diff --git a/.github/workflows/destroy.yml b/.github/workflows/destroy.yml index e1033651b..0a96661ec 100644 --- a/.github/workflows/destroy.yml +++ b/.github/workflows/destroy.yml @@ -65,4 +65,18 @@ jobs: inputs: '{ "topics": "mgmt.connect.cms-carts-seds.carts-bigmac-streams-${{env.BRANCH_NAME}}.config,mgmt.connect.cms-carts-seds.carts-bigmac-streams-${{env.BRANCH_NAME}}.offsets,mgmt.connect.cms-carts-seds.carts-bigmac-streams-${{env.BRANCH_NAME}}.status"}' ref: refs/heads/master # Otherwise workflow-dispatch tries to operate off of our default name - name: Destroy - run: ./run destroy --stage $STAGE_PREFIX$branch_name --verify false \ No newline at end of file + run: ./run destroy --stage $STAGE_PREFIX$branch_name --verify false + + # Notify the integrations channel when a destroy action fails + notify_on_destroy_failure: + runs-on: ubuntu-latest + needs: + - destroy + if: ${{ failure() }} + steps: + - name: Slack Notification + uses: rtCamp/action-slack-notify@v2 + env: + SLACK_TITLE: ":boom: A destroy action has failed on ${{ github.repository }}." + MSG_MINIMAL: true + SLACK_WEBHOOK: ${{ secrets.INTEGRATIONS_SLACK_WEBHOOK }} \ No newline at end of file diff --git a/.images/architecture.svg b/.images/architecture.svg index d7d40c838..a222bc1dd 100644 --- a/.images/architecture.svg +++ b/.images/architecture.svg @@ -1 +1 @@ - \ No newline at end of file + \ No newline at end of file diff --git a/services/app-api/libs/validation/backend-section.schema.ts b/services/app-api/libs/validation/backend-section.schema.ts index 3383d025c..9ae88e986 100644 --- a/services/app-api/libs/validation/backend-section.schema.ts +++ b/services/app-api/libs/validation/backend-section.schema.ts @@ -359,6 +359,9 @@ export const sectionSchema = { hint: { type: "string", }, + mask: { + type: "string", + }, questions: { type: "array", items: { diff --git a/services/database/data/seed-local/seed-section.json b/services/database/data/seed-local/seed-section.json index faa2eab30..c0a87b848 100644 --- a/services/database/data/seed-local/seed-section.json +++ b/services/database/data/seed-local/seed-section.json @@ -75,42 +75,32 @@ "id": "2023-00-a-01-04", "type": "text", "label": "Contact name:", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-00-a-01-05", "type": "text", "label": "Job title:", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-00-a-01-06", "type": "email", "label": "Email:", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-00-a-01-07", "hint": "Include city, state, and zip code.", "type": "mailing_address", "label": "Full mailing address:", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-00-a-01-08", "type": "phone_number", "label": "Phone number:", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "hint": "This information is being collected to assist the Centers for Medicare & Medicaid Services (CMS) in partnership with States with the ongoing management of Medicaid and CHIP programs and policies. This mandatory information collection (42 U.S.C. 1397hh) will be used to help each state meet the statutory requirements at section 2108(a) of the Social Security Act to assess the operation of the State child health plan in each Federal fiscal year and to report the results of the assessment including the progress made in reducing the number of uncovered, low-income children. Under the Privacy Act of 1974 any personally identifying information obtained will be kept private to the extent of the law. According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0938-1148 (CMS-10398 #1). The time required to complete this information collection is estimated to average 40 hours per response, including the time to review instructions, search existing data resources, gather all data needed, and complete and review the information collection. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to CMS, 7500 Security Boulevard, Attn: Paperwork Reduction Act Reports Clearance Officer, Mail Stop C4-26-05, Baltimore, Maryland 21244-1850.", @@ -159,14 +149,8 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "questions": [ @@ -174,9 +158,7 @@ "id": "2023-01-a-01-01-a", "type": "money", "label": "How much is your enrollment fee?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -200,14 +182,8 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "questions": [ @@ -221,14 +197,8 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] } }, @@ -265,9 +235,7 @@ "id": "2023-01-a-01-02-c", "type": "money", "label": "How much is the premium for one child?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -307,14 +275,8 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "questions": [ @@ -352,9 +314,7 @@ "id": "2023-01-a-01-03-b", "type": "money", "label": "What's the maximum premium a family would be charged each year?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -375,9 +335,7 @@ "id": "2023-01-a-01-04", "type": "text_multiline", "label": "Do premiums differ for different Medicaid expansion CHIP populations beyond FPL (for example, by eligibility group)? If so, briefly explain the fee structure breakdown.", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-01-a-01-05", @@ -387,18 +345,12 @@ "answer": { "entry": null, "options": [ - { - "label": "Managed Care", - "value": "mco" - }, + { "label": "Managed Care", "value": "mco" }, { "label": "Primary Care Case Management (PCCM)", "value": "pccm" }, - { - "label": "Fee-for-Service", - "value": "ffs" - } + { "label": "Fee-for-Service", "value": "ffs" } ] } }, @@ -406,9 +358,7 @@ "id": "2023-01-a-01-06", "type": "text_multiline", "label": "Which delivery system(s) are available to which Medicaid expansion CHIP populations? Indicate whether eligibility status, income level, age range, or other criteria determine which delivery system a population receives.", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "context_data": { @@ -431,14 +381,8 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "questions": [ @@ -446,9 +390,7 @@ "id": "2023-01-a-02-01-a", "type": "money", "label": "How much is your enrollment fee?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -472,14 +414,8 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "questions": [ @@ -493,14 +429,8 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] } }, @@ -537,9 +467,7 @@ "id": "2023-01-a-02-02-c", "type": "money", "label": "How much is the premium for one child?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -579,14 +507,8 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "questions": [ @@ -624,9 +546,7 @@ "id": "2023-01-a-02-03-b", "type": "money", "label": "What's the maximum premium fee a family would be charged each year?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -647,9 +567,7 @@ "id": "2023-01-a-02-04", "type": "text_multiline", "label": "Do your premiums differ for different, separate CHIP populations beyond FPL (for example, by eligibility group)? If so, briefly explain the fee structure breakdown.", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-01-a-02-05", @@ -659,18 +577,12 @@ "answer": { "entry": null, "options": [ - { - "label": "Managed Care", - "value": "mco" - }, + { "label": "Managed Care", "value": "mco" }, { "label": "Primary Care Case Management (PCCM)", "value": "pccm" }, - { - "label": "Fee-for-Service", - "value": "ffs" - } + { "label": "Fee-for-Service", "value": "ffs" } ] } }, @@ -678,9 +590,7 @@ "id": "2023-01-a-02-06", "type": "text_multiline", "label": "Which delivery system(s) are available to which separate CHIP populations? Indicate whether eligibility status, income level, age range, or other criteria determine which delivery system a population receives.", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "context_data": { @@ -701,14 +611,8 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "context_data": { @@ -722,14 +626,8 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "context_data": { @@ -744,14 +642,8 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "context_data": { @@ -766,14 +658,8 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "context_data": { @@ -787,14 +673,8 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "context_data": { @@ -809,19 +689,11 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, - "context_data": { - "bullet_text": "Outreach efforts" - } + "context_data": { "bullet_text": "Outreach efforts" } }, { "id": "2023-01-a-03-07", @@ -831,19 +703,11 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, - "context_data": { - "bullet_text": "Delivery system(s)" - } + "context_data": { "bullet_text": "Delivery system(s)" } }, { "id": "2023-01-a-03-08", @@ -853,19 +717,11 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, - "context_data": { - "bullet_text": "Cost sharing" - } + "context_data": { "bullet_text": "Cost sharing" } }, { "id": "2023-01-a-03-09", @@ -875,14 +731,8 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "context_data": { @@ -896,14 +746,8 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "context_data": { @@ -918,14 +762,8 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "context_data": { @@ -940,19 +778,11 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, - "context_data": { - "bullet_text": "Premium assistance" - } + "context_data": { "bullet_text": "Premium assistance" } }, { "id": "2023-01-a-03-13", @@ -961,14 +791,8 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "context_data": { @@ -982,14 +806,8 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "context_data": { @@ -1003,14 +821,8 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "context_data": { @@ -1024,19 +836,11 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, - "context_data": { - "bullet_text": "Other program areas" - } + "context_data": { "bullet_text": "Other program areas" } }, { "type": "fieldset", @@ -1045,9 +849,7 @@ "id": "2023-01-a-03-17", "type": "text_multiline", "label": "Briefly describe why you made changes to your Medicaid expansion CHIP program (if applicable).", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-01-a-03-18", @@ -1056,14 +858,8 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] } } @@ -1122,14 +918,8 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "context_data": { @@ -1143,14 +933,8 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "context_data": { @@ -1165,14 +949,8 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "context_data": { @@ -1187,14 +965,8 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "context_data": { @@ -1208,14 +980,8 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "context_data": { @@ -1230,19 +996,11 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, - "context_data": { - "bullet_text": "Outreach efforts" - } + "context_data": { "bullet_text": "Outreach efforts" } }, { "id": "2023-01-a-04-07", @@ -1252,19 +1010,11 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, - "context_data": { - "bullet_text": "Delivery system(s)" - } + "context_data": { "bullet_text": "Delivery system(s)" } }, { "id": "2023-01-a-04-08", @@ -1274,19 +1024,11 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, - "context_data": { - "bullet_text": "Cost sharing" - } + "context_data": { "bullet_text": "Cost sharing" } }, { "id": "2023-01-a-04-09", @@ -1296,19 +1038,11 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, - "context_data": { - "bullet_text": "Crowd-out policies" - } + "context_data": { "bullet_text": "Crowd-out policies" } }, { "id": "2023-01-a-04-10", @@ -1317,14 +1051,8 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "context_data": { @@ -1338,14 +1066,8 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "context_data": { @@ -1360,14 +1082,8 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "context_data": { @@ -1382,19 +1098,11 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, - "context_data": { - "bullet_text": "Premium assistance" - } + "context_data": { "bullet_text": "Premium assistance" } }, { "id": "2023-01-a-04-14", @@ -1403,14 +1111,8 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "context_data": { @@ -1425,14 +1127,8 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "context_data": { @@ -1447,14 +1143,8 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "context_data": { @@ -1468,14 +1158,8 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "context_data": { @@ -1489,14 +1173,8 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "context_data": { @@ -1510,19 +1188,11 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, - "context_data": { - "bullet_text": "Other program areas" - } + "context_data": { "bullet_text": "Other program areas" } }, { "type": "fieldset", @@ -1531,9 +1201,7 @@ "id": "2023-01-a-04-20", "type": "text_multiline", "label": "Briefly describe why you made these changes to your separate CHIP program (if applicable).", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-01-a-04-21", @@ -1542,14 +1210,8 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] } } @@ -1633,9 +1295,7 @@ "fieldset_info": { "rows": [ [ - { - "contents": "Medicaid Expansion CHIP" - }, + { "contents": "Medicaid Expansion CHIP" }, { "lookupChipEnrollments": { "ffy": 2023, @@ -1658,9 +1318,7 @@ } ], [ - { - "contents": "Separate CHIP" - }, + { "contents": "Separate CHIP" }, { "lookupChipEnrollments": { "ffy": 2023, @@ -1684,18 +1342,14 @@ ] ], "headers": [ - { - "contents": "Program" - }, + { "contents": "Program" }, { "contents": "Number of children enrolled in FFY 2022" }, { "contents": "Number of children enrolled in FFY 2023" }, - { - "contents": "Percent change" - } + { "contents": "Percent change" } ] }, "fieldset_type": "synthesized_table" @@ -1704,9 +1358,7 @@ "id": "2023-02-a-01-01", "type": "text_multiline", "label": "The percent change column in the table above calculates the rate of growth in enrollment over the previous federal fiscal year by subtracting the previous fiscal year enrollment total from the current fiscal year enrollment total (B - A), and dividing that by the previous fiscal year total (A). If you had more than a 3% percent change from last year, what are some possible reasons why your enrollment numbers changed?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "skip_text": "Since your percent change didn’t exceed 3%, you can skip to Part 2.", "conditional_display": { @@ -1752,9 +1404,7 @@ "fieldset_info": { "rows": [ [ - { - "contents": "2018" - }, + { "contents": "2018" }, { "lookupAcs": { "ffy": "2018", @@ -1781,9 +1431,7 @@ } ], [ - { - "contents": "2019" - }, + { "contents": "2019" }, { "lookupAcs": { "ffy": "2019", @@ -1810,9 +1458,7 @@ } ], [ - { - "contents": "2020" - }, + { "contents": "2020" }, { "lookupAcs": { "ffy": "2020", @@ -1839,9 +1485,7 @@ } ], [ - { - "contents": "2021" - }, + { "contents": "2021" }, { "lookupAcs": { "ffy": "2021", @@ -1868,9 +1512,7 @@ } ], [ - { - "contents": "2022" - }, + { "contents": "2022" }, { "lookupAcs": { "ffy": "2022", @@ -1898,21 +1540,13 @@ ] ], "headers": [ - { - "contents": "Year" - }, - { - "contents": "Number of uninsured children" - }, - { - "contents": "Margin of error" - }, + { "contents": "Year" }, + { "contents": "Number of uninsured children" }, + { "contents": "Margin of error" }, { "contents": "Percent of uninsured children (of total children in your state)" }, - { - "contents": "Margin of error" - } + { "contents": "Margin of error" } ] }, "fieldset_type": "synthesized_table" @@ -1956,9 +1590,7 @@ "id": "2023-02-a-02-01", "type": "text_multiline", "label": "What are some reasons why the number and/or percent of uninsured children has changed?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "skip_text": "Since your percent change didn’t exceed 3%, you can skip to Part 2.", "conditional_display": { @@ -1994,14 +1626,8 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "questions": [ @@ -2009,9 +1635,7 @@ "id": "2023-02-a-02-02-a", "type": "text_multiline", "label": "What are some reasons why the American Community Survey estimates might not reflect the number of uninsured children in your state?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -2035,14 +1659,8 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "questions": [ @@ -2053,9 +1671,7 @@ "id": "2023-02-a-02-03-a", "type": "text_multiline", "label": "What is the alternate data source or methodology?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-02-a-02-03-b", @@ -2070,49 +1686,37 @@ "id": "2023-02-a-02-03-c", "type": "text_multiline", "label": "Define the population you’re measuring, including ages and federal poverty levels.", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-02-a-02-03-d", "type": "text_multiline", "label": "Give numbers and/or the percent of uninsured children for at least two points in time.", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-02-a-02-03-e", "type": "text_multiline", "label": "Why did your state choose to adopt this alternate data source?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-02-a-02-03-f", "type": "text_multiline", "label": "How reliable are these estimates? Provide standard errors, confidence intervals, and/or p-values if available.", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-02-a-02-03-g", "type": "text_multiline", "label": "What are the limitations of this alternate data source or methodology?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-02-a-02-03-h", "type": "text_multiline", "label": "How do you use this alternate data source in CHIP program planning?", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "context_data": { @@ -2135,17 +1739,13 @@ "id": "2023-02-a-02-04", "type": "text_multiline", "label": "Is there anything else you’d like to add about your enrollment and uninsured data?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-02-a-02-05", "type": "file_upload", "label": "Optional: Attach any additional documents here.", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] } @@ -2185,14 +1785,8 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "questions": [ @@ -2200,9 +1794,7 @@ "id": "2023-03-a-01-01-a", "type": "text_multiline", "label": "What are you doing differently?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -2227,14 +1819,8 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "questions": [ @@ -2242,9 +1828,7 @@ "id": "2023-03-a-01-02-a", "type": "text_multiline", "label": "Have these efforts been successful? How have you measured the effectiveness of your outreach efforts?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -2266,25 +1850,19 @@ "hint": "For example: TV, school outreach, or word of mouth.", "type": "text_multiline", "label": "What methods have been most effective in reaching low-income, uninsured children?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-03-a-01-04", "type": "text_multiline", "label": "Is there anything else you’d like to add about your outreach efforts?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-03-a-01-05", "type": "file_upload", "label": "Optional: Attach any additional documents here.", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] } @@ -2307,18 +1885,9 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "na" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "na" } ] }, "questions": [ @@ -2326,9 +1895,7 @@ "id": "2023-03-b-01-01-a", "type": "text_multiline", "label": "What percent of CHIP enrollees had access to private insurance at the time of application?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -2352,18 +1919,9 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "na" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "na" } ] }, "questions": [ @@ -2371,9 +1929,7 @@ "id": "2023-03-b-01-02-a", "type": "text_multiline", "label": "Which database do you use?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -2394,9 +1950,7 @@ "id": "2023-03-b-01-03", "type": "percentage", "label": "What percent of applicants screened for CHIP eligibility cannot be enrolled because they have group health plan coverage?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "type": "fieldset", @@ -2408,18 +1962,9 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "na" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "na" } ] }, "questions": [ @@ -2430,9 +1975,7 @@ "id": "2023-03-b-01-04-a", "type": "text_multiline", "label": "How long is the waiting period?", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "context_data": { @@ -2453,9 +1996,7 @@ "id": "2023-03-b-01-04-b", "type": "text_multiline", "label": "Which populations does the waiting period apply to? (Include the FPL for each group.)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -2474,9 +2015,7 @@ "id": "2023-03-b-01-04-c", "type": "text_multiline", "label": "What exemptions apply to the waiting period?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -2495,9 +2034,7 @@ "id": "2023-03-b-01-04-d", "type": "text_multiline", "label": "What percent of individuals subject to the waiting period meet a state or federal exemption?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -2527,17 +2064,13 @@ "id": "2023-03-b-01-05", "type": "text_multiline", "label": "Is there anything else you’d like to add about substitution of coverage that wasn’t already covered? Did you run into any limitations when collecting these data?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-03-b-01-06", "type": "file_upload", "label": "Optional: Attach any additional documents here.", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] } @@ -2561,18 +2094,9 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "na" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "na" } ] }, "questions": [ @@ -2583,17 +2107,13 @@ "id": "2023-03-c-01-01-a", "type": "percentage", "label": "What percent of children are presumptively enrolled in CHIP pending a full eligibility determination?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-03-c-01-01-b", "type": "percentage", "label": "Of the children who are presumptively enrolled, what percent are determined fully eligible and enrolled in the program (upon completion of the full eligibility determination)?", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "context_data": { @@ -2619,14 +2139,8 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] } }, @@ -2637,14 +2151,8 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "questions": [ @@ -2655,17 +2163,13 @@ "id": "2023-03-c-01-03-a", "type": "text", "label": "How many notices do you send to families before disenrolling a child from the program?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-03-c-01-03-b", "type": "text", "label": "How many days before the end of the eligibility period did you send reminder notices to families?", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "context_data": { @@ -2688,33 +2192,25 @@ "id": "2023-03-c-01-04", "type": "text_multiline", "label": "What else have you done to simplify the eligibility renewal process for families?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-03-c-01-05", "type": "text_multiline", "label": "Which retention strategies have you found to be most effective?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-03-c-01-06", "type": "text_multiline", "label": "How do you measure the effectiveness of your retention strategies? What data sources and methodology do you use to track retention?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-03-c-01-07", "type": "text_multiline", "label": "Is there anything else you’d like to add that wasn’t already covered?", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] }, @@ -2728,54 +2224,47 @@ "hint": "Don’t include applicants who are being considered for redetermination — these data will be collected in Part 3. \n\nPlease note: numbers reported in questions 2-4 of this part are a subset of the total reported in question 1. Therefore, the totals reported in questions 2-4 should be smaller than the number reported in question 1.", "type": "integer", "label": "How many applicants were denied CHIP coverage in FFY 2023? This number should be equal to the total of reported numbers for questions 2-4 below.", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-02-02", "hint": "For example: They were denied because of an incomplete application, missing documentation, or a missing enrollment fee.", "type": "integer", "label": "How many applicants were denied CHIP coverage for procedural reasons?", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-02-03", "hint": "For example: They were denied because their income was too high or too low, they were determined eligible for Medicaid instead, or they had other coverage available.", "type": "integer", "label": "How many applicants were denied CHIP coverage for eligibility reasons?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "questions": [ { "id": "2023-03-c-02-03-a", "hint": "Please note this is a subset of the number reported for question 3, and that a smaller number should be reported here than the total provided in response to question 3.", "type": "integer", "label": "How many applicants were denied CHIP (Title XXI) coverage and determined eligible for Medicaid (Title XIX) instead?", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" } - ] + ], + "mask": "lessThanEleven" }, { "id": "2023-03-c-02-04", "type": "integer", "label": "How many applicants were denied CHIP coverage for other reasons?", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-02-05", "type": "text_multiline", "label": "Did you have any limitations in collecting these data?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "hint": "This table is auto-populated with the data you entered above.", @@ -2785,9 +2274,7 @@ "fieldset_info": { "rows": [ [ - { - "contents": "Total denials" - }, + { "contents": "Total denials" }, { "targets": [ "$..*[?(@ && @.id=='2023-03-c-02-01')].answer.entry" @@ -2802,9 +2289,7 @@ } ], [ - { - "contents": "Denied for procedural reasons" - }, + { "contents": "Denied for procedural reasons" }, { "targets": [ "$..*[?(@ && @.id=='2023-03-c-02-02')].answer.entry" @@ -2819,9 +2304,7 @@ } ], [ - { - "contents": "Denied for eligibility reasons" - }, + { "contents": "Denied for eligibility reasons" }, { "targets": [ "$..*[?(@ && @.id=='2023-03-c-02-03')].answer.entry" @@ -2836,9 +2319,7 @@ } ], [ - { - "contents": "Denials for other reasons" - }, + { "contents": "Denials for other reasons" }, { "targets": [ "$..*[?(@ && @.id=='2023-03-c-02-04')].answer.entry" @@ -2854,15 +2335,9 @@ ] ], "headers": [ - { - "contents": "" - }, - { - "contents": "Number" - }, - { - "contents": "Percent" - } + { "contents": "" }, + { "contents": "Number" }, + { "contents": "Percent" } ] }, "fieldset_type": "synthesized_table" @@ -2879,34 +2354,29 @@ "id": "2023-03-c-03-01", "type": "integer", "label": "How many children were eligible for redetermination in CHIP in FFY 2023?", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-03-02", "type": "integer", "label": "Of the eligible children, how many were then screened for redetermination?", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-03-03", "type": "integer", "label": "How many children were retained in CHIP after redetermination?", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-03-04", "hint": "This number should be equal to the total of 4a, 4b, and 4c below.", "type": "integer", "label": "How many children were disenrolled in CHIP after the redetermination process?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "questions": [ { "hint": "The answer to 4 should be equal to the sum of a, b, and c below: ", @@ -2927,36 +2397,32 @@ "hint": "This could be due to an incomplete application, missing documentation, or a missing enrollment fee.", "type": "integer", "label": "How many children were disenrolled for procedural reasons?", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-03-04-b", "hint": "This could be due to income that was too high or too low, eligibility in Medicaid (Title XIX) instead, or access to private coverage.", "type": "integer", "label": "How many children were disenrolled for eligibility reasons?", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-03-04-c", "type": "integer", "label": "How many children were disenrolled for other reasons?", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" } - ] + ], + "mask": "lessThanEleven" }, { "id": "2023-03-c-03-05", "type": "text_multiline", "label": "Did you have any limitations in collecting these data?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "hint": "These tables are auto-populated with the data you entered above.", @@ -3018,15 +2484,9 @@ ] ], "headers": [ - { - "contents": "" - }, - { - "contents": "Number" - }, - { - "contents": "Percent" - } + { "contents": "" }, + { "contents": "Number" }, + { "contents": "Percent" } ] }, "fieldset_type": "synthesized_table" @@ -3108,15 +2568,9 @@ ] ], "headers": [ - { - "contents": "" - }, - { - "contents": "Number" - }, - { - "contents": "Percent" - } + { "contents": "" }, + { "contents": "Number" }, + { "contents": "Percent" } ] }, "fieldset_type": "synthesized_table" @@ -3133,34 +2587,29 @@ "id": "2023-03-c-04-01", "type": "integer", "label": "How many children were eligible for redetermination in Medicaid in FFY 2023?", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-04-02", "type": "integer", "label": "Of the eligible children, how many were then screened for redetermination?", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-04-03", "type": "integer", "label": "How many children were retained in Medicaid after redetermination?", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-04-04", "hint": "This number should be equal to the total of 4a, 4b, and 4c below.", "type": "integer", "label": "How many children were disenrolled in Medicaid after the redetermination process?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "questions": [ { "hint": "The answer to 4 should be equal to the sum of a, b, and c below: ", @@ -3181,36 +2630,32 @@ "hint": "This could be due to an incomplete application, missing documentation, or a missing enrollment fee.", "type": "integer", "label": "How many children were disenrolled for procedural reasons?", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-04-04-b", "hint": "This could be due to an income that was too high and/or eligibility in CHIP instead.", "type": "integer", "label": "How many children were disenrolled for eligibility reasons?", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-04-04-c", "type": "integer", "label": "How many children were disenrolled for other reasons?", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" } - ] + ], + "mask": "lessThanEleven" }, { "id": "2023-03-c-04-05", "type": "text_multiline", "label": "Did you have any limitations in collecting these data?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "hint": "These tables are auto-populated with the data you entered above.", @@ -3272,15 +2717,9 @@ ] ], "headers": [ - { - "contents": "" - }, - { - "contents": "Number" - }, - { - "contents": "Percent" - } + { "contents": "" }, + { "contents": "Number" }, + { "contents": "Percent" } ] }, "fieldset_type": "synthesized_table" @@ -3362,15 +2801,9 @@ ] ], "headers": [ - { - "contents": "" - }, - { - "contents": "Number" - }, - { - "contents": "Percent" - } + { "contents": "" }, + { "contents": "Number" }, + { "contents": "Percent" } ] }, "fieldset_type": "synthesized_table" @@ -3415,14 +2848,8 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] } }, @@ -3439,9 +2866,7 @@ "id": "2023-03-c-05-03-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -3453,7 +2878,8 @@ } } } - } + }, + "mask": "lessThanEleven" }, { "type": "fieldset", @@ -3477,33 +2903,29 @@ "id": "2023-03-c-05-03-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-05-03-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-05-03-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-05-03-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" } ], "context_data": { @@ -3521,9 +2943,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2023-03-c-05-03" - }, + "fieldset_info": { "id": "2023-03-c-05-03" }, "fieldset_type": "marked" }, { @@ -3540,9 +2960,7 @@ "id": "2023-03-c-05-04-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -3554,7 +2972,8 @@ } } } - } + }, + "mask": "lessThanEleven" }, { "type": "fieldset", @@ -3578,33 +2997,29 @@ "id": "2023-03-c-05-04-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-05-04-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-05-04-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-05-04-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" } ], "context_data": { @@ -3622,9 +3037,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2023-03-c-05-04" - }, + "fieldset_info": { "id": "2023-03-c-05-04" }, "fieldset_type": "marked" }, { @@ -3635,9 +3048,7 @@ "id": "2023-03-c-05-05-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -3649,7 +3060,8 @@ } } } - } + }, + "mask": "lessThanEleven" }, { "type": "fieldset", @@ -3673,33 +3085,29 @@ "id": "2023-03-c-05-05-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-05-05-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-05-05-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-05-05-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" } ], "context_data": { @@ -3717,9 +3125,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2023-03-c-05-05" - }, + "fieldset_info": { "id": "2023-03-c-05-05" }, "fieldset_type": "marked" }, { @@ -3730,9 +3136,7 @@ "id": "2023-03-c-05-06-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -3744,7 +3148,8 @@ } } } - } + }, + "mask": "lessThanEleven" }, { "type": "fieldset", @@ -3768,33 +3173,29 @@ "id": "2023-03-c-05-06-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-05-06-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-05-06-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-05-06-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" } ], "context_data": { @@ -3812,9 +3213,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2023-03-c-05-06" - }, + "fieldset_info": { "id": "2023-03-c-05-06" }, "fieldset_type": "marked" }, { @@ -3826,9 +3225,7 @@ "id": "2023-03-c-05-07-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -3840,7 +3237,8 @@ } } } - } + }, + "mask": "lessThanEleven" }, { "type": "fieldset", @@ -3864,33 +3262,29 @@ "id": "2023-03-c-05-07-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-05-07-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-05-07-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-05-07-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" } ], "context_data": { @@ -3908,9 +3302,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2023-03-c-05-07" - }, + "fieldset_info": { "id": "2023-03-c-05-07" }, "fieldset_type": "marked" }, { @@ -3921,9 +3313,7 @@ "id": "2023-03-c-05-08-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -3935,7 +3325,8 @@ } } } - } + }, + "mask": "lessThanEleven" }, { "type": "fieldset", @@ -3959,33 +3350,29 @@ "id": "2023-03-c-05-08-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-05-08-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-05-08-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-05-08-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" } ], "context_data": { @@ -4003,18 +3390,14 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2023-03-c-05-08" - }, + "fieldset_info": { "id": "2023-03-c-05-08" }, "fieldset_type": "marked" }, { "id": "2023-03-c-05-09", "type": "text_multiline", "label": "Is there anything else you’d like to add about your data?