CD10 ADL Score - Total Total Count of Consumers by Yes Registered services with ADL/IADL - • 0-1 ADL score that received service. unduplicated • 2 Each registered service separately for • • 3+ this is required (Personal Care, • ADL Missing Homemaker, Chore, Home-delivered • Nutrition, Adult Day Care, Case Mgmt) CD11 IADL Score - Total Total Count of Consumers by Yes Registered services with ADL/IADL - • 0-1 IADL score that received service. unduplicated • 2 Each registered service separately for • • 3+ which this is required (Personal Care, • IADL Missing Homemaker, Chore, Home-delivered • Nutrition, Adult Day Care, Case Mgmt) CD12 Nutrition Risk - Total Total Count of Consumers by Yes Registered services with Nutrition Risk • 0-5 Nutrition Risk Score that Score - unduplicated • 6+ received service. Each registered service separately that • Score Missing requires Risk (Home-delivered • nutrition, congregate nutrition, nutrition counseling) CD13 Age - At or Poverty Count of Consumers at or below Yes All registered services - unduplicated • <60 poverty by age group that Registered services with ADL/IADL - • • 60-64 received service. unduplicated • 65-74 Each registered service separately • • 75-84 Restricted service: Legal Assistance • 85+ • Age Missing • CD14 Gender Identity - At or Below Total Count of Consumers by Yes All registered services - unduplicated • Poverty gender identity that received Registered services with ADL/IADL - • Female service. unduplicated • Male Each registered service separately • • Restricted service: Legal Assistance • Gender Missing •
CD10 ADL Score - Total • 0-1 • 2 • 3+ • ADL Missing Total Count of Consumers by ADL score 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) CD11 IADL Score - Total • 0-1 • 2 • 3+ • IADL Missing Total Count of Consumers by IADL score 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) CD12 Nutrition Risk - Total • 0-5 • 6+ • Score Missing Total Count of Consumers by Nutrition Risk Score that received service. Yes • Registered services with Nutrition Risk Score - unduplicated Each registered service separately that requires Risk (Home-delivered nutrition, congregate nutrition, nutrition counseling) CD13 Age - At or Poverty • <60 • 60-64 • 65-74 • 75-84 • 85+ • Age Missing Count of Consumers at or below poverty by age group that received service. Yes • All registered services - unduplicated • Registered services with ADL/IADL - unduplicated • Each registered service separately Restricted service: Legal Assistance CD14 Gender Identity - At or Below Poverty • Female • Male • • Gender Missing Total Count of Consumers by gender identity that received service. Yes • All registered services - unduplicated • Registered services with ADL/IADL - unduplicated • Each registered service separately Restricted service: Legal Assistance
State%20Program%20Performance%20Report%20_OMB0985-0008_0.docx