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19D - CONSOLIDATE PERFORM EVAL REPORT
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09/19/2017
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19D - CONSOLIDATE PERFORM EVAL REPORT
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Last modified
9/15/2017 12:46:03 PM
Creation date
9/15/2017 1:04:55 PM
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City Clerk
Doc Type
Agenda Packet
Agency
Community Development
Item #
19D
Date
9/19/2017
Destruction Year
2022
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Combined Report <br />11-1 / trt Page 12 <br />At Latest <br />Annual <br />At Exit for <br />At entry <br />Assessment <br />Leavers <br />for Stayers <br />a. MEDICAID health <br />809 <br />27 <br />629 <br />insurance <br />b. MEDICARE health <br />51 <br />5 <br />34 <br />insurance <br />c. State Children's <br />4 <br />0 <br />3 <br />Health Insurance <br />d. VA Medical Services <br />6 <br />0 <br />4 <br />e. Employer-provided <br />16 <br />0 <br />9 <br />health insurance <br />f. Health insurance <br />1 <br />0 <br />1 <br />through COBRA <br />g. Private pay health <br />18 <br />1 <br />18 <br />insurance <br />h. State Health <br />4 <br />0 <br />3 <br />Insurance for Adults <br />I. Indian Health Services <br />1 <br />0 <br />Program <br />j.Other <br />7 <br />0 <br />4 <br />( <br />k. No health insurance <br />324 <br />11 <br />\ 2331 <br />I. Client doesn't <br />8 <br />0 <br />\�/�8 <br />know Client refused <br />m. Data not collected <br />4 <br />n of <br />yet req <br />stayers not yet required <br />avers not <br />0 <br />\\\\/2\/� <br />0 <br />to have an annual <br />assessment <br />o. 1 source of health <br />18 <br />\ <br />1 29 <br />638 <br />insurance <br />\\\ <br />p. More than 1 source of <br />\31 <br />health insurance <br />11-1 / trt Page 12 <br />
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