Page 295 - QAP Manual 2020
P. 295

Background Information

 Q#   Q   Indicator/Intent   Other Notes   Field Appropriate (Y/N)
 BI-38   If this person lives in a   Whether congregate      N
 group home, an   settings are controlled by
 Intermediate Care Facility  the state or other entity
 for persons with I/DD
 (ICF/IID) or a specialized
 institutional facility, is it
 publicly or privately
 operated?

 BI-39   Is the person named on   The proportion of people   This question is asked of everyone   N
 the lease, deed, or other   whose name is listed on   regardless of home setting.
 legally enforceable rental   the lease or other
 agreement?   enforceable rental
 agreement to their home
 or apartment

 BI-40   Does the person own his   Whether person owns the     N
 or her own home?   home

 BI-41   Has this person ever lived  Whether person ever lived  Please note, this question intends to   N
 in an institutional setting   in an institutional setting   capture if the person lived for at least
 for longer than a year (for   one year in an institutional setting, not
 example a nursing home   several shorter stays, for example for
 or large ICF)?   respite.










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