Functional, financial, or parallel supports are unresolved
Complete the functional screen
Participate in the Long-Term Care Functional Screen and correct material errors before relying on the result.
Official sources checked 2026-07-29
Start here
Long-Term Care Functional Screen overviewBefore you start
- Disability and health records, daily routines, help needed with activities, communication, cognition, behavior, employment, medication, supervision, risks, current paid and unpaid supports, equipment, housing, and knowledgeable participants.
Who to contact
Start with the local ADRC or Tribal ADRS. After enrollment, use the selected MCO care team or IRIS consultant agency and fiscal employer agent. For an adverse action, use the exact notice and program-specific rights route.
Step by step
- Confirm the screening appointment, participants, accessibility needs, and records.
- Describe the support actually required, including unpaid help and what happens when support is absent.
- Ask for the functional result, review material facts, and request correction through the screener when information is wrong.
Expected next
A completed screen, request for more information, functional eligibility or level-of-care result, or next eligibility step.
Save this proof
Appointment, records used, screen notes, corrections, result, contacts, and next event.
If this stalls or the answer is no
Ask the ADRC or Tribal ADRS which screen item, correction, or eligibility event is unresolved and request the applicable written result.
Beyond Childhood planning aid
Complete the functional screen checklist
A Beyond Childhood planning aid derived from the cited official sources.
- Owner and program
- Date started
- Documents supplied
- Written result or confirmation
- Current open dependency
- Next event and date
- Escalation contact
Derived from Find an ADRC or Tribal ADRS, Long-Term Care Functional Screen overview, Long-Term Care Functional Screen eligibility results
Official resources
Limits
The screen determines functional eligibility and level of care under program rules; it does not decide Medicaid financial eligibility, program choice, plan or budget approval, provider acceptance, or start.
Beyond Childhood’s checklists and prompts are planning aids derived from official sources. They are not official forms, legal advice, eligibility decisions, or guarantees of funding, capacity, quality, or service.