Get the free Family Support Program Functional Screen - dhs wisconsin
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DEPARTMENT OF HEALTH SERVICES Division of Long Term Care F-20851 Rev. 08/2008 STATE OF WISCONSIN FAMILY SUPPORT PROGRAM FUNCTIONAL SCREEN This screen is designed to help the reviewer determine whether or not a child has a severe disability by the statutory definition used for the Family Support Program. The presence of a severe disability in a child is the first step in determining whether or not a family is eligible for the Family Support Progra...
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How to fill out family support program functional
How to fill out Family Support Program Functional Screen
01
Gather necessary personal information about the individual seeking support.
02
Complete the demographic section, including name, age, and address.
03
Provide details related to the individual's health status and any disabilities.
04
List the types of support services currently being utilized.
05
Document the individual's strengths and needs in various life areas.
06
Include information on any family members involved in the support process.
07
Review the completed form for accuracy and ensure all sections are filled out.
08
Submit the form to the appropriate agency or organization for review.
Who needs Family Support Program Functional Screen?
01
Individuals with disabilities seeking assistance.
02
Families of individuals with disabilities looking for support services.
03
Caregivers managing the needs of a disabled family member.
04
Anyone looking to access resources from the Family Support Program.
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People Also Ask about
What is a functional screen?
This document explains the process for finding out whether the child in your care has needs that make them eligible to receive those supports and services. The tool to determine this is known as the functional screen.
Can I get paid to be a caregiver for a family member in Wisconsin?
Family Size and Income Guidelines Family SizeAnnual Gross IncomeWeekly Gross Income 2 $40,884.00 $786.23 3 $51,636.00 $993.00 4 $62,400.00 $1,200.00 5 $73,164.00 $1,407.003 more rows
How much money can you make and still get Badgercare in Wisconsin?
Wisconsin provides Medicaid waivers, such as family care, family care partnership and IRIS, enabling beneficiaries to direct funds to family caregivers instead of institutions.
What is the income limit for family care in Wisconsin?
Monthly income for an individual in 2024 cannot exceed $2,829. Couples, when both spouses are applying, are each allowed $2,829 in monthly income, for a total of $5,658. When only one spouse is applying, the applicant spouse is able to transfer up to $3,853.50 a month in income to their non-applicant spouse.
How do you qualify for family care in Wisconsin?
To enroll in Family Care, you must: Be at least 18 years old. Be a frail elder or an adult with a disability. Be eligible for Medicaid. Be functionally eligible. The Long Term Care Functional Screen helps confirm eligibility. Have a long-term care condition that will last more than 90 days.
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What is Family Support Program Functional Screen?
The Family Support Program Functional Screen is an assessment tool used to determine the eligibility and needs of individuals and families seeking support services. It evaluates functional abilities and support requirements.
Who is required to file Family Support Program Functional Screen?
Individuals applying for services under the Family Support Program, as well as their families, are required to file the Family Support Program Functional Screen to assess their needs.
How to fill out Family Support Program Functional Screen?
To fill out the Family Support Program Functional Screen, gather necessary personal and medical information, complete the screening form with accurate data, and submit it to the designated agency for review.
What is the purpose of Family Support Program Functional Screen?
The purpose of the Family Support Program Functional Screen is to identify the specific needs for support services and resources for individuals and families, ensuring they receive appropriate assistance.
What information must be reported on Family Support Program Functional Screen?
The Family Support Program Functional Screen requires reporting on personal demographics, functional abilities, support needs, medical conditions, and any existing services currently being utilized.
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