Worker responsibilities

Follow procedures in General eligibility for long-term care to establish financial eligibility.

This section from the main long-term care index links to the following eligibility requirements for DDCS waivers: Transfer of assets Available resources How annuities affect eligibility Aged-blind-disabled requirements Gross income cannot exceed the Special Income Level (SIL) which is 300% of the FPL. Available income Excluded income Overview - long-term services and supports chart for responsibilities and program administration (Who does what program) AREP screens for long-term care cases (required for some DDCS programs)

Consider a client who is approved for DDCS waivers by DDCS as having attained institutional status .

The DDCS case manager sends a DSHS 15-345 CSO/DDCS Communication from barcode to inform the financial worker of DDCS waiver eligibility and the start date of services, type of service, change of service, if in an alternate living facility (ALF) such as an adult family home or DDCS group home, the state daily rate of the facility, address of facility placement and other changes described in the instructions of the DSHS 15-345 form in barcode.

Eligibility for the L21 or L22 DDCS waiver is a two-prong eligibility program. The individual must meet both the financial and functional eligibility for the program. If DDCS waiver services are closed by DDCS, DDCS must inform the financial worker via the DSHS 15-345 in barcode. Financial would then need to consider eligibility for other medical programs.

The L21/L22 program code is used for the DDCS waiver. There are exceptions: Eligibility for Health Care for Workers with Disabilities (HWD), use the S08/HWD program. Refer to the HWD specialist. DDCS Foster Care Program Because of systems issues such as a SSI deemed eligible client with gross income over the SIL. Use a S02 program.

For a DDCS client with earnings, see Working clients on long-term services and supports This link includes information on the Health Care for Workers with Disability program.

Out-of-pocket medical expenses can be allowed as a deduction in post eligibility (another term for this is determining the client total responsibility toward the cost of care, or participation). See Allowable medical expenses .

Court ordered guardianship fees used as a deduction in long term care are described in the guardianship section .

Information on DDCS community based waivers are in WAC 388-845

Follow necessary supplemental accommodation services ( NSA ). The DDCS case manager will inform the DDCS financial worker of any additional NSA services indicated in the CARE plan with a accommodation to access or maintaining services.