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
Clarified / A brief list of changes include, but are not limited to:
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.

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ATTACHMENT(S): / Chapter 7, Intro to Medicaid, State Plan and 1915c waivers
Chapter 11, In-Home Provider Requirements
Chapter 28, Medicaid Fraud
CONTACT(S): / Chapters 7
Debbie Johnson, HCBS Waiver Program Manager
360-725-2531

Chapter 11
Stacy Graff, IP and Administrative Hearing Program Manager
360-725-2533

Chapter 28
Cheryl Timmons, Program Integrity Manager
360-725-2530

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