Functional Screen for Waiver Services - New Hampshire

Functional Screen for Waiver Services - New Hampshire

Functional Screen for Waiver Services is a legal document that was released by the New Hampshire Department of Health and Human Services - a government authority operating within New Hampshire.

FAQ

Q: What is a functional screen for waiver services?
A: A functional screen is an assessment used to determine an individual's eligibility and need for waiver services in New Hampshire.

Q: Who completes the functional screen?
A: The functional screen is completed by a Qualified Developmental Disabilities Professional (QDDP) or a Licensed Nurse Evaluator (LNE) in New Hampshire.

Q: What does the functional screen assess?
A: The functional screen assesses the individual's functional limitations and support needs in areas such as self-care, communication, mobility, and behavior.

Q: How long does the functional screen take?
A: The length of time to complete a functional screen may vary, but it typically takes about 2-4 hours.

Q: Can family members or caregivers provide input for the functional screen?
A: Yes, family members or caregivers can provide input and share information about the individual's needs and abilities during the functional screen.

Q: What happens after the functional screen is completed?
A: After the functional screen is completed, the assessment results are used to determine the individual's eligibility for waiver services and to develop an individualized support plan.

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Form Details:

  • Released on May 22, 2013;
  • The latest edition currently provided by the New Hampshire Department of Health and Human Services;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the New Hampshire Department of Health and Human Services.

Download Functional Screen for Waiver Services - New Hampshire

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