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HCLA Nursing Services

WA DSHS HCLA

Nursing Services consist of nurse consultants who provide health-related assessments and clinical consultation to clients eligible for Medicaid Long-Term Services and Supports (LTSS). Services are available to clients, providers, and case managers to support development, coordination, and implementation of a person-centered plan of care. HCS Nurse Care Consultants (NCCs), AAA Case Managers, and RN Case Managers (RCMs) collaborate on care plans for clients with triggered nursing referrals, particularly those related to skin integrity and pressure injury prevention. Nursing Services is not a direct provider of intermittent or emergency nursing care, nor of skills or services requiring physician orders and supervision. Area Agencies on Aging may also employ Licensed Practical Nurses (LPNs) as nurse consultants for focused assessments under the Skin Observation Protocol; LPN-collected data is reviewed by a Registered Nurse for care planning.

Who qualifies

Available to clients eligible for Medicaid Long-Term Services and Supports (LTSS), including those on COPES, MPC (Medicaid Personal Care), and DDA Waiver Personal Care, as well as their providers and case managers.

What it covers

Health-related assessments, clinical consultation, and care plan support; Skin Observation Protocol assessments and pressure injury prevention guidance.

Cost

Provided as part of Medicaid LTSS, no separate cost to clients.

How to apply

Access is through the client's HCS or AAA case manager. RNs interested in a Skilled Nurse Contract (intermittent nursing tasks for an AAA) should contact the regional AAA where they wish to work and apply directly there.

Where to get this in Washington

3 organizations deliver this program. Coverage varies, so check the area each one serves.

Source www.dshs.wa.gov/altsa/home-and-community-services/nursing-services