echols-Cobbs, CFC Program Manager 360-725-3216Jacqueine.Echols@dshs. Chapter 8 Pon Manivanh, Residential Policy Program Manager 360-725-2370ManivMK@dshs. Chapter 10Debbie Blackner, Systems Change Specialist 360-725-2557Debbie.Blackner@dshs. Chapter 12Erika Parada, Nurse Delegation and Adult Day Services Program Manager360-725-2450parade@dshs. Chapter 14Caroline Wood, AAA Specialist/Compliance Program Manager 360-725-2521WoodCR@dshs. Chapter 20Patty McDonald, ADA/LEP/Voter Registration Assistance Program Manager360-725-2559Patty.Mcdonald@dshs. Chapter 22Kelli Emans, Managed Care Program Manager 360-725-3213Kelli.Emans@dshs.Brendy Visintainer, Quality and Outreach Specialist360-725-2640Brendy.Visintainer@dshs. Chapter 29Debbie Blackner, Systems Change Specialist 360-725-2557Debbie.Blackner@dshs. ................
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