Alcohol and Drug Related Programs - ADATSA
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Alcohol and Drug Related Programs - ADATSA


Revised January 10, 2014



NOTE:

As a result of implementation of the Affordable Care Act (ACA), effective with applications received on or after 01/01/2014, this medical program is no longer valid. Clients would need to apply for medical through the healthplanfinder. See EAZ Manual – Medical Assistance Programs – ACA   .


ALCOHOL AND DRUG ADDICTION TREATMENT SUPPORT ACT (ADATSA) (GW/W01) (Invalid 01/01/14)

What is ADATSA?

 

Who is eligible to receive GW/W01?

 

How long is the GW/W01 certification period?

 

How do I screen GW/W01?

 

How do I process a pending GW/W01 AU?

 

What is the coding for various treatment situations?

 

How are cash payments issued for GW/W01?

 

What effect does ADATSA have on Basic Food assistance?

 


 

What is ADATSA?

 

·         ADATSA is a medical program for individuals who are chemically dependent.  See EAZ Manual – WAC 182-508-0310 What is ADATSA?


Who is eligible to receive GW/W01?    

 

·         Individuals who:  

 

o    Meet the criteria in EAZ Manual – WAC 182-508-0320 ADATSA - Eligible individuals and

 

o    Have been place in a treatment program (inpatient or outpatient).


NOTE:

Although no cash is issued for GW/W01 AUs, ACES treats the AU as a cash AU.


How long is the GW/W01 certification period?

 

·         GW/W01 cash assistance is certified for 12 months.

 

How do I screen GW/W01?

 

·         To screen a GW/W01  AU, take the following steps:

 

1.    On the Welcome Back page in aces.online, click the Screen New Application link at the top of the page. The Applicant page displays in a new window.

 

2.    On the Applicant page, enter the applicant’s (head of household) Name, Residential and Mailing Addresses. Continue with the screening process until you reach the Programs page.

 

3.    On the Programs page, click the box next to Drug and Alcohol Treatment in the Programs section.

 

4.    On the Finalize page:

 

o    Click the box next to ADATSA (GW).

 

o    Enter the application date.

 

o    Click COMMIT.


How do I process a pending GW/W01 AU?

 

·         To process a pending GW/W01, take the following steps::

 

1.    From the AMEN, select Option O – Interview.

 

2.    On the DEM1 screen enter [AR] – ADATSA Residential/Contracted or [AH] – At Home in the Living Arngmt field.

 

3.    On the DEM2 screen:

 

o    In the Dis/Incp/ESRD field, enter [W] – Chemical Dependency (Non-Shelter ADATSA).

 

o    In the Approv Source field, enter [AA] – ADATSA Assessment in Treatment.

 

o    In the Approv Date, Estab Date and End Date fields, enter the appropriate dates from the ADATSA assessment provided by Social Services.


NOTE:

For clients waiting admittance to a treatment program, enter the Medical Only – Waiting List for Bed coding (see What is the coding for various treatment situations?) so the GW/W01 will sprout a GW/W02 AU.

 

For more information, see Alcohol and Drug Addiction Treatment Support Act (ADATSA) (W02).

 

When the client enters inpatient treatment, rescreen the original W01.  You will need to update the living arrangement, treatment and institution coding (follow the instructions in Step 4, or see What is the coding for various treatment situations?) and close the existing GW/W02.

 


4.     On the INSTscreen:

 

o    In the INST Type field, enter the [appropriate code]. See <F1> Help.

 

o    In the Prov ID field, enter the [provider ID number if required].

 

o    In the Entry Date field, enter the [entry date].

 

o    In the Level of Care field, enter [A] – ADATSA.

 

o    In the State Rate field, enter the [facility’s daily rate].  For more information about the daily rate, see Clarifying Information in EAZ Manual ADATSA Eligibility Information. 

 

5.     Complete the case following the steps in the Process Application Months and Finalize Applicationchapters.

 

 

What is the coding for various treatment situations?

 

·         For coding of various treatment situations see the chart below.

 

CASE SITUATION

DEM1

DEM2

INST

RESULT

 

LIV ARR

DIS/INCAP TYPE

APPROVAL  SOURCE

INST TYPE

LEVEL OF CARE

 

Intensive Inpatient

AR

W

AA

II

A

PROGRAM GW TYPE Y

Extended Care Residential

AR

W

AA

LN

A

PROGRAM GW TYPE Y

Long Term Care Residential

AR

W

AA

LO/LR

A

PROGRAM GW TYPE Y

Recovery House

AR

W

AA

RH

A

PROGRAM GW TYPE Y

Outpatient

AH

W

AA

Leave date

Leave date

PROGRAM GW TYPE W (Payment – Paid by County (if funding is available)

Shelter Only – Declined treatment

AH

4,5,6

AP

LN/LO

A

PROGRAM GW TYPE Z

 

 

 

 

 

 

 

Declined Shelter Services

AH

W

AD

N/A

MA

PROGRAM MA TYPE Z

Waiting list for Bed

AH

W

AW

N/A

MA

PROGRAM MA TYPE W

Methadone Maintenance

AH

W

AM

N/A

MA

PROGRAM MA TYPE W

 

 

 

 

 

 

 

 

How are cash payments issued for GW/W01?

 

·         ACES doesn’t issue cash payments for clients eligible to receive ADATSA inpatient or outpatient treatment.  Individual counties may issue cash payments on these cases.

 

·         See Clarifying Information EAZ Manual – WAC 182-508-0375 ADATSA--Eligibility for state-funded medical care services (MCS). (Emergency rule effective 11/1/11.)

 

What effect does ADATSA have on Basic Food assistance?

 

·         Communication between the county and CSO in this situation is important as the county is responsible to report to the CSO the amount of payment being made to the client.  This cash payment is used to compute Basic Food benefits if eligible.

 

·         If the household is receiving Basic Food, code the amount of the cash grant being paid by the county on the UNER screen as [OF] – Other Countable FS Only for the benefit computation to be correct.  See BASIC FOOD PROGRAM.

 

·         When a client is residing in a treatment facility, the treatment facility may be eligible to receive Basic Food benefits on a client’s behalf as an authorized representative.  See EAZ Manual – WAC 388-420-0010 Alcohol and drug treatment centers.  For coding instructions, see Authorized Representative.

Modification Date: January 10, 2014