Element Data Element Element Description Required Services Number CD1 Consumers - Total Total Count of Consumers that Yes Registered services w/ ADLs and IADLs • received a specific service. - unduplicated (note: data element SC1 captures total registered consumers) Each Registered service separately • Restricted service: Legal Assistance • Nutrition Education (non-registered • service; estimated audience size) Health Promotion Evidence Based • – Health Promotion Non-Evidence • – Based Other services unduplicated count • – (note details are reported in the subcomponent services”) – “other CD2 Age - Total Total Count of Consumers by Yes All registered services unduplicated • – <60 age group that received service. Registered services w/ ADLs and IADLs • • 60-64 - unduplicated • 65-74 Each registered service separately • • 75-84 Restricted service: Legal Assistance • • 85+ • Age Missing • CD3 Gender Identity - Total Total Count of Consumers by Yes All registered services unduplicated • – Female gender identity that received Registered services w/ ADLs and - • • Male service. unduplicated • Other Each registered service separately • • Gender Missing Restricted service: Legal Assistance • • CD4 Geographic Distribution - Total Total Count of Consumers by Yes All registered services unduplicated • – Rural geographic distribution (e.g. Registered services w/ ADLs and IADLs • • rural, non-rural) that received - unduplicated • Geographic Distribution Missing service. Each registered service separately • • Restricted service: Legal Assistance
Element Number Data Element Element Description Required Services CD1 Consumers - Total Total Count of Consumers that received a specific service. Yes • Registered services w/ ADLs and IADLs - unduplicated (note: data element SC1 captures total registered consumers) • Each Registered service separately • Restricted service: Legal Assistance • Nutrition Education (non-registered service; estimated audience size) • Health Promotion – Evidence Based • Health Promotion – Non-Evidence Based • Other services – unduplicated count (note details are reported in the subcomponent – “other services”) CD2 Age - Total • <60 • 60-64 • 65-74 • 75-84 • 85+ • Age Missing Total Count of Consumers by age group that received service. Yes • All registered services – unduplicated • Registered services w/ ADLs and IADLs - unduplicated • Each registered service separately • Restricted service: Legal Assistance CD3 Gender Identity - Total • Female • Male • Other • Gender Missing Total Count of Consumers by gender identity that received service. Yes • All registered services – unduplicated • Registered services w/ ADLs and - unduplicated • Each registered service separately • Restricted service: Legal Assistance CD4 Geographic Distribution - Total • Rural • • Geographic Distribution Missing Total Count of Consumers by geographic distribution (e.g. rural, non-rural) that received service. Yes • All registered services – unduplicated • Registered services w/ ADLs and IADLs - unduplicated • Each registered service separately Restricted service: Legal Assistance
State_Program_Performance_Report%20_OMB_0985-0008.docx