CD23 Age - ADL 3+ of Consumers ADL score of Yes Registered services with ADL/IADL - • <60 3 and above by age group that unduplicated • 60-64 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 Excluding Legal Assistance • CD24 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 Excluding Legal Assistance • • CD25 Geographic Distribution - ADL 3+ Count of Consumers ADL score Yes Registered services with ADL/IADL • – Rural of 3 and above by geographic unduplicated • Non-rural distribution that received Each registered service separately for • • Geographic Status Missing service. which this is required (Personal Care, • Homemaker, Chore, Home-delivered Nutrition, Adult Day Care, Case Mgmt) Excluding Legal Assistance CD26 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) Excluding Legal Assistance CD27 Household Status - ADL 3+ Count of Consumers ADL score Yes Registered services with ADL/IADL • – Lives Alone of 3 and above by household unduplicated • Lives with Others status that received service. Each registered service separately for • • Household Status Missing which this is required (Personal Care, • Homemaker, Chore, Home-delivered Nutrition, Adult Day Care, Case Mgmt) Excluding Legal Assistance
CD23 Age - ADL 3+ • <60 • 60-64 • 65-74 • 75-84 • 85+ • Age Missing 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) Excluding Legal Assistance CD24 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 • Excluding Legal Assistance CD25 Geographic Distribution - ADL 3+ • Rural • Non-rural • Geographic Status Missing Count of Consumers ADL score of 3 and above by geographic distribution 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) Excluding Legal Assistance CD26 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) Excluding Legal Assistance CD27 Household Status - ADL 3+ • Lives Alone • Lives with Others • Household Status Missing Count of Consumers ADL score of 3 and above by household 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) Excluding Legal Assistance
State_Program_Performance_Report%20_OMB_0985-0008.docx