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This bulletin outlines the approval of the Medicaid Waiver for Infants, Toddlers and Families, providing guidelines for County Mental Health/Mental Retardation Programs to determine eligibility and
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How to fill out MENTAL RETARDATION BULLETIN

01
Obtain a copy of the MENTAL RETARDATION BULLETIN form.
02
Read the instructions provided on the form carefully.
03
Fill out the personal information section, including name, address, date of birth, and guardianship details.
04
Provide a detailed description of the individual's developmental history and any diagnoses.
05
Include information on the individual's current level of functioning and specific needs.
06
Document any services currently being received and any previous assessments.
07
Review the completed form for accuracy and completeness.
08
Submit the form to the appropriate health or social services department.

Who needs MENTAL RETARDATION BULLETIN?

01
Individuals who have been diagnosed with mental retardation or developmental disabilities.
02
Caregivers or guardians of individuals with mental retardation.
03
Healthcare professionals who require documentation for assessment and service provision.
04
Schools and educational institutions needing to assess student support needs.
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In the upcoming fifth edition of the Diagnosfic and Stafisfical Manual of Mental Disorders (DSM-5), the diagnosis of intellectual disability (intellectual developmental disorder) is revised from the DSM-IV diagnosis of mental ation.
The term mental ation, used in the DSM-IV, has been replaced with the term “intellectual disability (intellectual developmental disorder),” or “ID,” because the term intellectual disability is now commonly used in the medical and educational fields.
Mental ation comprises five general categories: borderline, mild, moderate, severe and profound.
The DSM-IV classifies mental ation into four stages based on severity: mild (IQ score of 50-55 to approximately 70), moderate (IQ score of 30-35 to 50-55), severe (IQ score of 20-25 to 35-40), and profound (IQ score of less than 20-25).
In 2010, the U.S. government enacted Rosa's law. That law removed all uses of the terms “mental ation” and “mentally ” from government use, law and policies. “Intellectual disability” and “individual with an intellectual disability” became the preferred official and legal terms.
Intellectual disability (intellectual developmental disorder) as a DSM-5 diagnostic term replaces “men- tal ation” used in previous editions of the manuals.
The condition is further divided into four levels of ation based on IQ, which include mild mental ation (IQ between 50-55 and 70), moderate mental ation (IQ between 35-40 and 50-55), severe mental ation (IQ between 20-25 and 35-40), and profound mental ation (IQ below 20 or 25) (American
The codings for degree of mental ation are: F70 Mild Mental ation F71 Moderate Mental ation F72 Severe Mental ation F73 Profound Mental ation F78 Other Mental ation F79 Unspecified Mental ation.

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The Mental Retardation Bulletin is a document used to report and provide information regarding individuals with intellectual disabilities.
Professionals involved in the care, assessment, or education of individuals with intellectual disabilities are typically required to file the Mental Retardation Bulletin.
To fill out the Mental Retardation Bulletin, gather the required information about the individual, complete all relevant sections, and ensure accuracy before submission.
The purpose of the Mental Retardation Bulletin is to ensure proper documentation and reporting of cases, enhancing the understanding and support for individuals with intellectual disabilities.
Information that must be reported includes the individual's personal details, diagnosis, the nature of their disability, and any relevant medical or educational history.
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