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Get the free Clts Fs - Age-Specific ADL Iadl Birth to 6 Months F-00367a - dhs wisconsin

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DEPARTMENT OF HEALTH SERVICES Division of Long Term Care F00367A (02/2011) STATE OF WISCONSIN SPECIFIC ADL / IDL ANSWER CHOICES FOR CHILDREN LONGER SUPPORT PROGRAMS AGE: Birth 6 Months ACTIVITIES
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CLTS FS - age-specific stands for Community Long Term Services and Supports Functional Screen - age specific. It is a screening tool used to assess eligibility for long term services and supports based on age-specific criteria.
Individuals seeking long term services and supports are required to file CLTS FS - age-specific as part of the eligibility determination process.
CLTS FS - age-specific can be filled out by the individual seeking services or their authorized representative, with assistance from a case manager or eligibility specialist.
The purpose of CLTS FS - age-specific is to determine eligibility for long term services and supports based on age-specific functional needs and criteria.
CLTS FS - age-specific must report information related to the individual's functional abilities, limitations, and needs that impact their daily living activities.
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