View
38
Download
1
Category
Tags:
Preview:
Citation preview
ACSDAssistance For Children With Disabilities
Presented bywww.respiteservices.com
What is ACSD?
• Assistance for Children with Severe Disabilities (ACSD) is a Government Of Ontario program that gives funding to parents to help with extraordinary costs related to your child's severe disability
Ministry of Community and Social Services and the Ministry of
Children & Youth Services
• ACSD is a non-taxable funding program for low and moderate income families
• The amount of ACSD funding that can be received is based on your yearly extraordinary expenses and gross family income
• This funding can help parents afford extra costs related to your child's severe disability. Examples of extra costs are: travel to and from doctors and hospitals, parking at healthcare appointments, special shoes and clothing, parent relief, wheelchair repairs, and financial assistance
How much can you qualify for?
• Families may be entitled to up to ($450.00 per month.
• Every family is different!
What are Extraordinary Costs?
• Transportation to and from doctor and hospital appointments
• Special shoes and clothing • Babysitters for younger siblings during medical
appointments • Relief breaks for parents • Special learning and developmental equipment • Social recreation programs
The ACSD Also Includes…
• A Drug Card (used to pay for your child’s prescribed medication)
• A Dental Card (basic coverage for your child is provided) • Coverage for items related to your child’s vision and
hearing • The parent contribution for an Assistive Device for your
child under the Assistive Devices Program (provided through the Ministry of Health and Long-Term Care)
• The cost of assessment for an assistive device and the cost of batteries and repairs
Please input the parent info here
Your child's information
Other children’s names and ages
“Please see attached”
“See attached”
Print Parents Name Here
Today’sDate
Parent Signs HereWitness Signs Here
This section just states that it is important for you to fill in the forms truthfully and to the best of your ability.
Parent and Child
Names
Check here for new
application
Check here and add IDfor renewal
Type of Doctor &
Intersection
Appointments per Year
$0.18 per km and parking
or TTC fare per trip
Meals at appointment if over lunch hour
Use realistic rate
Total
May be due to:•Sensory issues – zippers, tags•Excessive wear – ripping clothes, wearing down knees of pants• Multiple outfits per day
Examples:•Linen for bed wetting•Towels or bibs for drooling•Altered clothing for medical equipment
Extra loads of laundry due to:•Soiling•Multiple clothing changes per day etc
May be due to:•Dragging feet, toe walking•Sensory issues•Crawling and wearing out toes
May include:•Ensure or Vitamins•G Tube feeds•Gluten free diet
$300
May include:•Special school or preschool•Special daycare
May include:•Educational books and toys•Music, DVDs, video games•Bicycle, sensory toys, etc
May include:•Social skills program at Geneva Centre•After school or Weekend programs•Variety Village Membership etc
May include:• A CHAP worker• Respite programs
May include:•Vitamins•Allergy medication•Tylenol•Stool Softners
May include:•Hearing aid batteries•Special head phones
May include:•Gloves, sterile gauze, tape•Bandages, tensor wraps
May include maintenance to :•Wheelchair•Walker or braces
May include:•Damage to household items including painting walls •Patching up holes in the wall•Laundry detergent or softener•Carpet cleaning
Include overview of family situation
Documentation
• Signed application form • Completed Expense Report • Medical statement or psychological assessment that
clearly confirms the diagnosis of your child's disability • Income verification – Notice of Assessment for previous
tax year• Birth Certificate for child• Verification of applicant and child’s status in Canada• Health Card for child and parent• Void cheque
Recommended