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "hint": "This year, please report data about your cohort for this section.", @@ -4031,9 +3414,7 @@ "id": "2023-03-c-05-10-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -4045,7 +3426,8 @@ } } } - } + }, + "mask": "lessThanEleven" }, { "type": "fieldset", @@ -4069,33 +3451,29 @@ "id": "2023-03-c-05-10-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-05-10-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-05-10-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-05-10-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" } ], "context_data": { @@ -4113,9 +3491,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2023-03-c-05-10" - }, + "fieldset_info": { "id": "2023-03-c-05-10" }, "fieldset_type": "marked" }, { @@ -4126,9 +3502,7 @@ "id": "2023-03-c-05-11-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -4140,7 +3514,8 @@ } } } - } + }, + "mask": "lessThanEleven" }, { "type": "fieldset", @@ -4164,33 +3539,29 @@ "id": "2023-03-c-05-11-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-05-11-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-05-11-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-05-11-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" } ], "context_data": { @@ -4208,9 +3579,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2023-03-c-05-11" - }, + "fieldset_info": { "id": "2023-03-c-05-11" }, "fieldset_type": "marked" }, { @@ -4221,9 +3590,7 @@ "id": "2023-03-c-05-12-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -4235,7 +3602,8 @@ } } } - } + }, + "mask": "lessThanEleven" }, { "type": "fieldset", @@ -4259,33 +3627,29 @@ "id": "2023-03-c-05-12-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-05-12-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-05-12-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-05-12-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" } ], "context_data": { @@ -4303,9 +3667,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2023-03-c-05-12" - }, + "fieldset_info": { "id": "2023-03-c-05-12" }, "fieldset_type": "marked" }, { @@ -4317,9 +3679,7 @@ "id": "2023-03-c-05-13-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -4331,7 +3691,8 @@ } } } - } + }, + "mask": "lessThanEleven" }, { "type": "fieldset", @@ -4355,33 +3716,29 @@ "id": "2023-03-c-05-13-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-05-13-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-05-13-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-05-13-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" } ], "context_data": { @@ -4399,9 +3756,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2023-03-c-05-13" - }, + "fieldset_info": { "id": "2023-03-c-05-13" }, "fieldset_type": "marked" }, { @@ -4412,9 +3767,7 @@ "id": "2023-03-c-05-14-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -4426,7 +3779,8 @@ } } } - } + }, + "mask": "lessThanEleven" }, { "type": "fieldset", @@ -4450,33 +3804,29 @@ "id": "2023-03-c-05-14-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-05-14-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-05-14-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-05-14-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" } ], "context_data": { @@ -4494,9 +3844,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2023-03-c-05-14" - }, + "fieldset_info": { "id": "2023-03-c-05-14" }, "fieldset_type": "marked" }, { @@ -4514,9 +3862,7 @@ "id": "2023-03-c-05-15-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -4528,7 +3874,8 @@ } } } - } + }, + "mask": "lessThanEleven" }, { "type": "fieldset", @@ -4552,33 +3899,29 @@ "id": "2023-03-c-05-15-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-05-15-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-05-15-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-05-15-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" } ], "context_data": { @@ -4596,9 +3939,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2023-03-c-05-15" - }, + "fieldset_info": { "id": "2023-03-c-05-15" }, "fieldset_type": "marked" }, { @@ -4609,9 +3950,7 @@ "id": "2023-03-c-05-16-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -4623,7 +3962,8 @@ } } } - } + }, + "mask": "lessThanEleven" }, { "type": "fieldset", @@ -4647,33 +3987,29 @@ "id": "2023-03-c-05-16-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-05-16-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-05-16-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-05-16-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" } ], "context_data": { @@ -4691,9 +4027,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2023-03-c-05-16" - }, + "fieldset_info": { "id": "2023-03-c-05-16" }, "fieldset_type": "marked" }, { @@ -4704,9 +4038,7 @@ "id": "2023-03-c-05-17-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -4718,7 +4050,8 @@ } } } - } + }, + "mask": "lessThanEleven" }, { "type": "fieldset", @@ -4742,33 +4075,29 @@ "id": "2023-03-c-05-17-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-05-17-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-05-17-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-05-17-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" } ], "context_data": { @@ -4786,9 +4115,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2023-03-c-05-17" - }, + "fieldset_info": { "id": "2023-03-c-05-17" }, "fieldset_type": "marked" }, { @@ -4800,9 +4127,7 @@ "id": "2023-03-c-05-18-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -4814,7 +4139,8 @@ } } } - } + }, + "mask": "lessThanEleven" }, { "type": "fieldset", @@ -4838,33 +4164,29 @@ "id": "2023-03-c-05-18-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-05-18-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-05-18-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-05-18-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" } ], "context_data": { @@ -4882,9 +4204,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2023-03-c-05-18" - }, + "fieldset_info": { "id": "2023-03-c-05-18" }, "fieldset_type": "marked" }, { @@ -4895,9 +4215,7 @@ "id": "2023-03-c-05-19-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -4909,7 +4227,8 @@ } } } - } + }, + "mask": "lessThanEleven" }, { "type": "fieldset", @@ -4933,33 +4252,29 @@ "id": "2023-03-c-05-19-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-05-19-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-05-19-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-05-19-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" } ], "context_data": { @@ -4977,18 +4292,14 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2023-03-c-05-19" - }, + "fieldset_info": { "id": "2023-03-c-05-19" }, "fieldset_type": "marked" }, { "id": "2023-03-c-05-20", "type": "text_multiline", "label": "Is there anything else you’d like to add about your data?", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] }, @@ -5030,14 +4341,8 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] } }, @@ -5054,9 +4359,7 @@ "id": "2023-03-c-06-03-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -5068,7 +4371,8 @@ } } } - } + }, + "mask": "lessThanEleven" }, { "type": "fieldset", @@ -5092,33 +4396,29 @@ "id": "2023-03-c-06-03-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-06-03-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-06-03-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-06-03-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" } ], "context_data": { @@ -5136,9 +4436,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2023-03-c-06-03" - }, + "fieldset_info": { "id": "2023-03-c-06-03" }, "fieldset_type": "marked" }, { @@ -5155,9 +4453,7 @@ "id": "2023-03-c-06-04-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -5169,7 +4465,8 @@ } } } - } + }, + "mask": "lessThanEleven" }, { "type": "fieldset", @@ -5193,33 +4490,29 @@ "id": "2023-03-c-06-04-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-06-04-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-06-04-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-06-04-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" } ], "context_data": { @@ -5237,9 +4530,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2023-03-c-06-04" - }, + "fieldset_info": { "id": "2023-03-c-06-04" }, "fieldset_type": "marked" }, { @@ -5250,9 +4541,7 @@ "id": "2023-03-c-06-05-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -5264,7 +4553,8 @@ } } } - } + }, + "mask": "lessThanEleven" }, { "type": "fieldset", @@ -5288,33 +4578,29 @@ "id": "2023-03-c-06-05-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-06-05-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-06-05-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-06-05-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" } ], "context_data": { @@ -5332,9 +4618,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2023-03-c-06-05" - }, + "fieldset_info": { "id": "2023-03-c-06-05" }, "fieldset_type": "marked" }, { @@ -5345,9 +4629,7 @@ "id": "2023-03-c-06-06-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -5359,7 +4641,8 @@ } } } - } + }, + "mask": "lessThanEleven" }, { "type": "fieldset", @@ -5383,33 +4666,29 @@ "id": "2023-03-c-06-06-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-06-06-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-06-06-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-06-06-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" } ], "context_data": { @@ -5427,9 +4706,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2023-03-c-06-06" - }, + "fieldset_info": { "id": "2023-03-c-06-06" }, "fieldset_type": "marked" }, { @@ -5441,9 +4718,7 @@ "id": "2023-03-c-06-07-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -5455,7 +4730,8 @@ } } } - } + }, + "mask": "lessThanEleven" }, { "type": "fieldset", @@ -5479,33 +4755,29 @@ "id": "2023-03-c-06-07-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-06-07-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-06-07-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-06-07-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" } ], "context_data": { @@ -5523,9 +4795,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2023-03-c-06-07" - }, + "fieldset_info": { "id": "2023-03-c-06-07" }, "fieldset_type": "marked" }, { @@ -5536,9 +4806,7 @@ "id": "2023-03-c-06-08-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -5550,7 +4818,8 @@ } } } - } + }, + "mask": "lessThanEleven" }, { "type": "fieldset", @@ -5574,33 +4843,29 @@ "id": "2023-03-c-06-08-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-06-08-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-06-08-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-06-08-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" } ], "context_data": { @@ -5618,18 +4883,14 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2023-03-c-06-08" - }, + "fieldset_info": { "id": "2023-03-c-06-08" }, "fieldset_type": "marked" }, { "id": "2023-03-c-06-09", "type": "text_multiline", "label": "Is there anything else you’d like to add about your data?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "hint": "This year, please report data about your cohort for this section.", @@ -5646,9 +4907,7 @@ "id": "2023-03-c-06-10-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -5660,7 +4919,8 @@ } } } - } + }, + "mask": "lessThanEleven" }, { "type": "fieldset", @@ -5684,33 +4944,29 @@ "id": "2023-03-c-06-10-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-06-10-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-06-10-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-06-10-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" } ], "context_data": { @@ -5728,9 +4984,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2023-03-c-06-10" - }, + "fieldset_info": { "id": "2023-03-c-06-10" }, "fieldset_type": "marked" }, { @@ -5741,9 +4995,7 @@ "id": "2023-03-c-06-11-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -5755,7 +5007,8 @@ } } } - } + }, + "mask": "lessThanEleven" }, { "type": "fieldset", @@ -5779,33 +5032,29 @@ "id": "2023-03-c-06-11-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-06-11-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-06-11-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-06-11-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" } ], "context_data": { @@ -5823,9 +5072,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2023-03-c-06-11" - }, + "fieldset_info": { "id": "2023-03-c-06-11" }, "fieldset_type": "marked" }, { @@ -5836,9 +5083,7 @@ "id": "2023-03-c-06-12-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -5850,7 +5095,8 @@ } } } - } + }, + "mask": "lessThanEleven" }, { "type": "fieldset", @@ -5874,33 +5120,29 @@ "id": "2023-03-c-06-12-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-06-12-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-06-12-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-06-12-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" } ], "context_data": { @@ -5918,9 +5160,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2023-03-c-06-12" - }, + "fieldset_info": { "id": "2023-03-c-06-12" }, "fieldset_type": "marked" }, { @@ -5932,9 +5172,7 @@ "id": "2023-03-c-06-13-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -5946,7 +5184,8 @@ } } } - } + }, + "mask": "lessThanEleven" }, { "type": "fieldset", @@ -5970,33 +5209,29 @@ "id": "2023-03-c-06-13-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-06-13-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-06-13-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-06-13-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" } ], "context_data": { @@ -6014,9 +5249,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2023-03-c-06-13" - }, + "fieldset_info": { "id": "2023-03-c-06-13" }, "fieldset_type": "marked" }, { @@ -6027,9 +5260,7 @@ "id": "2023-03-c-06-14-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -6041,7 +5272,8 @@ } } } - } + }, + "mask": "lessThanEleven" }, { "type": "fieldset", @@ -6065,33 +5297,29 @@ "id": "2023-03-c-06-14-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-06-14-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-06-14-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-06-14-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" } ], "context_data": { @@ -6109,9 +5337,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2023-03-c-06-14" - }, + "fieldset_info": { "id": "2023-03-c-06-14" }, "fieldset_type": "marked" }, { @@ -6129,9 +5355,7 @@ "id": "2023-03-c-06-15-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -6143,7 +5367,8 @@ } } } - } + }, + "mask": "lessThanEleven" }, { "type": "fieldset", @@ -6167,33 +5392,29 @@ "id": "2023-03-c-06-15-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-06-15-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-06-15-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-06-15-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" } ], "context_data": { @@ -6211,9 +5432,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2023-03-c-06-15" - }, + "fieldset_info": { "id": "2023-03-c-06-15" }, "fieldset_type": "marked" }, { @@ -6224,9 +5443,7 @@ "id": "2023-03-c-06-16-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -6238,7 +5455,8 @@ } } } - } + }, + "mask": "lessThanEleven" }, { "type": "fieldset", @@ -6262,33 +5480,29 @@ "id": "2023-03-c-06-16-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-06-16-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-06-16-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-06-16-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" } ], "context_data": { @@ -6306,9 +5520,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2023-03-c-06-16" - }, + "fieldset_info": { "id": "2023-03-c-06-16" }, "fieldset_type": "marked" }, { @@ -6319,9 +5531,7 @@ "id": "2023-03-c-06-17-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -6333,7 +5543,8 @@ } } } - } + }, + "mask": "lessThanEleven" }, { "type": "fieldset", @@ -6357,33 +5568,29 @@ "id": "2023-03-c-06-17-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-06-17-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-06-17-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-06-17-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" } ], "context_data": { @@ -6401,9 +5608,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2023-03-c-06-17" - }, + "fieldset_info": { "id": "2023-03-c-06-17" }, "fieldset_type": "marked" }, { @@ -6415,9 +5620,7 @@ "id": "2023-03-c-06-18-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -6429,7 +5632,8 @@ } } } - } + }, + "mask": "lessThanEleven" }, { "type": "fieldset", @@ -6453,33 +5657,29 @@ "id": "2023-03-c-06-18-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-06-18-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-06-18-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-06-18-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" } ], "context_data": { @@ -6497,9 +5697,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2023-03-c-06-18" - }, + "fieldset_info": { "id": "2023-03-c-06-18" }, "fieldset_type": "marked" }, { @@ -6510,9 +5708,7 @@ "id": "2023-03-c-06-19-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -6524,7 +5720,8 @@ } } } - } + }, + "mask": "lessThanEleven" }, { "type": "fieldset", @@ -6548,33 +5745,29 @@ "id": "2023-03-c-06-19-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-06-19-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-06-19-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-c-06-19-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" } ], "context_data": { @@ -6592,18 +5785,14 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2023-03-c-06-19" - }, + "fieldset_info": { "id": "2023-03-c-06-19" }, "fieldset_type": "marked" }, { "id": "2023-03-c-06-20", "type": "text_multiline", "label": "Is there anything else you’d like to add about your data?", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] } @@ -6626,14 +5815,8 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] } }, @@ -6655,18 +5838,12 @@ "label": "Health plans", "value": "health_plans" }, - { - "label": "States", - "value": "states" - }, + { "label": "States", "value": "states" }, { "label": "Third party administrator", "value": "third_party_administrator" }, - { - "label": "Other ", - "value": "other" - } + { "label": "Other ", "value": "other" } ] }, "questions": [ @@ -6674,9 +5851,7 @@ "id": "2023-03-d-01-02-a", "type": "text_multiline", "label": "What information or tools do you provide families with so they can track cost sharing?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -6706,9 +5881,7 @@ "id": "2023-03-d-01-02-b", "type": "text_multiline", "label": "Who tracks cost sharing?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -6739,17 +5912,13 @@ "id": "2023-03-d-01-03", "type": "text_multiline", "label": "How are healthcare providers notified that they shouldn’t charge families once families have reached the 5% cap?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-03-d-01-04", "type": "text_multiline", "label": "Approximately how many families exceeded the 5% cap in the last federal fiscal year?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-03-d-01-05", @@ -6758,14 +5927,8 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "questions": [ @@ -6773,9 +5936,7 @@ "id": "2023-03-d-01-05-a", "type": "text_multiline", "label": "What did you find in your assessment?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -6799,14 +5960,8 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "questions": [ @@ -6814,9 +5969,7 @@ "id": "2023-03-d-01-06-a", "type": "text_multiline", "label": "What did you find in your assessment?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -6837,9 +5990,7 @@ "id": "2023-03-d-01-07", "type": "text_multiline", "label": "You indicated in Section 1 that you changed your cost sharing requirements in the past federal fiscal year. How are you monitoring the impact of these changes on whether families apply, enroll, disenroll, and use CHIP health services? What have you found when monitoring the impact?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -6861,17 +6012,13 @@ "id": "2023-03-d-01-08", "type": "text_multiline", "label": "Is there anything else you’d like to add that wasn’t already covered?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-03-d-01-09", "type": "file_upload", "label": "Optional: Attach any additional documents here.", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "context_data": { @@ -6914,14 +6061,8 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] } } @@ -6961,14 +6102,8 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] } }, @@ -6977,9 +6112,7 @@ "hint": "This only applies to states operating an 1115 demo.", "type": "text_multiline", "label": "What benefit package is offered as part of your premium assistance program, including any applicable minimum coverage requirements?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-03-e-02-04", @@ -6989,14 +6122,8 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] } }, @@ -7008,18 +6135,9 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "na" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "na" } ] } }, @@ -7031,14 +6149,8 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "questions": [ @@ -7046,9 +6158,7 @@ "id": "2023-03-e-02-06-a", "type": "text_multiline", "label": "How do you track cost sharing to ensure families don’t pay more than 5% of the aggregate household income in a year?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -7069,9 +6179,7 @@ "id": "2023-03-e-02-07", "type": "integer", "label": "How many children were enrolled in the premium assistance program on average each month in FFY 2023?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "type": "fieldset", @@ -7080,25 +6188,19 @@ "id": "2023-03-e-02-08", "type": "money", "label": "What’s the average monthly contribution the state pays towards coverage of a child?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-03-e-02-09", "type": "text", "label": "What’s the average monthly contribution the employer pays towards coverage of a child?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-03-e-02-10", "type": "text", "label": "What’s the average monthly contribution the employee pays towards coverage of a child?", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] }, @@ -7131,15 +6233,9 @@ ] ], "headers": [ - { - "contents": "State" - }, - { - "contents": "Employer" - }, - { - "contents": "Employee" - } + { "contents": "State" }, + { "contents": "Employer" }, + { "contents": "Employee" } ] }, "fieldset_type": "synthesized_table" @@ -7199,41 +6295,31 @@ "id": "2023-03-e-02-14", "type": "text_multiline", "label": "What strategies have been most effective in reducing the administrative barriers in order to provide premium assistance?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-03-e-02-15", "type": "text_multiline", "label": "What challenges did you experience with your premium assistance program in FFY 2023?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-03-e-02-16", "type": "text_multiline", "label": "What accomplishments did you experience with your premium assistance program in FFY 2023?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-03-e-02-17", "type": "text_multiline", "label": "Is there anything else you’d like to add that wasn’t already covered?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-03-e-02-18", "type": "file_upload", "label": "Optional: Attach any additional documents here.", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "context_data": { @@ -7270,14 +6356,8 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] } }, @@ -7288,14 +6368,8 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] } }, @@ -7306,14 +6380,8 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] } }, @@ -7321,9 +6389,7 @@ "id": "2023-03-f-01-04", "type": "text_multiline", "label": "What safeguards and procedures are in place for the prevention, investigation, and referral of fraud and abuse cases?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-03-f-01-05", @@ -7332,18 +6398,9 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "na" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "na" } ] }, "questions": [ @@ -7351,9 +6408,7 @@ "id": "2023-03-f-01-05-a", "type": "text_multiline", "label": "What safeguards and procedures do the managed care plans have in place?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -7374,17 +6429,15 @@ "id": "2023-03-f-01-06", "type": "integer", "label": "How many eligibility denials have been appealed in a fair hearing in FFY 2023?", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-f-01-07", "type": "integer", "label": "How many cases have been found in favor of the beneficiary in FFY 2023?", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "type": "fieldset", @@ -7393,17 +6446,13 @@ "id": "2023-03-f-01-08", "type": "integer", "label": "How many cases related to provider credentialing were investigated in FFY 2023?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-03-f-01-09", "type": "integer", "label": "How many cases related to provider credentialing were referred to appropriate law enforcement officials in FFY 2023?", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] }, @@ -7414,17 +6463,13 @@ "id": "2023-03-f-01-10", "type": "integer", "label": "How many cases related to provider billing were investigated in FFY 2023?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-03-f-01-11", "type": "integer", "label": "How many cases related to provider billing were referred to appropriate law enforcement officials in FFY 2023?", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] }, @@ -7435,17 +6480,15 @@ "id": "2023-03-f-01-12", "type": "integer", "label": "How many cases related to beneficiary eligibility were investigated in FFY 2023?", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-f-01-13", "type": "integer", "label": "How many cases related to beneficiary eligibility were referred to appropriate law enforcement officials in FFY 2023?", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" } ] }, @@ -7456,10 +6499,7 @@ "answer": { "entry": null, "options": [ - { - "label": "CHIP only", - "value": "separate_chip_only" - }, + { "label": "CHIP only", "value": "separate_chip_only" }, { "label": "Medicaid and CHIP combined", "value": "medicaid_separate_chip_combined" @@ -7474,14 +6514,8 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "questions": [ @@ -7489,9 +6523,7 @@ "id": "2023-03-f-01-15-a", "type": "text_multiline", "label": "How do you provide oversight of the contractors? ", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -7515,14 +6547,8 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "questions": [ @@ -7530,9 +6556,7 @@ "id": "2023-03-f-01-16-a", "type": "text_multiline", "label": "What specifically are the contractors responsible for in terms of oversight?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -7553,17 +6577,13 @@ "id": "2023-03-f-01-17", "type": "text_multiline", "label": "Is there anything else you’d like to add that wasn’t already covered?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-03-f-01-18", "type": "file_upload", "label": "Optional: Attach any additional documents here.", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "context_data": { @@ -7597,14 +6617,8 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] } }, @@ -7616,9 +6630,7 @@ "id": "2023-03-g-01-02-a", "type": "integer", "label": "Total for all ages (0-18)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -7630,7 +6642,8 @@ } } } - } + }, + "mask": "lessThanEleven" }, { "type": "fieldset", @@ -7656,49 +6669,43 @@ "id": "2023-03-g-01-02-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-g-01-02-c", "type": "integer", "label": "Ages 1-2", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-g-01-02-d", "type": "integer", "label": "Ages 3-5", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-g-01-02-e", "type": "integer", "label": "Ages 6-9", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-g-01-02-f", "type": "integer", "label": "Ages 10-14", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-g-01-02-g", "type": "integer", "label": "Ages 15-18", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" } ], "context_data": { @@ -7716,9 +6723,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2023-03-g-01-02" - }, + "fieldset_info": { "id": "2023-03-g-01-02" }, "fieldset_type": "marked" }, { @@ -7729,9 +6734,7 @@ "id": "2023-03-g-01-03-a", "type": "integer", "label": "Total for all ages (0-18)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -7743,7 +6746,8 @@ } } } - } + }, + "mask": "lessThanEleven" }, { "type": "fieldset", @@ -7769,49 +6773,43 @@ "id": "2023-03-g-01-03-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-g-01-03-c", "type": "integer", "label": "Ages 1-2", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-g-01-03-d", "type": "integer", "label": "Ages 3-5", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-g-01-03-e", "type": "integer", "label": "Ages 6-9", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-g-01-03-f", "type": "integer", "label": "Ages 10-14", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-g-01-03-g", "type": "integer", "label": "Ages 15-18", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" } ], "context_data": { @@ -7829,9 +6827,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2023-03-g-01-03" - }, + "fieldset_info": { "id": "2023-03-g-01-03" }, "fieldset_type": "marked" }, { @@ -7848,9 +6844,7 @@ "id": "2023-03-g-01-04-a", "type": "integer", "label": "Total for all ages (0-18)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -7862,7 +6856,8 @@ } } } - } + }, + "mask": "lessThanEleven" }, { "type": "fieldset", @@ -7888,49 +6883,43 @@ "id": "2023-03-g-01-04-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-g-01-04-c", "type": "integer", "label": "Ages 1-2", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-g-01-04-d", "type": "integer", "label": "Ages 3-5", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-g-01-04-e", "type": "integer", "label": "Ages 6-9", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-g-01-04-f", "type": "integer", "label": "Ages 10-14", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-g-01-04-g", "type": "integer", "label": "Ages 15-18", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" } ], "context_data": { @@ -7948,9 +6937,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2023-03-g-01-04" - }, + "fieldset_info": { "id": "2023-03-g-01-04" }, "fieldset_type": "marked" }, { @@ -7968,9 +6955,7 @@ "id": "2023-03-g-01-05-a", "type": "integer", "label": "Total for all ages (0-18)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -7982,7 +6967,8 @@ } } } - } + }, + "mask": "lessThanEleven" }, { "type": "fieldset", @@ -8008,49 +6994,43 @@ "id": "2023-03-g-01-05-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-g-01-05-c", "type": "integer", "label": "Ages 1-2", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-g-01-05-d", "type": "integer", "label": "Ages 3-5", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-g-01-05-e", "type": "integer", "label": "Ages 6-9", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-g-01-05-f", "type": "integer", "label": "Ages 10-14", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-03-g-01-05-g", "type": "integer", "label": "Ages 15-18", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" } ], "context_data": { @@ -8068,9 +7048,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2023-03-g-01-05" - }, + "fieldset_info": { "id": "2023-03-g-01-05" }, "fieldset_type": "marked" }, { @@ -8083,9 +7061,8 @@ "id": "2023-03-g-01-06", "type": "integer", "label": "How many children in the “ages 6–9” group received a sealant on at least one permanent molar tooth during FFY 2023?", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "hint": "The sealant on a permanent molar tooth is provided by a dental professional for whom placing a sealant is within their scope of practice. It’s defined by HCPCS code D1351 (or equivalent CDT code D1351) based on an unduplicated paid, unpaid, or denied claim. Permanent molars are teeth numbered 2, 3, 14, 15, 18, 19, 30, and 31, and additionally — for states covering sealants on third molars (“wisdom teeth”) — teeth numbered 1, 16, 17, and 32.\n\nAll data should be based on the definitions in the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Report (Form CMS-416).", @@ -8100,14 +7077,8 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "questions": [ @@ -8118,18 +7089,14 @@ "id": "2023-03-g-01-07-a", "type": "integer", "label": "How many children were enrolled in supplemental dental coverage during FFY 2023?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-03-g-01-07-b", "hint": "This is the total number for all children between 0-18 years from question 1.", "type": "integer", "label": "How many children were enrolled in separate CHIP for at least 90 continuous days during FFY 2023?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "type": "fieldset", @@ -8163,9 +7130,7 @@ { "contents": "Children enrolled in Separate CHIP" }, - { - "contents": "Percentage" - } + { "contents": "Percentage" } ] }, "fieldset_type": "synthesized_table" @@ -8191,17 +7156,13 @@ "id": "2023-03-g-01-08", "type": "text_multiline", "label": "Is there anything else you’d like to add about your dental benefits? If you weren’t able to provide data, let us know why.", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-03-g-01-09", "type": "file_upload", "label": "Optional: Attach any additional documents here.", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "context_data": { @@ -8228,14 +7189,8 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "questions": [ @@ -8247,14 +7202,8 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "context_data": { @@ -8284,9 +7233,7 @@ "id": "2023-03-h-02-01", "type": "file_upload", "label": "Upload a summary report of your CAHPS survey results. This is optional if you already submitted CAHPS raw data to the AHRQ CAHPS database. Submit results only for the CHIP population, not for both Medicaid (Title XIX) and CHIP (Title XXI) together. Your data should represent children enrolled in all types of delivery systems (Managed Care, PCCM, and Fee for Service).", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-03-h-02-02", @@ -8299,18 +7246,12 @@ "label": "Medicaid Expansion CHIP", "value": "medicaid_exp_chip" }, - { - "label": "Separate CHIP", - "value": "separate_chip" - }, + { "label": "Separate CHIP", "value": "separate_chip" }, { "label": "Both Separate CHIP and Medicaid Expansion CHIP", "value": "combo" }, - { - "label": "Other", - "value": "other" - } + { "label": "Other", "value": "other" } ] } }, @@ -8321,18 +7262,9 @@ "answer": { "entry": null, "options": [ - { - "label": "CAHPS 5.1", - "value": "CAHPS 5.1" - }, - { - "label": "CAHPS 5.1H", - "value": "CAHPS 5.1H" - }, - { - "label": "Other", - "value": "Other" - } + { "label": "CAHPS 5.1", "value": "CAHPS 5.1" }, + { "label": "CAHPS 5.1H", "value": "CAHPS 5.1H" }, + { "label": "Other", "value": "Other" } ] } }, @@ -8343,18 +7275,12 @@ "answer": { "entry": null, "options": [ - { - "label": "None", - "value": "None" - }, + { "label": "None", "value": "None" }, { "label": "Children with Chronic Conditions", "value": "Children with Chronic Conditions" }, - { - "label": "Other", - "value": "Other" - } + { "label": "Other", "value": "Other" } ] } }, @@ -8369,14 +7295,8 @@ "label": "NCQA HEDIS CAHPS 5.1H", "value": "NCQA HEDIS CAHPS 5.1H" }, - { - "label": "HRQ CAHPS", - "value": "HRQ CAHPS" - }, - { - "label": "Other", - "value": "Other" - } + { "label": "HRQ CAHPS", "value": "HRQ CAHPS" }, + { "label": "Other", "value": "Other" } ] } }, @@ -8384,9 +7304,7 @@ "id": "2023-03-h-02-06", "type": "text_multiline", "label": "Is there anything else you'd like to add about your CAHPS survey results?", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "context_data": { @@ -8458,10 +7376,7 @@ "label": "Sample size was too small (fewer than 30)", "value": "Sample size was too small (fewer than 30)" }, - { - "label": "Other", - "value": "other" - } + { "label": "Other", "value": "other" } ] } }, @@ -8469,9 +7384,7 @@ "id": "2023-03-h-03-02", "type": "text_multiline", "label": "Explain in more detail why you weren’t able to collect the CAHPS survey.", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "context_data": { @@ -8499,7 +7412,7 @@ "parts": [ { "id": "2023-03-i-01", - "title": "\u00A0", + "title": " ", "type": "part", "questions": [ { @@ -8510,14 +7423,8 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] } } @@ -8525,7 +7432,7 @@ }, { "id": "2023-03-i-02", - "title": "\u00A0", + "title": " ", "text": "Please answer the following questions for all of the state's approved HSIs as listed in section 2.2 of the CHIP state plan.", "type": "part", "questions": [ @@ -8543,9 +7450,7 @@ "id": "2023-03-i-02-01-01-01", "type": "text", "label": "What is the name of your HSI program?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-03-i-02-01-01-02", @@ -8554,14 +7459,8 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] } }, @@ -8587,9 +7486,7 @@ "id": "2023-03-i-02-01-01-03", "type": "text_multiline", "label": "Which populations does the HSI program serve?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -8608,9 +7505,7 @@ "id": "2023-03-i-02-01-01-04", "type": "integer", "label": "How many children do you estimate are being served by the HSI program?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -8623,15 +7518,14 @@ } } } - } + }, + "mask": "lessThanEleven" }, { "id": "2023-03-i-02-01-01-05", "type": "integer", "label": "How many children in the HSI program are below your state's FPL threshold? ", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -8644,7 +7538,8 @@ } } } - } + }, + "mask": "lessThanEleven" }, { "type": "fieldset", @@ -8694,9 +7589,7 @@ "id": "2023-03-i-02-01-01-06", "type": "text_multiline", "label": "How do you measure the HSI program’s impact on the health of low-income children in your state? Define a metric to measure the impact. ", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -8715,9 +7608,7 @@ "id": "2023-03-i-02-01-01-07", "type": "text_multiline", "label": "What outcomes have you found when measuring the impact?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -8736,9 +7627,7 @@ "id": "2023-03-i-02-01-01-08", "type": "text_multiline", "label": "Is there anything else you'd like to add about this HSI program?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -8757,9 +7646,7 @@ "id": "2023-03-i-02-01-01-09", "type": "file_upload", "label": "Optional: Attach any additional documents.", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -8859,9 +7746,7 @@ "hint": "For example: In an effort to reduce the number of uninsured children, our goal is to increase enrollment by 1.5% annually until the state achieves 90% enrollment of all eligible children in the CHIP program.", "type": "text_multiline", "label": "Briefly describe your goal.", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-04-a-01-01-01-02-01-02", @@ -8890,9 +7775,7 @@ "id": "2023-04-a-01-01-01-02-01-02-a", "type": "text_multiline", "label": "Why was this goal discontinued?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -8925,17 +7808,14 @@ "hint": "For example: The number of children enrolled in CHIP in the last federal fiscal year.", "type": "text_medium", "label": "Which population are you measuring in the numerator?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-04-a-01-01-01-02-01-04", "type": "integer", "label": "Numerator (total number)", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" } ] }, @@ -8948,17 +7828,14 @@ "hint": "For example: The total estimated number of children eligible for CHIP within the state in the last federal fiscal year.", "type": "text_medium", "label": "Which population are you measuring in the denominator?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-04-a-01-01-01-02-01-06", "type": "integer", "label": "Denominator (total number)", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" } ] }, @@ -9009,34 +7886,26 @@ "id": "2023-04-a-01-01-01-02-01-09", "type": "text_multiline", "label": "How did your progress towards your goal last year compare to your previous year’s progress?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-04-a-01-01-01-02-01-10", "type": "text_multiline", "label": "What are you doing to continually make progress towards your goal?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-04-a-01-01-01-02-01-11", "type": "text_multiline", "label": "Anything else you'd like to tell us about this goal?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-04-a-01-01-01-02-01-12", "hint": "Optional", "type": "file_upload", "label": "Do you have any supporting documentation?", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] } @@ -9054,9 +7923,7 @@ "hint": "You can edit the suggested objective so it matches what’s in your CHIP State Plan.", "type": "text_multiline", "label": "What is the next objective listed in your CHIP State Plan?", - "answer": { - "entry": "Increase access to care" - } + "answer": { "entry": "Increase access to care" } }, { "id": "2023-04-a-01-01-02-02", @@ -9071,9 +7938,7 @@ "hint": "For example: In an effort to increase access to care, our goal is to increase the number of children who have visited a primary care physician by 5% annually over the next five years (ending in 2029).", "type": "text_multiline", "label": "Briefly describe your goal as it relates to this objective.", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-04-a-01-01-02-02-01-02", @@ -9102,9 +7967,7 @@ "id": "2023-04-a-01-01-02-02-01-02-a", "type": "text_multiline", "label": "Why was this goal discontinued?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -9137,17 +8000,14 @@ "hint": "For example: The number of children of Hispanic ethnicity enrolled in CHIP who visited a primary care physician in the last federal fiscal year.", "type": "text_medium", "label": "Which population are you measuring in the numerator?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-04-a-01-01-02-02-01-04", "type": "integer", "label": "Numerator (total number)", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" } ] }, @@ -9160,17 +8020,14 @@ "hint": "For example: The total number of children enrolled in CHIP in the last federal fiscal year.", "type": "text_medium", "label": "Which population are you measuring in the denominator?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-04-a-01-01-02-02-01-06", "type": "integer", "label": "Denominator (total number)", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" } ] }, @@ -9221,34 +8078,26 @@ "id": "2023-04-a-01-01-02-02-01-09", "type": "text_multiline", "label": "How did your progress towards your goal last year compare to your previous year’s progress?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-04-a-01-01-02-02-01-10", "type": "text_multiline", "label": "What are you doing to continually make progress towards your goal?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-04-a-01-01-02-02-01-11", "type": "text_multiline", "label": "Anything else you'd like to tell us about this goal?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-04-a-01-01-02-02-01-12", "hint": "Optional", "type": "file_upload", "label": "Do you have any supporting documentation?", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] } @@ -9283,9 +8132,7 @@ "hint": "For example: In an effort to increase the use of preventive care in rural communities, our goal is to increase the number of rural children who receive one or more well child visits by 5% annually until relative utilization is equivalent to all other CHIP populations within the state.", "type": "text_multiline", "label": "Briefly describe your goal as it relates to this objective.", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-04-a-01-01-03-02-01-02", @@ -9314,9 +8161,7 @@ "id": "2023-04-a-01-01-03-02-01-02-a", "type": "text_multiline", "label": "Why was this goal discontinued?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -9349,17 +8194,14 @@ "hint": "For example: The number of rural children who received one or more well child visits in the last federal fiscal year.", "type": "text_medium", "label": "Which population are you measuring in the numerator?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-04-a-01-01-03-02-01-04", "type": "integer", "label": "Numerator (total number)", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" } ] }, @@ -9372,17 +8214,14 @@ "hint": "For example: The total number of rural children enrolled in CHIP.", "type": "text_medium", "label": "Which population are you measuring in the denominator?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-04-a-01-01-03-02-01-06", "type": "integer", "label": "Denominator (total number)", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" } ] }, @@ -9433,34 +8272,26 @@ "id": "2023-04-a-01-01-03-02-01-09", "type": "text_multiline", "label": "How did your progress towards your goal last year compare to your previous year’s progress?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-04-a-01-01-03-02-01-10", "type": "text_multiline", "label": "What are you doing to continually make progress towards your goal?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-04-a-01-01-03-02-01-11", "type": "text_multiline", "label": "Anything else you'd like to tell us about this goal?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-04-a-01-01-03-02-01-12", "hint": "Optional", "type": "file_upload", "label": "Do you have any supporting documentation?", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] } @@ -9477,9 +8308,7 @@ "id": "2023-04-a-01-01-04-01", "type": "text_multiline", "label": "What is the next objective listed in your CHIP State Plan?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-04-a-01-01-04-02", @@ -9493,9 +8322,7 @@ "id": "2023-04-a-01-01-04-02-01-01", "type": "text_multiline", "label": "Briefly describe your goal as it relates to this objective.", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-04-a-01-01-04-02-01-02", @@ -9524,9 +8351,7 @@ "id": "2023-04-a-01-01-04-02-01-02-a", "type": "text_multiline", "label": "Why was this goal discontinued?