Page 308 - QAP Manual 2020
P. 308

Background Information

                                         Q#      Q                      Indicator/Intent       Other Notes                        Field Appropriate (Y/N)
                                         BI-54   What type of job does   Of those with a paid   This is a ‘check all that apply’.   N
                                                 this person have?      community job, types of
                                                                        community jobs people
                                                                        have
                                                                                 OTHER SERVICES AND SUPPORTS

                                         BI-55   Which services/supports   Types of state/county-  Check all that apply. Please note these   N
                                                 funded by the state (or   funded services the   are services funded by the state/county.
                                                 county) agency does this   person receives    Response options align to question in
                                                 person receive?                               Section II about additional services the
                                                                                               person needs.

                                         BI-56   What is the funding for   Funding source                                         N
                                                 supports for this person?
                                                 (Please obtain this
                                                 information from a state
                                                 data system or official
                                                 record if possible.)
                                         BI-57   Does this person       Funding source: Medicare                                  N
                                                 currently receive
                                                 Medicare?
                                         BI-58   What was the date of this  Person-centeredness in   New question for 2018-19     N
                                                 person’s last Annual   service planning
                                                 Service Planning
                                                 meeting?





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