Provider to specify Functional Status or QoL instrument during RHP plan submission. Instrument must be externally validated and tested for reliability. Approvable instruments include (not exhaustive): - AQoL-4D, 6D, 7D, and 8D - PedsQL, including disease specific modules - SF-12, SF-36 - Palliative Care Outcome Scale - Fact G - BDI-2 - PAID Excluded instruments include: - ANSA - CANS - HRQoL - ABC
Provider to specify Functional Status or QoL instrument during RHP plan submission. Instrument must be externally validated and tested for reliability. Approvable instruments include (not exhaustive): - AQoL-4D, 6D, 7D, and 8D - PedsQL, including disease specific modules - SF-12, SF-36 - Palliative Care Outcome Scale - Fact G - BDI-2 - PAID Excluded instruments include: - ANSA - CANS - HRQoL - ABC
4.%20DRAFT%20Category%20C%20Measure%20Specifications%2020170929%20-%20CMHCs.docx