DHS Search Results
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Children's Programs Eligibility and Functional Screen
… CHILDREN’S PROGRAMS ELIGIBILITY AND FUNCTIONAL SCREEN Children’s long-term support programs can offer … There are three ways a child can be found eligible. A child first needs to have a physical disability, developmental disability or a social emotional disability. The screen considers the combination of a child’s … -
LTCFS Instructions Module 1: Overview of the Long Term Care Functional Screen (LTCFS)
… 1.1 Introduction 1.2 Wisconsin's Medicaid and Home and Community-Based Services (HCBS) Waiver Programs 1.3 Target Groups 1.4 Level of Care (LOC) 1.1 Introduction The Wisconsin Adult LTCFS … Medicaid target groups for HCBS waiver program participation: Frail elder (FE) Physical disability (PD) FEDERAL definition of intellectual/developmental disability (I/DD per FEDERAL definition) Wisconsin has more expansive definitions of the above … -
LTCFS Instructions Module 6: Additional Supports
… I/DD Diagnoses with Onset Before Age 22 6.8 Expected Duration of Diagnosis and Social Security Disability Determination 6.1 Introduction This section describes additional supports that may be … questions will not detract from the person’s eligibility for Social Security, Medicaid, LTC programs, or other benefits. The employment questions help to capture if individuals … Status: 1: Retired (does not include people under 65 who stopped working for health or disability reasons) 2: Not working (No paid work) 3: Working full-time (Paid work averaging 30 or … -
CLTS FS Instructions Module 1 - Overview of the Children's Long-Term Support Functional Screen
… Contents 1.1 Introduction 1.2 Programs and Levels of Care on the CLTS FS 1.3 Protecting the Family’s Information and Rights 1.4 … of care (LOC) requirements are met. The four institutional LOC are: Hospital (HOS) = Physical Disability (PD) Target Group Psychiatric Hospital = Mental Health Target Group Nursing Home (NH) = Physical Disability (PD) Target Group Intermediate Care Facility for Individuals with Intellectual … -
Functional Eligibility Screen for Children's Long-Term Support Programs (PDF, 122 KB)
… (12/2021) STATE OF WISCONSIN FUNCTIONAL ELIGIBILITY SCREEN FOR CHILDREN’S LONG-TERM SUPPORT PROGRAMS INSTRUCTIONS: All dates should be entered as mm/dd/yyyy. INDIVIDUAL INFORMATION Screen … contact and/or comments F-00367 Page 4 DIAGNOSES Has the child been determined disabled by the Disability Determination Bureau (DDB) or by the Social Security Administration? Yes No Do not … Disorder Yes No F-00367 Page 5 CHARGE Syndrome Yes No Prader-Willi Syndrome Yes No Cognitive Disability Yes No Prematurity/Low Birth Weight Yes No Conduct Disorder Yes No Reactive Attachment … -
CLTS FS Instructions Module 10 - Functional Eligibility Results
… Results with Others 10.4 Functional Eligibility Results Affecting Eligibility for Other Programs 10.5 Completed CLTS Functional Screen Summary Report Once a screen has been completed … Eligibility Results are possible: Mental Health Target Group (Psych Hospital LOC) Physical Disability Target Group (Nursing Home LOC) Physical Disability Target Group (Hospital LOC) DD Target Group (ICF-IID/DD1 LOC) DD Target Group … -
CLTS FS Instructions Module 3 - Diagnoses
… Contents 3.1 Has the child been determined disabled by the Disability Determination Bureau (DDB) or by a Social Security Administration? 3.2 Transplant … others if a child has multiple diagnoses. 3.1 Has the child been determined disabled by the Disability Determination Bureau (DDB) or by a Social Security Administration? Check “Yes” if … or receiving Supplementary Security Income (SSI) or Social Security related to the child’s disability in any state. This can be checked “Yes” based on guardian report. [ Back to Top ] 3.2 … -
LTCFS Instructions Module 11: Completion of the LTCFS
… determination. NAT is a designation given to individuals with an intellectual/developmental disability who, for either health reasons or because of advanced age, no longer require treatment related to their intellectual/developmental disability. In addition, a person with an intellectual/developmental disability such as cerebral … Receptive and expressive language, E. Breathing, F. Working, G. Participating in educational programs, H. Mobility, other than walking, I. Capacity for independent living. Wis. Stat. § … -