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -9559,17 +8384,14 @@ "hint": "For example: The number of children who received one or more well child visits in the last federal fiscal year.", "type": "text_medium", "label": "Which population are you measuring in the numerator?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-04-a-01-01-04-02-01-04", "type": "integer", "label": "Numerator (total number)", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" } ] }, @@ -9582,17 +8404,14 @@ "hint": "For example: The total number of children enrolled in CHIP.", "type": "text_medium", "label": "Which population are you measuring in the denominator?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-04-a-01-01-04-02-01-06", "type": "integer", "label": "Denominator (total number)", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" } ] }, @@ -9643,34 +8462,26 @@ "id": "2023-04-a-01-01-04-02-01-09", "type": "text_multiline", "label": "How did your progress towards your goal last year compare to your previous year’s progress?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-04-a-01-01-04-02-01-10", "type": "text_multiline", "label": "What are you doing to continually make progress towards your goal?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-04-a-01-01-04-02-01-11", "type": "text_multiline", "label": "Anything else you'd like to tell us about this goal?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-04-a-01-01-04-02-01-12", "hint": "Optional", "type": "file_upload", "label": "Do you have any supporting documentation?", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] } @@ -9687,9 +8498,7 @@ "id": "2023-04-a-01-01-05-01", "type": "text_multiline", "label": "What is the next objective listed in your CHIP State Plan?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-04-a-01-01-05-02", @@ -9703,9 +8512,7 @@ "id": "2023-04-a-01-01-05-02-01-01", "type": "text_multiline", "label": "Briefly describe your goal as it relates to this objective.", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-04-a-01-01-05-02-01-02", @@ -9734,9 +8541,7 @@ "id": "2023-04-a-01-01-05-02-01-02-a", "type": "text_multiline", "label": "Why was this goal discontinued?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -9768,17 +8573,14 @@ "id": "2023-04-a-01-01-05-02-01-03", "type": "text_medium", "label": "Which population are you measuring in the numerator?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-04-a-01-01-05-02-01-04", "type": "integer", "label": "Numerator (total number)", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" } ] }, @@ -9790,17 +8592,14 @@ "id": "2023-04-a-01-01-05-02-01-05", "type": "text_medium", "label": "Which population are you measuring in the denominator?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-04-a-01-01-05-02-01-06", "type": "integer", "label": "Denominator (total number)", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" } ] }, @@ -9851,34 +8650,26 @@ "id": "2023-04-a-01-01-05-02-01-09", "type": "text_multiline", "label": "How did your progress towards your goal last year compare to your previous year’s progress?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-04-a-01-01-05-02-01-10", "type": "text_multiline", "label": "What are you doing to continually make progress towards your goal?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-04-a-01-01-05-02-01-11", "type": "text_multiline", "label": "Anything else you'd like to tell us about this goal?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-04-a-01-01-05-02-01-12", "hint": "Optional", "type": "file_upload", "label": "Do you have any supporting documentation?", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] } @@ -9895,9 +8686,7 @@ "id": "2023-04-a-01-01-06-01", "type": "text_multiline", "label": "What is the next objective listed in your CHIP State Plan?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-04-a-01-01-06-02", @@ -9911,9 +8700,7 @@ "id": "2023-04-a-01-01-06-02-01-01", "type": "text_multiline", "label": "Briefly describe your goal as it relates to this objective.", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-04-a-01-01-06-02-01-02", @@ -9942,9 +8729,7 @@ "id": "2023-04-a-01-01-06-02-01-02-a", "type": "text_multiline", "label": "Why was this goal discontinued?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -9976,17 +8761,14 @@ "id": "2023-04-a-01-01-06-02-01-03", "type": "text_medium", "label": "Which population are you measuring in the numerator?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-04-a-01-01-06-02-01-04", "type": "integer", "label": "Numerator (total number)", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" } ] }, @@ -9999,17 +8781,14 @@ "hint": "For example: The total number of eligible children in the last federal fiscal year.", "type": "text_medium", "label": "Which population are you measuring in the denominator?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-04-a-01-01-06-02-01-06", "type": "integer", "label": "Denominator (total number)", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" } ] }, @@ -10060,34 +8839,26 @@ "id": "2023-04-a-01-01-06-02-01-09", "type": "text_multiline", "label": "How did your progress towards your goal last year compare to your previous year’s progress?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-04-a-01-01-06-02-01-10", "type": "text_multiline", "label": "What are you doing to continually make progress towards your goal?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-04-a-01-01-06-02-01-11", "type": "text_multiline", "label": "Anything else you'd like to tell us about this goal?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-04-a-01-01-06-02-01-12", "hint": "Optional", "type": "file_upload", "label": "Do you have any supporting documentation?", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] } @@ -10109,34 +8880,26 @@ "id": "2023-04-a-02-01", "type": "text_multiline", "label": "Do you have other strategies for measuring and reporting on your performance goals? What are these strategies, and what information have you found through this research?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-04-a-02-02", "type": "text_multiline", "label": "Do you plan to add new strategies for measuring and reporting on your goals and objectives? What do you plan to do, and when will these data become available?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-04-a-02-03", "type": "text_multiline", "label": "Have you conducted any focused studies on your CHIP population? (For example: studies on adolescents, attention deficit disorder, substance use, behavioral health services access, health care disparities, special health care needs, or other emerging health care needs.) What have you discovered through this research?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-04-a-02-04", "hint": "For example: studies, analyses, or any other documents that address your performance goals.", "type": "file_upload", "label": "Optional: Attach any additional documents here.", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] } @@ -10182,34 +8945,26 @@ "id": "2023-05-a-01-01-a", "type": "money", "label": "2023", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "comment": "This is the first real question so far in this part…" }, { "id": "2023-05-a-01-01-b", "type": "money", "label": "2024", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-05-a-01-01-c", "type": "money", "label": "2025", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2023-05-a-01-01" - }, + "fieldset_info": { "id": "2023-05-a-01-01" }, "fieldset_type": "marked" }, { @@ -10223,34 +8978,26 @@ "id": "2023-05-a-01-02-a", "type": "money", "label": "2023", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "comment": "This is the first real question so far in this part…" }, { "id": "2023-05-a-01-02-b", "type": "money", "label": "2024", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-05-a-01-02-c", "type": "money", "label": "2025", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2023-05-a-01-02" - }, + "fieldset_info": { "id": "2023-05-a-01-02" }, "fieldset_type": "marked" }, { @@ -10264,34 +9011,26 @@ "id": "2023-05-a-01-03-a", "type": "money", "label": "2023", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "comment": "This is the first real question so far in this part…" }, { "id": "2023-05-a-01-03-b", "type": "money", "label": "2024", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-05-a-01-03-c", "type": "money", "label": "2025", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2023-05-a-01-03" - }, + "fieldset_info": { "id": "2023-05-a-01-03" }, "fieldset_type": "marked" }, { @@ -10305,34 +9044,26 @@ "id": "2023-05-a-01-04-a", "type": "money", "label": "2023", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "comment": "This is the first real question so far in this part…" }, { "id": "2023-05-a-01-04-b", "type": "money", "label": "2024", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-05-a-01-04-c", "type": "money", "label": "2025", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2023-05-a-01-04" - }, + "fieldset_info": { "id": "2023-05-a-01-04" }, "fieldset_type": "marked" }, { @@ -10343,9 +9074,7 @@ "fieldset_info": { "rows": [ [ - { - "contents": "Managed Care" - }, + { "contents": "Managed Care" }, { "actions": ["identity"], "targets": [ @@ -10366,9 +9095,7 @@ } ], [ - { - "contents": "Fee for Service" - }, + { "contents": "Fee for Service" }, { "actions": ["identity"], "targets": [ @@ -10389,9 +9116,7 @@ } ], [ - { - "contents": "Other benefit costs" - }, + { "contents": "Other benefit costs" }, { "actions": ["identity"], "targets": [ @@ -10435,9 +9160,7 @@ } ], [ - { - "contents": "Total benefit costs" - }, + { "contents": "Total benefit costs" }, { "actions": ["formula"], "formula": "<0> + <1> + <2> - <3>", @@ -10474,18 +9197,10 @@ ] ], "headers": [ - { - "contents": "" - }, - { - "contents": "FFY 2023" - }, - { - "contents": "FFY 2024" - }, - { - "contents": "FFY 2025" - } + { "contents": "" }, + { "contents": "FFY 2023" }, + { "contents": "FFY 2024" }, + { "contents": "FFY 2025" } ] }, "fieldset_type": "synthesized_table" @@ -10509,34 +9224,26 @@ "id": "2023-05-a-02-01-a", "type": "money", "label": "2023", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "comment": "This is the first real question so far in this part…" }, { "id": "2023-05-a-02-01-b", "type": "money", "label": "2024", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-05-a-02-01-c", "type": "money", "label": "2025", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2023-05-a-02-01" - }, + "fieldset_info": { "id": "2023-05-a-02-01" }, "fieldset_type": "marked" }, { @@ -10550,34 +9257,26 @@ "id": "2023-05-a-02-02-a", "type": "money", "label": "2023", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "comment": "This is the first real question so far in this part…" }, { "id": "2023-05-a-02-02-b", "type": "money", "label": "2024", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-05-a-02-02-c", "type": "money", "label": "2025", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2023-05-a-02-02" - }, + "fieldset_info": { "id": "2023-05-a-02-02" }, "fieldset_type": "marked" }, { @@ -10591,34 +9290,26 @@ "id": "2023-05-a-02-03-a", "type": "money", "label": "2023", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "comment": "This is the first real question so far in this part…" }, { "id": "2023-05-a-02-03-b", "type": "money", "label": "2024", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-05-a-02-03-c", "type": "money", "label": "2025", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2023-05-a-02-03" - }, + "fieldset_info": { "id": "2023-05-a-02-03" }, "fieldset_type": "marked" }, { @@ -10632,34 +9323,26 @@ "id": "2023-05-a-02-04-a", "type": "money", "label": "2023", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "comment": "This is the first real question so far in this part…" }, { "id": "2023-05-a-02-04-b", "type": "money", "label": "2024", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-05-a-02-04-c", "type": "money", "label": "2025", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2023-05-a-02-04" - }, + "fieldset_info": { "id": "2023-05-a-02-04" }, "fieldset_type": "marked" }, { @@ -10673,34 +9356,26 @@ "id": "2023-05-a-02-05-a", "type": "money", "label": "2023", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "comment": "This is the first real question so far in this part…" }, { "id": "2023-05-a-02-05-b", "type": "money", "label": "2024", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-05-a-02-05-c", "type": "money", "label": "2025", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2023-05-a-02-05" - }, + "fieldset_info": { "id": "2023-05-a-02-05" }, "fieldset_type": "marked" }, { @@ -10714,34 +9389,26 @@ "id": "2023-05-a-02-06-a", "type": "money", "label": "2023", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "comment": "This is the first real question so far in this part…" }, { "id": "2023-05-a-02-06-b", "type": "money", "label": "2024", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-05-a-02-06-c", "type": "money", "label": "2025", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2023-05-a-02-06" - }, + "fieldset_info": { "id": "2023-05-a-02-06" }, "fieldset_type": "marked" }, { @@ -10755,34 +9422,26 @@ "id": "2023-05-a-02-07-a", "type": "money", "label": "2023", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "comment": "This is the first real question so far in this part…" }, { "id": "2023-05-a-02-07-b", "type": "money", "label": "2024", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-05-a-02-07-c", "type": "money", "label": "2025", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2023-05-a-02-07" - }, + "fieldset_info": { "id": "2023-05-a-02-07" }, "fieldset_type": "marked" }, { @@ -10793,9 +9452,7 @@ "fieldset_info": { "rows": [ [ - { - "contents": "Personnel" - }, + { "contents": "Personnel" }, { "actions": ["identity"], "targets": [ @@ -10816,9 +9473,7 @@ } ], [ - { - "contents": "General administration" - }, + { "contents": "General administration" }, { "actions": ["identity"], "targets": [ @@ -10839,9 +9494,7 @@ } ], [ - { - "contents": "Contractors and brokers" - }, + { "contents": "Contractors and brokers" }, { "actions": ["identity"], "targets": [ @@ -10862,9 +9515,7 @@ } ], [ - { - "contents": "Claims processing" - }, + { "contents": "Claims processing" }, { "actions": ["identity"], "targets": [ @@ -10885,9 +9536,7 @@ } ], [ - { - "contents": "Outreach and marketing" - }, + { "contents": "Outreach and marketing" }, { "actions": ["identity"], "targets": [ @@ -10908,9 +9557,7 @@ } ], [ - { - "contents": "Health Services Initiatives (HSI)" - }, + { "contents": "Health Services Initiatives (HSI)" }, { "actions": ["identity"], "targets": [ @@ -10931,9 +9578,7 @@ } ], [ - { - "contents": "Other administrative costs" - }, + { "contents": "Other administrative costs" }, { "actions": ["identity"], "targets": [ @@ -10954,9 +9599,7 @@ } ], [ - { - "contents": "Total administrative costs" - }, + { "contents": "Total administrative costs" }, { "actions": ["sum"], "targets": [ @@ -10995,9 +9638,7 @@ } ], [ - { - "contents": "10% administrative cap" - }, + { "contents": "10% administrative cap" }, { "actions": ["formula"], "formula": "(<0> + <1> + <2> - <3>) / 9", @@ -11034,18 +9675,10 @@ ] ], "headers": [ - { - "contents": "" - }, - { - "contents": "FFY 2023" - }, - { - "contents": "FFY 2024" - }, - { - "contents": "FFY 2025" - } + { "contents": "" }, + { "contents": "FFY 2023" }, + { "contents": "FFY 2024" }, + { "contents": "FFY 2025" } ] }, "fieldset_type": "synthesized_table" @@ -11058,9 +9691,7 @@ "fieldset_info": { "rows": [ [ - { - "contents": "Total program costs " - }, + { "contents": "Total program costs " }, { "actions": ["formula"], "formula": "<0> + <1> + <2> - <3> + <4> + <5> + <6> + <7> + <8> + <9> + <10>", @@ -11117,48 +9748,30 @@ } ], [ - { - "contents": "eFMAP" - }, + { "contents": "eFMAP" }, { "actions": ["identity"], - "targets": [ - { - "lookupFmapFy": "2023" - } - ], + "targets": [{ "lookupFmapFy": "2023" }], "$comment": "This should pull the FMAP data from the API for this state and plug it in (FY23)" }, { "actions": ["identity"], - "targets": [ - { - "lookupFmapFy": "2024" - } - ], + "targets": [{ "lookupFmapFy": "2024" }], "$comment": "This should pull the FMAP data from the API for this state and plug it in (FY24)" }, { "actions": ["identity"], - "targets": [ - { - "lookupFmapFy": "2025" - } - ], + "targets": [{ "lookupFmapFy": "2025" }], "$comment": "This should pull the FMAP data from the API for this state and plug it in (FY25)" } ], [ - { - "contents": "Federal share" - }, + { "contents": "Federal share" }, { "actions": ["formula"], "formula": "(<0> / 100) * (<1> + <2> + <3> - <4> + <5> + <6> + <7> + <8> + <9> + <10> + <11>)", "targets": [ - { - "lookupFmapFy": "2023" - }, + { "lookupFmapFy": "2023" }, "$..*[?(@ && @.id=='2023-05-a-01-01-a')].answer.entry", "$..*[?(@ && @.id=='2023-05-a-01-02-a')].answer.entry", "$..*[?(@ && @.id=='2023-05-a-01-03-a')].answer.entry", @@ -11177,9 +9790,7 @@ "actions": ["formula"], "formula": "(<0> / 100) * (<1> + <2> + <3> - <4> + <5> + <6> + <7> + <8> + <9> + <10> + <11>)", "targets": [ - { - "lookupFmapFy": "2024" - }, + { "lookupFmapFy": "2024" }, "$..*[?(@ && @.id=='2023-05-a-01-01-b')].answer.entry", "$..*[?(@ && @.id=='2023-05-a-01-02-b')].answer.entry", "$..*[?(@ && @.id=='2023-05-a-01-03-b')].answer.entry", @@ -11198,9 +9809,7 @@ "actions": ["formula"], "formula": "(<0> / 100) * (<1> + <2> + <3> - <4> + <5> + <6> + <7> + <8> + <9> + <10> + <11>)", "targets": [ - { - "lookupFmapFy": "2025" - }, + { "lookupFmapFy": "2025" }, "$..*[?(@ && @.id=='2023-05-a-01-01-c')].answer.entry", "$..*[?(@ && @.id=='2023-05-a-01-02-c')].answer.entry", "$..*[?(@ && @.id=='2023-05-a-01-03-c')].answer.entry", @@ -11217,9 +9826,7 @@ } ], [ - { - "contents": "State share" - }, + { "contents": "State share" }, { "actions": ["formula"], "formula": "<0> + <1> + <2> - <3> + <4> + <5> + <6> + <7> + <8> + <9> + <10> - ((<11> / 100) * (<12> + <13> + <14> - <15> + <16> + <17> + <18> + <19> + <20> + <21> + <22>))", @@ -11235,9 +9842,7 @@ "$..*[?(@ && @.id=='2023-05-a-02-05-a')].answer.entry", "$..*[?(@ && @.id=='2023-05-a-02-06-a')].answer.entry", "$..*[?(@ && @.id=='2023-05-a-02-07-a')].answer.entry", - { - "lookupFmapFy": "2023" - }, + { "lookupFmapFy": "2023" }, "$..*[?(@ && @.id=='2023-05-a-01-01-a')].answer.entry", "$..*[?(@ && @.id=='2023-05-a-01-02-a')].answer.entry", "$..*[?(@ && @.id=='2023-05-a-01-03-a')].answer.entry", @@ -11267,9 +9872,7 @@ "$..*[?(@ && @.id=='2023-05-a-02-05-b')].answer.entry", "$..*[?(@ && @.id=='2023-05-a-02-06-b')].answer.entry", "$..*[?(@ && @.id=='2023-05-a-02-07-b')].answer.entry", - { - "lookupFmapFy": "2024" - }, + { "lookupFmapFy": "2024" }, "$..*[?(@ && @.id=='2023-05-a-01-01-b')].answer.entry", "$..*[?(@ && @.id=='2023-05-a-01-02-b')].answer.entry", "$..*[?(@ && @.id=='2023-05-a-01-03-b')].answer.entry", @@ -11299,9 +9902,7 @@ "$..*[?(@ && @.id=='2023-05-a-02-05-c')].answer.entry", "$..*[?(@ && @.id=='2023-05-a-02-06-c')].answer.entry", "$..*[?(@ && @.id=='2023-05-a-02-07-c')].answer.entry", - { - "lookupFmapFy": "2025" - }, + { "lookupFmapFy": "2025" }, "$..*[?(@ && @.id=='2023-05-a-01-01-c')].answer.entry", "$..*[?(@ && @.id=='2023-05-a-01-02-c')].answer.entry", "$..*[?(@ && @.id=='2023-05-a-01-03-c')].answer.entry", @@ -11319,18 +9920,10 @@ ] ], "headers": [ - { - "contents": "" - }, - { - "contents": "FFY 2023" - }, - { - "contents": "FFY 2024" - }, - { - "contents": "FFY 2025" - } + { "contents": "" }, + { "contents": "FFY 2023" }, + { "contents": "FFY 2024" }, + { "contents": "FFY 2025" } ] }, "fieldset_type": "synthesized_table" @@ -11367,10 +9960,7 @@ "label": "Tobacco settlement", "value": "tobacco settlement" }, - { - "label": "Other", - "value": "other" - } + { "label": "Other", "value": "other" } ] }, "questions": [ @@ -11378,9 +9968,7 @@ "id": "2023-05-a-02-08-a", "type": "text", "label": "What other type of funding did you receive?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -11404,14 +9992,8 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "questions": [ @@ -11419,9 +10001,7 @@ "id": "2023-05-a-02-09-a", "type": "text_multiline", "label": "Briefly explain why your state didn’t have enough federal funding to cover your CHIP program costs.", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -11457,34 +10037,29 @@ "id": "2023-05-a-03-01-a", "type": "integer", "label": "2023", - "answer": { - "entry": null - }, - "comment": "This is the first real question so far in this part…" + "answer": { "entry": null }, + "comment": "This is the first real question so far in this part…", + "mask": "lessThanEleven" }, { "id": "2023-05-a-03-01-b", "type": "integer", "label": "2024", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-05-a-03-01-c", "type": "integer", "label": "2025", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" } ], "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2023-05-a-03-01" - }, + "fieldset_info": { "id": "2023-05-a-03-01" }, "fieldset_type": "marked" }, { @@ -11499,34 +10074,26 @@ "id": "2023-05-a-03-02-a", "type": "money", "label": "2023", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "comment": "This is the first real question so far in this part…" }, { "id": "2023-05-a-03-02-b", "type": "money", "label": "2024", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-05-a-03-02-c", "type": "money", "label": "2025", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2023-05-a-03-02" - }, + "fieldset_info": { "id": "2023-05-a-03-02" }, "fieldset_type": "marked" }, { @@ -11535,9 +10102,7 @@ "fieldset_info": { "rows": [ [ - { - "contents": "Eligible children" - }, + { "contents": "Eligible children" }, { "actions": ["identity"], "targets": [ @@ -11558,9 +10123,7 @@ } ], [ - { - "contents": "PMPM cost" - }, + { "contents": "PMPM cost" }, { "actions": ["identity"], "targets": [ @@ -11582,18 +10145,10 @@ ] ], "headers": [ - { - "contents": "" - }, - { - "contents": "FFY 2023" - }, - { - "contents": "FFY 2024" - }, - { - "contents": "FFY 2025" - } + { "contents": "" }, + { "contents": "FFY 2023" }, + { "contents": "FFY 2024" }, + { "contents": "FFY 2025" } ] }, "fieldset_type": "synthesized_table" @@ -11617,34 +10172,29 @@ "id": "2023-05-a-04-01-a", "type": "integer", "label": "2023", - "answer": { - "entry": null - }, - "comment": "This is the first real question so far in this part…" + "answer": { "entry": null }, + "comment": "This is the first real question so far in this part…", + "mask": "lessThanEleven" }, { "id": "2023-05-a-04-01-b", "type": "integer", "label": "2024", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" }, { "id": "2023-05-a-04-01-c", "type": "integer", "label": "2025", - "answer": { - "entry": null - } + "answer": { "entry": null }, + "mask": "lessThanEleven" } ], "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2023-05-a-04-01" - }, + "fieldset_info": { "id": "2023-05-a-04-01" }, "fieldset_type": "marked" }, { @@ -11659,34 +10209,26 @@ "id": "2023-05-a-04-02-a", "type": "money", "label": "2023", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "comment": "This is the first real question so far in this part…" }, { "id": "2023-05-a-04-02-b", "type": "money", "label": "2024", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-05-a-04-02-c", "type": "money", "label": "2025", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2023-05-a-04-02" - }, + "fieldset_info": { "id": "2023-05-a-04-02" }, "fieldset_type": "marked" }, { @@ -11695,9 +10237,7 @@ "fieldset_info": { "rows": [ [ - { - "contents": "Eligible children" - }, + { "contents": "Eligible children" }, { "actions": ["identity"], "targets": [ @@ -11718,9 +10258,7 @@ } ], [ - { - "contents": "PMPM cost" - }, + { "contents": "PMPM cost" }, { "actions": ["identity"], "targets": [ @@ -11742,18 +10280,10 @@ ] ], "headers": [ - { - "contents": "" - }, - { - "contents": "FFY 2023" - }, - { - "contents": "FFY 2024" - }, - { - "contents": "FFY 2025" - } + { "contents": "" }, + { "contents": "FFY 2023" }, + { "contents": "FFY 2024" }, + { "contents": "FFY 2025" } ] }, "fieldset_type": "synthesized_table" @@ -11768,17 +10298,13 @@ "id": "2023-05-a-05-01", "type": "text_multiline", "label": "Is there anything else you’d like to add about your program finances that wasn’t already covered?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-05-a-05-02", "type": "file_upload", "label": "Optional: Attach any additional documents here.", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] } @@ -11815,49 +10341,37 @@ "id": "2023-06-a-01-01", "type": "text_multiline", "label": "How has your state’s political and fiscal environment affected your ability to provide healthcare to low-income children and families?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-06-a-01-02", "type": "text_multiline", "label": "What’s the greatest challenge your CHIP program has faced in FFY 2023?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-06-a-01-03", "type": "text_multiline", "label": "What are some of the greatest accomplishments your CHIP program has experienced in FFY 2023?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-06-a-01-04", "type": "text_multiline", "label": "What changes have you made to your CHIP program in FFY 2023 or plan to make in FFY 2024? Why have you decided to make these changes?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-06-a-01-05", "type": "text_multiline", "label": "Is there anything else you’d like to add about your state’s challenges and accomplishments?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2023-06-a-01-06", "type": "file_upload", "label": "Optional: Attach any additional documents here.", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] } @@ -11938,42 +10452,32 @@ "id": "2022-00-a-01-04", "label": "Contact name:", "type": "text", - "answer": { - "entry": "Haley Gov" - } + "answer": { "entry": "Haley Gov" } }, { "id": "2022-00-a-01-05", "label": "Job title:", "type": "text", - "answer": { - "entry": "Lead" - } + "answer": { "entry": "Lead" } }, { "id": "2022-00-a-01-06", "label": "Email:", "type": "email", - "answer": { - "entry": "haley@cms.gov" - } + "answer": { "entry": "haley@cms.gov" } }, { "id": "2022-00-a-01-07", "label": "Full mailing address:", "type": "mailing_address", - "answer": { - "entry": "address here" - }, + "answer": { "entry": "address here" }, "hint": "Include city, state, and zip code." }, { "id": "2022-00-a-01-08", "label": "Phone number:", "type": "phone_number", - "answer": { - "entry": "8004659988" - } + "answer": { "entry": "8004659988" } }, { "questions": [], @@ -12036,9 +10540,7 @@ "id": "2022-01-a-01-01-a", "label": "How much is your enrollment fee?", "type": "money", - "answer": { - "entry": "25" - } + "answer": { "entry": "25" } } ], "id": "2022-01-a-01-01", @@ -12046,14 +10548,8 @@ "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" } ], "entry": "yes" } @@ -12069,14 +10565,8 @@ "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" } ], "entry": "no" } @@ -12127,9 +10617,7 @@ "id": "2022-01-a-01-02-c", "label": "How much is the premium for one child?", "type": "money", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "context_data": { @@ -12153,14 +10641,8 @@ "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" } ], "entry": "no" } @@ -12214,9 +10696,7 @@ "id": "2022-01-a-01-03-b", "label": "What's the maximum premium a family would be charged each year?", "type": "money", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } } ], "id": "2022-01-a-01-03", @@ -12224,14 +10704,8 @@ "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" } ], "entry": "no" } @@ -12240,9 +10714,7 @@ "id": "2022-01-a-01-04", "label": "Do premiums differ for different Medicaid Expansion CHIP populations beyond FPL (for example, by eligibility group)? If so, briefly explain the fee structure breakdown.", "type": "text_multiline", - "answer": { - "entry": "no" - } + "answer": { "entry": "no" } }, { "id": "2022-01-a-01-05", @@ -12250,18 +10722,12 @@ "type": "checkbox", "answer": { "options": [ - { - "value": "mco", - "label": "Managed Care" - }, + { "value": "mco", "label": "Managed Care" }, { "value": "pccm", "label": "Primary Care Case Management" }, - { - "value": "ffs", - "label": "Fee for Service" - } + { "value": "ffs", "label": "Fee for Service" } ], "entry": [null, "mco"] }, @@ -12271,9 +10737,7 @@ "id": "2022-01-a-01-06", "label": "Which delivery system(s) are available to which Medicaid Expansion CHIP populations? Indicate whether eligibility status, income level, age range, or other criteria determine which delivery system a population receives.", "type": "text_multiline", - "answer": { - "entry": "info here" - } + "answer": { "entry": "info here" } } ], "context_data": { @@ -12308,9 +10772,7 @@ "id": "2022-01-a-02-01-a", "label": "How much is your enrollment fee?", "type": "money", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } } ], "id": "2022-01-a-02-01", @@ -12318,14 +10780,8 @@ "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" } ], "entry": "yes" } @@ -12341,14 +10797,8 @@ "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" } ], "entry": "no" } @@ -12399,9 +10849,7 @@ "id": "2022-01-a-02-02-c", "label": "How much is the premium for one child?", "type": "money", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } } ], "context_data": { @@ -12425,14 +10873,8 @@ "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" } ], "entry": "yes" } @@ -12486,9 +10928,7 @@ "id": "2022-01-a-02-03-b", "label": "What's the maximum premium fee a family would be charged each year?", "type": "money", - "answer": { - "entry": "6" - } + "answer": { "entry": "6" } } ], "id": "2022-01-a-02-03", @@ -12496,14 +10936,8 @@ "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" } ], "entry": "no" } @@ -12512,9 +10946,7 @@ "id": "2022-01-a-02-04", "label": "Do your premiums differ for different CHIP populations beyond FPL (for example, by eligibility group)? If so, briefly explain the fee structure breakdown.", "type": "text_multiline", - "answer": { - "entry": "no" - } + "answer": { "entry": "no" } }, { "id": "2022-01-a-02-05", @@ -12522,18 +10954,12 @@ "type": "checkbox", "answer": { "options": [ - { - "value": "mco", - "label": "Managed Care" - }, + { "value": "mco", "label": "Managed Care" }, { "value": "pccm", "label": "Primary Care Case Management" }, - { - "value": "ffs", - "label": "Fee for Service" - } + { "value": "ffs", "label": "Fee for Service" } ], "entry": [null, "mco"] }, @@ -12543,9 +10969,7 @@ "id": "2022-01-a-02-06", "label": "Which delivery system(s) are available to which CHIP populations? Indicate whether eligibility status, income level, age range, or other criteria determine which delivery system a population receives.", "type": "text_multiline", - "answer": { - "entry": "no" - } + "answer": { "entry": "no" } } ], "context_data": { @@ -12567,18 +10991,9 @@ "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - }, - { - "value": "n/a", - "label": "N/A" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" }, + { "value": "n/a", "label": "N/A" } ], "entry": "n/a" } @@ -12592,18 +11007,9 @@ "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - }, - { - "value": "n/a", - "label": "N/A" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" }, + { "value": "n/a", "label": "N/A" } ], "entry": "n/a" } @@ -12617,18 +11023,9 @@ "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - }, - { - "value": "n/a", - "label": "N/A" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" }, + { "value": "n/a", "label": "N/A" } ], "entry": "n/a" }, @@ -12643,18 +11040,9 @@ "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - }, - { - "value": "n/a", - "label": "N/A" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" }, + { "value": "n/a", "label": "N/A" } ], "entry": "n/a" }, @@ -12669,95 +11057,53 @@ "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - }, - { - "value": "n/a", - "label": "N/A" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" }, + { "value": "n/a", "label": "N/A" } ], "entry": "n/a" } }, { - "context_data": { - "bullet_text": "Outreach efforts" - }, + "context_data": { "bullet_text": "Outreach efforts" }, "id": "2022-01-a-03-06", "label": "Have you made any changes to your outreach efforts?", "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - }, - { - "value": "n/a", - "label": "N/A" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" }, + { "value": "n/a", "label": "N/A" } ], "entry": "n/a" }, "hint": "For example: allotting more or less funding for outreach, or changing your target population." }, { - "context_data": { - "bullet_text": "Delivery system(s)" - }, + "context_data": { "bullet_text": "Delivery system(s)" }, "id": "2022-01-a-03-07", "label": "Have you made any changes to the delivery system(s)?", "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - }, - { - "value": "n/a", - "label": "N/A" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" }, + { "value": "n/a", "label": "N/A" } ], "entry": "n/a" }, "hint": "For example: transitioning from Fee for Service to Managed Care for different Medicaid Expansion CHIP populations." }, { - "context_data": { - "bullet_text": "Cost sharing" - }, + "context_data": { "bullet_text": "Cost sharing" }, "id": "2022-01-a-03-08", "label": "Have you made any changes to your cost sharing requirements?", "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - }, - { - "value": "n/a", - "label": "N/A" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" }, + { "value": "n/a", "label": "N/A" } ], "entry": "n/a" }, @@ -12772,18 +11118,9 @@ "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - }, - { - "value": "n/a", - "label": "N/A" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" }, + { "value": "n/a", "label": "N/A" } ], "entry": "n/a" }, @@ -12798,18 +11135,9 @@ "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - }, - { - "value": "n/a", - "label": "N/A" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" }, + { "value": "n/a", "label": "N/A" } ], "entry": "n/a" } @@ -12823,44 +11151,24 @@ "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - }, - { - "value": "n/a", - "label": "N/A" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" }, + { "value": "n/a", "label": "N/A" } ], "entry": "n/a" }, "hint": "For example: changing from the Medicaid Fair Hearing process to the review process used by all health insurance issuers statewide." }, { - "context_data": { - "bullet_text": "Premium assistance" - }, + "context_data": { "bullet_text": "Premium assistance" }, "id": "2022-01-a-03-12", "label": "Have you made any changes to premium assistance?", "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - }, - { - "value": "n/a", - "label": "N/A" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" }, + { "value": "n/a", "label": "N/A" } ], "entry": "n/a" }, @@ -12875,18 +11183,9 @@ "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - }, - { - "value": "n/a", - "label": "N/A" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" }, + { "value": "n/a", "label": "N/A" } ], "entry": "no" } @@ -12900,18 +11199,9 @@ "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - }, - { - "value": "n/a", - "label": "N/A" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" }, + { "value": "n/a", "label": "N/A" } ], "entry": "no" } @@ -12925,43 +11215,23 @@ "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - }, - { - "value": "n/a", - "label": "N/A" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" }, + { "value": "n/a", "label": "N/A" } ], "entry": "no" } }, { - "context_data": { - "bullet_text": "Other program areas" - }, + "context_data": { "bullet_text": "Other program areas" }, "id": "2022-01-a-03-16", "label": "Have you made changes to any other policy or program areas?", "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - }, - { - "value": "n/a", - "label": "N/A" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" }, + { "value": "n/a", "label": "N/A" } ], "entry": "yes" } @@ -12973,9 +11243,7 @@ "id": "2022-01-a-03-17", "label": "Briefly describe why you made these changes to your Medicaid Expansion CHIP program.", "type": "text_multiline", - "answer": { - "entry": "test" - } + "answer": { "entry": "test" } }, { "id": "2022-01-a-03-18", @@ -12983,18 +11251,9 @@ "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - }, - { - "value": "n/a", - "label": "N/A" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" }, + { "value": "n/a", "label": "N/A" } ], "entry": "no" } @@ -13056,18 +11315,9 @@ "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - }, - { - "value": "n/a", - "label": "N/A" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" }, + { "value": "n/a", "label": "N/A" } ], "entry": "no" } @@ -13081,18 +11331,9 @@ "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - }, - { - "value": "n/a", - "label": "N/A" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" }, + { "value": "n/a", "label": "N/A" } ], "entry": "no" } @@ -13106,18 +11347,9 @@ "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - }, - { - "value": "n/a", - "label": "N/A" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" }, + { "value": "n/a", "label": "N/A" } ], "entry": "no" }, @@ -13132,18 +11364,9 @@ "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - }, - { - "value": "n/a", - "label": "N/A" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" }, + { "value": "n/a", "label": "N/A" } ], "entry": "no" }, @@ -13158,121 +11381,68 @@ "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - }, - { - "value": "n/a", - "label": "N/A" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" }, + { "value": "n/a", "label": "N/A" } ], "entry": "no" } }, { - "context_data": { - "bullet_text": "Outreach efforts" - }, + "context_data": { "bullet_text": "Outreach efforts" }, "id": "2022-01-a-04-06", "label": "Have you made any changes to your outreach efforts?", "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - }, - { - "value": "n/a", - "label": "N/A" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" }, + { "value": "n/a", "label": "N/A" } ], "entry": "no" }, "hint": "For example: allotting more or less funding for outreach, or changing your target population." }, { - "context_data": { - "bullet_text": "Delivery system(s)" - }, + "context_data": { "bullet_text": "Delivery system(s)" }, "id": "2022-01-a-04-07", "label": "Have you made any changes to the delivery system(s)?", "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - }, - { - "value": "n/a", - "label": "N/A" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" }, + { "value": "n/a", "label": "N/A" } ], "entry": "no" }, "hint": "For example: transitioning from Fee for Service to Managed Care for different Separate CHIP populations." }, { - "context_data": { - "bullet_text": "Cost sharing" - }, + "context_data": { "bullet_text": "Cost sharing" }, "id": "2022-01-a-04-08", "label": "Have you made any changes to your cost sharing requirements?", "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - }, - { - "value": "n/a", - "label": "N/A" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" }, + { "value": "n/a", "label": "N/A" } ], "entry": "no" }, "hint": "For example: changing amounts, populations, or the collection process." }, { - "context_data": { - "bullet_text": "Crowd-out policies" - }, + "context_data": { "bullet_text": "Crowd-out policies" }, "id": "2022-01-a-04-09", "label": "Have you made any changes to substitution of coverage policies?", "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - }, - { - "value": "n/a", - "label": "N/A" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" }, + { "value": "n/a", "label": "N/A" } ], "entry": "no" }, @@ -13287,18 +11457,9 @@ "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - }, - { - "value": "n/a", - "label": "N/A" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" }, + { "value": "n/a", "label": "N/A" } ], "entry": "n/a" } @@ -13312,18 +11473,9 @@ "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - }, - { - "value": "n/a", - "label": "N/A" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" }, + { "value": "n/a", "label": "N/A" } ], "entry": "yes" } @@ -13337,44 +11489,24 @@ "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - }, - { - "value": "n/a", - "label": "N/A" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" }, + { "value": "n/a", "label": "N/A" } ], "entry": "n/a" }, "hint": "For example: changing from the Medicaid Fair Hearing process to the review process used by all health insurance issuers statewide." }, { - "context_data": { - "bullet_text": "Premium assistance" - }, + "context_data": { "bullet_text": "Premium assistance" }, "id": "2022-01-a-04-13", "label": "Have you made any changes to premium assistance?", "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - }, - { - "value": "n/a", - "label": "N/A" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" }, + { "value": "n/a", "label": "N/A" } ], "entry": "no" }, @@ -13389,18 +11521,9 @@ "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - }, - { - "value": "n/a", - "label": "N/A" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" }, + { "value": "n/a", "label": "N/A" } ], "entry": "n/a" } @@ -13414,18 +11537,9 @@ "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - }, - { - "value": "n/a", - "label": "N/A" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" }, + { "value": "n/a", "label": "N/A" } ], "entry": "yes" }, @@ -13440,18 +11554,9 @@ "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - }, - { - "value": "n/a", - "label": "N/A" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" }, + { "value": "n/a", "label": "N/A" } ], "entry": "n/a" }, @@ -13466,18 +11571,9 @@ "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - }, - { - "value": "n/a", - "label": "N/A" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" }, + { "value": "n/a", "label": "N/A" } ], "entry": "n/a" } @@ -13491,43 +11587,23 @@ "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - }, - { - "value": "n/a", - "label": "N/A" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" }, + { "value": "n/a", "label": "N/A" } ], "entry": "no" } }, { - "context_data": { - "bullet_text": "Other program areas" - }, + "context_data": { "bullet_text": "Other program areas" }, "id": "2022-01-a-04-19", "label": "Have you made changes to any other policy or program areas?", "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - }, - { - "value": "n/a", - "label": "N/A" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" }, + { "value": "n/a", "label": "N/A" } ], "entry": "no" } @@ -13539,9 +11615,7 @@ "id": "2022-01-a-04-20", "label": "Briefly describe why you made these changes to your Separate CHIP program.", "type": "text_multiline", - "answer": { - "entry": "test" - } + "answer": { "entry": "test" } }, { "id": "2022-01-a-04-21", @@ -13549,14 +11623,8 @@ "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" } ], "entry": "no" } @@ -13639,9 +11707,7 @@ "fieldset_info": { "rows": [ [ - { - "contents": "Medicaid Expansion CHIP" - }, + { "contents": "Medicaid Expansion CHIP" }, { "lookupChipEnrollments": { "ffy": 2022, @@ -13664,9 +11730,7 @@ } ], [ - { - "contents": "Separate CHIP" - }, + { "contents": "Separate CHIP" }, { "lookupChipEnrollments": { "ffy": 2022, @@ -13690,18 +11754,14 @@ ] ], "headers": [ - { - "contents": "Program" - }, + { "contents": "Program" }, { "contents": "Number of children enrolled in FFY 2021" }, { "contents": "Number of children enrolled in FFY 2022" }, - { - "contents": "Percent change" - } + { "contents": "Percent change" } ] }, "fieldset_type": "synthesized_table", @@ -13739,9 +11799,7 @@ "id": "2022-02-a-01-01", "label": "If you had more than a 3% percent change from last year, what are some possible reasons why your enrollment numbers changed?", "type": "text_multiline", - "answer": { - "entry": "test" - } + "answer": { "entry": "test" } } ], "id": "2022-02-a-01", @@ -13758,9 +11816,7 @@ "fieldset_info": { "rows": [ [ - { - "contents": "2013" - }, + { "contents": "2013" }, { "lookupAcs": { "ffy": "2013", @@ -13787,9 +11843,7 @@ } ], [ - { - "contents": "2014" - }, + { "contents": "2014" }, { "lookupAcs": { "ffy": "2014", @@ -13816,9 +11870,7 @@ } ], [ - { - "contents": "2015" - }, + { "contents": "2015" }, { "lookupAcs": { "ffy": "2015", @@ -13845,9 +11897,7 @@ } ], [ - { - "contents": "2016" - }, + { "contents": "2016" }, { "lookupAcs": { "ffy": "2016", @@ -13874,9 +11924,7 @@ } ], [ - { - "contents": "2017" - }, + { "contents": "2017" }, { "lookupAcs": { "ffy": "2017", @@ -13903,9 +11951,7 @@ } ], [ - { - "contents": "2018" - }, + { "contents": "2018" }, { "lookupAcs": { "ffy": "2018", @@ -13932,9 +11978,7 @@ } ], [ - { - "contents": "2019" - }, + { "contents": "2019" }, { "lookupAcs": { "ffy": "2019", @@ -13961,9 +12005,7 @@ } ], [ - { - "contents": "2020" - }, + { "contents": "2020" }, { "lookupAcs": { "ffy": "2020", @@ -13990,9 +12032,7 @@ } ], [ - { - "contents": "2021" - }, + { "contents": "2021" }, { "lookupAcs": { "ffy": "2021", @@ -14020,21 +12060,13 @@ ] ], "headers": [ - { - "contents": "Year" - }, - { - "contents": "Number of uninsured children" - }, - { - "contents": "Margin of error" - }, + { "contents": "Year" }, + { "contents": "Number of uninsured children" }, + { "contents": "Margin of error" }, { "contents": "Percent of uninsured children (of total children in your state)" }, - { - "contents": "Margin of error" - } + { "contents": "Margin of error" } ] }, "label": "", @@ -14056,9 +12088,7 @@ ] ], "headers": [ - { - "contents": "Percent change between 2019 and 2021" - } + { "contents": "Percent change between 2019 and 2021" } ] }, "fieldset_type": "synthesized_table", @@ -14096,9 +12126,7 @@ "id": "2022-02-a-02-01", "label": "What are some reasons why the number and/or percent of uninsured children has changed?", "type": "text_multiline", - "answer": { - "entry": "test" - } + "answer": { "entry": "test" } }, { "questions": [ @@ -14119,9 +12147,7 @@ "id": "2022-02-a-02-02-a", "label": "What are some reasons why the American Community Survey estimates might not reflect the number of uninsured children in your state?", "type": "text_multiline", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "id": "2022-02-a-02-02", @@ -14129,14 +12155,8 @@ "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" } ], "entry": "no" } @@ -14150,9 +12170,7 @@ "id": "2022-02-a-02-03-a", "label": "What is the alternate data source or methodology?", "type": "text_multiline", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-02-a-02-03-b", @@ -14167,49 +12185,37 @@ "id": "2022-02-a-02-03-c", "label": "Define the population you’re measuring, including ages and federal poverty levels.", "type": "text_multiline", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-02-a-02-03-d", "label": "Give numbers and/or the percent of uninsured children for at least two points in time.", "type": "text_multiline", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-02-a-02-03-e", "label": "Why did your state choose to adopt this alternate data source?", "type": "text_multiline", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-02-a-02-03-f", "label": "How reliable are these estimates? Provide standard errors, confidence intervals, and/or p-values if available.", "type": "text_multiline", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-02-a-02-03-g", "label": "What are the limitations of this alternate data source or methodology?", "type": "text_multiline", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-02-a-02-03-h", "label": "How do you use this alternate data source in CHIP program planning?", "type": "text_multiline", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "context_data": { @@ -14232,14 +12238,8 @@ "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" } ], "entry": "no" } @@ -14248,17 +12248,13 @@ "id": "2022-02-a-02-04", "label": "Is there anything else you’d like to add about your enrollment and uninsured data?", "type": "text_multiline", - "answer": { - "entry": "test" - } + "answer": { "entry": "test" } }, { "id": "2022-02-a-02-05", "label": "Optional: Attach any additional documents here.", "type": "file_upload", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "id": "2022-02-a-02", @@ -14312,9 +12308,7 @@ "id": "2022-03-a-01-01-a", "label": "What are you doing differently?", "type": "text_multiline", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "id": "2022-03-a-01-01", @@ -14322,14 +12316,8 @@ "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" } ], "entry": "no" } @@ -14353,9 +12341,7 @@ "id": "2022-03-a-01-02-a", "label": "Have these efforts been successful? How have you measured the effectiveness of your outreach efforts?", "type": "text_multiline", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "id": "2022-03-a-01-02", @@ -14363,14 +12349,8 @@ "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" } ], "entry": "no" }, @@ -14380,26 +12360,20 @@ "id": "2022-03-a-01-03", "label": "What methods have been most effective in reaching low-income, uninsured children?", "type": "text_multiline", - "answer": { - "entry": "test" - }, + "answer": { "entry": "test" }, "hint": "For example: TV, school outreach, or word of mouth." }, { "id": "2022-03-a-01-04", "label": "Is there anything else you’d like to add about your outreach efforts?", "type": "text_multiline", - "answer": { - "entry": "test" - } + "answer": { "entry": "test" } }, { "id": "2022-03-a-01-05", "label": "Optional: Attach any additional documents here.", "type": "file_upload", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "id": "2022-03-a-01" @@ -14433,9 +12407,7 @@ "id": "2022-03-b-01-01-a", "label": "What percent of CHIP enrollees had access to private insurance at the time of application?", "type": "text_multiline", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "id": "2022-03-b-01-01", @@ -14443,18 +12415,9 @@ "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - }, - { - "value": "na", - "label": "N/A" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" }, + { "value": "na", "label": "N/A" } ], "entry": "no" } @@ -14478,9 +12441,7 @@ "id": "2022-03-b-01-02-a", "label": "Which database do you use?", "type": "text_multiline", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "id": "2022-03-b-01-02", @@ -14488,18 +12449,9 @@ "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - }, - { - "value": "na", - "label": "N/A" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" }, + { "value": "na", "label": "N/A" } ], "entry": "no" } @@ -14508,9 +12460,7 @@ "id": "2022-03-b-01-03", "label": "What percent of applicants screened for CHIP eligibility cannot be enrolled because they have group health plan coverage?", "type": "percentage", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } }, { "type": "fieldset", @@ -14524,9 +12474,7 @@ "id": "2022-03-b-01-04-a", "label": "How long is the waiting period?", "type": "text_multiline", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "context_data": { @@ -14560,9 +12508,7 @@ "id": "2022-03-b-01-04-b", "label": "Which populations does the waiting period apply to? (Include the FPL for each group.)", "type": "text_multiline", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "context_data": { @@ -14581,9 +12527,7 @@ "id": "2022-03-b-01-04-c", "label": "What exemptions apply to the waiting period?", "type": "text_multiline", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "context_data": { @@ -14602,9 +12546,7 @@ "id": "2022-03-b-01-04-d", "label": "What percent of individuals subject to the waiting period meet a state or federal exemption?", "type": "text_multiline", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "context_data": { @@ -14619,18 +12561,9 @@ "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - }, - { - "value": "na", - "label": "N/A" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" }, + { "value": "na", "label": "N/A" } ], "entry": "no" } @@ -14641,17 +12574,13 @@ "id": "2022-03-b-01-05", "label": "Is there anything else you’d like to add about substitution of coverage that wasn’t already covered? Did you run into any limitations when collecting these data?", "type": "text_multiline", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } }, { "id": "2022-03-b-01-06", "label": "Optional: Attach any additional documents here.", "type": "file_upload", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "id": "2022-03-b-01" @@ -14675,17 +12604,13 @@ "id": "2022-03-c-01-01-a", "label": "What percent of children are presumptively enrolled in CHIP pending a full eligibility determination?", "type": "percentage", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-03-c-01-01-b", "label": "Of the children who are presumptively enrolled, what percent are determined fully eligible and enrolled in the program (upon completion of the full eligibility determination)?", "type": "percentage", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "context_data": { @@ -14708,18 +12633,9 @@ "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - }, - { - "value": "na", - "label": "N/A" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" }, + { "value": "na", "label": "N/A" } ], "entry": "no" } @@ -14730,14 +12646,8 @@ "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" } ], "entry": "no" } @@ -14751,17 +12661,13 @@ "id": "2022-03-c-01-03-a", "label": "How many notices do you send to families before disenrolling a child from the program?", "type": "text", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-03-c-01-03-b", "label": "How many days before the end of the eligibility period did you send reminder notices to families?", "type": "text", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "context_data": { @@ -14784,14 +12690,8 @@ "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" } ], "entry": "no" } @@ -14800,33 +12700,25 @@ "id": "2022-03-c-01-04", "label": "What else have you done to simplify the eligibility renewal process for families?", "type": "text_multiline", - "answer": { - "entry": "test" - } + "answer": { "entry": "test" } }, { "id": "2022-03-c-01-05", "label": "Which retention strategies have you found to be most effective?", "type": "text_multiline", - "answer": { - "entry": "test" - } + "answer": { "entry": "test" } }, { "id": "2022-03-c-01-06", "label": "How do you measure the effectiveness of your retention strategies? What data sources and methodology do you use to track retention?", "type": "text_multiline", - "answer": { - "entry": "test" - } + "answer": { "entry": "test" } }, { "id": "2022-03-c-01-07", "label": "Is there anything else you’d like to add that wasn’t already covered?", "type": "text_multiline", - "answer": { - "entry": "test" - } + "answer": { "entry": "test" } } ], "id": "2022-03-c-01", @@ -14839,18 +12731,14 @@ "id": "2022-03-c-02-01", "label": "How many applicants were denied CHIP coverage in FFY 2022?", "type": "integer", - "answer": { - "entry": "5" - }, + "answer": { "entry": "5" }, "hint": "Don’t include applicants being considered for redetermination — these data will be collected in Part 3." }, { "id": "2022-03-c-02-02", "label": "How many applicants were denied CHIP coverage for procedural reasons?", "type": "integer", - "answer": { - "entry": "5" - }, + "answer": { "entry": "5" }, "hint": "For example: They were denied because of an incomplete application, missing documentation, or a missing enrollment fee." }, { @@ -14859,43 +12747,33 @@ "id": "2022-03-c-02-03-a", "label": "How many applicants were denied CHIP (Title XXI) coverage and determined eligible for Medicaid (Title XIX) instead?", "type": "integer", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } } ], "id": "2022-03-c-02-03", "label": "How many applicants were denied CHIP coverage for eligibility reasons?", "type": "integer", - "answer": { - "entry": "5" - }, + "answer": { "entry": "5" }, "hint": "For example: They were denied because their income was too high or too low, they were determined eligible for Medicaid instead, or they had other coverage available." }, { "id": "2022-03-c-02-04", "label": "How many applicants were denied CHIP coverage for other reasons?", "type": "integer", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } }, { "id": "2022-03-c-02-05", "label": "Did you have any limitations in collecting these data?", "type": "text_multiline", - "answer": { - "entry": "test" - } + "answer": { "entry": "test" } }, { "questions": [], "fieldset_info": { "rows": [ [ - { - "contents": "Total denials" - }, + { "contents": "Total denials" }, { "targets": [ "$..*[?(@ && @.id=='2022-03-c-02-01')].answer.entry" @@ -14910,9 +12788,7 @@ } ], [ - { - "contents": "Denied for procedural reasons" - }, + { "contents": "Denied for procedural reasons" }, { "targets": [ "$..*[?(@ && @.id=='2022-03-c-02-02')].answer.entry" @@ -14927,9 +12803,7 @@ } ], [ - { - "contents": "Denied for eligibility reasons" - }, + { "contents": "Denied for eligibility reasons" }, { "targets": [ "$..*[?(@ && @.id=='2022-03-c-02-03')].answer.entry" @@ -14944,9 +12818,7 @@ } ], [ - { - "contents": "Denials for other reasons" - }, + { "contents": "Denials for other reasons" }, { "targets": [ "$..*[?(@ && @.id=='2022-03-c-02-04')].answer.entry" @@ -14962,15 +12834,9 @@ ] ], "headers": [ - { - "contents": "" - }, - { - "contents": "Number" - }, - { - "contents": "Percent" - } + { "contents": "" }, + { "contents": "Number" }, + { "contents": "Percent" } ] }, "label": "Table: CHIP Eligibility Denials (Not Redetermination)", @@ -14989,25 +12855,19 @@ "id": "2022-03-c-03-01", "label": "How many children were eligible for redetermination in CHIP in FFY 2022?", "type": "integer", - "answer": { - "entry": "8" - } + "answer": { "entry": "8" } }, { "id": "2022-03-c-03-02", "label": "Of the eligible children, how many were then screened for redetermination?", "type": "integer", - "answer": { - "entry": "8" - } + "answer": { "entry": "8" } }, { "id": "2022-03-c-03-03", "label": "How many children were retained in CHIP after redetermination?", "type": "integer", - "answer": { - "entry": "8" - } + "answer": { "entry": "8" } }, { "questions": [ @@ -15029,44 +12889,34 @@ "id": "2022-03-c-03-04-a", "label": "How many children were disenrolled for procedural reasons?", "type": "integer", - "answer": { - "entry": "8" - }, + "answer": { "entry": "8" }, "hint": "This could be due to an incomplete application, missing documentation, or a missing enrollment fee." }, { "id": "2022-03-c-03-04-b", "label": "How many children were disenrolled for eligibility reasons?", "type": "integer", - "answer": { - "entry": "8" - }, + "answer": { "entry": "8" }, "hint": "This could be due to income that was too high or too low, eligibility in Medicaid (Title XIX) instead, or access to private coverage." }, { "id": "2022-03-c-03-04-c", "label": "How many children were disenrolled for other reasons?", "type": "integer", - "answer": { - "entry": "8" - } + "answer": { "entry": "8" } } ], "id": "2022-03-c-03-04", "label": "How many children were disenrolled in CHIP after the redetermination process?", "type": "integer", - "answer": { - "entry": "8" - }, + "answer": { "entry": "8" }, "hint": "This number should be equal to the total of 4a, 4b, and 4c below." }, { "id": "2022-03-c-03-05", "label": "Did you have any limitations in collecting these data?", "type": "text_multiline", - "answer": { - "entry": "test" - } + "answer": { "entry": "test" } }, { "questions": [], @@ -15125,15 +12975,9 @@ ] ], "headers": [ - { - "contents": "" - }, - { - "contents": "Number" - }, - { - "contents": "Percent" - } + { "contents": "" }, + { "contents": "Number" }, + { "contents": "Percent" } ] }, "label": "Table: Redetermination in CHIP ", @@ -15215,15 +13059,9 @@ ] ], "headers": [ - { - "contents": "" - }, - { - "contents": "Number" - }, - { - "contents": "Percent" - } + { "contents": "" }, + { "contents": "Number" }, + { "contents": "Percent" } ] }, "comment": "This is assuming that we make the user manually enter the answer to question 4; otherwise we don't currently have a way to support this functionality; see the comment on question 4 above.", @@ -15243,25 +13081,19 @@ "id": "2022-03-c-04-01", "label": "How many children were eligible for redetermination in Medicaid in FFY 2022?", "type": "integer", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } }, { "id": "2022-03-c-04-02", "label": "Of the eligible children, how many were then screened for redetermination?", "type": "integer", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } }, { "id": "2022-03-c-04-03", "label": "How many children were retained in Medicaid after redetermination?", "type": "integer", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } }, { "questions": [ @@ -15283,44 +13115,34 @@ "id": "2022-03-c-04-04-a", "label": "How many children were disenrolled for procedural reasons?", "type": "integer", - "answer": { - "entry": "5" - }, + "answer": { "entry": "5" }, "hint": "This could be due to an incomplete application, missing documentation, or a missing enrollment fee." }, { "id": "2022-03-c-04-04-b", "label": "How many children were disenrolled for eligibility reasons?", "type": "integer", - "answer": { - "entry": "5" - }, + "answer": { "entry": "5" }, "hint": "This could be due to an income that was too high and/or eligibility in CHIP instead." }, { "id": "2022-03-c-04-04-c", "label": "How many children were disenrolled for other reasons?", "type": "integer", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } } ], "id": "2022-03-c-04-04", "label": "How many children were disenrolled in Medicaid after the redetermination process?", "type": "integer", - "answer": { - "entry": "5" - }, + "answer": { "entry": "5" }, "hint": "This number should be equal to the total of 4a, 4b, and 4c below." }, { "id": "2022-03-c-04-05", "label": "Did you have any limitations in collecting these data?", "type": "text_multiline", - "answer": { - "entry": "test" - } + "answer": { "entry": "test" } }, { "questions": [], @@ -15379,15 +13201,9 @@ ] ], "headers": [ - { - "contents": "" - }, - { - "contents": "Number" - }, - { - "contents": "Percent" - } + { "contents": "" }, + { "contents": "Number" }, + { "contents": "Percent" } ] }, "label": "Table: Redetermination in Medicaid ", @@ -15469,15 +13285,9 @@ ] ], "headers": [ - { - "contents": "" - }, - { - "contents": "Number" - }, - { - "contents": "Percent" - } + { "contents": "" }, + { "contents": "Number" }, + { "contents": "Percent" } ] }, "comment": "This is assuming that we make the user manually enter the answer to question 4; otherwise we don't currently have a way to support this functionality; see the comment on question 4 above.", @@ -15523,14 +13333,8 @@ "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" } ], "entry": "no" }, @@ -15559,9 +13363,7 @@ "id": "2022-03-c-05-03-a", "label": "Total for all ages (0-16)", "type": "integer", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } }, { "questions": [ @@ -15584,33 +13386,25 @@ "id": "2022-03-c-05-03-b", "label": "Ages 0-1", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-03-c-05-03-c", "label": "Ages 1-5", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-03-c-05-03-d", "label": "Ages 6-12", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-03-c-05-03-e", "label": "Ages 13-16", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "context_data": { @@ -15629,9 +13423,7 @@ "type": "fieldset" } ], - "fieldset_info": { - "id": "2022-03-c-05-03" - }, + "fieldset_info": { "id": "2022-03-c-05-03" }, "label": "How many children were newly enrolled in CHIP between January and March 2022?", "fieldset_type": "marked", "type": "fieldset" @@ -15659,9 +13451,7 @@ "id": "2022-03-c-05-04-a", "label": "Total for all ages (0-16)", "type": "integer", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } }, { "questions": [ @@ -15684,33 +13474,25 @@ "id": "2022-03-c-05-04-b", "label": "Ages 0-1", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-03-c-05-04-c", "label": "Ages 1-5", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-03-c-05-04-d", "label": "Ages 6-12", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-03-c-05-04-e", "label": "Ages 13-16", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "context_data": { @@ -15729,9 +13511,7 @@ "type": "fieldset" } ], - "fieldset_info": { - "id": "2022-03-c-05-04" - }, + "fieldset_info": { "id": "2022-03-c-05-04" }, "label": "How many children were continuously enrolled in CHIP six months later?", "fieldset_type": "marked", "type": "fieldset", @@ -15755,9 +13535,7 @@ "id": "2022-03-c-05-05-a", "label": "Total for all ages (0-16)", "type": "integer", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } }, { "questions": [ @@ -15780,33 +13558,25 @@ "id": "2022-03-c-05-05-b", "label": "Ages 0-1", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-03-c-05-05-c", "label": "Ages 1-5", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-03-c-05-05-d", "label": "Ages 6-12", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-03-c-05-05-e", "label": "Ages 13-16", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "context_data": { @@ -15825,9 +13595,7 @@ "type": "fieldset" } ], - "fieldset_info": { - "id": "2022-03-c-05-05" - }, + "fieldset_info": { "id": "2022-03-c-05-05" }, "label": "How many children had a break in CHIP coverage but were re-enrolled in CHIP six months later?", "fieldset_type": "marked", "type": "fieldset" @@ -15850,9 +13618,7 @@ "id": "2022-03-c-05-06-a", "label": "Total for all ages (0-16)", "type": "integer", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } }, { "questions": [ @@ -15875,33 +13641,25 @@ "id": "2022-03-c-05-06-b", "label": "Ages 0-1", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-03-c-05-06-c", "label": "Ages 1-5", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-03-c-05-06-d", "label": "Ages 6-12", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-03-c-05-06-e", "label": "Ages 13-16", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "context_data": { @@ -15920,9 +13678,7 @@ "type": "fieldset" } ], - "fieldset_info": { - "id": "2022-03-c-05-06" - }, + "fieldset_info": { "id": "2022-03-c-05-06" }, "label": "Of the children who had a break in CHIP coverage (in the previous question), how many were enrolled in Medicaid during the break?", "fieldset_type": "marked", "type": "fieldset" @@ -15945,9 +13701,7 @@ "id": "2022-03-c-05-07-a", "label": "Total for all ages (0-16)", "type": "integer", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } }, { "questions": [ @@ -15970,33 +13724,25 @@ "id": "2022-03-c-05-07-b", "label": "Ages 0-1", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-03-c-05-07-c", "label": "Ages 1-5", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-03-c-05-07-d", "label": "Ages 6-12", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-03-c-05-07-e", "label": "Ages 13-16", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "context_data": { @@ -16015,9 +13761,7 @@ "type": "fieldset" } ], - "fieldset_info": { - "id": "2022-03-c-05-07" - }, + "fieldset_info": { "id": "2022-03-c-05-07" }, "label": "How many children were no longer enrolled in CHIP six months later?", "fieldset_type": "marked", "type": "fieldset", @@ -16041,9 +13785,7 @@ "id": "2022-03-c-05-08-a", "label": "Total for all ages (0-16)", "type": "integer", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } }, { "questions": [ @@ -16066,33 +13808,25 @@ "id": "2022-03-c-05-08-b", "label": "Ages 0-1", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-03-c-05-08-c", "label": "Ages 1-5", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-03-c-05-08-d", "label": "Ages 6-12", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-03-c-05-08-e", "label": "Ages 13-16", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "context_data": { @@ -16111,9 +13845,7 @@ "type": "fieldset" } ], - "fieldset_info": { - "id": "2022-03-c-05-08" - }, + "fieldset_info": { "id": "2022-03-c-05-08" }, "label": "Of the children who were no longer enrolled in CHIP (in the previous question), how many were enrolled in Medicaid six months later?", "fieldset_type": "marked", "type": "fieldset" @@ -16122,9 +13854,7 @@ "id": "2022-03-c-05-09", "label": "Is there anything else you’d like to add about your data?", "type": "text_multiline", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } }, { "questions": [], @@ -16150,10 +13880,7 @@ "id": "2022-03-c-05-10-a", "label": "Total for all ages (0-16)", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "questions": [ @@ -16176,37 +13903,25 @@ "id": "2022-03-c-05-10-b", "label": "Ages 0-1", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "id": "2022-03-c-05-10-c", "label": "Ages 1-5", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "id": "2022-03-c-05-10-d", "label": "Ages 6-12", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "id": "2022-03-c-05-10-e", "label": "Ages 13-16", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } } ], "context_data": { @@ -16225,9 +13940,7 @@ "type": "fieldset" } ], - "fieldset_info": { - "id": "2022-03-c-05-10" - }, + "fieldset_info": { "id": "2022-03-c-05-10" }, "label": "How many children were continuously enrolled in CHIP 12 months later?", "fieldset_type": "marked", "type": "fieldset", @@ -16251,10 +13964,7 @@ "id": "2022-03-c-05-11-a", "label": "Total for all ages (0-16)", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "questions": [ @@ -16277,37 +13987,25 @@ "id": "2022-03-c-05-11-b", "label": "Ages 0-1", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "id": "2022-03-c-05-11-c", "label": "Ages 1-5", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "id": "2022-03-c-05-11-d", "label": "Ages 6-12", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "id": "2022-03-c-05-11-e", "label": "Ages 13-16", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } } ], "context_data": { @@ -16326,9 +14024,7 @@ "type": "fieldset" } ], - "fieldset_info": { - "id": "2022-03-c-05-11" - }, + "fieldset_info": { "id": "2022-03-c-05-11" }, "label": "How many children had a break in CHIP coverage but were re-enrolled in CHIP 12 months later?", "fieldset_type": "marked", "type": "fieldset" @@ -16351,10 +14047,7 @@ "id": "2022-03-c-05-12-a", "label": "Total for all ages (0-16)", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "questions": [ @@ -16377,37 +14070,25 @@ "id": "2022-03-c-05-12-b", "label": "Ages 0-1", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "id": "2022-03-c-05-12-c", "label": "Ages 1-5", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "id": "2022-03-c-05-12-d", "label": "Ages 6-12", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "id": "2022-03-c-05-12-e", "label": "Ages 13-16", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } } ], "context_data": { @@ -16426,9 +14107,7 @@ "type": "fieldset" } ], - "fieldset_info": { - "id": "2022-03-c-05-12" - }, + "fieldset_info": { "id": "2022-03-c-05-12" }, "label": "Of the children who had a break in CHIP coverage (in the previous question), how many were enrolled in Medicaid during the break?", "fieldset_type": "marked", "type": "fieldset" @@ -16451,10 +14130,7 @@ "id": "2022-03-c-05-13-a", "label": "Total for all ages (0-16)", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "questions": [ @@ -16477,37 +14153,25 @@ "id": "2022-03-c-05-13-b", "label": "Ages 0-1", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "id": "2022-03-c-05-13-c", "label": "Ages 1-5", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "id": "2022-03-c-05-13-d", "label": "Ages 6-12", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "id": "2022-03-c-05-13-e", "label": "Ages 13-16", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } } ], "context_data": { @@ -16526,9 +14190,7 @@ "type": "fieldset" } ], - "fieldset_info": { - "id": "2022-03-c-05-13" - }, + "fieldset_info": { "id": "2022-03-c-05-13" }, "label": "How many children were no longer enrolled in CHIP 12 months later?", "fieldset_type": "marked", "type": "fieldset", @@ -16552,10 +14214,7 @@ "id": "2022-03-c-05-14-a", "label": "Total for all ages (0-16)", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "questions": [ @@ -16578,37 +14237,25 @@ "id": "2022-03-c-05-14-b", "label": "Ages 0-1", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "id": "2022-03-c-05-14-c", "label": "Ages 1-5", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "id": "2022-03-c-05-14-d", "label": "Ages 6-12", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "id": "2022-03-c-05-14-e", "label": "Ages 13-16", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } } ], "context_data": { @@ -16627,9 +14274,7 @@ "type": "fieldset" } ], - "fieldset_info": { - "id": "2022-03-c-05-14" - }, + "fieldset_info": { "id": "2022-03-c-05-14" }, "label": "Of the children who were no longer enrolled in CHIP (in the previous question), how many were enrolled in Medicaid 12 months later?", "fieldset_type": "marked", "type": "fieldset" @@ -16658,10 +14303,7 @@ "id": "2022-03-c-05-15-a", "label": "Total for all ages (0-16)", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "questions": [ @@ -16684,37 +14326,25 @@ "id": "2022-03-c-05-15-b", "label": "Ages 0-1", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "id": "2022-03-c-05-15-c", "label": "Ages 1-5", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "id": "2022-03-c-05-15-d", "label": "Ages 6-12", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "id": "2022-03-c-05-15-e", "label": "Ages 13-16", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } } ], "context_data": { @@ -16733,9 +14363,7 @@ "type": "fieldset" } ], - "fieldset_info": { - "id": "2022-03-c-05-15" - }, + "fieldset_info": { "id": "2022-03-c-05-15" }, "label": "How many children were continuously enrolled in CHIP 18 months later?", "fieldset_type": "marked", "type": "fieldset", @@ -16759,10 +14387,7 @@ "id": "2022-03-c-05-16-a", "label": "Total for all ages (0-16)", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "questions": [ @@ -16785,37 +14410,25 @@ "id": "2022-03-c-05-16-b", "label": "Ages 0-1", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "id": "2022-03-c-05-16-c", "label": "Ages 1-5", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "id": "2022-03-c-05-16-d", "label": "Ages 6-12", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "id": "2022-03-c-05-16-e", "label": "Ages 13-16", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } } ], "context_data": { @@ -16834,9 +14447,7 @@ "type": "fieldset" } ], - "fieldset_info": { - "id": "2022-03-c-05-16" - }, + "fieldset_info": { "id": "2022-03-c-05-16" }, "label": "How many children had a break in CHIP coverage but were re-enrolled in CHIP 18 months later?", "fieldset_type": "marked", "type": "fieldset" @@ -16859,10 +14470,7 @@ "id": "2022-03-c-05-17-a", "label": "Total for all ages (0-16)", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "questions": [ @@ -16885,37 +14493,25 @@ "id": "2022-03-c-05-17-b", "label": "Ages 0-1", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "id": "2022-03-c-05-17-c", "label": "Ages 1-5", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "id": "2022-03-c-05-17-d", "label": "Ages 6-12", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "id": "2022-03-c-05-17-e", "label": "Ages 13-16", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } } ], "context_data": { @@ -16934,9 +14530,7 @@ "type": "fieldset" } ], - "fieldset_info": { - "id": "2022-03-c-05-17" - }, + "fieldset_info": { "id": "2022-03-c-05-17" }, "label": "Of the children who had a break in CHIP coverage (in the previous question), how many were enrolled in Medicaid during the break?", "fieldset_type": "marked", "type": "fieldset" @@ -16959,10 +14553,7 @@ "id": "2022-03-c-05-18-a", "label": "Total for all ages (0-16)", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "questions": [ @@ -16985,37 +14576,25 @@ "id": "2022-03-c-05-18-b", "label": "Ages 0-1", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "id": "2022-03-c-05-18-c", "label": "Ages 1-5", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "id": "2022-03-c-05-18-d", "label": "Ages 6-12", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "id": "2022-03-c-05-18-e", "label": "Ages 13-16", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } } ], "context_data": { @@ -17034,9 +14613,7 @@ "type": "fieldset" } ], - "fieldset_info": { - "id": "2022-03-c-05-18" - }, + "fieldset_info": { "id": "2022-03-c-05-18" }, "label": "How many children were no longer enrolled in CHIP 18 months later?", "fieldset_type": "marked", "type": "fieldset", @@ -17060,10 +14637,7 @@ "id": "2022-03-c-05-19-a", "label": "Total for all ages (0-16)", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "questions": [ @@ -17086,37 +14660,25 @@ "id": "2022-03-c-05-19-b", "label": "Ages 0-1", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "id": "2022-03-c-05-19-c", "label": "Ages 1-5", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "id": "2022-03-c-05-19-d", "label": "Ages 6-12", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "id": "2022-03-c-05-19-e", "label": "Ages 13-16", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } } ], "context_data": { @@ -17135,9 +14697,7 @@ "type": "fieldset" } ], - "fieldset_info": { - "id": "2022-03-c-05-19" - }, + "fieldset_info": { "id": "2022-03-c-05-19" }, "label": "Of the children who were no longer enrolled in CHIP (in the previous question), how many were enrolled in Medicaid 18 months later?", "fieldset_type": "marked", "type": "fieldset" @@ -17146,9 +14706,7 @@ "id": "2022-03-c-05-20", "label": "Is there anything else you’d like to add about your data?", "type": "text_multiline", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } } ], "id": "2022-03-c-05", @@ -17188,14 +14746,8 @@ "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" } ], "entry": "no" }, @@ -17224,9 +14776,7 @@ "id": "2022-03-c-06-03-a", "label": "Total for all ages (0-16)", "type": "integer", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } }, { "questions": [ @@ -17249,33 +14799,25 @@ "id": "2022-03-c-06-03-b", "label": "Ages 0-1", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-03-c-06-03-c", "label": "Ages 1-5", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-03-c-06-03-d", "label": "Ages 6-12", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-03-c-06-03-e", "label": "Ages 13-16", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "context_data": { @@ -17294,9 +14836,7 @@ "type": "fieldset" } ], - "fieldset_info": { - "id": "2022-03-c-06-03" - }, + "fieldset_info": { "id": "2022-03-c-06-03" }, "label": "How many children were newly enrolled in Medicaid between January and March 2022?", "fieldset_type": "marked", "type": "fieldset" @@ -17324,9 +14864,7 @@ "id": "2022-03-c-06-04-a", "label": "Total for all ages (0-16)", "type": "integer", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } }, { "questions": [ @@ -17349,33 +14887,25 @@ "id": "2022-03-c-06-04-b", "label": "Ages 0-1", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-03-c-06-04-c", "label": "Ages 1-5", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-03-c-06-04-d", "label": "Ages 6-12", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-03-c-06-04-e", "label": "Ages 13-16", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "context_data": { @@ -17394,9 +14924,7 @@ "type": "fieldset" } ], - "fieldset_info": { - "id": "2022-03-c-06-04" - }, + "fieldset_info": { "id": "2022-03-c-06-04" }, "label": "How many children were continuously enrolled in Medicaid six months later?", "fieldset_type": "marked", "type": "fieldset", @@ -17420,9 +14948,7 @@ "id": "2022-03-c-06-05-a", "label": "Total for all ages (0-16)", "type": "integer", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } }, { "questions": [ @@ -17445,33 +14971,25 @@ "id": "2022-03-c-06-05-b", "label": "Ages 0-1", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-03-c-06-05-c", "label": "Ages 1-5", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-03-c-06-05-d", "label": "Ages 6-12", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-03-c-06-05-e", "label": "Ages 13-16", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "context_data": { @@ -17490,9 +15008,7 @@ "type": "fieldset" } ], - "fieldset_info": { - "id": "2022-03-c-06-05" - }, + "fieldset_info": { "id": "2022-03-c-06-05" }, "label": "How many children had a break in Medicaid coverage but were re-enrolled in Medicaid six months later?", "fieldset_type": "marked", "type": "fieldset" @@ -17515,9 +15031,7 @@ "id": "2022-03-c-06-06-a", "label": "Total for all ages (0-16)", "type": "integer", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } }, { "questions": [ @@ -17540,33 +15054,25 @@ "id": "2022-03-c-06-06-b", "label": "Ages 0-1", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-03-c-06-06-c", "label": "Ages 1-5", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-03-c-06-06-d", "label": "Ages 6-12", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-03-c-06-06-e", "label": "Ages 13-16", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "context_data": { @@ -17585,9 +15091,7 @@ "type": "fieldset" } ], - "fieldset_info": { - "id": "2022-03-c-06-06" - }, + "fieldset_info": { "id": "2022-03-c-06-06" }, "label": "Of the children who had a break in Medicaid coverage (in the previous question), how many were enrolled in CHIP during the break?", "fieldset_type": "marked", "type": "fieldset" @@ -17610,9 +15114,7 @@ "id": "2022-03-c-06-07-a", "label": "Total for all ages (0-16)", "type": "integer", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } }, { "questions": [ @@ -17635,33 +15137,25 @@ "id": "2022-03-c-06-07-b", "label": "Ages 0-1", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-03-c-06-07-c", "label": "Ages 1-5", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-03-c-06-07-d", "label": "Ages 6-12", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-03-c-06-07-e", "label": "Ages 