Clt22 Living setting at The primary residential No Single Enumeration 10 = own residence or (code) residence of relative or close environment of the client at caregiver the time of case closure. 20 = residential care community (non-specific) 21 = licensed residential care community 22 = non-licensed residential care community 30 = nursing home 31 = licensed nursing home 32 = non-licensed nursing home 40 = Clt23 Substitute The authorizations that are in No Multiple Enumeration 10 = health care proxy in (code) effect decision makers effect related to health, 20 = financial proxy in at start personal, or financial decision effect making for the client at the 30 = guardianship or start of the investigation. conservatorship Multiple substitute decision maker code values can be 31 = guardianship or submitted for the client. conservatorship of person 32 = guardianship or conservatorship of property 40 = representative payee 50 = none Clt24 Substitute The authorizations that are in No Multiple Enumeration 10 = health care in (code) effect decision makers effect related to health, 20 = financial proxy in at personal, or financial decision effect making for the client at time 30 = guardianship or of case closure. Multiple conservatorship substitute decision code values can be submitted for 31 = guardianship or the client. conservatorship of person 32 = guardianship or conservatorship of property 40 = representative payee 50 = none
Clt22 Living setting at close The primary residential environment of the client at the time of case closure. No Single Enumeration (code) 10 = own residence or residence of relative or caregiver 20 = residential care community (non-specific) 21 = licensed residential care community 22 = non-licensed residential care community 30 = nursing home 31 = licensed nursing home 32 = non-licensed nursing home 40 = Clt23 Substitute decision makers at start The authorizations that are in effect related to health, personal, or financial decision making for the client at the start of the investigation. Multiple substitute decision maker code values can be submitted for the client. No Multiple Enumeration (code) 10 = health care proxy in effect 20 = financial proxy in effect 30 = guardianship or conservatorship 31 = guardianship or conservatorship of person 32 = guardianship or conservatorship of property 40 = representative payee 50 = none Clt24 Substitute decision makers at The authorizations that are in effect related to health, personal, or financial decision making for the client at time of case closure. Multiple substitute decision code values can be submitted for the client. No Multiple Enumeration (code) 10 = health care in effect 20 = financial proxy in effect 30 = guardianship or conservatorship 31 = guardianship or conservatorship of person 32 = guardianship or conservatorship of property 40 = representative payee 50 = none
NAMRSCaseDataSpecsOMB2017.docx