Navigating the complexities of services and support for individuals with developmental disabilities can seem daunting at first glance. A critical piece in this intricate puzzle is the DDS ACS 104 form, crafted by the Arkansas Department of Human Services Division of Developmental Disabilities Services. This document is not just a formality but a window into understanding the specific needs of a person living with developmental disabilities. Whether the individual is stepping into the program for the first time, crossing into a new age milestone, or undergoing routine reassessment, this form serves as a cornerstone for evaluating their functional limitations and setting the stage for personalized support. It mandates a clear distinction between simple prompts in everyday tasks and the essential inability to perform these tasks independently, reframing the evaluation process around the individual's genuine needs rather than mere wants or desires. From self-care to the capacity for independent living, the DDS ACS 104 form encapsulates an array of life domains, emphasizing the importance of a nuanced understanding in delivering effective developmental disability services.
| Question | Answer |
|---|---|
| Form Name | Form Dds Acs 104 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | assistive, Ext, acs, areas |
Arkansas Department of Human Services
Division of Developmental Disabilities Services
ACS WAIVER AREAS OF NEED
Waiver Individual Name:
NOTE: This page will only need to be completed at initial ICF level of care determination and age milestones. Annually for minors birth
years; every 3 years for minors age
goals for the area is not sufficient. This explanation must provide information concerning what the person cannot do for themselves. Compare children to peers not adults. What is the child not able to do that his/her peers can do? Describe only areas in which the individual experiences problems and/or challenges.
1.Self Care: Ability for own toileting, grooming, dressing, and eating needs.
2.Understanding and use of language: Ability to communicate needs and respond to others.
3.Learning: Ability to process, retain and apply information appropriately in different situations.
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Mobility: Ability to move self from place to place by walking or with assistive device (s).
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Capacity for Independent Living: Ability to learn to cook, shop, clean and maintain self in an independent living situation.
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DDS ACS 104 (Effective: 03/01/10)