LTCFS Instructions Module 4: Diagnoses
… to a severe and persistent mental illness, dementia, brain injury, intellectual/developmental disability, or other organic brain disorder. A cognitive impairment does not include temporary … diagnoses do not determine whether they are eligible for Wisconsin’s Medicaid funded LTC programs, both diagnoses and functional limitations are important factors in determining whether … Must Be Verified All psychiatric, behavioral, dementia, brain injury, and intellectual disability diagnoses must be verified directly with a health care provider, health record, the … -
CLTS FS Instructions Module 2 - Informational Pages
… and Rescreen . Initial Screen The first CLTS FS completed for a child interested in accessing programs that use the screen for functional eligibility. An Initial screen is selected in the … or email) to the county waiver agency (CWA) wherein the contact indicates that a child has a disability or exceptional need. Calls in which the caller inquires about supports, asks for … was made by a parent, legal guardian, or another person indicating they have a child with a disability or exceptional need which the family is seeking assistance from the CWA in meeting. … -
LTCFS Instructions Module 3: LTCFS Basic Information, Screen Information, Demographics, and Living Situation
… should utilize interpreters when they are needed. This information will help long-term care programs better serve non-English speaking individuals. Select the appropriate language if an … Care Facility for Individuals with Intellectual Disabilities (FDD/ICF-IID) Developmental Disability (DD) Center/State Institution for Developmental Disabilities Mental Health … -
Overview of the Long Term-Care Functional Screen
… FS) to determine functional eligibility for Wisconsin's Home and Community-Based Waiver (HCBW) programs for children and adults. Wisconsin's LTC FS was developed to provide an automated and … disabilities and their functional eligibility for publicly funded program assistance. These programs are the HCBW programs (CIP 1A, CIP 1B, CIP II, COP-W, Family Care, IRIS, PACE, and Partnership) and the … -
Revisions to Wisconsin Children’s Long-Term Support Functional Screen Clinical Instructions
… in the instructions that suggest parents may overstate the severity of their child’s disability in order to access services have been removed. • Improve the clarity of the … delays in access to services or result in children being inaccurately found ineligible for programs has been revised or removed. Revisions to improve clarity also include the addition of … Community integration and inclusion are fundamental goals of children’s long-term support programs in Wisconsin. With these goals in mind, language has been added to the employment … -
LTCFS Instructions Module 2: Screening Process and Quality Assurance
… year of experience working with at least one of the target populations (frail elder, physical disability, or intellectual/developmental disability). Meet all training requirements as specified by DHS. This includes successfully … under Wis. Stat. § 46.284(7) . Refer to DHS publication Transition of Care Between Medicaid Programs or Between Agencies Within a Medicaid Program, P-02364 (PDF) . Releasing the LTCFS to … -
Long-Term Care Data Warehouse Release Notes
… 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 … determine functional eligibility for certain mental health services and adult long-term care programs. Release Notes: 1.27.0.0 - Adult Behavior Information Supplement and Mental Health Page … 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 … -
Children’s Long Term Support Functional Screen Validity Report
… virtually instant eligibility results for multiple Medicaid and state- and county-funded programs for children with long-term supports needs. The CLTS FS is built upon the success of … young adult (age 22 years) with a variety of functional abilities, health-related needs, and disability types (physical, intellectual, or emotional disabilities, and/or mental illness); • It … to determine Hospital (HOS), Psychiatric Hospital (SED), Nursing Home (NH), and Developmental Disability (DD) Level of Care (LOC) for Home and Community-Based Services Waivers, as well as the …