CD24 Nutrition Risk Score - At or Below Count of Consumers at or below Yes All registered services - unduplicated • Poverty poverty by Nutrition Risk Score Registered services with ADL/IADL - • 0-5 that received service. unduplicated • 6+ Each registered service separately that • • Missing requires Risk Score (Home-delivered • nutrition, congregate nutrition, nutrition counseling) CD25 Age - ADL 3+ Count of Consumers ADL score Yes Registered services with ADL/IADL - • <60 of 3 and above by age group unduplicated • 60-64 that received service. Each registered service separately for • • 65-74 which this is required (Personal Care, • 75-84 Homemaker, Chore, Home-delivered • 85+ Nutrition, Adult Day Care, Case Mgmt) • Age Missing • CD26 Gender Identity -ADL 3+ Total Count of Consumers with Yes All registered services - unduplicated • Female ADL score 3 and above by Registered services with ADL/IADL - • • Male gender identity that received unduplicated • Other service. Each registered service separately • • Gender Missing Confidential service: Legal Assistance • • CD27 Rural Status - ADL 3+ of Consumers ADL score of Yes Registered services with ADL/IADL • – Rural 3 and above by rural status that unduplicated • Non-rural received service. Each registered service separately for • • Rural Status Missing which this is required (Personal Care, • Homemaker, Chore, Home-delivered Nutrition, Adult Day Care, Case Mgmt) CD28 Poverty Status - ADL 3+ Count of Consumers ADL 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 this is required (Personal Care, • Homemaker, Chore, Home-delivered Nutrition, Adult Day Care, Case Mgmt)
CD24 Nutrition Risk Score - At or Below Poverty • 0-5 • 6+ • Missing Count of Consumers at or below poverty by Nutrition Risk Score that received service. Yes • All registered services - unduplicated • Registered services with ADL/IADL - unduplicated • Each registered service separately that requires Risk Score (Home-delivered nutrition, congregate nutrition, nutrition counseling) CD25 Age - ADL 3+ • <60 • 60-64 • 65-74 • 75-84 • 85+ • Age Missing Count of Consumers ADL score of 3 and above by age group 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) CD26 Gender Identity -ADL 3+ • Female • Male • Other • Gender Missing Total Count of Consumers with ADL score 3 and above by gender identity that received service. Yes • All registered services - unduplicated • Registered services with ADL/IADL - unduplicated • Each registered service separately • Confidential service: Legal Assistance CD27 Rural Status - ADL 3+ • Rural • Non-rural • Rural Status Missing of Consumers ADL score of 3 and above by rural 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) CD28 Poverty Status - ADL 3+ • At or Below Poverty • Above Poverty • Poverty Status Missing Count of Consumers ADL score of 3 and above by poverty status that received service. Yes • Registered services with ADL/IADL – unduplicated • Each registered service separately for this is required (Personal Care, Homemaker, Chore, Home-delivered Nutrition, Adult Day Care, Case Mgmt)
State_Program_Performance_Report_Requirements_Draft.docx