Page 278 - QAP Manual 2020

Background Information

Q# Q Indicator/Intent Other Notes Field Appropriate (Y/N)
BI-9 If the person has children Whether person’s child N
under 18 years of age, under 18 lives with person
does the child or children
live with the person?

BI-10 Is this person diagnosed ID diagnosis Information should come from records N
with an intellectual (e.g., eligibility record).
disability (ID)?

BI-11 If yes, what level of ID? Level of ID Information should come from records N
(e.g., eligibility or other records). Please
do not make a guess or ask others for an
opinion of ID level.
Note the difference between unspecified
diagnosis (the person has a diagnosis of
ID but the level is not recorded or is
unknown to the person collecting
information) and diagnosis unknown (the
person collecting data cannot determine
whether the person has an ID diagnosis).
Please note, if level of ID is not collected
in a manner consistent with NCI
categorizations, your NCI coordinator will
contact HSRI to determine how to code.

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