Page 309 - QAP Manual 2020
P. 309

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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