Appendices

In this section:

You must submit Appendix D: Health Information Technology (HIT) Capabilities, Appendix E: Other Data Elements, and Appendix F: Workforce.

What the forms cover

  • HIT capabilities
  • Social risk factor screening
  • Opioid use disorder treatment
  • Telehealth
  • Outreach
  • Enrollment assists
  • Health center workforce training
  • Using provider and personnel satisfaction surveys

Use these to help you complete the forms

New UDS Family Planning Needs Screening Resource (PDF - 149 KB) Reporting patients screened for family planning needs, including contraceptive methods, based on responses to standardized social risk screener questions, including examples of commonly used tools.

New Crosswalk of Standardized Social Risk Factor Screeners and UDS Appendix D (PDF - 140 KB) Report patients experiencing food or housing insecurity, financial strain, or lack of transportation based on responses to standardized social risk screener questions.

New HIT, ODE, and Workforce Forms Fact Sheet (PDF - 159 KB) Key terms and helpful hints for completing Appendices D, E, and F.

Outreach and Enrollment Assists Reporting Answers to common questions about affordable health insurance coverage (Appendix E: Other Data Elements).

Note

UDS Support Center can assist with UDS measures and requirements. Call 866-UDS-HELP or email udshelp330@bphcdata.net.

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