The Individual Is

Eligible for ICF/MR Services

The Individual Is Not

Eligible for ICF/MR Services

SELF CARE

The ability to perform daily activities to meet basic life needs including feeding, bathing, toileting, dressing, and hygiene and grooming.

Eligible:

Not Eligible:

The individual fees (using knife and fork), bathes, and dresses self; combs/brushes hair; may need occasional reminders to initiate activities and follow through on components of tasks or recall performance methods; toilets independently; may shampoo and roll up/set hair; may wash and/or iron and store clothing.

The individual exercise self care in personal hygiene and grooming, feeding, bathing dressing, and toileting; may need health care or personal care reminders; may need assistance in selecting or purchasing clothing.

LANGUAGE

Communication involving verbalization or an alternative communication system which enables an individual to convey ideas and information to others (expressive), and understand communication from others (receptive).

Eligible:

Not Eligible:

The individual can describe or state basin needs or concerns in concrete phrases and sentences to interact in simple conversation; can answer questions about basic or simple needs or concerns; may use "because" or "but"; is able to express self (verbally or with an alternative system) and be understood by someone who does not know the individual but does know the communication system; may recognize words

The individual communicates complete verbal concepts and understands them; carries on everyday conversations, but cannot discuss abstract or philosophical concepts; typically can use a telephone; may communicate in writing in simple letter or orders; does not write/communicate about theoretical ideas or important current events.

LEARNING

General cognitive competence; the ability to acquire new behaviors, perceptions and information; and the ability to apply experiences to new situations.

Eligible:

Not Eligible:

The individual obtains a score in the moderate to severe/profound range of intellectual functioning as measured by a standardized full scale, assessment on an individual intelligence test, such as a score of 54 or below on the WAIS-R

The individual obtains a score in the mild range of intellectual functioning as measured by standardized full scale, assessment on an individual intelligence test, such as a score of 55 or above on the WAIS-R

MOBILITY

The ability to perform gross- and fine-motor skills.  The capability of locomotion, either by independent ambulation or with mobility assistance such as adaptive equipment/mechanical aids.

Eligible:

Not Eligible:

The individual exhibits good body control; can alternate feet to climb stairs; has good gross-and fine-motor skills coordination such as being able to hit a target, throw a ball, run, hop, skip, or jump (these skills are not required for eligibility); may independently transfer into and out of wheelchair; lacks or has limited capacity to perform activities requiring strength or coordination, such as dancing, cursive writing or heavy lifting.

The individual is able to use hands (or adaptive utensils) to care for self; goes about known areas with ease (i.e. local neighborhood, campus or residence) via independent ambulation or adaptive/supportive equipment (wheelchair, walker, cane); may use mass transportation.

SELF DIRECTION

The management of, and control over, one's personal and social life, by making decisions which affect and protect one's self interests.

Eligible:

Not Eligible:

The individual may be conscientious about assuming responsibility for simple tasks (household chores, assigned duties); may ask of there is "work" to do; makes an effort to be dependable; attends to a task well (15-20 minutes); may sometimes initiate his/her own activities.

The individual initiates most of his/her own activities; is conscientious about work (duties) and assumes much responsibility; for tasks; requires guidance when activities/jobs necessitate important decision making such as health care, care of others, and complicated occupational activities.

CAPACITY FOR INDEPENDENT LIVING

The age appropriate ability to live without extraordinary support.

Eligible:

Not Eligible:

The individual can be sent on everyday errands such as to the store, supply or storage area for several items with supervisory oversight; makes minor purchases; may add coins to total a dollar or make change for a dollar; may do simple, routine household chores; prepares simple foods that require mixing.

The individual cooks simple meals; performs everyday household tasks (given the opportunity); engages in semiskilled or simple skilled job not requiring complex thinking or judgement; goes to several stores to purchase items; makes change, but may not be able to use baking facilities; may have difficulty handling finances without guidance; goes about local neighborhood or campus of residence with ease and without supervisory oversight; independently recognizes emergency situations and takes action (i.e. stops ongoing activity and exits a building in response to a fire alarm).