Washington State RSW and EBS Referral Form
This file contains referral instructions for the Residential Support Waiver and Expanded Behavior Support services. It provides essential information necessary for case managers and clients. Additionally, it contains eligibility criteria and necessary client details for seamless application processing.
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How do I fill this out?
Completing the RSW and EBS Referral Form requires careful attention to client details. Begin by providing the client's personal information followed by the case manager's details. Ensure all eligibility questions are accurately answered.
How to fill out the Washington State RSW and EBS Referral Form?
1
Gather the client's personal details including name and ACES ID.
2
Provide case manager's information with correct contact details.
3
Review eligibility criteria and select applicable options.
4
Detail any relevant community resources and supports.
5
Submit the form after ensuring all sections are completed.
Who needs the Washington State RSW and EBS Referral Form?
1
Case managers who assist clients in accessing necessary services.
2
Clients seeking eligibility for residential support and behavioral services.
3
Healthcare professionals involved in long-term care management.
4
Social workers coordinating community resources for clients.
5
Family members of clients wanting to understand the referral process.
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What are the important dates for this form in 2024 and 2025?
For 2024 and 2025, it is crucial to stay aware of any changes in service eligibility and submission deadlines. Typically, annual reviews for eligibility will occur, requiring updated submissions in early each year. Always check for any specific dates provided by local agencies.
What is the purpose of this form?
The purpose of the RSW and EBS Referral Form is to facilitate the process of applying for important support services for clients. It assists case managers in documenting eligibility criteria effectively. By providing a standardized process for referrals, the form ensures that clients receive the necessary evaluations and resources in a timely manner.
Tell me about this form and its components and fields line-by-line.
- 1. Client's Name: Full name of the client as registered.
- 2. Client ACES ID: Client's unique identification number.
- 3. Current Setting/Location: Where the client currently resides.
- 4. Length of Stay: Duration the client has been at their current location.
- 5. Case Manager's Name: Name of the referring case manager.
- 6. Case Manager's Email: Contact email for the case manager.
- 7. Nursing Facility Eligibility: Questions related to the client's eligibility for nursing facility services.
What happens if I fail to submit this form?
Failing to submit the referral form may lead to delays in accessing vital support services. Without proper documentation, clients may not receive the necessary evaluations or resources. This can hinder the client's ability to transition into appropriate care settings.
- Delay in Services: Clients may experience prolonged wait times for necessary services.
- Denial of Support: Ineligibility may not be assessed, preventing necessary assistance.
- Increased Health Risks: Lack of timely support can exacerbate health issues for clients.
How do I know when to use this form?
- 1. Initial Referral: When referring a client for the first time to RSW or EBS programs.
- 2. Update on Client Status: Used to provide updated information on a client's eligibility or situation.
- 3. Service Transition: When a client is transitioning from one service to another.
Frequently Asked Question
What is the purpose of the RSW and EBS Referral Form?
This form is used to refer clients for eligibility review concerning the Residential Support Waiver and Expanded Behavior Support services.
Who can fill out the referral form?
The form is typically filled out by case managers or healthcare providers on behalf of the client.
What details do I need to complete the form?
You will need client and case manager's information, eligibility criteria answers, and details relating to prior services.
How do I submit the completed form?
Completed forms can be emailed or sent via fax to the designated agency as specified on the form.
Can I edit the PDF before submission?
Yes, you can edit the PDF using PrintFriendly's online tools to ensure all information is correct.
Is there a deadline for submission?
While specific deadlines may vary, it is important to submit the form as soon as possible to avoid delays in service.
What if I don’t meet eligibility requirements?
If you do not meet the requirements, alternative services may be explored with your case manager.
Can I save my edited PDF?
Once edited, you can download the PDF for your records.
What types of services does this form refer to?
The referral form is specifically for Residential Support Waiver and Expanded Behavior Support services.
How can I get help with filling out the form?
Assistance can be sought from a case manager or a social service professional.
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