SECTION 2. PATIENT DEMOGRAPHICS AND ORAL HEALTH SERVICES
# |
Variable |
Response Option |
Recommendation |
8 |
HIV/AIDS Status |
|
|
9a |
Gender |
|
|
9b |
Sex at birth |
|
No change |
10 |
Pregnancy Status |
|
|
11a |
Ethnicity |
|
|
11b |
Hispanic subgroup |
|
|
12a |
Race |
|
Alphabetize list
No change to response options. |
12b |
Asian subgroup |
|
No change |
12c |
Native Hawaiian/Pacific Islander subgroup |
|
No change |
13 |
Age |
|
to match the RSR report: <13 13-24 25-34 35-44 45-54 55-64 65>
|
14 |
Income |
|
No change |
Section 5: Additional Dental Reimbursement Program Information
# |
Variable |
Response Option |
Recommendation |
23a |
Amount of unreimbursed costs |
Total unreimbursed costs of oral health care provided to patients with HIV (rounded to the nearest dollar) |
Total unreimbursed costs of oral health care provided to patients with HIV during the reporting period (rounded to the nearest dollar) |
October 11, 2019, V1
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Jordan, Anthony (HRSA) |
File Modified | 0000-00-00 |
File Created | 2021-01-14 |