Wisconsin's Functional Screen system is a web-based application used to collect information about an individual's functional status, health, and need for assistance for various programs that serve the frail elderly and people with intellectual/developmental or physical disabilities. The screen is used to determine functional eligibility for certain mental health services, adult long-term care programs, and children's long-term support programs. Experienced professionals, usually social workers or registered nurses, who have taken an online training course and passed a certification exam are able to access and administer the screen.
Resources for certified screeners: Adult Long Term Care Functional Screen (LTCFS) , Children's Long-Term Support Program (CLTS), Mental Health/Substance Use, General Resources for All Screeners
General Information
- Overview: Background information on the history and use of the Long Term Care Functional Screen.
- Papers¹ on testing the validity and reliability of Wisconsin's functional screens:
Resources for Adult Long Term Care Functional Screen (LTCFS) Screeners
- Wisconsin Adult Long Term Care Functional Screen, F-00366 (PDF) Updated 10/18/2021
- Wisconsin Long Term Care Functional Screen Instructions Updated 10/18/2021
- Glossary of Acronyms, P-01010 (PDF)
- Basic Information for Screeners, P-01604 (PDF)
- Contact Cheat Sheet for LTCFS Certified Screeners, P-02121 (PDF)
- Tools and Guides for Adult LTCFS Screeners:
- UW Oshkosh Continuing Skills Test page
- Screener certification online course
- Sign up for email updates
Screen Liaison Toolkit
- Role of the Adult Long Term Care Functional Screen Liaison, P-02783 (PDF)
- Adding Long Term Care Functional Screeners to Functional Screen Information Access (FSIA), P-02783A (PDF)
- Deleting Long Term Care Functional Screeners from Functional Screen Information Access (FSIA), P-02783B (PDF)
- Modifying Agency Contact Information in Functional Screen Information Access (FSIA), P-02783C (PDF)
Resources for Children's Long-Term Support (CLTS) Screeners
- CLTS FS Clinical Instructions (Updated September 8, 2021)
- Children’s Long-Term Support Functional Screen and Clinical Instruction Updates, P-03083 (PDF)
- Institutional Levels of Care: Children’s Long-Term Support Programs in Wisconsin, P-03027 (PDF)
- Sign up for email updates
- Tools and Guides for CLTS FS Screeners
- Screener Certification On-line Course
- Child Development Modules: Typical and Atypical Development
CLTS FS Teleconferences
Upcoming
- August 11, 2022
- November 10, 2022
Previous
September 9, 2021: Overview of CLTS FS updates; CLTS FS Clinical Instructions: Module 1 Information pages; Module 3 Diagnoses
- Recording
- Presentation Slides (PDF)
October 14, 2021: Overview of CLTS FS updates; CLTS FS Clinical Instructions: Module 4 Mental Health; Module 5 Behaviors; Module 7 School & Work; Module 8 Health-Related Services
- Recording
- Presentation Slides (PDF)
November 4, 2021: Overview of CLTS FS updates' CLTS FS Clinical Instructions Module 6 ADL/IADLs; Module 9 Screen time and Notes; Module 10 Functional Eligibility Results; Module 11 Resources for Certified Screeners
- Recording
- Presentation Slides (PDF)
February 10, 2022: CLTS Waiver Renewal; defining roles, activities, resources for CLTS FS Leads
- Recording
- Presentation Slides (PDF)
May 12, 2022: Screen timeliness; NFE review process; behaviors/social competency; COVID-19 Unwinding; resources/trainings
- Recording
- Presentation Slides (PDF)
Contact Information
Archived Documents
- Summary of Changes to the CLTS FS, P-02035C (PDF)
- System Change Notice: Age Cohorts, Non-Functional Eligibility Results Display, Suicidality Look-Back Period (PDF)
- CLTS Functional Screen Tips
- Presenting Diagnoses, P-02035 (PDF)
- Social Competency, P-02035A (PDF)
- Behaviors, P-02035B (PDF)
Resources for Mental Health/Substance Use Screeners
If you have a question about Wisconsin’s Functional Eligibility Screen for Mental Health and Substance Use Disorder Services, contact the Division of Care and Treatment Services.
General Resources for All Screeners
- Functional Screen Information Access (FSIA) gateway page
- FSIA System Requirements, P-01448 (PDF)
- Functional Screen Application Training 101
¹The papers above were prepared as part of Wisconsin's applications to the Centers for Medicare & Medicaid Services for approval of the Children's Long-Term Support and Adult Long-Term Care Functional Screens.