13-16", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "context_data": { @@ -17680,9 +15174,7 @@ "type": "fieldset" } ], - "fieldset_info": { - "id": "2022-03-c-06-07" - }, + "fieldset_info": { "id": "2022-03-c-06-07" }, "label": "How many children were no longer enrolled in Medicaid six months later?", "fieldset_type": "marked", "type": "fieldset", @@ -17706,9 +15198,7 @@ "id": "2022-03-c-06-08-a", "label": "Total for all ages (0-16)", "type": "integer", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } }, { "questions": [ @@ -17731,33 +15221,25 @@ "id": "2022-03-c-06-08-b", "label": "Ages 0-1", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-03-c-06-08-c", "label": "Ages 1-5", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-03-c-06-08-d", "label": "Ages 6-12", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-03-c-06-08-e", "label": "Ages 13-16", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "context_data": { @@ -17776,9 +15258,7 @@ "type": "fieldset" } ], - "fieldset_info": { - "id": "2022-03-c-06-08" - }, + "fieldset_info": { "id": "2022-03-c-06-08" }, "label": "Of the children who were no longer enrolled in Medicaid (in the previous question), how many were enrolled in CHIP six months later?", "fieldset_type": "marked", "type": "fieldset" @@ -17787,9 +15267,7 @@ "id": "2022-03-c-06-09", "label": "Is there anything else you’d like to add about your data?", "type": "text_multiline", - "answer": { - "entry": "test" - } + "answer": { "entry": "test" } }, { "questions": [], @@ -17815,10 +15293,7 @@ "id": "2022-03-c-06-10-a", "label": "Total for all ages (0-16)", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "questions": [ @@ -17841,37 +15316,25 @@ "id": "2022-03-c-06-10-b", "label": "Ages 0-1", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "id": "2022-03-c-06-10-c", "label": "Ages 1-5", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "id": "2022-03-c-06-10-d", "label": "Ages 6-12", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "id": "2022-03-c-06-10-e", "label": "Ages 13-16", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } } ], "context_data": { @@ -17890,9 +15353,7 @@ "type": "fieldset" } ], - "fieldset_info": { - "id": "2022-03-c-06-10" - }, + "fieldset_info": { "id": "2022-03-c-06-10" }, "label": "How many children were continuously enrolled in Medicaid 12 months later?", "fieldset_type": "marked", "type": "fieldset", @@ -17916,10 +15377,7 @@ "id": "2022-03-c-06-11-a", "label": "Total for all ages (0-16)", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "questions": [ @@ -17942,37 +15400,25 @@ "id": "2022-03-c-06-11-b", "label": "Ages 0-1", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "id": "2022-03-c-06-11-c", "label": "Ages 1-5", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "id": "2022-03-c-06-11-d", "label": "Ages 6-12", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "id": "2022-03-c-06-11-e", "label": "Ages 13-16", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } } ], "context_data": { @@ -17991,9 +15437,7 @@ "type": "fieldset" } ], - "fieldset_info": { - "id": "2022-03-c-06-11" - }, + "fieldset_info": { "id": "2022-03-c-06-11" }, "label": "How many children had a break in Medicaid coverage but were re-enrolled in Medicaid 12 months later?", "fieldset_type": "marked", "type": "fieldset" @@ -18016,10 +15460,7 @@ "id": "2022-03-c-06-12-a", "label": "Total for all ages (0-16)", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "questions": [ @@ -18042,37 +15483,25 @@ "id": "2022-03-c-06-12-b", "label": "Ages 0-1", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "id": "2022-03-c-06-12-c", "label": "Ages 1-5", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "id": "2022-03-c-06-12-d", "label": "Ages 6-12", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "id": "2022-03-c-06-12-e", "label": "Ages 13-16", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } } ], "context_data": { @@ -18091,9 +15520,7 @@ "type": "fieldset" } ], - "fieldset_info": { - "id": "2022-03-c-06-12" - }, + "fieldset_info": { "id": "2022-03-c-06-12" }, "label": "Of the children who had a break in Medicaid coverage (in the previous question), how many were enrolled in CHIP during the break?", "fieldset_type": "marked", "type": "fieldset" @@ -18116,10 +15543,7 @@ "id": "2022-03-c-06-13-a", "label": "Total for all ages (0-16)", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "questions": [ @@ -18142,37 +15566,25 @@ "id": "2022-03-c-06-13-b", "label": "Ages 0-1", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "id": "2022-03-c-06-13-c", "label": "Ages 1-5", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "id": "2022-03-c-06-13-d", "label": "Ages 6-12", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "id": "2022-03-c-06-13-e", "label": "Ages 13-16", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } } ], "context_data": { @@ -18191,9 +15603,7 @@ "type": "fieldset" } ], - "fieldset_info": { - "id": "2022-03-c-06-13" - }, + "fieldset_info": { "id": "2022-03-c-06-13" }, "label": "How many children were no longer enrolled in Medicaid 12 months later?", "fieldset_type": "marked", "type": "fieldset", @@ -18217,10 +15627,7 @@ "id": "2022-03-c-06-14-a", "label": "Total for all ages (0-16)", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "questions": [ @@ -18243,37 +15650,25 @@ "id": "2022-03-c-06-14-b", "label": "Ages 0-1", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "id": "2022-03-c-06-14-c", "label": "Ages 1-5", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "id": "2022-03-c-06-14-d", "label": "Ages 6-12", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "id": "2022-03-c-06-14-e", "label": "Ages 13-16", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } } ], "context_data": { @@ -18292,9 +15687,7 @@ "type": "fieldset" } ], - "fieldset_info": { - "id": "2022-03-c-06-14" - }, + "fieldset_info": { "id": "2022-03-c-06-14" }, "label": "Of the children who were no longer enrolled in Medicaid (in the previous question), how many were enrolled in CHIP 12 months later?", "fieldset_type": "marked", "type": "fieldset" @@ -18323,10 +15716,7 @@ "id": "2022-03-c-06-15-a", "label": "Total for all ages (0-16)", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "questions": [ @@ -18349,37 +15739,25 @@ "id": "2022-03-c-06-15-b", "label": "Ages 0-1", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "id": "2022-03-c-06-15-c", "label": "Ages 1-5", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "id": "2022-03-c-06-15-d", "label": "Ages 6-12", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "id": "2022-03-c-06-15-e", "label": "Ages 13-16", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } } ], "context_data": { @@ -18398,9 +15776,7 @@ "type": "fieldset" } ], - "fieldset_info": { - "id": "2022-03-c-06-15" - }, + "fieldset_info": { "id": "2022-03-c-06-15" }, "label": "How many children were continuously enrolled in Medicaid 18 months later?", "fieldset_type": "marked", "type": "fieldset", @@ -18424,10 +15800,7 @@ "id": "2022-03-c-06-16-a", "label": "Total for all ages (0-16)", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "questions": [ @@ -18450,37 +15823,25 @@ "id": "2022-03-c-06-16-b", "label": "Ages 0-1", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "id": "2022-03-c-06-16-c", "label": "Ages 1-5", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "id": "2022-03-c-06-16-d", "label": "Ages 6-12", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "id": "2022-03-c-06-16-e", "label": "Ages 13-16", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } } ], "context_data": { @@ -18499,9 +15860,7 @@ "type": "fieldset" } ], - "fieldset_info": { - "id": "2022-03-c-06-16" - }, + "fieldset_info": { "id": "2022-03-c-06-16" }, "label": "How many children had a break in Medicaid coverage but were re-enrolled in Medicaid 18 months later?", "fieldset_type": "marked", "type": "fieldset" @@ -18524,10 +15883,7 @@ "id": "2022-03-c-06-17-a", "label": "Total for all ages (0-16)", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "questions": [ @@ -18550,37 +15906,25 @@ "id": "2022-03-c-06-17-b", "label": "Ages 0-1", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "id": "2022-03-c-06-17-c", "label": "Ages 1-5", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "id": "2022-03-c-06-17-d", "label": "Ages 6-12", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "id": "2022-03-c-06-17-e", "label": "Ages 13-16", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } } ], "context_data": { @@ -18599,9 +15943,7 @@ "type": "fieldset" } ], - "fieldset_info": { - "id": "2022-03-c-06-17" - }, + "fieldset_info": { "id": "2022-03-c-06-17" }, "label": "Of the children who had a break in Medicaid coverage (in the previous question), how many were enrolled in CHIP during the break?", "fieldset_type": "marked", "type": "fieldset" @@ -18624,10 +15966,7 @@ "id": "2022-03-c-06-18-a", "label": "Total for all ages (0-16)", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "questions": [ @@ -18650,37 +15989,25 @@ "id": "2022-03-c-06-18-b", "label": "Ages 0-1", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "id": "2022-03-c-06-18-c", "label": "Ages 1-5", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "id": "2022-03-c-06-18-d", "label": "Ages 6-12", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "id": "2022-03-c-06-18-e", "label": "Ages 13-16", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } } ], "context_data": { @@ -18699,9 +16026,7 @@ "type": "fieldset" } ], - "fieldset_info": { - "id": "2022-03-c-06-18" - }, + "fieldset_info": { "id": "2022-03-c-06-18" }, "label": "How many children were no longer enrolled in Medicaid 18 months later?", "fieldset_type": "marked", "type": "fieldset", @@ -18725,10 +16050,7 @@ "id": "2022-03-c-06-19-a", "label": "Total for all ages (0-16)", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "questions": [ @@ -18751,37 +16073,25 @@ "id": "2022-03-c-06-19-b", "label": "Ages 0-1", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "id": "2022-03-c-06-19-c", "label": "Ages 1-5", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "id": "2022-03-c-06-19-d", "label": "Ages 6-12", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } }, { "id": "2022-03-c-06-19-e", "label": "Ages 13-16", "type": "integer", - "answer": { - "readonly": true, - "entry": null - } + "answer": { "readonly": true, "entry": null } } ], "context_data": { @@ -18800,9 +16110,7 @@ "type": "fieldset" } ], - "fieldset_info": { - "id": "2022-03-c-06-19" - }, + "fieldset_info": { "id": "2022-03-c-06-19" }, "label": "Of the children who were no longer enrolled in Medicaid (in the previous question), how many were enrolled in CHIP 18 months later?", "fieldset_type": "marked", "type": "fieldset" @@ -18811,9 +16119,7 @@ "id": "2022-03-c-06-20", "label": "Is there anything else you’d like to add about your data?", "type": "text_multiline", - "answer": { - "entry": "test" - } + "answer": { "entry": "test" } } ], "id": "2022-03-c-06", @@ -18837,14 +16143,8 @@ "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" } ], "entry": "yes" } @@ -18882,9 +16182,7 @@ "id": "2022-03-d-01-02-a", "label": "What information or tools do you provide families with so they can track cost sharing?", "type": "text_multiline", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "context_data": { @@ -18913,9 +16211,7 @@ "id": "2022-03-d-01-02-b", "label": "Who tracks cost sharing?", "type": "text_multiline", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "id": "2022-03-d-01-02", @@ -18931,18 +16227,12 @@ "value": "health_plans", "label": "Health plans" }, - { - "value": "states", - "label": "States" - }, + { "value": "states", "label": "States" }, { "value": "third_party_administrator", "label": "Third party administrator" }, - { - "value": "other", - "label": "Other " - } + { "value": "other", "label": "Other " } ], "entry": "health_plans" } @@ -18951,17 +16241,13 @@ "id": "2022-03-d-01-03", "label": "How are healthcare providers notified that they shouldn’t charge families once families have reached the 5% cap?", "type": "text_multiline", - "answer": { - "entry": "test" - } + "answer": { "entry": "test" } }, { "id": "2022-03-d-01-04", "label": "Approximately how many families exceeded the 5% cap in the last federal fiscal year?", "type": "text_multiline", - "answer": { - "entry": "test" - } + "answer": { "entry": "test" } }, { "questions": [ @@ -18982,9 +16268,7 @@ "id": "2022-03-d-01-05-a", "label": "What did you find in your assessment?", "type": "text_multiline", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "id": "2022-03-d-01-05", @@ -18992,14 +16276,8 @@ "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" } ], "entry": "no" } @@ -19023,9 +16301,7 @@ "id": "2022-03-d-01-06-a", "label": "What did you find in your assessment?", "type": "text_multiline", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "id": "2022-03-d-01-06", @@ -19033,14 +16309,8 @@ "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" } ], "entry": "no" } @@ -19065,25 +16335,19 @@ "id": "2022-03-d-01-07", "label": "You indicated in Section 1 that you changed your cost sharing requirements in the past federal fiscal year. How are you monitoring the impact of these changes on whether families apply, enroll, disenroll, and use CHIP health services? What have you found when monitoring the impact?", "type": "text_multiline", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-03-d-01-08", "label": "Is there anything else you’d like to add that wasn’t already covered?", "type": "text_multiline", - "answer": { - "entry": "test" - } + "answer": { "entry": "test" } }, { "id": "2022-03-d-01-09", "label": "Optional: Attach any additional documents here.", "type": "file_upload", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "context_data": { @@ -19126,14 +16390,8 @@ "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" } ], "entry": "no" } @@ -19172,14 +16430,8 @@ "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" } ], "entry": null } @@ -19188,9 +16440,7 @@ "id": "2022-03-e-02-03", "label": "What benefit package is offered as part of your premium assistance program, including any applicable minimum coverage requirements?", "type": "text_multiline", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "hint": "This only applies to states operating an 1115 demo." }, { @@ -19199,14 +16449,8 @@ "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" } ], "entry": null }, @@ -19218,18 +16462,9 @@ "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - }, - { - "value": "na", - "label": "N/A" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" }, + { "value": "na", "label": "N/A" } ], "entry": null }, @@ -19254,9 +16489,7 @@ "id": "2022-03-e-02-06-a", "label": "How do you track cost sharing to ensure families don’t pay more than 5% of the aggregate household income in a year?", "type": "text_multiline", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "id": "2022-03-e-02-06", @@ -19264,14 +16497,8 @@ "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" } ], "entry": null }, @@ -19281,9 +16508,7 @@ "id": "2022-03-e-02-07", "label": "How many children were enrolled in the premium assistance program on average each month in FFY 2022?", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "type": "fieldset", @@ -19292,25 +16517,19 @@ "id": "2022-03-e-02-08", "label": "What’s the average monthly contribution the state pays towards coverage of a child?", "type": "money", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-03-e-02-09", "label": "What’s the average monthly contribution the employer pays towards coverage of a child?", "type": "money", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-03-e-02-10", "label": "What’s the average monthly contribution the employee pays towards coverage of a child?", "type": "money", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] }, @@ -19340,15 +16559,9 @@ ] ], "headers": [ - { - "contents": "State" - }, - { - "contents": "Employer" - }, - { - "contents": "Employee" - } + { "contents": "State" }, + { "contents": "Employer" }, + { "contents": "Employee" } ] }, "label": "Child", @@ -19411,41 +16624,31 @@ "id": "2022-03-e-02-14", "label": "What strategies have been most effective in reducing the administrative barriers in order to provide premium assistance?", "type": "text_multiline", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-03-e-02-15", "label": "What challenges did you experience with your premium assistance program in FFY 2022?", "type": "text_multiline", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-03-e-02-16", "label": "What accomplishments did you experience with your premium assistance program in FFY 2022?", "type": "text_multiline", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-03-e-02-17", "label": "Is there anything else you’d like to add that wasn’t already covered?", "type": "text_multiline", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-03-e-02-18", "label": "Optional: Attach any additional documents here.", "type": "file_upload", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "context_data": { @@ -19481,14 +16684,8 @@ "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" } ], "entry": "yes" } @@ -19499,14 +16696,8 @@ "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" } ], "entry": "no" } @@ -19517,14 +16708,8 @@ "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" } ], "entry": "no" } @@ -19533,9 +16718,7 @@ "id": "2022-03-f-01-04", "label": "What safeguards and procedures are in place for the prevention, investigation, and referral of fraud and abuse cases?", "type": "text_multiline", - "answer": { - "entry": "test" - } + "answer": { "entry": "test" } }, { "questions": [ @@ -19556,9 +16739,7 @@ "id": "2022-03-f-01-05-a", "label": "What safeguards and procedures do the Managed Care plans have in place?", "type": "text_multiline", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "id": "2022-03-f-01-05", @@ -19566,18 +16747,9 @@ "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - }, - { - "value": "na", - "label": "N/A" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" }, + { "value": "na", "label": "N/A" } ], "entry": "na" } @@ -19586,17 +16758,13 @@ "id": "2022-03-f-01-06", "label": "How many eligibility denials have been appealed in a fair hearing in FFY 2022?", "type": "integer", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } }, { "id": "2022-03-f-01-07", "label": "How many cases have been found in favor of the beneficiary in FFY 2022?", "type": "integer", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } }, { "type": "fieldset", @@ -19605,17 +16773,13 @@ "id": "2022-03-f-01-08", "label": "How many cases related to provider credentialing were investigated in FFY 2022?", "type": "integer", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } }, { "id": "2022-03-f-01-09", "label": "How many cases related to provider credentialing were referred to appropriate law enforcement officials in FFY 2022?", "type": "integer", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } } ] }, @@ -19626,17 +16790,13 @@ "id": "2022-03-f-01-10", "label": "How many cases related to provider billing were investigated in FFY 2022?", "type": "integer", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } }, { "id": "2022-03-f-01-11", "label": "How many cases were referred to appropriate law enforcement officials in FFY 2022?", "type": "integer", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } } ] }, @@ -19647,17 +16807,13 @@ "id": "2022-03-f-01-12", "label": "How many cases related to beneficiary eligibility were investigated in FFY 2022?", "type": "integer", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } }, { "id": "2022-03-f-01-13", "label": "How many cases related to beneficiary eligibility were referred to appropriate law enforcement officials in FFY 2022?", "type": "integer", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } } ] }, @@ -19667,10 +16823,7 @@ "type": "radio", "answer": { "options": [ - { - "value": "separate_chip_only", - "label": "CHIP only" - }, + { "value": "separate_chip_only", "label": "CHIP only" }, { "value": "medicaid_separate_chip_combined", "label": "Medicaid and CHIP combined" @@ -19698,9 +16851,7 @@ "id": "2022-03-f-01-15-a", "label": "How do you provide oversight of the contractors? ", "type": "text_multiline", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "id": "2022-03-f-01-15", @@ -19708,14 +16859,8 @@ "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" } ], "entry": "no" } @@ -19739,9 +16884,7 @@ "id": "2022-03-f-01-16-a", "label": "What specifically are the contractors responsible for in terms of oversight?", "type": "text_multiline", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "id": "2022-03-f-01-16", @@ -19749,14 +16892,8 @@ "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" } ], "entry": "no" } @@ -19765,17 +16902,13 @@ "id": "2022-03-f-01-17", "label": "Is there anything else you’d like to add that wasn’t already covered?", "type": "text_multiline", - "answer": { - "entry": "test" - } + "answer": { "entry": "test" } }, { "id": "2022-03-f-01-18", "label": "Optional: Attach any additional documents here.", "type": "file_upload", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "context_data": { @@ -19807,14 +16940,8 @@ "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" } ], "entry": "no" }, @@ -19838,9 +16965,7 @@ "id": "2022-03-g-01-02-a", "label": "Total for all ages (0-18)", "type": "integer", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } }, { "questions": [ @@ -19865,49 +16990,37 @@ "id": "2022-03-g-01-02-b", "label": "Ages 0-1", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-03-g-01-02-c", "label": "Ages 1-2", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-03-g-01-02-d", "label": "Ages 3-5", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-03-g-01-02-e", "label": "Ages 6-9", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-03-g-01-02-f", "label": "Ages 10-14", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-03-g-01-02-g", "label": "Ages 15-18", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "context_data": { @@ -19926,9 +17039,7 @@ "type": "fieldset" } ], - "fieldset_info": { - "id": "2022-03-g-01-02" - }, + "fieldset_info": { "id": "2022-03-g-01-02" }, "label": "How many children were enrolled in Separate CHIP for at least 90 continuous days during FFY 2022?", "fieldset_type": "marked", "type": "fieldset" @@ -19951,9 +17062,7 @@ "id": "2022-03-g-01-03-a", "label": "Total for all ages (0-18)", "type": "integer", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } }, { "questions": [ @@ -19978,49 +17087,37 @@ "id": "2022-03-g-01-03-b", "label": "Ages 0-1", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-03-g-01-03-c", "label": "Ages 1-2", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-03-g-01-03-d", "label": "Ages 3-5", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-03-g-01-03-e", "label": "Ages 6-9", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-03-g-01-03-f", "label": "Ages 10-14", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-03-g-01-03-g", "label": "Ages 15-18", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "context_data": { @@ -20039,9 +17136,7 @@ "type": "fieldset" } ], - "fieldset_info": { - "id": "2022-03-g-01-03" - }, + "fieldset_info": { "id": "2022-03-g-01-03" }, "label": "How many children (who were enrolled in Separate CHIP for at least 90 continuous days) received at least one dental care service during FFY 2022?", "fieldset_type": "marked", "type": "fieldset" @@ -20070,9 +17165,7 @@ "id": "2022-03-g-01-04-a", "label": "Total for all ages (0-18)", "type": "integer", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } }, { "questions": [ @@ -20097,49 +17190,37 @@ "id": "2022-03-g-01-04-b", "label": "Ages 0-1", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-03-g-01-04-c", "label": "Ages 1-2", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-03-g-01-04-d", "label": "Ages 3-5", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-03-g-01-04-e", "label": "Ages 6-9", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-03-g-01-04-f", "label": "Ages 10-14", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-03-g-01-04-g", "label": "Ages 15-18", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "context_data": { @@ -20158,9 +17239,7 @@ "type": "fieldset" } ], - "fieldset_info": { - "id": "2022-03-g-01-04" - }, + "fieldset_info": { "id": "2022-03-g-01-04" }, "label": "How many children (who were enrolled in Separate CHIP for at least 90 continuous days) received at least one preventative dental care service during FFY 2022?", "fieldset_type": "marked", "type": "fieldset" @@ -20189,9 +17268,7 @@ "id": "2022-03-g-01-05-a", "label": "Total for all ages (0-18)", "type": "integer", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } }, { "questions": [ @@ -20216,49 +17293,37 @@ "id": "2022-03-g-01-05-b", "label": "Ages 0-1", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-03-g-01-05-c", "label": "Ages 1-2", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-03-g-01-05-d", "label": "Ages 3-5", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-03-g-01-05-e", "label": "Ages 6-9", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-03-g-01-05-f", "label": "Ages 10-14", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-03-g-01-05-g", "label": "Ages 15-18", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "context_data": { @@ -20277,9 +17342,7 @@ "type": "fieldset" } ], - "fieldset_info": { - "id": "2022-03-g-01-05" - }, + "fieldset_info": { "id": "2022-03-g-01-05" }, "label": "How many children (who were enrolled in Separate CHIP for at least 90 continuous days) received dental treatment services during FFY 2022?", "fieldset_type": "marked", "type": "fieldset", @@ -20295,9 +17358,7 @@ "id": "2022-03-g-01-06", "label": "How many children in the “ages 6–9” group received a sealant on at least one permanent molar tooth during FFY 2022?", "type": "integer", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } }, { "questions": [], @@ -20314,17 +17375,13 @@ "id": "2022-03-g-01-07-a", "label": "How many children were enrolled in supplemental dental coverage during FFY 2022?", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-03-g-01-07-b", "label": "How many children were enrolled in Separate CHIP for at least 90 continuous days during FFY 2022?", "type": "integer", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "hint": "This is the total number for all children between 0-18 years from question 1." }, { @@ -20358,9 +17415,7 @@ { "contents": "Children enrolled in Separate CHIP" }, - { - "contents": "Percentage" - } + { "contents": "Percentage" } ] }, "fieldset_type": "synthesized_table", @@ -20387,14 +17442,8 @@ "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" } ], "entry": "no" } @@ -20403,17 +17452,13 @@ "id": "2022-03-g-01-08", "label": "Is there anything else you’d like to add about your dental benefits? If you weren’t able to provide data, let us know why.", "type": "text_multiline", - "answer": { - "entry": "test" - } + "answer": { "entry": "test" } }, { "id": "2022-03-g-01-09", "label": "Optional: Attach any additional documents here.", "type": "file_upload", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "context_data": { @@ -20455,14 +17500,8 @@ "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" } ], "entry": null } @@ -20473,14 +17512,8 @@ "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" } ], "entry": "no" } @@ -20536,10 +17569,7 @@ "value": "Sample size was too small (fewer than 30)", "label": "Sample size was too small (fewer than 30)" }, - { - "value": "other", - "label": "Other" - } + { "value": "other", "label": "Other" } ], "entry": [ null, @@ -20552,9 +17582,7 @@ "id": "2022-03-h-02-02", "label": "Explain in more detail why you weren’t able to collect the CAHPS survey.", "type": "text_multiline", - "answer": { - "entry": "test" - } + "answer": { "entry": "test" } } ], "context_data": { @@ -20593,14 +17621,8 @@ "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" } ], "entry": "no" }, @@ -20620,9 +17642,7 @@ "id": "2022-03-i-02-01-01-01", "label": "What is the name of your HSI program?", "type": "text", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-03-i-02-01-01-02", @@ -20630,14 +17650,8 @@ "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" } ], "entry": null } @@ -20677,9 +17691,7 @@ "id": "2022-03-i-02-01-01-03", "label": "Which populations does the HSI program serve?", "type": "text_multiline", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "context_data": { @@ -20698,9 +17710,7 @@ "id": "2022-03-i-02-01-01-04", "label": "How many children do you estimate are being served by the HSI program?", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "context_data": { @@ -20719,9 +17729,7 @@ "id": "2022-03-i-02-01-01-05", "label": "How many children in the HSI program are below your state's FPL threshold? ", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "questions": [], @@ -20783,9 +17791,7 @@ "id": "2022-03-i-02-01-01-06", "label": "How do you measure the HSI program’s impact on the health of low-income children in your state? Define a metric to measure the impact. ", "type": "text_multiline", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "context_data": { @@ -20804,9 +17810,7 @@ "id": "2022-03-i-02-01-01-07", "label": "What outcomes have you found when measuring the impact?", "type": "text_multiline", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "context_data": { @@ -20825,9 +17829,7 @@ "id": "2022-03-i-02-01-01-08", "label": "Is there anything else you'd like to add about this HSI program?", "type": "text_multiline", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "context_data": { @@ -20846,9 +17848,7 @@ "id": "2022-03-i-02-01-01-09", "label": "Optional: Attach any additional documents.", "type": "file_upload", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "id": "2022-03-i-02-01-01" @@ -20933,9 +17933,7 @@ "id": "2022-04-a-01-01-01-02-01-01", "label": "Briefly describe your goal.", "type": "text_multiline", - "answer": { - "entry": "test" - }, + "answer": { "entry": "test" }, "hint": "For example: In an effort to reduce the number of uninsured children, our goal is to increase enrollment by 1.5% annually until the state achieves 90% enrollment of all eligible children in the CHIP program." }, { @@ -20964,9 +17962,7 @@ "id": "2022-04-a-01-01-01-02-01-02-a", "label": "Why was this goal discontinued?", "type": "text_multiline", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "id": "2022-04-a-01-01-01-02-01-02", @@ -20998,18 +17994,14 @@ "id": "2022-04-a-01-01-01-02-01-03", "label": "Which population are you measuring in the numerator?", "type": "text_medium", - "answer": { - "entry": "test" - }, + "answer": { "entry": "test" }, "hint": "For example: The number of children enrolled in CHIP in the last federal fiscal year." }, { "id": "2022-04-a-01-01-01-02-01-04", "label": "Numerator (total number)", "type": "integer", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } } ], "label": "Define the numerator you're measuring" @@ -21021,18 +18013,14 @@ "id": "2022-04-a-01-01-01-02-01-05", "label": "Which population are you measuring in the denominator?", "type": "text_medium", - "answer": { - "entry": "test" - }, + "answer": { "entry": "test" }, "hint": "For example: The total estimated number of children eligible for CHIP within the state in the last federal fiscal year." }, { "id": "2022-04-a-01-01-01-02-01-06", "label": "Denominator (total number)", "type": "integer", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } } ], "label": "Define the denominator you're measuring" @@ -21084,33 +18072,25 @@ "id": "2022-04-a-01-01-01-02-01-09", "label": "How did your progress towards your goal last year compare to your previous year’s progress?", "type": "text_multiline", - "answer": { - "entry": "test" - } + "answer": { "entry": "test" } }, { "id": "2022-04-a-01-01-01-02-01-10", "label": "What are you doing to continually make progress towards your goal?", "type": "text_multiline", - "answer": { - "entry": "test" - } + "answer": { "entry": "test" } }, { "id": "2022-04-a-01-01-01-02-01-11", "label": "Anything else you'd like to tell us about this goal?", "type": "text_multiline", - "answer": { - "entry": "test" - } + "answer": { "entry": "test" } }, { "id": "2022-04-a-01-01-01-02-01-12", "label": "Do you have any supporting documentation?", "type": "file_upload", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "hint": "Optional" } ], @@ -21131,9 +18111,7 @@ "id": "2022-04-a-01-01-02-01", "label": "What is the next objective listed in your CHIP State Plan?", "type": "text_multiline", - "answer": { - "entry": "Increase access to care" - }, + "answer": { "entry": "Increase access to care" }, "hint": "You can edit the suggested objective so it matches what’s in your CHIP State Plan." }, { @@ -21145,9 +18123,7 @@ "id": "2022-04-a-01-01-02-02-01-01", "label": "Briefly describe your goal as it relates to this objective.", "type": "text_multiline", - "answer": { - "entry": "test" - }, + "answer": { "entry": "test" }, "hint": "For example: In an effort to increase access to care for underserved populations, our goal is to increase the number of children of Hispanic ethnicity who have visited a primary care physician by 5% annually over the next five years (ending in 2028)." }, { @@ -21176,9 +18152,7 @@ "id": "2022-04-a-01-01-02-02-01-02-a", "label": "Why was this goal discontinued?", "type": "text_multiline", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "id": "2022-04-a-01-01-02-02-01-02", @@ -21210,18 +18184,14 @@ "id": "2022-04-a-01-01-02-02-01-03", "label": "Which population are you measuring in the numerator?", "type": "text_medium", - "answer": { - "entry": "test" - }, + "answer": { "entry": "test" }, "hint": "For example: The number of children of Hispanic ethnicity enrolled in CHIP who visited a primary care physician in the last federal fiscal year." }, { "id": "2022-04-a-01-01-02-02-01-04", "label": "Numerator (total number)", "type": "integer", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } } ], "label": "Define the numerator you're measuring" @@ -21233,18 +18203,14 @@ "id": "2022-04-a-01-01-02-02-01-05", "label": "Which population are you measuring in the denominator?", "type": "text_medium", - "answer": { - "entry": "test" - }, + "answer": { "entry": "test" }, "hint": "For example: The total number of children of Hispanic ethnicity enrolled in CHIP in the last federal fiscal year." }, { "id": "2022-04-a-01-01-02-02-01-06", "label": "Denominator (total number)", "type": "integer", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } } ], "label": "Define the denominator you're measuring" @@ -21296,33 +18262,25 @@ "id": "2022-04-a-01-01-02-02-01-09", "label": "How did your progress towards your goal last year compare to your previous year’s progress?", "type": "text_multiline", - "answer": { - "entry": "test" - } + "answer": { "entry": "test" } }, { "id": "2022-04-a-01-01-02-02-01-10", "label": "What are you doing to continually make progress towards your goal?", "type": "text_multiline", - "answer": { - "entry": "test" - } + "answer": { "entry": "test" } }, { "id": "2022-04-a-01-01-02-02-01-11", "label": "Anything else you'd like to tell us about this goal?", "type": "text_multiline", - "answer": { - "entry": "test" - } + "answer": { "entry": "test" } }, { "id": "2022-04-a-01-01-02-02-01-12", "label": "Do you have any supporting documentation?", "type": "file_upload", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "hint": "Optional" } ], @@ -21357,9 +18315,7 @@ "id": "2022-04-a-01-01-03-02-01-01", "label": "Briefly describe your goal as it relates to this objective.", "type": "text_multiline", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "hint": "For example: In an effort to increase the use of preventive care in rural communities, our goal is to increase the number of rural children who receive one or more well child visits by 5% annually until relative utilization is equivalent to all other CHIP populations within the state." }, { @@ -21388,9 +18344,7 @@ "id": "2022-04-a-01-01-03-02-01-02-a", "label": "Why was this goal discontinued?", "type": "text_multiline", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "id": "2022-04-a-01-01-03-02-01-02", @@ -21422,18 +18376,14 @@ "id": "2022-04-a-01-01-03-02-01-03", "label": "Which population are you measuring in the numerator?", "type": "text_medium", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "hint": "For example: The number of rural children who received one or more well child visits in the last federal fiscal year." }, { "id": "2022-04-a-01-01-03-02-01-04", "label": "Numerator (total number)", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "label": "Define the numerator you're measuring" @@ -21445,18 +18395,14 @@ "id": "2022-04-a-01-01-03-02-01-05", "label": "Which population are you measuring in the denominator?", "type": "text_medium", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "hint": "For example: The total number of rural children enrolled in CHIP." }, { "id": "2022-04-a-01-01-03-02-01-06", "label": "Denominator (total number)", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "label": "Define the denominator you're measuring" @@ -21508,33 +18454,25 @@ "id": "2022-04-a-01-01-03-02-01-09", "label": "How did your progress towards your goal last year compare to your previous year’s progress?", "type": "text_multiline", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-04-a-01-01-03-02-01-10", "label": "What are you doing to continually make progress towards your goal?", "type": "text_multiline", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-04-a-01-01-03-02-01-11", "label": "Anything else you'd like to tell us about this goal?", "type": "text_multiline", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-04-a-01-01-03-02-01-12", "label": "Do you have any supporting documentation?", "type": "file_upload", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "hint": "Optional" } ], @@ -21555,9 +18493,7 @@ "id": "2022-04-a-01-01-04-01", "label": "What is the next objective listed in your CHIP State Plan?", "type": "text_multiline", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "questions": [ @@ -21568,9 +18504,7 @@ "id": "2022-04-a-01-01-04-02-01-01", "label": "Briefly describe your goal as it relates to this objective.", "type": "text_multiline", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "questions": [ @@ -21598,9 +18532,7 @@ "id": "2022-04-a-01-01-04-02-01-02-a", "label": "Why was this goal discontinued?", "type": "text_multiline", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "id": "2022-04-a-01-01-04-02-01-02", @@ -21632,17 +18564,13 @@ "id": "2022-04-a-01-01-04-02-01-03", "label": "Which population are you measuring in the numerator?", "type": "text_medium", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-04-a-01-01-04-02-01-04", "label": "Numerator (total number)", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "label": "Define the numerator you're measuring" @@ -21654,17 +18582,13 @@ "id": "2022-04-a-01-01-04-02-01-05", "label": "Which population are you measuring in the denominator?", "type": "text_medium", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-04-a-01-01-04-02-01-06", "label": "Denominator (total number)", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "label": "Define the denominator you're measuring" @@ -21716,33 +18640,25 @@ "id": "2022-04-a-01-01-04-02-01-09", "label": "How did your progress towards your goal last year compare to your previous year’s progress?", "type": "text_multiline", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-04-a-01-01-04-02-01-10", "label": "What are you doing to continually make progress towards your goal?", "type": "text_multiline", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-04-a-01-01-04-02-01-11", "label": "Anything else you'd like to tell us about this goal?", "type": "text_multiline", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-04-a-01-01-04-02-01-12", "label": "Do you have any supporting documentation?", "type": "file_upload", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "hint": "Optional" } ], @@ -21763,9 +18679,7 @@ "id": "2022-04-a-01-01-05-01", "label": "What is the next objective listed in your CHIP State Plan?", "type": "text_multiline", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "questions": [ @@ -21776,9 +18690,7 @@ "id": "2022-04-a-01-01-05-02-01-01", "label": "Briefly describe your goal as it relates to this objective.", "type": "text_multiline", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "questions": [ @@ -21806,9 +18718,7 @@ "id": "2022-04-a-01-01-05-02-01-02-a", "label": "Why was this goal