CD38 Poverty Status - IADL 3+ Count of Consumers IADL score Yes Registered services with ADL/IADL • – At or Below Poverty of 3 and above by poverty status unduplicated • Above Poverty that received service. Each registered service separately for • • Poverty Status Missing which this is required (Personal Care, • Homemaker, Chore, Home-delivered Nutrition, Adult Day Care, Case Mgmt) CD39 Living Status - IADL 3+ of Consumers IADL score of Yes Registered services with ADL/IADL • – Lives Alone 3 and above by living status that unduplicated • Lives with Others received service. Each registered service separately for • • Living Status Missing which this is required (Personal Care, • Homemaker, Chore, Home-delivered Nutrition, Adult Day Care, Case Mgmt) CD40 Ethnicity - IADL 3+ Count of Consumers IADL score Yes Registered services with ADL/IADL • – Hispanic or Latino of 3 and above by ethnicity that unduplicated • Not Hispanic or Latino received service. Each registered service separately for • • Ethnicity Missing which this is required (Personal Care, • Homemaker, Chore, Home-delivered Nutrition, Adult Day Care, Case Mgmt) CD41 Race - IADL 3+ Count of Consumers IADL score Yes Registered services with ADL/IADL • – American Indian or Alaska Native of 3 and above by race that unduplicated • or Asian American received service. Race is Each registered service separately for • • Black or African American duplicated person count -- NOT which this is required (Personal Care, • Native Hawaiian or Pacific Islander unduplicated. Multi-racial Homemaker, Chore, Home-delivered • White Consumers are counted in each Nutrition, Adult Day Care, Case Mgmt) • Race Missing race indicated. •
CD38 Poverty Status - IADL 3+ • At or Below Poverty • Above Poverty • Poverty Status Missing Count of Consumers IADL score of 3 and above by poverty status that received service. Yes • Registered services with ADL/IADL – unduplicated • Each registered service separately for which this is required (Personal Care, Homemaker, Chore, Home-delivered Nutrition, Adult Day Care, Case Mgmt) CD39 Living Status - IADL 3+ • Lives Alone • Lives with Others • Living Status Missing of Consumers IADL score of 3 and above by living status that received service. Yes • Registered services with ADL/IADL – unduplicated • Each registered service separately for which this is required (Personal Care, Homemaker, Chore, Home-delivered Nutrition, Adult Day Care, Case Mgmt) CD40 Ethnicity - IADL 3+ • Hispanic or Latino • Not Hispanic or Latino • Ethnicity Missing Count of Consumers IADL score of 3 and above by ethnicity that received service. Yes • Registered services with ADL/IADL – unduplicated • Each registered service separately for which this is required (Personal Care, Homemaker, Chore, Home-delivered Nutrition, Adult Day Care, Case Mgmt) CD41 Race - IADL 3+ • American Indian or Alaska Native • or Asian American • Black or African American • Native Hawaiian or Pacific Islander • White • Race Missing Count of Consumers IADL score of 3 and above by race that received service. Race is duplicated person count -- NOT unduplicated. Multi-racial Consumers are counted in each race indicated. Yes • Registered services with ADL/IADL – unduplicated • Each registered service separately for which this is required (Personal Care, Homemaker, Chore, Home-delivered Nutrition, Adult Day Care, Case Mgmt)
State_Program_Performance_Report_Requirements_Draft.docx