discontinued?", "type": "text_multiline", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "id": "2022-04-a-01-01-05-02-01-02", @@ -21840,17 +18750,13 @@ "id": "2022-04-a-01-01-05-02-01-03", "label": "Which population are you measuring in the numerator?", "type": "text_medium", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-04-a-01-01-05-02-01-04", "label": "Numerator (total number)", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "label": "Define the numerator you're measuring" @@ -21862,17 +18768,13 @@ "id": "2022-04-a-01-01-05-02-01-05", "label": "Which population are you measuring in the denominator?", "type": "text_medium", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-04-a-01-01-05-02-01-06", "label": "Denominator (total number)", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "label": "Define the denominator you're measuring" @@ -21924,33 +18826,25 @@ "id": "2022-04-a-01-01-05-02-01-09", "label": "How did your progress towards your goal last year compare to your previous year’s progress?", "type": "text_multiline", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-04-a-01-01-05-02-01-10", "label": "What are you doing to continually make progress towards your goal?", "type": "text_multiline", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-04-a-01-01-05-02-01-11", "label": "Anything else you'd like to tell us about this goal?", "type": "text_multiline", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-04-a-01-01-05-02-01-12", "label": "Do you have any supporting documentation?", "type": "file_upload", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "hint": "Optional" } ], @@ -21971,9 +18865,7 @@ "id": "2022-04-a-01-01-06-01", "label": "What is the next objective listed in your CHIP State Plan?", "type": "text_multiline", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "questions": [ @@ -21984,9 +18876,7 @@ "id": "2022-04-a-01-01-06-02-01-01", "label": "Briefly describe your goal as it relates to this objective.", "type": "text_multiline", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "questions": [ @@ -22014,9 +18904,7 @@ "id": "2022-04-a-01-01-06-02-01-02-a", "label": "Why was this goal discontinued?", "type": "text_multiline", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "id": "2022-04-a-01-01-06-02-01-02", @@ -22048,17 +18936,13 @@ "id": "2022-04-a-01-01-06-02-01-03", "label": "Which population are you measuring in the numerator?", "type": "text_medium", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-04-a-01-01-06-02-01-04", "label": "Numerator (total number)", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "label": "Define the numerator you're measuring" @@ -22070,18 +18954,14 @@ "id": "2022-04-a-01-01-06-02-01-05", "label": "Which population are you measuring in the denominator?", "type": "text_medium", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "hint": "For example: The total number of eligible children in the last federal fiscal year." }, { "id": "2022-04-a-01-01-06-02-01-06", "label": "Denominator (total number)", "type": "integer", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "label": "Define the denominator you're measuring" @@ -22133,33 +19013,25 @@ "id": "2022-04-a-01-01-06-02-01-09", "label": "How did your progress towards your goal last year compare to your previous year’s progress?", "type": "text_multiline", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-04-a-01-01-06-02-01-10", "label": "What are you doing to continually make progress towards your goal?", "type": "text_multiline", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-04-a-01-01-06-02-01-11", "label": "Anything else you'd like to tell us about this goal?", "type": "text_multiline", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2022-04-a-01-01-06-02-01-12", "label": "Do you have any supporting documentation?", "type": "file_upload", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "hint": "Optional" } ], @@ -22188,33 +19060,25 @@ "id": "2022-04-a-02-01", "label": "Do you have other strategies for measuring and reporting on your performance goals? What are these strategies, and what information have you found through this research?", "type": "text_multiline", - "answer": { - "entry": "test" - } + "answer": { "entry": "test" } }, { "id": "2022-04-a-02-02", "label": "Do you plan to add new strategies for measuring and reporting on your goals and objectives? What do you plan to do, and when will these data become available?", "type": "text_multiline", - "answer": { - "entry": "test" - } + "answer": { "entry": "test" } }, { "id": "2022-04-a-02-03", "label": "Have you conducted any focused studies on your CHIP population? (For example: studies on adolescents, attention deficit disorder, substance use, behavioral health services access, health care equity, special health care needs, or other emerging health care needs.) What have you discovered through this research?", "type": "text_multiline", - "answer": { - "entry": "test" - } + "answer": { "entry": "test" } }, { "id": "2022-04-a-02-04", "label": "Optional: Attach any additional documents here.", "type": "file_upload", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "hint": "For example: studies, analyses, or any other documents that address your performance goals." } ], @@ -22266,33 +19130,25 @@ "id": "2022-05-a-01-01-a", "label": "2022", "type": "money", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } }, { "id": "2022-05-a-01-01-b", "label": "2023", "type": "money", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } }, { "id": "2022-05-a-01-01-c", "label": "2024", "type": "money", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } } ], "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2022-05-a-01-01" - }, + "fieldset_info": { "id": "2022-05-a-01-01" }, "label": "How much did you spend on Managed Care in FFY 2022? How much do you anticipate spending in FFY 2023 and 2024?", "fieldset_type": "marked", "type": "fieldset" @@ -22307,33 +19163,25 @@ "id": "2022-05-a-01-02-a", "label": "2022", "type": "money", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } }, { "id": "2022-05-a-01-02-b", "label": "2023", "type": "money", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } }, { "id": "2022-05-a-01-02-c", "label": "2024", "type": "money", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } } ], "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2022-05-a-01-02" - }, + "fieldset_info": { "id": "2022-05-a-01-02" }, "label": "How much did you spend on Fee for Service in FFY 2022? How much do you anticipate spending in FFY 2023 and 2024?", "fieldset_type": "marked", "type": "fieldset" @@ -22348,33 +19196,25 @@ "id": "2022-05-a-01-03-a", "label": "2022", "type": "money", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } }, { "id": "2022-05-a-01-03-b", "label": "2023", "type": "money", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } }, { "id": "2022-05-a-01-03-c", "label": "2024", "type": "money", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } } ], "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2022-05-a-01-03" - }, + "fieldset_info": { "id": "2022-05-a-01-03" }, "label": "How much did you spend on anything else related to benefit costs in FFY 2022? How much do you anticipate spending in FFY 2023 and 2024?", "fieldset_type": "marked", "type": "fieldset" @@ -22389,33 +19229,25 @@ "id": "2022-05-a-01-04-a", "label": "2022", "type": "money", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } }, { "id": "2022-05-a-01-04-b", "label": "2023", "type": "money", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } }, { "id": "2022-05-a-01-04-c", "label": "2024", "type": "money", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } } ], "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2022-05-a-01-04" - }, + "fieldset_info": { "id": "2022-05-a-01-04" }, "label": "How much did you receive in cost sharing from beneficiaries to offset your costs in FFY 2022? How much do you anticipate spending in FFY 2023 and 2024?", "fieldset_type": "marked", "type": "fieldset" @@ -22425,9 +19257,7 @@ "fieldset_info": { "rows": [ [ - { - "contents": "Managed Care" - }, + { "contents": "Managed Care" }, { "actions": ["identity"], "targets": [ @@ -22448,9 +19278,7 @@ } ], [ - { - "contents": "Fee for Service" - }, + { "contents": "Fee for Service" }, { "actions": ["identity"], "targets": [ @@ -22471,9 +19299,7 @@ } ], [ - { - "contents": "Other benefit costs" - }, + { "contents": "Other benefit costs" }, { "actions": ["identity"], "targets": [ @@ -22517,9 +19343,7 @@ } ], [ - { - "contents": "Total benefit costs" - }, + { "contents": "Total benefit costs" }, { "actions": ["sum"], "targets": [ @@ -22550,18 +19374,10 @@ ] ], "headers": [ - { - "contents": "" - }, - { - "contents": "FFY 2022" - }, - { - "contents": "FFY 2023" - }, - { - "contents": "FFY 2024" - } + { "contents": "" }, + { "contents": "FFY 2022" }, + { "contents": "FFY 2023" }, + { "contents": "FFY 2024" } ] }, "label": "Table 1: Benefits Costs", @@ -22586,33 +19402,25 @@ "id": "2022-05-a-02-01-a", "label": "2022", "type": "money", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } }, { "id": "2022-05-a-02-01-b", "label": "2023", "type": "money", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } }, { "id": "2022-05-a-02-01-c", "label": "2024", "type": "money", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } } ], "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2022-05-a-02-01" - }, + "fieldset_info": { "id": "2022-05-a-02-01" }, "label": "How much did you spend on personnel in FFY 2022? How much do you anticipate spending in FFY 2023 and 2024?", "fieldset_type": "marked", "type": "fieldset", @@ -22628,33 +19436,25 @@ "id": "2022-05-a-02-02-a", "label": "2022", "type": "money", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } }, { "id": "2022-05-a-02-02-b", "label": "2023", "type": "money", - "answer": { - "entry": "55" - } + "answer": { "entry": "55" } }, { "id": "2022-05-a-02-02-c", "label": "2024", "type": "money", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } } ], "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2022-05-a-02-02" - }, + "fieldset_info": { "id": "2022-05-a-02-02" }, "label": "How much did you spend on general administration in FFY 2022? How much do you anticipate spending in FFY 2023 and 2024?", "fieldset_type": "marked", "type": "fieldset" @@ -22669,33 +19469,25 @@ "id": "2022-05-a-02-03-a", "label": "2022", "type": "money", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } }, { "id": "2022-05-a-02-03-b", "label": "2023", "type": "money", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } }, { "id": "2022-05-a-02-03-c", "label": "2024", "type": "money", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } } ], "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2022-05-a-02-03" - }, + "fieldset_info": { "id": "2022-05-a-02-03" }, "label": "How much did you spend on contractors and brokers, such as enrollment contractors in FFY 2022? How much do you anticipate spending in FFY 2023 and 2024?", "fieldset_type": "marked", "type": "fieldset" @@ -22710,33 +19502,25 @@ "id": "2022-05-a-02-04-a", "label": "2022", "type": "money", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } }, { "id": "2022-05-a-02-04-b", "label": "2023", "type": "money", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } }, { "id": "2022-05-a-02-04-c", "label": "2024", "type": "money", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } } ], "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2022-05-a-02-04" - }, + "fieldset_info": { "id": "2022-05-a-02-04" }, "label": "How much did you spend on claims processing in FFY 2022? How much do you anticipate spending in FFY 2023 and 2024?", "fieldset_type": "marked", "type": "fieldset" @@ -22751,33 +19535,25 @@ "id": "2022-05-a-02-05-a", "label": "2022", "type": "money", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } }, { "id": "2022-05-a-02-05-b", "label": "2023", "type": "money", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } }, { "id": "2022-05-a-02-05-c", "label": "2024", "type": "money", - "answer": { - "entry": "55" - } + "answer": { "entry": "55" } } ], "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2022-05-a-02-05" - }, + "fieldset_info": { "id": "2022-05-a-02-05" }, "label": "How much did you spend on outreach and marketing in FFY 2022? How much do you anticipate spending in FFY 2023 and 2024?", "fieldset_type": "marked", "type": "fieldset" @@ -22792,33 +19568,25 @@ "id": "2022-05-a-02-06-a", "label": "2022", "type": "money", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } }, { "id": "2022-05-a-02-06-b", "label": "2023", "type": "money", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } }, { "id": "2022-05-a-02-06-c", "label": "2024", "type": "money", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } } ], "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2022-05-a-02-06" - }, + "fieldset_info": { "id": "2022-05-a-02-06" }, "label": "How much did you spend on your Health Services Initiatives (HSI) if you had any in FFY 2022? How much do you anticipate spending in FFY 2023 and 2024?", "fieldset_type": "marked", "type": "fieldset" @@ -22833,33 +19601,25 @@ "id": "2022-05-a-02-07-a", "label": "2022", "type": "money", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } }, { "id": "2022-05-a-02-07-b", "label": "2023", "type": "money", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } }, { "id": "2022-05-a-02-07-c", "label": "2024", "type": "money", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } } ], "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2022-05-a-02-07" - }, + "fieldset_info": { "id": "2022-05-a-02-07" }, "label": "How much did you spend on anything else related to administrative costs in FFY 2022? How much do you anticipate spending in FFY 2023 and 2024?", "fieldset_type": "marked", "type": "fieldset" @@ -22869,9 +19629,7 @@ "fieldset_info": { "rows": [ [ - { - "contents": "Personnel" - }, + { "contents": "Personnel" }, { "actions": ["identity"], "targets": [ @@ -22892,9 +19650,7 @@ } ], [ - { - "contents": "General administration" - }, + { "contents": "General administration" }, { "actions": ["identity"], "targets": [ @@ -22915,9 +19671,7 @@ } ], [ - { - "contents": "Contractors and brokers" - }, + { "contents": "Contractors and brokers" }, { "actions": ["identity"], "targets": [ @@ -22938,9 +19692,7 @@ } ], [ - { - "contents": "Claims processing" - }, + { "contents": "Claims processing" }, { "actions": ["identity"], "targets": [ @@ -22961,9 +19713,7 @@ } ], [ - { - "contents": "Outreach and marketing" - }, + { "contents": "Outreach and marketing" }, { "actions": ["identity"], "targets": [ @@ -22984,9 +19734,7 @@ } ], [ - { - "contents": "Health Services Initiatives (HSI)" - }, + { "contents": "Health Services Initiatives (HSI)" }, { "actions": ["identity"], "targets": [ @@ -23007,9 +19755,7 @@ } ], [ - { - "contents": "Other administrative costs" - }, + { "contents": "Other administrative costs" }, { "actions": ["identity"], "targets": [ @@ -23030,9 +19776,7 @@ } ], [ - { - "contents": "Total administrative costs" - }, + { "contents": "Total administrative costs" }, { "actions": ["sum"], "targets": [ @@ -23071,9 +19815,7 @@ } ], [ - { - "contents": "10% administrative cap" - }, + { "contents": "10% administrative cap" }, { "formula": "(<0> + <1> + <2> - <3>) / 9", "$comment": "This should equal the total benefit cost calculated above, then divided by 9", @@ -23110,18 +19852,10 @@ ] ], "headers": [ - { - "contents": "" - }, - { - "contents": "FFY 2022" - }, - { - "contents": "FFY 2023" - }, - { - "contents": "FFY 2024" - } + { "contents": "" }, + { "contents": "FFY 2022" }, + { "contents": "FFY 2023" }, + { "contents": "FFY 2024" } ] }, "label": "Table 2: Administrative Costs", @@ -23134,9 +19868,7 @@ "fieldset_info": { "rows": [ [ - { - "contents": "Total program costs " - }, + { "contents": "Total program costs " }, { "formula": "<0> + <1> + <2> - <3> + <4> + <5> + <6> + <7> + <8> + <9> + <10>", "$comment": "Total benefit costs 2022 + total admin costs 2022", @@ -23193,49 +19925,31 @@ } ], [ - { - "contents": "eFMAP" - }, + { "contents": "eFMAP" }, { "actions": ["identity"], - "targets": [ - { - "lookupFmapFy": "2022" - } - ], + "targets": [{ "lookupFmapFy": "2022" }], "$comment": "This should pull the FMAP data from the API for this state and plug it in (FY20)" }, { "actions": ["identity"], - "targets": [ - { - "lookupFmapFy": "2023" - } - ], + "targets": [{ "lookupFmapFy": "2023" }], "$comment": "This should pull the FMAP data from the API for this state and plug it in (FY21)" }, { "actions": ["identity"], - "targets": [ - { - "lookupFmapFy": "2024" - } - ], + "targets": [{ "lookupFmapFy": "2024" }], "$comment": "This should pull the FMAP data from the API for this state and plug it in (FY22)" } ], [ - { - "contents": "Federal share" - }, + { "contents": "Federal share" }, { "formula": "(<0> / 100) * (<1> + <2> + <3> - <4> + <5> + <6> + <7> + <8> + <9> + <10> + <11>)", "$comment": "Multiple eFMAP percentage times the sum/difference of fields that make up total program costs", "actions": ["formula"], "targets": [ - { - "lookupFmapFy": "2022" - }, + { "lookupFmapFy": "2022" }, "$..*[?(@ && @.id=='2022-05-a-01-01-a')].answer.entry", "$..*[?(@ && @.id=='2022-05-a-01-02-a')].answer.entry", "$..*[?(@ && @.id=='2022-05-a-01-03-a')].answer.entry", @@ -23254,9 +19968,7 @@ "$comment": "Multiple eFMAP percentage times the sum/difference of fields that make up total program costs", "actions": ["formula"], "targets": [ - { - "lookupFmapFy": "2023" - }, + { "lookupFmapFy": "2023" }, "$..*[?(@ && @.id=='2022-05-a-01-01-b')].answer.entry", "$..*[?(@ && @.id=='2022-05-a-01-02-b')].answer.entry", "$..*[?(@ && @.id=='2022-05-a-01-03-b')].answer.entry", @@ -23275,9 +19987,7 @@ "$comment": "Multiple eFMAP percentage times the sum/difference of fields that make up total program costs", "actions": ["formula"], "targets": [ - { - "lookupFmapFy": "2024" - }, + { "lookupFmapFy": "2024" }, "$..*[?(@ && @.id=='2022-05-a-01-01-c')].answer.entry", "$..*[?(@ && @.id=='2022-05-a-01-02-c')].answer.entry", "$..*[?(@ && @.id=='2022-05-a-01-03-c')].answer.entry", @@ -23293,9 +20003,7 @@ } ], [ - { - "contents": "State share" - }, + { "contents": "State share" }, { "formula": "<0> + <1> + <2> - <3> + <4> + <5> + <6> + <7> + <8> + <9> + <10> - ((<11> / 100) * (<12> + <13> + <14> - <15> + <16> + <17> + <18> + <19> + <20> + <21> + <22>))", "$comment": "Total program costs - federal share", @@ -23312,9 +20020,7 @@ "$..*[?(@ && @.id=='2022-05-a-02-05-a')].answer.entry", "$..*[?(@ && @.id=='2022-05-a-02-06-a')].answer.entry", "$..*[?(@ && @.id=='2022-05-a-02-07-a')].answer.entry", - { - "lookupFmapFy": "2022" - }, + { "lookupFmapFy": "2022" }, "$..*[?(@ && @.id=='2022-05-a-01-01-a')].answer.entry", "$..*[?(@ && @.id=='2022-05-a-01-02-a')].answer.entry", "$..*[?(@ && @.id=='2022-05-a-01-03-a')].answer.entry", @@ -23344,9 +20050,7 @@ "$..*[?(@ && @.id=='2022-05-a-02-05-b')].answer.entry", "$..*[?(@ && @.id=='2022-05-a-02-06-b')].answer.entry", "$..*[?(@ && @.id=='2022-05-a-02-07-b')].answer.entry", - { - "lookupFmapFy": "2023" - }, + { "lookupFmapFy": "2023" }, "$..*[?(@ && @.id=='2022-05-a-01-01-b')].answer.entry", "$..*[?(@ && @.id=='2022-05-a-01-02-b')].answer.entry", "$..*[?(@ && @.id=='2022-05-a-01-03-b')].answer.entry", @@ -23376,9 +20080,7 @@ "$..*[?(@ && @.id=='2022-05-a-02-05-c')].answer.entry", "$..*[?(@ && @.id=='2022-05-a-02-06-c')].answer.entry", "$..*[?(@ && @.id=='2022-05-a-02-07-c')].answer.entry", - { - "lookupFmapFy": "2024" - }, + { "lookupFmapFy": "2024" }, "$..*[?(@ && @.id=='2022-05-a-01-01-c')].answer.entry", "$..*[?(@ && @.id=='2022-05-a-01-02-c')].answer.entry", "$..*[?(@ && @.id=='2022-05-a-01-03-c')].answer.entry", @@ -23395,18 +20097,10 @@ ] ], "headers": [ - { - "contents": "" - }, - { - "contents": "FFY 2022" - }, - { - "contents": "FFY 2023" - }, - { - "contents": "FFY 2024" - } + { "contents": "" }, + { "contents": "FFY 2022" }, + { "contents": "FFY 2023" }, + { "contents": "FFY 2024" } ] }, "label": "Table 3: Federal and State Shares", @@ -23433,9 +20127,7 @@ "id": "2022-05-a-02-08-a", "label": "What other type of funding did you receive?", "type": "text", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "id": "2022-05-a-02-08", @@ -23467,10 +20159,7 @@ "value": "tobacco settlement", "label": "Tobacco settlement" }, - { - "value": "other", - "label": "Other" - } + { "value": "other", "label": "Other" } ], "entry": [null, "state appropriations"] }, @@ -23495,9 +20184,7 @@ "id": "2022-05-a-02-09-a", "label": "Briefly explain why your state didn’t have enough federal funding to cover your CHIP program costs.", "type": "text_multiline", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "id": "2022-05-a-02-09", @@ -23505,14 +20192,8 @@ "type": "radio", "answer": { "options": [ - { - "value": "yes", - "label": "Yes" - }, - { - "value": "no", - "label": "No" - } + { "value": "yes", "label": "Yes" }, + { "value": "no", "label": "No" } ], "entry": null } @@ -23534,33 +20215,25 @@ "id": "2022-05-a-03-01-a", "label": "2022", "type": "integer", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } }, { "id": "2022-05-a-03-01-b", "label": "2023", "type": "integer", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } }, { "id": "2022-05-a-03-01-c", "label": "2024", "type": "integer", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } } ], "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2022-05-a-03-01" - }, + "fieldset_info": { "id": "2022-05-a-03-01" }, "label": "How many children were eligible for managed care in FFY 2022? How many do you anticipate will be eligible in FFY 2023 and 2024?", "fieldset_type": "marked", "type": "fieldset" @@ -23575,33 +20248,25 @@ "id": "2022-05-a-03-02-a", "label": "2022", "type": "money", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } }, { "id": "2022-05-a-03-02-b", "label": "2023", "type": "money", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } }, { "id": "2022-05-a-03-02-c", "label": "2024", "type": "money", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } } ], "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2022-05-a-03-02" - }, + "fieldset_info": { "id": "2022-05-a-03-02" }, "label": "What was your per member per month (PMPM) cost based on the number of children eligible for managed care in FFY 2022? What is your projected PMPM cost for FFY 2023 and 2024?", "fieldset_type": "marked", "type": "fieldset", @@ -23612,9 +20277,7 @@ "fieldset_info": { "rows": [ [ - { - "contents": "Eligible children" - }, + { "contents": "Eligible children" }, { "actions": ["identity"], "targets": [ @@ -23635,9 +20298,7 @@ } ], [ - { - "contents": "PMPM cost" - }, + { "contents": "PMPM cost" }, { "actions": ["identity"], "targets": [ @@ -23659,18 +20320,10 @@ ] ], "headers": [ - { - "contents": "" - }, - { - "contents": "FFY 2022" - }, - { - "contents": "FFY 2023" - }, - { - "contents": "FFY 2024" - } + { "contents": "" }, + { "contents": "FFY 2022" }, + { "contents": "FFY 2023" }, + { "contents": "FFY 2024" } ] }, "fieldset_type": "synthesized_table", @@ -23694,33 +20347,25 @@ "id": "2022-05-a-04-01-a", "label": "2022", "type": "integer", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } }, { "id": "2022-05-a-04-01-b", "label": "2023", "type": "integer", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } }, { "id": "2022-05-a-04-01-c", "label": "2024", "type": "integer", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } } ], "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2022-05-a-04-01" - }, + "fieldset_info": { "id": "2022-05-a-04-01" }, "label": "How many children were eligible for fee for service in FFY 2022? How many do you anticipate will be eligible in FFY 2023 and 2024?", "fieldset_type": "marked", "type": "fieldset" @@ -23735,33 +20380,25 @@ "id": "2022-05-a-04-02-a", "label": "2022", "type": "money", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } }, { "id": "2022-05-a-04-02-b", "label": "2023", "type": "money", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } }, { "id": "2022-05-a-04-02-c", "label": "2024", "type": "money", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } } ], "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2022-05-a-04-02" - }, + "fieldset_info": { "id": "2022-05-a-04-02" }, "label": "What was your per member per month (PMPM) cost based on the number of children eligible for fee for service in FFY 2022? What is your projected PMPM cost for FFY 2023 and 2024?", "fieldset_type": "marked", "type": "fieldset", @@ -23772,9 +20409,7 @@ "fieldset_info": { "rows": [ [ - { - "contents": "Eligible children" - }, + { "contents": "Eligible children" }, { "actions": ["identity"], "targets": [ @@ -23795,9 +20430,7 @@ } ], [ - { - "contents": "PMPM cost" - }, + { "contents": "PMPM cost" }, { "actions": ["identity"], "targets": [ @@ -23819,18 +20452,10 @@ ] ], "headers": [ - { - "contents": "" - }, - { - "contents": "FFY 2022" - }, - { - "contents": "FFY 2023" - }, - { - "contents": "FFY 2024" - } + { "contents": "" }, + { "contents": "FFY 2022" }, + { "contents": "FFY 2023" }, + { "contents": "FFY 2024" } ] }, "fieldset_type": "synthesized_table", @@ -23849,17 +20474,13 @@ "id": "2022-05-a-05-01", "label": "Is there anything else you’d like to add about your program finances that wasn’t already covered?", "type": "text_multiline", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } }, { "id": "2022-05-a-05-02", "label": "Optional: Attach any additional documents here.", "type": "file_upload", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "id": "2022-05-a-05" @@ -23898,49 +20519,37 @@ "id": "2022-06-a-01-01", "label": "How has your state’s political and fiscal environment affected your ability to provide healthcare to low-income children and families?", "type": "text_multiline", - "answer": { - "entry": "test" - } + "answer": { "entry": "test" } }, { "id": "2022-06-a-01-02", "label": "What’s the greatest challenge your CHIP program has faced in FFY 2022?", "type": "text_multiline", - "answer": { - "entry": "test" - } + "answer": { "entry": "test" } }, { "id": "2022-06-a-01-03", "label": "What are some of the greatest accomplishments your CHIP program has experienced in FFY 2022?", "type": "text_multiline", - "answer": { - "entry": "test" - } + "answer": { "entry": "test" } }, { "id": "2022-06-a-01-04", "label": "What changes have you made to your CHIP program in FFY 2022 or plan to make in FFY 2023? Why have you decided to make these changes?", "type": "text_multiline", - "answer": { - "entry": "test" - } + "answer": { "entry": "test" } }, { "id": "2022-06-a-01-05", "label": "Is there anything else you’d like to add about your state’s challenges and accomplishments?", "type": "text_multiline", - "answer": { - "entry": "test" - } + "answer": { "entry": "test" } }, { "id": "2022-06-a-01-06", "label": "Optional: Attach any additional documents here.", "type": "file_upload", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "id": "2022-06-a-01" @@ -24029,25 +20638,19 @@ "id": "2021-00-a-01-04", "type": "text", "label": "Contact name:", - "answer": { - "entry": "Tester" - } + "answer": { "entry": "Tester" } }, { "id": "2021-00-a-01-05", "type": "text", "label": "Job title:", - "answer": { - "entry": "Director" - } + "answer": { "entry": "Director" } }, { "id": "2021-00-a-01-06", "type": "email", "label": "Email:", - "answer": { - "entry": "" - } + "answer": { "entry": "" } }, { "id": "2021-00-a-01-07", @@ -24062,9 +20665,7 @@ "id": "2021-00-a-01-08", "type": "phone_number", "label": "Phone number:", - "answer": { - "entry": "123-456-7890" - } + "answer": { "entry": "123-456-7890" } }, { "hint": "This information is being collected to assist the Centers for Medicare & Medicaid Services (CMS) in partnership with States with the ongoing management of Medicaid and CHIP programs and policies. This mandatory information collection (42 U.S.C. 1397hh) will be used to help each state meet the statutory requirements at section 2108(a) of the Social Security Act to assess the operation of the State child health plan in each Federal fiscal year and to report the results of the assessment including the progress made in reducing the number of uncovered, low-income children. Under the Privacy Act of 1974 any personally identifying information obtained will be kept private to the extent of the law. According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0938-1148 (CMS-10398 #1). The time required to complete this information collection is estimated to average 40 hours per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to CMS, 7500 Security Boulevard, Attn: Paperwork Reduction Act Reports Clearance Officer, Mail Stop C4-26-05, Baltimore, Maryland 21244-1850.", @@ -24113,14 +20714,8 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "questions": [ @@ -24128,9 +20723,7 @@ "id": "2021-01-a-01-01-a", "type": "money", "label": "How much is your enrollment fee?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -24154,14 +20747,8 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "questions": [ @@ -24175,14 +20762,8 @@ "answer": { "entry": "", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] } }, @@ -24219,9 +20800,7 @@ "id": "2021-01-a-01-02-c", "type": "money", "label": "How much is the premium for one child?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -24261,14 +20840,8 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "questions": [ @@ -24306,9 +20879,7 @@ "id": "2021-01-a-01-03-b", "type": "money", "label": "What's the maximum premium a family would be charged each year?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -24329,9 +20900,7 @@ "id": "2021-01-a-01-04", "type": "text_multiline", "label": "Do premiums differ for different Medicaid Expansion CHIP populations beyond FPL (for example, by eligibility group)? If so, briefly explain the fee structure breakdown.", - "answer": { - "entry": "N/A" - } + "answer": { "entry": "N/A" } }, { "id": "2021-01-a-01-05", @@ -24341,18 +20910,12 @@ "answer": { "entry": [null, "pccm"], "options": [ - { - "label": "Managed Care", - "value": "mco" - }, + { "label": "Managed Care", "value": "mco" }, { "label": "Primary Care Case Management", "value": "pccm" }, - { - "label": "Fee for Service", - "value": "ffs" - } + { "label": "Fee for Service", "value": "ffs" } ] } }, @@ -24360,9 +20923,7 @@ "id": "2021-01-a-01-06", "type": "text_multiline", "label": "Which delivery system(s) are available to which Medicaid Expansion CHIP populations? Indicate whether eligibility status, income level, age range, or other criteria determine which delivery system a population receives.", - "answer": { - "entry": "N/A" - } + "answer": { "entry": "N/A" } } ], "context_data": { @@ -24385,14 +20946,8 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "questions": [ @@ -24400,9 +20955,7 @@ "id": "2021-01-a-02-01-a", "type": "money", "label": "How much is your enrollment fee?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -24426,14 +20979,8 @@ "answer": { "entry": "yes", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "questions": [ @@ -24447,14 +20994,8 @@ "answer": { "entry": "yes", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] } }, @@ -24496,9 +21037,7 @@ "id": "2021-01-a-02-02-c", "type": "money", "label": "How much is the premium for one child?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -24538,14 +21077,8 @@ "answer": { "entry": "yes", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "questions": [ @@ -24588,9 +21121,7 @@ "id": "2021-01-a-02-03-b", "type": "money", "label": "What's the maximum premium fee a family would be charged each year?", - "answer": { - "entry": "312" - }, + "answer": { "entry": "312" }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -24623,18 +21154,12 @@ "answer": { "entry": [null, "ffs"], "options": [ - { - "label": "Managed Care", - "value": "mco" - }, + { "label": "Managed Care", "value": "mco" }, { "label": "Primary Care Case Management", "value": "pccm" }, - { - "label": "Fee for Service", - "value": "ffs" - } + { "label": "Fee for Service", "value": "ffs" } ] } }, @@ -24642,9 +21167,7 @@ "id": "2021-01-a-02-06", "type": "text_multiline", "label": "Which delivery system(s) are available to which CHIP populations? Indicate whether eligibility status, income level, age range, or other criteria determine which delivery system a population receives.", - "answer": { - "entry": "N/A" - } + "answer": { "entry": "N/A" } } ], "context_data": { @@ -24665,18 +21188,9 @@ "answer": { "entry": "", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, "context_data": { @@ -24690,18 +21204,9 @@ "answer": { "entry": "yes", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, "context_data": { @@ -24716,18 +21221,9 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, "context_data": { @@ -24742,18 +21238,9 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, "context_data": { @@ -24767,18 +21254,9 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, "context_data": { @@ -24793,23 +21271,12 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, - "context_data": { - "bullet_text": "Outreach efforts" - } + "context_data": { "bullet_text": "Outreach efforts" } }, { "id": "2021-01-a-03-07", @@ -24819,23 +21286,12 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, - "context_data": { - "bullet_text": "Delivery system(s)" - } + "context_data": { "bullet_text": "Delivery system(s)" } }, { "id": "2021-01-a-03-08", @@ -24845,23 +21301,12 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, - "context_data": { - "bullet_text": "Cost sharing" - } + "context_data": { "bullet_text": "Cost sharing" } }, { "id": "2021-01-a-03-09", @@ -24871,18 +21316,9 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, "context_data": { @@ -24896,18 +21332,9 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, "context_data": { @@ -24922,18 +21349,9 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, "context_data": { @@ -24948,23 +21366,12 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, - "context_data": { - "bullet_text": "Premium assistance" - } + "context_data": { "bullet_text": "Premium assistance" } }, { "id": "2021-01-a-03-13", @@ -24973,18 +21380,9 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, "context_data": { @@ -24998,18 +21396,9 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, "context_data": { @@ -25023,18 +21412,9 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, "context_data": { @@ -25048,23 +21428,12 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, - "context_data": { - "bullet_text": "Other program areas" - } + "context_data": { "bullet_text": "Other program areas" } }, { "type": "fieldset", @@ -25084,18 +21453,9 @@ "answer": { "entry": "yes", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] } } @@ -25154,18 +21514,9 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, "context_data": { @@ -25179,18 +21530,9 @@ "answer": { "entry": "yes", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, "context_data": { @@ -25205,18 +21547,9 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, "context_data": { @@ -25231,18 +21564,9 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, "context_data": { @@ -25256,18 +21580,9 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, "context_data": { @@ -25282,23 +21597,12 @@ "answer": { "entry": "yes", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, - "context_data": { - "bullet_text": "Outreach efforts" - } + "context_data": { "bullet_text": "Outreach efforts" } }, { "id": "2021-01-a-04-07", @@ -25308,23 +21612,12 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, - "context_data": { - "bullet_text": "Delivery system(s)" - } + "context_data": { "bullet_text": "Delivery system(s)" } }, { "id": "2021-01-a-04-08", @@ -25334,23 +21627,12 @@ "answer": { "entry": "yes", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, - "context_data": { - "bullet_text": "Cost sharing" - } + "context_data": { "bullet_text": "Cost sharing" } }, { "id": "2021-01-a-04-09", @@ -25360,23 +21642,12 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, - "context_data": { - "bullet_text": "Crowd-out policies" - } + "context_data": { "bullet_text": "Crowd-out policies" } }, { "id": "2021-01-a-04-10", @@ -25385,18 +21656,9 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, "context_data": { @@ -25410,18 +21672,9 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, "context_data": { @@ -25436,18 +21689,9 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, "context_data": { @@ -25462,23 +21706,12 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, - "context_data": { - "bullet_text": "Premium assistance" - } + "context_data": { "bullet_text": "Premium assistance" } }, { "id": "2021-01-a-04-14", @@ -25487,18 +21720,9 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, "context_data": { @@ -25513,18 +21737,9 @@ "answer": { "entry": "yes", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, "context_data": { @@ -25539,18 +21754,9 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, "context_data": { @@ -25564,18 +21770,9 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, "context_data": { @@ -25589,18 +21786,9 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, "context_data": { @@ -25614,23 +21802,12 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, - "context_data": { - "bullet_text": "Other program areas" - } + "context_data": { "bullet_text": "Other program areas" } }, { "type": "fieldset", @@ -25650,14 +21827,8 @@ "answer": { "entry": "yes", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] } } @@ -25785,9 +21956,7 @@ "fieldset_info": { "rows": [ [ - { - "contents": "2015" - }, + { "contents": "2015" }, { "lookupAcs": { "ffy": "2015", @@ -25814,9 +21983,7 @@ } ], [ - { - "contents": "2016" - }, + { "contents": "2016" }, { "lookupAcs": { "ffy": "2016", @@ -25843,9 +22010,7 @@ } ], [ - { - "contents": "2017" - }, + { "contents": "2017" }, { "lookupAcs": { "ffy": "2017", @@ -25872,9 +22037,7 @@ } ], [ - { - "contents": "2018" - }, + { "contents": "2018" }, { "lookupAcs": { "ffy": "2018", @@ -25901,9 +22064,7 @@ } ], [ - { - "contents": "2019" - }, + { "contents": "2019" }, { "lookupAcs": { "ffy": "2019", @@ -25931,21 +22092,13 @@ ] ], "headers": [ - { - "contents": "Year" - }, - { - "contents": "Number of uninsured children" - }, - { - "contents": "Margin of error" - }, + { "contents": "Year" }, + { "contents": "Number of uninsured children" }, + { "contents": "Margin of error" }, { "contents": "Percent of uninsured children (of total children in your state)" }, - { - "contents": "Margin of error" - } + { "contents": "Margin of error" } ] }, "fieldset_type": "synthesized_table" @@ -25966,9 +22119,7 @@ ] ], "headers": [ - { - "contents": "Percent change between 2018 and 2019" - } + { "contents": "Percent change between 2018 and 2019" } ] }, "fieldset_type": "synthesized_table" @@ -25988,14 +22139,8 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "questions": [ @@ -26003,9 +22148,7 @@ "id": "2021-02-a-02-02-a", "type": "text_multiline", "label": "What are some reasons why the American Community Survey estimates might not reflect the number of uninsured children in your state?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -26029,14 +22172,8 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "questions": [ @@ -26047,9 +22184,7 @@ "id": "2021-02-a-02-03-a", "type": "text_multiline", "label": "What is the alternate data source or methodology?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2021-02-a-02-03-b", @@ -26064,49 +22199,37 @@ "id": "2021-02-a-02-03-c", "type": "text_multiline", "label": "Define the population you’re measuring, including ages and federal poverty levels.", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2021-02-a-02-03-d", "type": "text_multiline", "label": "Give numbers and/or the percent of uninsured children for at least two points in time.", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2021-02-a-02-03-e", "type": "text_multiline", "label": "Why did your state choose to adopt this alternate data source?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2021-02-a-02-03-f", "type": "text_multiline", "label": "How reliable are these estimates? Provide standard errors, confidence intervals, and/or p-values if available.", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2021-02-a-02-03-g", "type": "text_multiline", "label": "What are the limitations of this alternate data source or methodology?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2021-02-a-02-03-h", "type": "text_multiline", "label": "How do you use this alternate data source in CHIP program planning?", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "context_data": { @@ -26129,17 +22252,13 @@ "id": "2021-02-a-02-04", "type": "text_multiline", "label": "Is there anything else you’d like to add about your enrollment and uninsured data?", - "answer": { - "entry": "No." - } + "answer": { "entry": "No." } }, { "id": "2021-02-a-02-05", "type": "file_upload", "label": "Optional: Attach any additional documents here.", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] } @@ -26179,14 +22298,8 @@ "answer": { "entry": "yes", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "questions": [ @@ -26221,14 +22334,8 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "questions": [ @@ -26236,9 +22343,7 @@ "id": "2021-03-a-01-02-a", "type": "text_multiline", "label": "Have these efforts been successful? How have you measured the effectiveness of your outreach efforts?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -26268,17 +22373,13 @@ "id": "2021-03-a-01-04", "type": "text_multiline", "label": "Is there anything else you’d like to add about your outreach efforts?", - "answer": { - "entry": "No." - } + "answer": { "entry": "No." } }, { "id": "2021-03-a-01-05", "type": "file_upload", "label": "Optional: Attach any additional documents here.", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] } @@ -26301,18 +22402,9 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "na" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "na" } ] }, "questions": [ @@ -26320,9 +22412,7 @@ "id": "2021-03-b-01-01-a", "type": "text_multiline", "label": "What percent of CHIP enrollees had access to private insurance at the time of application?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -26346,18 +22436,9 @@ "answer": { "entry": "yes", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "na" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "na" } ] }, "questions": [ @@ -26365,9 +22446,7 @@ "id": "2021-03-b-01-02-a", "type": "text_multiline", "label": "Which database do you use?", - "answer": { - "entry": "BCBS of AL enrollment database" - }, + "answer": { "entry": "BCBS of AL enrollment database" }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -26388,9 +22467,7 @@ "id": "2021-03-b-01-03", "type": "percentage", "label": "What percent of applicants screened for CHIP eligibility cannot be enrolled because they have group health plan coverage?", - "answer": { - "entry": "4.11" - } + "answer": { "entry": "4.11" } }, { "type": "fieldset", @@ -26402,18 +22479,9 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "na" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "na" } ] }, "questions": [ @@ -26424,9 +22492,7 @@ "id": "2021-03-b-01-04-a", "type": "text_multiline", "label": "How long is the waiting period?", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "context_data": { @@ -26447,9 +22513,7 @@ "id": "2021-03-b-01-04-b", "type": "text_multiline", "label": "Which populations does the waiting period apply to? (Include the FPL for each group.)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -26468,9 +22532,7 @@ "id": "2021-03-b-01-04-c", "type": "text_multiline", "label": "What exemptions apply to the waiting period?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -26489,9 +22551,7 @@ "id": "2021-03-b-01-04-d", "type": "text_multiline", "label": "What percent of individuals subject to the waiting period meet a state or federal exemption?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -26521,17 +22581,13 @@ "id": "2021-03-b-01-05", "type": "text_multiline", "label": "Is there anything else you’d like to add about substitution of coverage that wasn’t already covered? Did you run into any limitations when collecting data?", - "answer": { - "entry": "No. " - } + "answer": { "entry": "No. " } }, { "id": "2021-03-b-01-06", "type": "file_upload", "label": "Optional: Attach any additional documents here.", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] } @@ -26556,18 +22612,9 @@ "answer": { "entry": "", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "na" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "na" } ] }, "questions": [ @@ -26578,17 +22625,13 @@ "id": "2021-03-c-01-01-a", "type": "percentage", "label": "What percent of children are presumptively enrolled in CHIP pending a full eligibility determination?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2021-03-c-01-01-b", "type": "percentage", "label": "Of the children who are presumptively enrolled, what percent are determined fully eligible and enrolled in the program (upon completion of the full eligibility determination)?", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "context_data": { @@ -26614,14 +22657,8 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] } }, @@ -26632,14 +22669,8 @@ "answer": { "entry": "yes", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "questions": [ @@ -26650,9 +22681,7 @@ "id": "2021-03-c-01-03-a", "type": "text", "label": "How many notices do you send to families before disenrolling a child from the program?", - "answer": { - "entry": "2" - } + "answer": { "entry": "2" } }, { "id": "2021-03-c-01-03-b", @@ -26707,9 +22736,7 @@ "id": "2021-03-c-01-07", "type": "text_multiline", "label": "Is there anything else you’d like to add that wasn’t already covered?", - "answer": { - "entry": "No. " - } + "answer": { "entry": "No. " } } ] }, @@ -26723,35 +22750,27 @@ "hint": "Don’t include applicants being considered for redetermination — this data will be collected in Part 3.", "type": "integer", "label": "How many applicants were denied CHIP coverage in FFY 2020?", - "answer": { - "entry": "4283" - } + "answer": { "entry": "4283" } }, { "id": "2021-03-c-02-02", "hint": "For example: They were denied because of an incomplete application, missing documentation, or a missing enrollment fee.", "type": "integer", "label": "How many applicants were denied CHIP coverage for procedural reasons?", - "answer": { - "entry": "500" - } + "answer": { "entry": "500" } }, { "id": "2021-03-c-02-03", "hint": "For example: They were denied because their income was too high or too low, they were determined eligible for Medicaid instead, or they had other coverage available.", "type": "integer", "label": "How many applicants were denied CHIP coverage for eligibility reasons?", - "answer": { - "entry": "3484" - }, + "answer": { "entry": "3484" }, "questions": [ { "id": "2021-03-c-02-03-a", "type": "integer", "label": "How many applicants were denied CHIP (Title XXI) coverage and determined eligible for Medicaid (Title XIX) instead?", - "answer": { - "entry": "299" - } + "answer": { "entry": "299" } } ] }, @@ -26759,9 +22778,7 @@ "id": "2021-03-c-02-04", "type": "integer", "label": "How many applicants were denied CHIP coverage for other reasons?", - "answer": { - "entry": "" - } + "answer": { "entry": "" } }, { "id": "2021-03-c-02-05", @@ -26779,9 +22796,7 @@ "fieldset_info": { "rows": [ [ - { - "contents": "Total denials" - }, + { "contents": "Total denials" }, { "targets": [ "$..*[?(@ && @.id=='2021-03-c-02-01')].answer.entry" @@ -26796,9 +22811,7 @@ } ], [ - { - "contents": "Denied for procedural reasons" - }, + { "contents": "Denied for procedural reasons" }, { "targets": [ "$..*[?(@ && @.id=='2021-03-c-02-02')].answer.entry" @@ -26813,9 +22826,7 @@ } ], [ - { - "contents": "Denied for eligibility reasons" - }, + { "contents": "Denied for eligibility reasons" }, { "targets": [ "$..*[?(@ && @.id=='2021-03-c-02-03')].answer.entry" @@ -26830,9 +22841,7 @@ } ], [ - { - "contents": "Denials for other reasons" - }, + { "contents": "Denials for other reasons" }, { "targets": [ "$..*[?(@ && @.id=='2021-03-c-02-04')].answer.entry" @@ -26848,15 +22857,9 @@ ] ], "headers": [ - { - "contents": "" - }, - { - "contents": "Number" - }, - { - "contents": "Percent" - } + { "contents": "" }, + { "contents": "Number" }, + { "contents": "Percent" } ] }, "fieldset_type": "synthesized_table" @@ -26873,34 +22876,26 @@ "id": "2021-03-c-03-01", "type": "integer", "label": "How many children were eligible for redetermination in CHIP in FFY 2020?", - "answer": { - "entry": "145390" - } + "answer": { "entry": "145390" } }, { "id": "2021-03-c-03-02", "type": "integer", "label": "Of the eligible children, how many were then screened for redetermination?", - "answer": { - "entry": "131011" - } + "answer": { "entry": "131011" } }, { "id": "2021-03-c-03-03", "type": "integer", "label": "How many children were retained in CHIP after redetermination?", - "answer": { - "entry": "113009" - } + "answer": { "entry": "113009" } }, { "id": "2021-03-c-03-04", "hint": "This number should be equal to the total of 4a, 4b, and 4c below.", "type": "integer", "label": "How many children were disenrolled in CHIP after the redetermination process?", - "answer": { - "entry": "17989" - }, + "answer": { "entry": "17989" }, "questions": [ { "hint": "The answer to 4 should be equal to the sum of a, b, and c below: ", @@ -26921,26 +22916,20 @@ "hint": "This could be due to an incomplete application, missing documentation, or a missing enrollment fee.", "type": "integer", "label": "How many children were disenrolled for procedural reasons?", - "answer": { - "entry": "1893" - } + "answer": { "entry": "1893" } }, { "id": "2021-03-c-03-04-b", "hint": "This could be due to income that was too high or too low, eligibility in Medicaid (Title XIX) instead, or access to private coverage.", "type": "integer", "label": "How many children were disenrolled for eligibility reasons?", - "answer": { - "entry": "15242" - } + "answer": { "entry": "15242" } }, { "id": "2021-03-c-03-04-c", "type": "integer", "label": "How many children were disenrolled for other reasons?", - "answer": { - "entry": "854" - } + "answer": { "entry": "854" } } ] }, @@ -26948,9 +22937,7 @@ "id": "2021-03-c-03-05", "type": "text_multiline", "label": "Did you have any limitations in collecting this data?", - "answer": { - "entry": "No." - } + "answer": { "entry": "No." } }, { "hint": "These tables are auto-populated with the data you entered above.", @@ -27012,15 +22999,9 @@ ] ], "headers": [ - { - "contents": "" - }, - { - "contents": "Number" - }, - { - "contents": "Percent" - } + { "contents": "" }, + { "contents": "Number" }, + { "contents": "Percent" } ] }, "fieldset_type": "synthesized_table" @@ -27102,15 +23083,9 @@ ] ], "headers": [ - { - "contents": "" - }, - { - "contents": "Number" - }, - { - "contents": "Percent" - } + { "contents": "" }, + { "contents": "Number" }, + { "contents": "Percent" } ] }, "fieldset_type": "synthesized_table" @@ -27127,34 +23102,26 @@ "id": "2021-03-c-04-01", "type": "integer", "label": "How many children were eligible for redetermination in Medicaid in FFY 2020?", - "answer": { - "entry": "463373" - } + "answer": { "entry": "463373" } }, { "id": "2021-03-c-04-02", "type": "integer", "label": "Of the eligible children, how many were then screened for redetermination?", - "answer": { - "entry": "438232" - } + "answer": { "entry": "438232" } }, { "id": "2021-03-c-04-03", "type": "integer", "label": "How many children were retained in Medicaid after redetermination?", - "answer": { - "entry": "413500" - } + "answer": { "entry": "413500" } }, { "id": "2021-03-c-04-04", "hint": "This number should be equal to the total of 4a, 4b, and 4c below.", "type": "integer", "label": "How many children were disenrolled in Medicaid after the redetermination process?", - "answer": { - "entry": "24718" - }, + "answer": { "entry": "24718" }, "questions": [ { "hint": "The answer to 4 should be equal to the sum of a, b, and c below: ", @@ -27175,26 +23142,20 @@ "hint": "This could be due to an incomplete application, missing documentation, or a missing enrollment fee.", "type": "integer", "label": "How many children were disenrolled for procedural reasons?", - "answer": { - "entry": "559" - } + "answer": { "entry": "559" } }, { "id": "2021-03-c-04-04-b", "hint": "This could be due to an income that was too high and/or eligibility in CHIP instead.", "type": "integer", "label": "How many children were disenrolled for eligibility reasons?", - "answer": { - "entry": "23489" - } + "answer": { "entry": "23489" } }, { "id": "2021-03-c-04-04-c", "type": "integer", "label": "How many children were disenrolled for other reasons?", - "answer": { - "entry": "670" - } + "answer": { "entry": "670" } } ] }, @@ -27202,9 +23163,7 @@ "id": "2021-03-c-04-05", "type": "text_multiline", "label": "Did you have any limitations in collecting this data?", - "answer": { - "entry": "No." - } + "answer": { "entry": "No." } }, { "hint": "These tables are auto-populated with the data you entered above.", @@ -27266,15 +23225,9 @@ ] ], "headers": [ - { - "contents": "" - }, - { - "contents": "Number" - }, - { - "contents": "Percent" - } + { "contents": "" }, + { "contents": "Number" }, + { "contents": "Percent" } ] }, "fieldset_type": "synthesized_table" @@ -27356,15 +23309,9 @@ ] ], "headers": [ - { - "contents": "" - }, - { - "contents": "Number" - }, - { - "contents": "Percent" - } + { "contents": "" }, + { "contents": "Number" }, + { "contents": "Percent" } ] }, "fieldset_type": "synthesized_table" @@ -27409,14 +23356,8 @@ "answer": { "entry": "yes", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] } }, @@ -27433,9 +23374,7 @@ "id": "2021-03-c-05-03-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -27471,33 +23410,25 @@ "id": "2021-03-c-05-03-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": "919" - } + "answer": { "entry": "919" } }, { "id": "2021-03-c-05-03-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": "2265" - } + "answer": { "entry": "2265" } }, { "id": "2021-03-c-05-03-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": "5710" - } + "answer": { "entry": "5710" } }, { "id": "2021-03-c-05-03-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": "4958" - } + "answer": { "entry": "4958" } } ], "context_data": { @@ -27515,9 +23446,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2021-03-c-05-03" - }, + "fieldset_info": { "id": "2021-03-c-05-03" }, "fieldset_type": "marked" }, { @@ -27534,9 +23463,7 @@ "id": "2021-03-c-05-04-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -27572,33 +23499,25 @@ "id": "2021-03-c-05-04-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": "909" - } + "answer": { "entry": "909" } }, { "id": "2021-03-c-05-04-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": "22213" - } + "answer": { "entry": "22213" } }, { "id": "2021-03-c-05-04-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": "5451" - } + "answer": { "entry": "5451" } }, { "id": "2021-03-c-05-04-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": "4445" - } + "answer": { "entry": "4445" } } ], "context_data": { @@ -27616,9 +23535,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2021-03-c-05-04" - }, + "fieldset_info": { "id": "2021-03-c-05-04" }, "fieldset_type": "marked" }, { @@ -27629,9 +23546,7 @@ "id": "2021-03-c-05-05-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -27667,33 +23582,25 @@ "id": "2021-03-c-05-05-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": "0" - } + "answer": { "entry": "0" } }, { "id": "2021-03-c-05-05-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": "0" - } + "answer": { "entry": "0" } }, { "id": "2021-03-c-05-05-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": "2" - } + "answer": { "entry": "2" } }, { "id": "2021-03-c-05-05-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": "3" - } + "answer": { "entry": "3" } } ], "context_data": { @@ -27711,9 +23618,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2021-03-c-05-05" - }, + "fieldset_info": { "id": "2021-03-c-05-05" }, "fieldset_type": "marked" }, { @@ -27724,9 +23629,7 @@ "id": "2021-03-c-05-06-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -27762,33 +23665,25 @@ "id": "2021-03-c-05-06-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": "0" - } + "answer": { "entry": "0" } }, { "id": "2021-03-c-05-06-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": "0" - } + "answer": { "entry": "0" } }, { "id": "2021-03-c-05-06-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": "2" - } + "answer": { "entry": "2" } }, { "id": "2021-03-c-05-06-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": "3" - } + "answer": { "entry": "3" } } ], "context_data": { @@ -27806,9 +23701,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2021-03-c-05-06" - }, + "fieldset_info": { "id": "2021-03-c-05-06" }, "fieldset_type": "marked" }, { @@ -27820,9 +23713,7 @@ "id": "2021-03-c-05-07-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -27858,33 +23749,25 @@ "id": "2021-03-c-05-07-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": "10" - } + "answer": { "entry": "10" } }, { "id": "2021-03-c-05-07-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": "44" - } + "answer": { "entry": "44" } }, { "id": "2021-03-c-05-07-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": "257" - } + "answer": { "entry": "257" } }, { "id": "2021-03-c-05-07-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": "510" - } + "answer": { "entry": "510" } } ], "context_data": { @@ -27902,9 +23785,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2021-03-c-05-07" - }, + "fieldset_info": { "id": "2021-03-c-05-07" }, "fieldset_type": "marked" }, { @@ -27915,9 +23796,7 @@ "id": "2021-03-c-05-08-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -27953,33 +23832,25 @@ "id": "2021-03-c-05-08-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": "0" - } + "answer": { "entry": "0" } }, { "id": "2021-03-c-05-08-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": "0" - } + "answer": { "entry": "0" } }, { "id": "2021-03-c-05-08-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": "145" - } + "answer": { "entry": "145" } }, { "id": "2021-03-c-05-08-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": "447" - } + "answer": { "entry": "447" } } ], "context_data": { @@ -27997,18 +23868,14 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2021-03-c-05-08" - }, + "fieldset_info": { "id": "2021-03-c-05-08" }, "fieldset_type": "marked" }, { "id": "2021-03-c-05-09", "type": "text_multiline", "label": "Is there anything else you’d like to add about your data?", - "answer": { - "entry": "" - } + "answer": { "entry": "" } }, { "hint": "Next year you’ll report this data. Leave it blank in the meantime.", @@ -28025,10 +23892,7 @@ "id": "2021-03-c-05-10-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null, - "readonly": true - }, + "answer": { "entry": null, "readonly": true }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -28064,37 +23928,25 @@ "id": "2021-03-c-05-10-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2021-03-c-05-10-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2021-03-c-05-10-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2021-03-c-05-10-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } } ], "context_data": { @@ -28112,9 +23964,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2021-03-c-05-10" - }, + "fieldset_info": { "id": "2021-03-c-05-10" }, "fieldset_type": "marked" }, { @@ -28125,110 +23975,90 @@ "id": "2021-03-c-05-11-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null, - "readonly": true - }, - "context_data": { - "conditional_display": { - "type": "conditional_display", - "hide_if": { - "target": "$..[?(@ && @.id=='2021-03-c-05-02')].answer.entry", - "values": { - "interactive": ["yes", null], - "noninteractive": ["yes", null] - } - } - } - } - }, - { - "type": "fieldset", - "questions": [ - { - "type": "fieldset", - "label": "Total for all ages (0-16)", - "questions": [], - "fieldset_info": { - "actions": ["sum"], - "targets": [ - "$..*[?(@ && @.id=='2021-03-c-05-11-b')].answer.entry", - "$..*[?(@ && @.id=='2021-03-c-05-11-c')].answer.entry", - "$..*[?(@ && @.id=='2021-03-c-05-11-d')].answer.entry", - "$..*[?(@ && @.id=='2021-03-c-05-11-e')].answer.entry" - ] - }, - "fieldset_type": "synthesized_value" - }, - { - "id": "2021-03-c-05-11-b", - "type": "integer", - "label": "Ages 0-1", - "answer": { - "entry": null, - "readonly": true - } - }, - { - "id": "2021-03-c-05-11-c", - "type": "integer", - "label": "Ages 1-5", - "answer": { - "entry": null, - "readonly": true - } - }, - { - "id": "2021-03-c-05-11-d", - "type": "integer", - "label": "Ages 6-12", - "answer": { - "entry": null, - "readonly": true - } - }, - { - "id": "2021-03-c-05-11-e", - "type": "integer", - "label": "Ages 13-16", - "answer": { - "entry": null, - "readonly": true - } - } - ], - "context_data": { - "conditional_display": { - "type": "conditional_display", - "hide_if": { - "target": "$..[?(@ && @.id=='2021-03-c-05-02')].answer.entry", - "values": { - "interactive": ["no"], - "noninteractive": ["no", null] - } - } - } - }, - "fieldset_type": "datagrid" - } - ], - "fieldset_info": { - "id": "2021-03-c-05-11" - }, - "fieldset_type": "marked" - }, - { - "type": "fieldset", - "label": "Of the children who had a break in CHIP coverage (in the previous question), how many were enrolled in Medicaid during the break?", - "questions": [ - { - "id": "2021-03-c-05-12-a", - "type": "integer", - "label": "Total for all ages (0-16)", - "answer": { - "entry": null, - "readonly": true + "answer": { "entry": null, "readonly": true }, + "context_data": { + "conditional_display": { + "type": "conditional_display", + "hide_if": { + "target": "$..[?(@ && @.id=='2021-03-c-05-02')].answer.entry", + "values": { + "interactive": ["yes", null], + "noninteractive": ["yes", null] + } + } + } + } + }, + { + "type": "fieldset", + "questions": [ + { + "type": "fieldset", + "label": "Total for all ages (0-16)", + "questions": [], + "fieldset_info": { + "actions": ["sum"], + "targets": [ + "$..*[?(@ && @.id=='2021-03-c-05-11-b')].answer.entry", + "$..*[?(@ && @.id=='2021-03-c-05-11-c')].answer.entry", + "$..*[?(@ && @.id=='2021-03-c-05-11-d')].answer.entry", + "$..*[?(@ && @.id=='2021-03-c-05-11-e')].answer.entry" + ] + }, + "fieldset_type": "synthesized_value" + }, + { + "id": "2021-03-c-05-11-b", + "type": "integer", + "label": "Ages 0-1", + "answer": { "entry": null, "readonly": true } + }, + { + "id": "2021-03-c-05-11-c", + "type": "integer", + "label": "Ages 1-5", + "answer": { "entry": null, "readonly": true } + }, + { + "id": "2021-03-c-05-11-d", + "type": "integer", + "label": "Ages 6-12", + "answer": { "entry": null, "readonly": true } + }, + { + "id": "2021-03-c-05-11-e", + "type": "integer", + "label": "Ages 13-16", + "answer": { "entry": null, "readonly": true } + } + ], + "context_data": { + "conditional_display": { + "type": "conditional_display", + "hide_if": { + "target": "$..[?(@ && @.id=='2021-03-c-05-02')].answer.entry", + "values": { + "interactive": ["no"], + "noninteractive": ["no", null] + } + } + } }, + "fieldset_type": "datagrid" + } + ], + "fieldset_info": { "id": "2021-03-c-05-11" }, + "fieldset_type": "marked" + }, + { + "type": "fieldset", + "label": "Of the children who had a break in CHIP coverage (in the previous question), how many were enrolled in Medicaid during the break?", + "questions": [ + { + "id": "2021-03-c-05-12-a", + "type": "integer", + "label": "Total for all ages (0-16)", + "answer": { "entry": null, "readonly": true }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -28264,37 +24094,25 @@ "id": "2021-03-c-05-12-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2021-03-c-05-12-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2021-03-c-05-12-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2021-03-c-05-12-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } } ], "context_data": { @@ -28312,9 +24130,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2021-03-c-05-12" - }, + "fieldset_info": { "id": "2021-03-c-05-12" }, "fieldset_type": "marked" }, { @@ -28326,10 +24142,7 @@ "id": "2021-03-c-05-13-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null, - "readonly": true - }, + "answer": { "entry": null, "readonly": true }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -28365,37 +24178,25 @@ "id": "2021-03-c-05-13-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2021-03-c-05-13-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2021-03-c-05-13-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2021-03-c-05-13-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } } ], "context_data": { @@ -28413,9 +24214,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2021-03-c-05-13" - }, + "fieldset_info": { "id": "2021-03-c-05-13" }, "fieldset_type": "marked" }, { @@ -28426,10 +24225,7 @@ "id": "2021-03-c-05-14-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null, - "readonly": true - }, + "answer": { "entry": null, "readonly": true }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -28465,37 +24261,25 @@ "id": "2021-03-c-05-14-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2021-03-c-05-14-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2021-03-c-05-14-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2021-03-c-05-14-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } } ], "context_data": { @@ -28513,9 +24297,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2021-03-c-05-14" - }, + "fieldset_info": { "id": "2021-03-c-05-14" }, "fieldset_type": "marked" }, { @@ -28533,10 +24315,7 @@ "id": "2021-03-c-05-15-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null, - "readonly": true - }, + "answer": { "entry": null, "readonly": true }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -28572,37 +24351,25 @@ "id": "2021-03-c-05-15-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2021-03-c-05-15-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2021-03-c-05-15-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2021-03-c-05-15-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } } ], "context_data": { @@ -28620,9 +24387,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2021-03-c-05-15" - }, + "fieldset_info": { "id": "2021-03-c-05-15" }, "fieldset_type": "marked" }, { @@ -28633,10 +24398,7 @@ "id": "2021-03-c-05-16-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null, - "readonly": true - }, + "answer": { "entry": null, "readonly": true }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -28672,37 +24434,25 @@ "id": "2021-03-c-05-16-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2021-03-c-05-16-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2021-03-c-05-16-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2021-03-c-05-16-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } } ], "context_data": { @@ -28720,9 +24470,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2021-03-c-05-16" - }, + "fieldset_info": { "id": "2021-03-c-05-16" }, "fieldset_type": "marked" }, { @@ -28733,10 +24481,7 @@ "id": "2021-03-c-05-17-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null, - "readonly": true - }, + "answer": { "entry": null, "readonly": true }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -28772,37 +24517,25 @@ "id": "2021-03-c-05-17-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2021-03-c-05-17-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2021-03-c-05-17-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2021-03-c-05-17-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } } ], "context_data": { @@ -28820,9 +24553,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2021-03-c-05-17" - }, + "fieldset_info": { "id": "2021-03-c-05-17" }, "fieldset_type": "marked" }, { @@ -28834,10 +24565,7 @@ "id": "2021-03-c-05-18-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null, - "readonly": true - }, + "answer": { "entry": null, "readonly": true }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -28873,37 +24601,25 @@ "id": "2021-03-c-05-18-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2021-03-c-05-18-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2021-03-c-05-18-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2021-03-c-05-18-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } } ], "context_data": { @@ -28921,9 +24637,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2021-03-c-05-18" - }, + "fieldset_info": { "id": "2021-03-c-05-18" }, "fieldset_type": "marked" }, { @@ -28934,10 +24648,7 @@ "id": "2021-03-c-05-19-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null, - "readonly": true - }, + "answer": { "entry": null, "readonly": true }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -28973,37 +24684,25 @@ "id": "2021-03-c-05-19-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2021-03-c-05-19-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2021-03-c-05-19-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2021-03-c-05-19-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } } ], "context_data": { @@ -29021,18 +24720,14 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2021-03-c-05-19" - }, + "fieldset_info": { "id": "2021-03-c-05-19" }, "fieldset_type": "marked" }, { "id": "2021-03-c-05-20", "type": "text_multiline", "label": "Is there anything else you’d like to add about your data?", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] }, @@ -29074,14 +24769,8 @@ "answer": { "entry": "yes", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] } }, @@ -29098,9 +24787,7 @@ "id": "2021-03-c-06-03-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -29136,33 +24823,25 @@ "id": "2021-03-c-06-03-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": "127630" - } + "answer": { "entry": "127630" } }, { "id": "2021-03-c-06-03-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": "7311" - } + "answer": { "entry": "7311" } }, { "id": "2021-03-c-06-03-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": "9418" - } + "answer": { "entry": "9418" } }, { "id": "2021-03-c-06-03-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": "4527" - } + "answer": { "entry": "4527" } } ], "context_data": { @@ -29180,9 +24859,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2021-03-c-06-03" - }, + "fieldset_info": { "id": "2021-03-c-06-03" }, "fieldset_type": "marked" }, { @@ -29199,9 +24876,7 @@ "id": "2021-03-c-06-04-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -29237,33 +24912,25 @@ "id": "2021-03-c-06-04-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": "12237" - } + "answer": { "entry": "12237" } }, { "id": "2021-03-c-06-04-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": "70464" - } + "answer": { "entry": "70464" } }, { "id": "2021-03-c-06-04-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": "9159" - } + "answer": { "entry": "9159" } }, { "id": "2021-03-c-06-04-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": "3821" - } + "answer": { "entry": "3821" } } ], "context_data": { @@ -29281,9 +24948,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2021-03-c-06-04" - }, + "fieldset_info": { "id": "2021-03-c-06-04" }, "fieldset_type": "marked" }, { @@ -29294,9 +24959,7 @@ "id": "2021-03-c-06-05-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -29332,33 +24995,25 @@ "id": "2021-03-c-06-05-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": "87" - } + "answer": { "entry": "87" } }, { "id": "2021-03-c-06-05-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": "36" - } + "answer": { "entry": "36" } }, { "id": "2021-03-c-06-05-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": "23" - } + "answer": { "entry": "23" } }, { "id": "2021-03-c-06-05-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": "8" - } + "answer": { "entry": "8" } } ], "context_data": { @@ -29376,9 +25031,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2021-03-c-06-05" - }, + "fieldset_info": { "id": "2021-03-c-06-05" }, "fieldset_type": "marked" }, { @@ -29389,9 +25042,7 @@ "id": "2021-03-c-06-06-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -29427,33 +25078,25 @@ "id": "2021-03-c-06-06-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": "87" - } + "answer": { "entry": "87" } }, { "id": "2021-03-c-06-06-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": "36" - } + "answer": { "entry": "36" } }, { "id": "2021-03-c-06-06-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": "23" - } + "answer": { "entry": "23" } }, { "id": "2021-03-c-06-06-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": "88" - } + "answer": { "entry": "88" } } ], "context_data": { @@ -29471,9 +25114,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2021-03-c-06-06" - }, + "fieldset_info": { "id": "2021-03-c-06-06" }, "fieldset_type": "marked" }, { @@ -29485,9 +25126,7 @@ "id": "2021-03-c-06-07-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -29523,33 +25162,25 @@ "id": "2021-03-c-06-07-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": "439" - } + "answer": { "entry": "439" } }, { "id": "2021-03-c-06-07-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": "229" - } + "answer": { "entry": "229" } }, { "id": "2021-03-c-06-07-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": "236" - } + "answer": { "entry": "236" } }, { "id": "2021-03-c-06-07-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": "698" - } + "answer": { "entry": "698" } } ], "context_data": { @@ -29567,9 +25198,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2021-03-c-06-07" - }, + "fieldset_info": { "id": "2021-03-c-06-07" }, "fieldset_type": "marked" }, { @@ -29580,9 +25209,7 @@ "id": "2021-03-c-06-08-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -29618,33 +25245,25 @@ "id": "2021-03-c-06-08-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": "4" - } + "answer": { "entry": "4" } }, { "id": "2021-03-c-06-08-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": "8" - } + "answer": { "entry": "8" } }, { "id": "2021-03-c-06-08-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": "46" - } + "answer": { "entry": "46" } }, { "id": "2021-03-c-06-08-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": "55" - } + "answer": { "entry": "55" } } ], "context_data": { @@ -29662,18 +25281,14 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2021-03-c-06-08" - }, + "fieldset_info": { "id": "2021-03-c-06-08" }, "fieldset_type": "marked" }, { "id": "2021-03-c-06-09", "type": "text_multiline", "label": "Is there anything else you’d like to add about your data?", - "answer": { - "entry": "No. yes added more " - } + "answer": { "entry": "No. yes added more " } }, { "hint": "Next year you’ll report this data. Leave it blank in the meantime.", @@ -29690,10 +25305,7 @@ "id": "2021-03-c-06-10-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null, - "readonly": true - }, + "answer": { "entry": null, "readonly": true }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -29729,37 +25341,25 @@ "id": "2021-03-c-06-10-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2021-03-c-06-10-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2021-03-c-06-10-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2021-03-c-06-10-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } } ], "context_data": { @@ -29777,9 +25377,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2021-03-c-06-10" - }, + "fieldset_info": { "id": "2021-03-c-06-10" }, "fieldset_type": "marked" }, { @@ -29790,10 +25388,7 @@ "id": "2021-03-c-06-11-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null, - "readonly": true - }, + "answer": { "entry": null, "readonly": true }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -29829,37 +25424,25 @@ "id": "2021-03-c-06-11-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2021-03-c-06-11-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2021-03-c-06-11-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2021-03-c-06-11-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } } ], "context_data": { @@ -29877,9 +25460,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2021-03-c-06-11" - }, + "fieldset_info": { "id": "2021-03-c-06-11" }, "fieldset_type": "marked" }, { @@ -29890,10 +25471,7 @@ "id": "2021-03-c-06-12-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null, - "readonly": true - }, + "answer": { "entry": null, "readonly": true }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -29929,37 +25507,25 @@ "id": "2021-03-c-06-12-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2021-03-c-06-12-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2021-03-c-06-12-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2021-03-c-06-12-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } } ], "context_data": { @@ -29977,9 +25543,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2021-03-c-06-12" - }, + "fieldset_info": { "id": "2021-03-c-06-12" }, "fieldset_type": "marked" }, { @@ -29991,10 +25555,7 @@ "id": "2021-03-c-06-13-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null, - "readonly": true - }, + "answer": { "entry": null, "readonly": true }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -30030,37 +25591,25 @@ "id": "2021-03-c-06-13-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2021-03-c-06-13-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2021-03-c-06-13-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2021-03-c-06-13-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } } ], "context_data": { @@ -30078,9 +25627,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2021-03-c-06-13" - }, + "fieldset_info": { "id": "2021-03-c-06-13" }, "fieldset_type": "marked" }, { @@ -30091,10 +25638,7 @@ "id": "2021-03-c-06-14-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null, - "readonly": true - }, + "answer": { "entry": null, "readonly": true }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -30130,37 +25674,25 @@ "id": "2021-03-c-06-14-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2021-03-c-06-14-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2021-03-c-06-14-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2021-03-c-06-14-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } } ], "context_data": { @@ -30178,9 +25710,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2021-03-c-06-14" - }, + "fieldset_info": { "id": "2021-03-c-06-14" }, "fieldset_type": "marked" }, { @@ -30198,10 +25728,7 @@ "id": "2021-03-c-06-15-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null, - "readonly": true - }, + "answer": { "entry": null, "readonly": true }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -30237,37 +25764,25 @@ "id": "2021-03-c-06-15-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2021-03-c-06-15-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2021-03-c-06-15-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2021-03-c-06-15-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } } ], "context_data": { @@ -30285,9 +25800,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2021-03-c-06-15" - }, + "fieldset_info": { "id": "2021-03-c-06-15" }, "fieldset_type": "marked" }, { @@ -30298,10 +25811,7 @@ "id": "2021-03-c-06-16-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null, - "readonly": true - }, + "answer": { "entry": null, "readonly": true }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -30337,37 +25847,25 @@ "id": "2021-03-c-06-16-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2021-03-c-06-16-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2021-03-c-06-16-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2021-03-c-06-16-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } } ], "context_data": { @@ -30385,9 +25883,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2021-03-c-06-16" - }, + "fieldset_info": { "id": "2021-03-c-06-16" }, "fieldset_type": "marked" }, { @@ -30398,10 +25894,7 @@ "id": "2021-03-c-06-17-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null, - "readonly": true - }, + "answer": { "entry": null, "readonly": true }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -30437,37 +25930,25 @@ "id": "2021-03-c-06-17-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2021-03-c-06-17-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2021-03-c-06-17-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2021-03-c-06-17-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } } ], "context_data": { @@ -30485,9 +25966,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2021-03-c-06-17" - }, + "fieldset_info": { "id": "2021-03-c-06-17" }, "fieldset_type": "marked" }, { @@ -30499,10 +25978,7 @@ "id": "2021-03-c-06-18-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null, - "readonly": true - }, + "answer": { "entry": null, "readonly": true }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -30538,37 +26014,25 @@ "id": "2021-03-c-06-18-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2021-03-c-06-18-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2021-03-c-06-18-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2021-03-c-06-18-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } } ], "context_data": { @@ -30586,9 +26050,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2021-03-c-06-18" - }, + "fieldset_info": { "id": "2021-03-c-06-18" }, "fieldset_type": "marked" }, { @@ -30599,10 +26061,7 @@ "id": "2021-03-c-06-19-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null, - "readonly": true - }, + "answer": { "entry": null, "readonly": true }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -30638,37 +26097,25 @@ "id": "2021-03-c-06-19-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2021-03-c-06-19-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2021-03-c-06-19-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2021-03-c-06-19-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } } ], "context_data": { @@ -30686,18 +26133,14 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2021-03-c-06-19" - }, + "fieldset_info": { "id": "2021-03-c-06-19" }, "fieldset_type": "marked" }, { "id": "2021-03-c-06-20", "type": "text_multiline", "label": "Is there anything else you’d like to add about your data?", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] } @@ -30720,14 +26163,8 @@ "answer": { "entry": "yes", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] } }, @@ -30749,18 +26186,12 @@ "label": "Health plans", "value": "health_plans" }, - { - "label": "States", - "value": "states" - }, + { "label": "States", "value": "states" }, { "label": "Third party administrator", "value": "third_party_administrator" }, - { - "label": "Other ", - "value": "other" - } + { "label": "Other ", "value": "other" } ] }, "questions": [ @@ -30800,9 +26231,7 @@ "id": "2021-03-d-01-02-b", "type": "text_multiline", "label": "Who tracks cost sharing?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -30841,9 +26270,7 @@ "id": "2021-03-d-01-04", "type": "text_multiline", "label": "Approximately how many families exceeded the 5% cap in the last federal fiscal year?", - "answer": { - "entry": "0" - } + "answer": { "entry": "0" } }, { "id": "2021-03-d-01-05", @@ -30852,14 +26279,8 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "questions": [ @@ -30867,9 +26288,7 @@ "id": "2021-03-d-01-05-a", "type": "text_multiline", "label": "What did you find in your assessment?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -30893,14 +26312,8 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "questions": [ @@ -30908,9 +26321,7 @@ "id": "2021-03-d-01-06-a", "type": "text_multiline", "label": "What did you find in your assessment?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -30955,17 +26366,13 @@ "id": "2021-03-d-01-08", "type": "text_multiline", "label": "Is there anything else you’d like to add that wasn’t already covered?", - "answer": { - "entry": "No." - } + "answer": { "entry": "No." } }, { "id": "2021-03-d-01-09", "type": "file_upload", "label": "Optional: Attach any additional documents here.", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "context_data": { @@ -31008,14 +26415,8 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] } } @@ -31055,14 +26456,8 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] } }, @@ -31071,9 +26466,7 @@ "hint": "This only applies to states operating an 1115 demo.", "type": "text_multiline", "label": "What benefit package is offered as part of your premium assistance program, including any applicable minimum coverage requirements?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2021-03-e-02-04", @@ -31083,18 +26476,9 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "na" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "na" } ] } }, @@ -31106,18 +26490,9 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "na" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "na" } ] } }, @@ -31129,18 +26504,9 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "na" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "na" } ] }, "questions": [ @@ -31148,9 +26514,7 @@ "id": "2021-03-e-02-06-a", "type": "text_multiline", "label": "How do you track cost sharing to ensure families don’t pay more than 5% of the aggregate household income in a year?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -31171,9 +26535,7 @@ "id": "2021-03-e-02-07", "type": "integer", "label": "How many children were enrolled in the premium assistance program on average each month in FFY 2020?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "type": "fieldset", @@ -31182,25 +26544,19 @@ "id": "2021-03-e-02-08", "type": "money", "label": "What’s the average monthly contribution the state pays towards coverage of a child?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2021-03-e-02-09", "type": "money", "label": "What’s the average monthly contribution the employer pays towards coverage of a child?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2021-03-e-02-10", "type": "money", "label": "What’s the average monthly contribution the employee pays towards coverage of a child?", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] }, @@ -31233,15 +26589,9 @@ ] ], "headers": [ - { - "contents": "State" - }, - { - "contents": "Employer" - }, - { - "contents": "Employee" - } + { "contents": "State" }, + { "contents": "Employer" }, + { "contents": "Employee" } ] }, "fieldset_type": "synthesized_table" @@ -31301,41 +26651,31 @@ "id": "2021-03-e-02-14", "type": "text_multiline", "label": "What strategies have been most effective in reducing the administrative barriers in order to provide premium assistance?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2021-03-e-02-15", "type": "text_multiline", "label": "What challenges did you experience with your premium assistance program in FFY 2020?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2021-03-e-02-16", "type": "text_multiline", "label": "What accomplishments did you experience with your premium assistance program in FFY 2020?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2021-03-e-02-17", "type": "text_multiline", "label": "Is there anything else you’d like to add that wasn’t already covered?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2021-03-e-02-18", "type": "file_upload", "label": "Optional: Attach any additional documents here.", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "context_data": { @@ -31372,14 +26712,8 @@ "answer": { "entry": "yes", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] } }, @@ -31390,14 +26724,8 @@ "answer": { "entry": "yes", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] } }, @@ -31408,14 +26736,8 @@ "answer": { "entry": "yes", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] } }, @@ -31434,18 +26756,9 @@ "answer": { "entry": "na", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "na" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "na" } ] }, "questions": [ @@ -31453,9 +26766,7 @@ "id": "2021-03-f-01-05-a", "type": "text_multiline", "label": "What safeguards and procedures do the Managed Care plans have in place?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -31476,17 +26787,13 @@ "id": "2021-03-f-01-06", "type": "integer", "label": "How many eligibility denials have been appealed in a fair hearing in FFY 2020?", - "answer": { - "entry": "0" - } + "answer": { "entry": "0" } }, { "id": "2021-03-f-01-07", "type": "integer", "label": "How many cases have been found in favor of the beneficiary in FFY 2020?", - "answer": { - "entry": "0" - } + "answer": { "entry": "0" } }, { "type": "fieldset", @@ -31495,17 +26802,13 @@ "id": "2021-03-f-01-08", "type": "integer", "label": "How many cases related to provider credentialing were investigated in FFY 2020?", - "answer": { - "entry": "2" - } + "answer": { "entry": "2" } }, { "id": "2021-03-f-01-09", "type": "integer", "label": "How many cases related to provider credentialing were referred to appropriate law enforcement officials in FFY 2020?", - "answer": { - "entry": "0" - } + "answer": { "entry": "0" } } ] }, @@ -31516,17 +26819,13 @@ "id": "2021-03-f-01-10", "type": "integer", "label": "How many cases related to provider billing were investigated in FFY 2020?", - "answer": { - "entry": "19" - } + "answer": { "entry": "19" } }, { "id": "2021-03-f-01-11", "type": "integer", "label": "How many cases were referred to appropriate law enforcement officials in FFY 2020?", - "answer": { - "entry": "0" - } + "answer": { "entry": "0" } } ] }, @@ -31537,17 +26836,13 @@ "id": "2021-03-f-01-12", "type": "integer", "label": "How many cases related to beneficiary eligibility were investigated in FFY 2020?", - "answer": { - "entry": "4" - } + "answer": { "entry": "4" } }, { "id": "2021-03-f-01-13", "type": "integer", "label": "How many cases related to beneficiary eligibility were referred to appropriate law enforcement officials in FFY 2020?", - "answer": { - "entry": "0" - } + "answer": { "entry": "0" } } ] }, @@ -31558,10 +26853,7 @@ "answer": { "entry": "separate_chip_only", "options": [ - { - "label": "CHIP only", - "value": "separate_chip_only" - }, + { "label": "CHIP only", "value": "separate_chip_only" }, { "label": "Medicaid and CHIP combined", "value": "medicaid_separate_chip_combined" @@ -31576,14 +26868,8 @@ "answer": { "entry": "yes", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "questions": [ @@ -31617,14 +26903,8 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "questions": [ @@ -31632,9 +26912,7 @@ "id": "2021-03-f-01-16-a", "type": "text_multiline", "label": "What specifically are the contractors responsible for in terms of oversight?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -31655,17 +26933,13 @@ "id": "2021-03-f-01-17", "type": "text_multiline", "label": "Is there anything else you’d like to add that wasn’t already covered?", - "answer": { - "entry": "Only Separate CHIP reported." - } + "answer": { "entry": "Only Separate CHIP reported." } }, { "id": "2021-03-f-01-18", "type": "file_upload", "label": "Optional: Attach any additional documents here.", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "context_data": { @@ -31699,14 +26973,8 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] } }, @@ -31718,9 +26986,7 @@ "id": "2021-03-g-01-02-a", "type": "integer", "label": "Total for all ages (0-18)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -31758,49 +27024,37 @@ "id": "2021-03-g-01-02-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": "1915" - } + "answer": { "entry": "1915" } }, { "id": "2021-03-g-01-02-c", "type": "integer", "label": "Ages 1-2", - "answer": { - "entry": "8659" - } + "answer": { "entry": "8659" } }, { "id": "2021-03-g-01-02-d", "type": "integer", "label": "Ages 3-5", - "answer": { - "entry": "15546" - } + "answer": { "entry": "15546" } }, { "id": "2021-03-g-01-02-e", "type": "integer", "label": "Ages 6-9", - "answer": { - "entry": "21088" - } + "answer": { "entry": "21088" } }, { "id": "2021-03-g-01-02-f", "type": "integer", "label": "Ages 10-14", - "answer": { - "entry": "26998" - } + "answer": { "entry": "26998" } }, { "id": "2021-03-g-01-02-g", "type": "integer", "label": "Ages 15-18", - "answer": { - "entry": "19934" - } + "answer": { "entry": "19934" } } ], "context_data": { @@ -31818,9 +27072,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2021-03-g-01-02" - }, + "fieldset_info": { "id": "2021-03-g-01-02" }, "fieldset_type": "marked" }, { @@ -31831,9 +27083,7 @@ "id": "2021-03-g-01-03-a", "type": "integer", "label": "Total for all ages (0-18)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -31871,49 +27121,37 @@ "id": "2021-03-g-01-03-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": "24" - } + "answer": { "entry": "24" } }, { "id": "2021-03-g-01-03-c", "type": "integer", "label": "Ages 1-2", - "answer": { - "entry": "2238" - } + "answer": { "entry": "2238" } }, { "id": "2021-03-g-01-03-d", "type": "integer", "label": "Ages 3-5", - "answer": { - "entry": "8868" - } + "answer": { "entry": "8868" } }, { "id": "2021-03-g-01-03-e", "type": "integer", "label": "Ages 6-9", - "answer": { - "entry": "14543" - } + "answer": { "entry": "14543" } }, { "id": "2021-03-g-01-03-f", "type": "integer", "label": "Ages 10-14", - "answer": { - "entry": "17462" - } + "answer": { "entry": "17462" } }, { "id": "2021-03-g-01-03-g", "type": "integer", "label": "Ages 15-18", - "answer": { - "entry": "11415" - } + "answer": { "entry": "11415" } } ], "context_data": { @@ -31931,9 +27169,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2021-03-g-01-03" - }, + "fieldset_info": { "id": "2021-03-g-01-03" }, "fieldset_type": "marked" }, { @@ -31950,9 +27186,7 @@ "id": "2021-03-g-01-04-a", "type": "integer", "label": "Total for all ages (0-18)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -31990,49 +27224,37 @@ "id": "2021-03-g-01-04-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": "8" - } + "answer": { "entry": "8" } }, { "id": "2021-03-g-01-04-c", "type": "integer", "label": "Ages 1-2", - "answer": { - "entry": "1997" - } + "answer": { "entry": "1997" } }, { "id": "2021-03-g-01-04-d", "type": "integer", "label": "Ages 3-5", - "answer": { - "entry": "8504" - } + "answer": { "entry": "8504" } }, { "id": "2021-03-g-01-04-e", "type": "integer", "label": "Ages 6-9", - "answer": { - "entry": "13966" - } + "answer": { "entry": "13966" } }, { "id": "2021-03-g-01-04-f", "type": "integer", "label": "Ages 10-14", - "answer": { - "entry": "16828" - } + "answer": { "entry": "16828" } }, { "id": "2021-03-g-01-04-g", "type": "integer", "label": "Ages 15-18", - "answer": { - "entry": "10639" - } + "answer": { "entry": "10639" } } ], "context_data": { @@ -32050,9 +27272,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2021-03-g-01-04" - }, + "fieldset_info": { "id": "2021-03-g-01-04" }, "fieldset_type": "marked" }, { @@ -32069,9 +27289,7 @@ "id": "2021-03-g-01-05-a", "type": "integer", "label": "Total for all ages (0-18)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -32109,49 +27327,37 @@ "id": "2021-03-g-01-05-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": "12" - } + "answer": { "entry": "12" } }, { "id": "2021-03-g-01-05-c", "type": "integer", "label": "Ages 1-2", - "answer": { - "entry": "117" - } + "answer": { "entry": "117" } }, { "id": "2021-03-g-01-05-d", "type": "integer", "label": "Ages 3-5", - "answer": { - "entry": "2133" - } + "answer": { "entry": "2133" } }, { "id": "2021-03-g-01-05-e", "type": "integer", "label": "Ages 6-9", - "answer": { - "entry": "5991" - } + "answer": { "entry": "5991" } }, { "id": "2021-03-g-01-05-f", "type": "integer", "label": "Ages 10-14", - "answer": { - "entry": "5931" - } + "answer": { "entry": "5931" } }, { "id": "2021-03-g-01-05-g", "type": "integer", "label": "Ages 15-18", - "answer": { - "entry": "4883" - } + "answer": { "entry": "4883" } } ], "context_data": { @@ -32169,9 +27375,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2021-03-g-01-05" - }, + "fieldset_info": { "id": "2021-03-g-01-05" }, "fieldset_type": "marked" }, { @@ -32184,9 +27388,7 @@ "id": "2021-03-g-01-06", "type": "integer", "label": "How many children in the “ages 6–9” group received a sealant on at least one permanent molar tooth during FFY 2020?", - "answer": { - "entry": "1893" - } + "answer": { "entry": "1893" } }, { "hint": "The sealant on a permanent molar tooth is provided by a dental professional for whom placing a sealant is within their scope of practice. It’s defined by HCPCS code D1351 (or equivalent CDT code D1351) based on an unduplicated paid, unpaid, or denied claim. Permanent molars are teeth numbered 2, 3, 14, 15, 18, 19, 30, and 31, and additionally — for states covering sealants on third molars (“wisdom teeth”) — teeth numbered 1, 16, 17, and 32.\n\nAll data should be based on the definitions in the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Report (Form CMS-416).", @@ -32201,14 +27403,8 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "questions": [ @@ -32219,18 +27415,14 @@ "id": "2021-03-g-01-07-a", "type": "integer", "label": "How many children were enrolled in supplemental dental coverage during FFY 2020?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2021-03-g-01-07-b", "hint": "This is the total number for all children between 0-18 years from question 1.", "type": "integer", "label": "How many children were enrolled in Separate CHIP for at least 90 continuous days during FFY 2020?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "type": "fieldset", @@ -32264,9 +27456,7 @@ { "contents": "Children enrolled in Separate CHIP" }, - { - "contents": "Percentage" - } + { "contents": "Percentage" } ] }, "fieldset_type": "synthesized_table" @@ -32292,17 +27482,13 @@ "id": "2021-03-g-01-08", "type": "text_multiline", "label": "Is there anything else you’d like to add about your dental benefits? If you weren’t able to provide data, let us know why.", - "answer": { - "entry": "No." - } + "answer": { "entry": "No." } }, { "id": "2021-03-g-01-09", "type": "file_upload", "label": "Optional: Attach any additional documents here.", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "context_data": { @@ -32329,14 +27515,8 @@ "answer": { "entry": "yes", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "questions": [ @@ -32347,14 +27527,8 @@ "answer": { "entry": "yes", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "context_data": { @@ -32386,9 +27560,7 @@ "hint": "This is optional if you already submitted CAHPS raw data to the AHRQ CAHPS database. Submit results only for the CHIP population, not for both Medicaid (Title XIX) and CHIP (Title XXI) together. Your data should represent children enrolled in all types of delivery systems (Managed Care, PCCM, and Fee for Service).", "type": "file_upload", "label": "Upload a summary report of your CAHPS survey results.", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2021-03-h-02-02", @@ -32401,18 +27573,12 @@ "label": "Medicaid Expansion CHIP", "value": "medicaid expansion chip" }, - { - "label": "Separate CHIP", - "value": "separate chip" - }, + { "label": "Separate CHIP", "value": "separate chip" }, { "label": "Both Separate CHIP and Medicaid Expansion CHIP", "value": "combination chip" }, - { - "label": "Other", - "value": "other" - } + { "label": "Other", "value": "other" } ] }, "questions": [ @@ -32424,17 +27590,13 @@ "id": "2021-03-h-02-02-a", "type": "text", "label": "Which population did you survey?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2021-03-h-02-02-b", "type": "integer", "label": "How many children were included in the survey?", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "context_data": { @@ -32469,18 +27631,9 @@ "answer": { "entry": "5.0H", "options": [ - { - "label": "CAHPS 5.0", - "value": "5.0" - }, - { - "label": "CAHPS 5.0H", - "value": "5.0H" - }, - { - "label": "Other", - "value": "other" - } + { "label": "CAHPS 5.0", "value": "5.0" }, + { "label": "CAHPS 5.0H", "value": "5.0H" }, + { "label": "Other", "value": "other" } ] }, "questions": [ @@ -32492,9 +27645,7 @@ "id": "2021-03-h-02-03-a", "type": "text", "label": "Which CAHPS survey did you use?", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "context_data": { @@ -32521,18 +27672,12 @@ "answer": { "entry": [null, "chronic"], "options": [ - { - "label": "None", - "value": "none" - }, + { "label": "None", "value": "none" }, { "label": "Children with Chronic Conditions", "value": "chronic" }, - { - "label": "Other", - "value": "other" - } + { "label": "Other", "value": "other" } ] }, "questions": [ @@ -32540,9 +27685,7 @@ "id": "2021-03-h-02-04-a", "type": "text", "label": "Which supplemental item sets did you include?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -32571,14 +27714,8 @@ "label": "NCQA HEDIS CAHPS 5.0H", "value": "ncqa hedis cahps 5.0h" }, - { - "label": "HRQ CAHPS", - "value": "hrq cahps" - }, - { - "label": "Other", - "value": "other" - } + { "label": "HRQ CAHPS", "value": "hrq cahps" }, + { "label": "Other", "value": "other" } ] }, "questions": [ @@ -32590,9 +27727,7 @@ "id": "2021-03-h-02-05-a", "type": "text", "label": "Which administrative protocol did you use?", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "context_data": { @@ -32615,9 +27750,7 @@ "id": "2021-03-h-02-06", "type": "text_multiline", "label": "Is there anything else you'd like to add about your CAHPS survey results?", - "answer": { - "entry": "No." - } + "answer": { "entry": "No." } } ], "context_data": { @@ -32689,10 +27822,7 @@ "label": "Sample size was too small (fewer than 30)", "value": "Sample size was too small (fewer than 30)" }, - { - "label": "Other", - "value": "other" - } + { "label": "Other", "value": "other" } ] } }, @@ -32700,9 +27830,7 @@ "id": "2021-03-h-03-02", "type": "text_multiline", "label": "Explain in more detail why you weren’t able to collect the CAHPS survey.", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "context_data": { @@ -32740,14 +27868,8 @@ "answer": { "entry": "yes", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] } } @@ -32781,14 +27903,8 @@ "answer": { "entry": "yes", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] } }, @@ -32835,9 +27951,7 @@ "id": "2021-03-i-02-01-01-04", "type": "integer", "label": "How many children do you estimate are being served by the HSI program?", - "answer": { - "entry": "112" - }, + "answer": { "entry": "112" }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -32856,9 +27970,7 @@ "id": "2021-03-i-02-01-01-05", "type": "integer", "label": "How many children in the HSI program are below your state's FPL threshold? ", - "answer": { - "entry": "112" - }, + "answer": { "entry": "112" }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -32983,9 +28095,7 @@ "id": "2021-03-i-02-01-01-09", "type": "file_upload", "label": "Optional: Attach any additional documents.", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -33116,9 +28226,7 @@ "id": "2021-04-a-01-01-01-02-01-02-a", "type": "text_multiline", "label": "Why was this goal discontinued?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -33159,9 +28267,7 @@ "id": "2021-04-a-01-01-01-02-01-04", "type": "integer", "label": "Numerator (total number)", - "answer": { - "entry": "30669" - } + "answer": { "entry": "30669" } } ] }, @@ -33182,9 +28288,7 @@ "id": "2021-04-a-01-01-01-02-01-06", "type": "integer", "label": "Denominator (total number)", - "answer": { - "entry": "1127906" - } + "answer": { "entry": "1127906" } } ] }, @@ -33251,18 +28355,14 @@ "id": "2021-04-a-01-01-01-02-01-11", "type": "text_multiline", "label": "Anything else you'd like to tell us about this goal?", - "answer": { - "entry": "No." - } + "answer": { "entry": "No." } }, { "id": "2021-04-a-01-01-01-02-01-12", "hint": "Optional", "type": "file_upload", "label": "Do you have any supporting documentation?", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] }, @@ -33306,9 +28406,7 @@ "id": "2021-04-a-01-01-01-02-02-02-a", "type": "text_multiline", "label": "Why was this goal discontinued?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -33349,9 +28447,7 @@ "id": "2021-04-a-01-01-01-02-02-04", "type": "integer", "label": "Numerator (total number)", - "answer": { - "entry": "13922" - } + "answer": { "entry": "13922" } } ] }, @@ -33372,9 +28468,7 @@ "id": "2021-04-a-01-01-01-02-02-06", "type": "integer", "label": "Denominator (total number)", - "answer": { - "entry": "359680" - } + "answer": { "entry": "359680" } } ] }, @@ -33441,18 +28535,14 @@ "id": "2021-04-a-01-01-01-02-02-11", "type": "text_multiline", "label": "Anything else you'd like to tell us about this goal?", - "answer": { - "entry": "No." - } + "answer": { "entry": "No." } }, { "id": "2021-04-a-01-01-01-02-02-12", "hint": "Optional", "type": "file_upload", "label": "Do you have any supporting documentation?", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] }, @@ -33496,9 +28586,7 @@ "id": "2021-04-a-01-01-01-02-03-02-a", "type": "text_multiline", "label": "Why was this goal discontinued?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -33539,9 +28627,7 @@ "id": "2021-04-a-01-01-01-02-03-04", "type": "integer", "label": "Numerator (total number)", - "answer": { - "entry": "16747" - } + "answer": { "entry": "16747" } } ] }, @@ -33562,9 +28648,7 @@ "id": "2021-04-a-01-01-01-02-03-06", "type": "integer", "label": "Denominator (total number)", - "answer": { - "entry": "351278" - } + "answer": { "entry": "351278" } } ] }, @@ -33631,18 +28715,14 @@ "id": "2021-04-a-01-01-01-02-03-11", "type": "text_multiline", "label": "Anything else you'd like to tell us about this goal?", - "answer": { - "entry": "No." - } + "answer": { "entry": "No." } }, { "id": "2021-04-a-01-01-01-02-03-12", "hint": "Optional", "type": "file_upload", "label": "Do you have any supporting documentation?", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] } @@ -33660,9 +28740,7 @@ "hint": "You can edit the suggested objective so it matches what’s in your CHIP State Plan.", "type": "text_multiline", "label": "What is the next objective listed in your CHIP State Plan?", - "answer": { - "entry": "Increase Access to Care" - } + "answer": { "entry": "Increase Access to Care" } }, { "id": "2021-04-a-01-01-02-02", @@ -33708,9 +28786,7 @@ "id": "2021-04-a-01-01-02-02-01-02-a", "type": "text_multiline", "label": "Why was this goal discontinued?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -33751,9 +28827,7 @@ "id": "2021-04-a-01-01-02-02-01-04", "type": "integer", "label": "Numerator (total number)", - "answer": { - "entry": "78593" - } + "answer": { "entry": "78593" } } ] }, @@ -33774,9 +28848,7 @@ "id": "2021-04-a-01-01-02-02-01-06", "type": "integer", "label": "Denominator (total number)", - "answer": { - "entry": "78908" - } + "answer": { "entry": "78908" } } ] }, @@ -33843,18 +28915,14 @@ "id": "2021-04-a-01-01-02-02-01-11", "type": "text_multiline", "label": "Anything else you'd like to tell us about this goal?", - "answer": { - "entry": "No." - } + "answer": { "entry": "No." } }, { "id": "2021-04-a-01-01-02-02-01-12", "hint": "Optional", "type": "file_upload", "label": "Do you have any supporting documentation?", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] }, @@ -33898,9 +28966,7 @@ "id": "2021-04-a-01-01-02-02-02-02-a", "type": "text_multiline", "label": "Why was this goal discontinued?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -33941,9 +29007,7 @@ "id": "2021-04-a-01-01-02-02-02-04", "type": "integer", "label": "Numerator (total number)", - "answer": { - "entry": "1329" - } + "answer": { "entry": "1329" } } ] }, @@ -33964,9 +29028,7 @@ "id": "2021-04-a-01-01-02-02-02-06", "type": "integer", "label": "Denominator (total number)", - "answer": { - "entry": "1338" - } + "answer": { "entry": "1338" } } ] }, @@ -34033,18 +29095,14 @@ "id": "2021-04-a-01-01-02-02-02-11", "type": "text_multiline", "label": "Anything else you'd like to tell us about this goal?", - "answer": { - "entry": "No." - } + "answer": { "entry": "No." } }, { "id": "2021-04-a-01-01-02-02-02-12", "hint": "Optional", "type": "file_upload", "label": "Do you have any supporting documentation?", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] }, @@ -34088,9 +29146,7 @@ "id": "2021-04-a-01-01-02-02-03-02-a", "type": "text_multiline", "label": "Why was this goal discontinued?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -34131,9 +29187,7 @@ "id": "2021-04-a-01-01-02-02-03-04", "type": "integer", "label": "Numerator (total number)", - "answer": { - "entry": "10464" - } + "answer": { "entry": "10464" } } ] }, @@ -34154,9 +29208,7 @@ "id": "2021-04-a-01-01-02-02-03-06", "type": "integer", "label": "Denominator (total number)", - "answer": { - "entry": "10776" - } + "answer": { "entry": "10776" } } ] }, @@ -34223,18 +29275,14 @@ "id": "2021-04-a-01-01-02-02-03-11", "type": "text_multiline", "label": "Anything else you'd like to tell us about this goal?", - "answer": { - "entry": "No." - } + "answer": { "entry": "No." } }, { "id": "2021-04-a-01-01-02-02-03-12", "hint": "Optional", "type": "file_upload", "label": "Do you have any supporting documentation?", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] }, @@ -34278,205 +29326,193 @@ "id": "2021-04-a-01-01-02-02-04-02-a", "type": "text_multiline", "label": "Why was this goal discontinued?", + "answer": { "entry": null }, + "context_data": { + "conditional_display": { + "type": "conditional_display", + "comment": "Interactive: Hide if 2021-04-a-01-01-02-02-01-02 is null, continuing goal, or new goal; noninteractive: hide if that's continuing goal or new goal.", + "hide_if": { + "target": "$..*[?(@ && @.id=='2021-04-a-01-01-02-02-04-02')].answer.entry", + "values": { + "interactive": [ + null, + "goal_continuing", + "goal_new" + ], + "noninteractive": [ + "goal_continuing", + "goal_new" + ] + } + } + } + } + } + ] + }, + { + "type": "fieldset", + "label": "Define the numerator you're measuring", + "questions": [ + { + "id": "2021-04-a-01-01-02-02-04-03", + "hint": "For example: The number of children enrolled in CHIP who visited a primary care physician in the last federal fiscal year.", + "type": "text_medium", + "label": "Which population are you measuring in the numerator?", + "answer": { + "entry": "The number of enrollees that have at least one dentist within 25 miles of enrollees with a rural residence." + } + }, + { + "id": "2021-04-a-01-01-02-02-04-04", + "type": "integer", + "label": "Numerator (total number)", + "answer": { "entry": "53395" } + } + ] + }, + { + "type": "fieldset", + "label": "Define the denominator you're measuring", + "questions": [ + { + "id": "2021-04-a-01-01-02-02-04-05", + "hint": "For example: The total number of children enrolled in CHIP in the last federal fiscal year.", + "type": "text_medium", + "label": "Which population are you measuring in the denominator?", "answer": { - "entry": null + "entry": "The number of ALL Kids enrollees with a residence verified within a rural area." + } + }, + { + "id": "2021-04-a-01-01-02-02-04-06", + "type": "integer", + "label": "Denominator (total number)", + "answer": { "entry": "66741" } + } + ] + }, + { + "type": "fieldset", + "questions": [], + "fieldset_info": { + "actions": ["percentage"], + "targets": [ + "$..*[?(@ && @.id=='2021-04-a-01-01-02-02-04-04')].answer.entry", + "$..*[?(@ && @.id=='2021-04-a-01-01-02-02-04-06')].answer.entry" + ] + }, + "fieldset_type": "synthesized_value" + }, + { + "id": "2021-04-a-01-01-02-02-04-07", + "type": "daterange", + "label": "What is the date range of your data?", + "answer": { + "entry": ["2019-10-01", "2021-09-01"], + "labels": ["Start", "End"] + } + }, + { + "id": "2021-04-a-01-01-02-02-04-08", + "type": "radio", + "label": "Which data source did you use?", + "answer": { + "entry": "goal_survey_data", + "options": [ + { + "label": "Eligibility or enrollment data", + "value": "goal_enrollment_data" + }, + { + "label": "Survey data", + "value": "goal_survey_data" }, + { + "label": "Another data source", + "value": "goal_other_data" + } + ] + } + }, + { + "id": "2021-04-a-01-01-02-02-04-09", + "type": "text_multiline", + "label": "How did your progress towards your goal last year compare to your previous year’s progress?", + "answer": { + "entry": "The percent of enrollees that have access to at least one dentist and lived in a rural area during FY 2020 decreased from 99.7 in FY19 to 80% in FY20." + } + }, + { + "id": "2021-04-a-01-01-02-02-04-10", + "type": "text_multiline", + "label": "What are you doing to continually make progress towards your goal?", + "answer": { + "entry": "Monthly meetings with BCBS AL staff provide ALL Kids with the opportunity to address provider issues when needed." + } + }, + { + "id": "2021-04-a-01-01-02-02-04-11", + "type": "text_multiline", + "label": "Anything else you'd like to tell us about this goal?", + "answer": { "entry": "No." } + }, + { + "id": "2021-04-a-01-01-02-02-04-12", + "hint": "Optional", + "type": "file_upload", + "label": "Do you have any supporting documentation?", + "answer": { "entry": null } + } + ] + }, + { + "id": "2021-04-a-01-01-02-02-05", + "type": "repeatable", + "questions": [ + { + "id": "2021-04-a-01-01-02-02-05-01", + "hint": "For example: In an effort to increase access to care, our goal is to increase the number of children who have visited a primary care physician by 5%.", + "type": "text_multiline", + "label": "Briefly describe your goal for this objective.", + "answer": { + "entry": "Children Access to Primary Care Physicians - At least 90% of children and adolescents who had a primary care physician visit annually, with no more than one gap in enrollment. " + } + }, + { + "id": "2021-04-a-01-01-02-02-05-02", + "type": "radio", + "label": "What type of goal is it?", + "answer": { + "entry": "goal_new", + "options": [ + { + "label": "New goal", + "value": "goal_new" + }, + { + "label": "Continuing goal", + "value": "goal_continuing" + }, + { + "label": "Discontinued goal", + "value": "goal_discontinued" + } + ], + "default_entry": "goal_new" + }, + "questions": [ + { + "id": "2021-04-a-01-01-02-02-05-02-a", + "type": "text_multiline", + "label": "Why was this goal discontinued?", + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", "comment": "Interactive: Hide if 2021-04-a-01-01-02-02-01-02 is null, continuing goal, or new goal; noninteractive: hide if that's continuing goal or new goal.", "hide_if": { - "target": "$..*[?(@ && @.id=='2021-04-a-01-01-02-02-04-02')].answer.entry", - "values": { - "interactive": [ - null, - "goal_continuing", - "goal_new" - ], - "noninteractive": [ - "goal_continuing", - "goal_new" - ] - } - } - } - } - } - ] - }, - { - "type": "fieldset", - "label": "Define the numerator you're measuring", - "questions": [ - { - "id": "2021-04-a-01-01-02-02-04-03", - "hint": "For example: The number of children enrolled in CHIP who visited a primary care physician in the last federal fiscal year.", - "type": "text_medium", - "label": "Which population are you measuring in the numerator?", - "answer": { - "entry": "The number of enrollees that have at least one dentist within 25 miles of enrollees with a rural residence." - } - }, - { - "id": "2021-04-a-01-01-02-02-04-04", - "type": "integer", - "label": "Numerator (total number)", - "answer": { - "entry": "53395" - } - } - ] - }, - { - "type": "fieldset", - "label": "Define the denominator you're measuring", - "questions": [ - { - "id": "2021-04-a-01-01-02-02-04-05", - "hint": "For example: The total number of children enrolled in CHIP in the last federal fiscal year.", - "type": "text_medium", - "label": "Which population are you measuring in the denominator?", - "answer": { - "entry": "The number of ALL Kids enrollees with a residence verified within a rural area." - } - }, - { - "id": "2021-04-a-01-01-02-02-04-06", - "type": "integer", - "label": "Denominator (total number)", - "answer": { - "entry": "66741" - } - } - ] - }, - { - "type": "fieldset", - "questions": [], - "fieldset_info": { - "actions": ["percentage"], - "targets": [ - "$..*[?(@ && @.id=='2021-04-a-01-01-02-02-04-04')].answer.entry", - "$..*[?(@ && @.id=='2021-04-a-01-01-02-02-04-06')].answer.entry" - ] - }, - "fieldset_type": "synthesized_value" - }, - { - "id": "2021-04-a-01-01-02-02-04-07", - "type": "daterange", - "label": "What is the date range of your data?", - "answer": { - "entry": ["2019-10-01", "2021-09-01"], - "labels": ["Start", "End"] - } - }, - { - "id": "2021-04-a-01-01-02-02-04-08", - "type": "radio", - "label": "Which data source did you use?", - "answer": { - "entry": "goal_survey_data", - "options": [ - { - "label": "Eligibility or enrollment data", - "value": "goal_enrollment_data" - }, - { - "label": "Survey data", - "value": "goal_survey_data" - }, - { - "label": "Another data source", - "value": "goal_other_data" - } - ] - } - }, - { - "id": "2021-04-a-01-01-02-02-04-09", - "type": "text_multiline", - "label": "How did your progress towards your goal last year compare to your previous year’s progress?", - "answer": { - "entry": "The percent of enrollees that have access to at least one dentist and lived in a rural area during FY 2020 decreased from 99.7 in FY19 to 80% in FY20." - } - }, - { - "id": "2021-04-a-01-01-02-02-04-10", - "type": "text_multiline", - "label": "What are you doing to continually make progress towards your goal?", - "answer": { - "entry": "Monthly meetings with BCBS AL staff provide ALL Kids with the opportunity to address provider issues when needed." - } - }, - { - "id": "2021-04-a-01-01-02-02-04-11", - "type": "text_multiline", - "label": "Anything else you'd like to tell us about this goal?", - "answer": { - "entry": "No." - } - }, - { - "id": "2021-04-a-01-01-02-02-04-12", - "hint": "Optional", - "type": "file_upload", - "label": "Do you have any supporting documentation?", - "answer": { - "entry": null - } - } - ] - }, - { - "id": "2021-04-a-01-01-02-02-05", - "type": "repeatable", - "questions": [ - { - "id": "2021-04-a-01-01-02-02-05-01", - "hint": "For example: In an effort to increase access to care, our goal is to increase the number of children who have visited a primary care physician by 5%.", - "type": "text_multiline", - "label": "Briefly describe your goal for this objective.", - "answer": { - "entry": "Children Access to Primary Care Physicians - At least 90% of children and adolescents who had a primary care physician visit annually, with no more than one gap in enrollment. " - } - }, - { - "id": "2021-04-a-01-01-02-02-05-02", - "type": "radio", - "label": "What type of goal is it?", - "answer": { - "entry": "goal_new", - "options": [ - { - "label": "New goal", - "value": "goal_new" - }, - { - "label": "Continuing goal", - "value": "goal_continuing" - }, - { - "label": "Discontinued goal", - "value": "goal_discontinued" - } - ], - "default_entry": "goal_new" - }, - "questions": [ - { - "id": "2021-04-a-01-01-02-02-05-02-a", - "type": "text_multiline", - "label": "Why was this goal discontinued?", - "answer": { - "entry": null - }, - "context_data": { - "conditional_display": { - "type": "conditional_display", - "comment": "Interactive: Hide if 2021-04-a-01-01-02-02-01-02 is null, continuing goal, or new goal; noninteractive: hide if that's continuing goal or new goal.", - "hide_if": { - "target": "$..*[?(@ && @.id=='2021-04-a-01-01-02-02-05-02')].answer.entry", + "target": "$..*[?(@ && @.id=='2021-04-a-01-01-02-02-05-02')].answer.entry", "values": { "interactive": [ null, @@ -34511,9 +29547,7 @@ "id": "2021-04-a-01-01-02-02-05-04", "type": "integer", "label": "Numerator (total number)", - "answer": { - "entry": "43656" - } + "answer": { "entry": "43656" } } ] }, @@ -34534,9 +29568,7 @@ "id": "2021-04-a-01-01-02-02-05-06", "type": "integer", "label": "Denominator (total number)", - "answer": { - "entry": "46439" - } + "answer": { "entry": "46439" } } ] }, @@ -34587,9 +29619,7 @@ "id": "2021-04-a-01-01-02-02-05-09", "type": "text_multiline", "label": "How did your progress towards your goal last year compare to your previous year’s progress?", - "answer": { - "entry": "This is a new goal." - } + "answer": { "entry": "This is a new goal." } }, { "id": "2021-04-a-01-01-02-02-05-10", @@ -34603,18 +29633,14 @@ "id": "2021-04-a-01-01-02-02-05-11", "type": "text_multiline", "label": "Anything else you'd like to tell us about this goal?", - "answer": { - "entry": "No." - } + "answer": { "entry": "No." } }, { "id": "2021-04-a-01-01-02-02-05-12", "hint": "Optional", "type": "file_upload", "label": "Do you have any supporting documentation?", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] } @@ -34680,9 +29706,7 @@ "id": "2021-04-a-01-01-03-02-01-02-a", "type": "text_multiline", "label": "Why was this goal discontinued?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -34723,9 +29747,7 @@ "id": "2021-04-a-01-01-03-02-01-04", "type": "integer", "label": "Numerator (total number)", - "answer": { - "entry": "367" - } + "answer": { "entry": "367" } } ] }, @@ -34746,9 +29768,7 @@ "id": "2021-04-a-01-01-03-02-01-06", "type": "integer", "label": "Denominator (total number)", - "answer": { - "entry": "378" - } + "answer": { "entry": "378" } } ] }, @@ -34799,9 +29819,7 @@ "id": "2021-04-a-01-01-03-02-01-09", "type": "text_multiline", "label": "How did your progress towards your goal last year compare to your previous year’s progress?", - "answer": { - "entry": "This is a new goal" - } + "answer": { "entry": "This is a new goal" } }, { "id": "2021-04-a-01-01-03-02-01-10", @@ -34815,18 +29833,14 @@ "id": "2021-04-a-01-01-03-02-01-11", "type": "text_multiline", "label": "Anything else you'd like to tell us about this goal?", - "answer": { - "entry": "No." - } + "answer": { "entry": "No." } }, { "id": "2021-04-a-01-01-03-02-01-12", "hint": "Optional", "type": "file_upload", "label": "Do you have any supporting documentation?", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] }, @@ -34870,9 +29884,7 @@ "id": "2021-04-a-01-01-03-02-02-02-a", "type": "text_multiline", "label": "Why was this goal discontinued?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -34913,9 +29925,7 @@ "id": "2021-04-a-01-01-03-02-02-04", "type": "integer", "label": "Numerator (total number)", - "answer": { - "entry": "369" - } + "answer": { "entry": "369" } } ] }, @@ -34936,9 +29946,7 @@ "id": "2021-04-a-01-01-03-02-02-06", "type": "integer", "label": "Denominator (total number)", - "answer": { - "entry": "401" - } + "answer": { "entry": "401" } } ] }, @@ -35005,18 +30013,14 @@ "id": "2021-04-a-01-01-03-02-02-11", "type": "text_multiline", "label": "Anything else you'd like to tell us about this goal?", - "answer": { - "entry": "No." - } + "answer": { "entry": "No." } }, { "id": "2021-04-a-01-01-03-02-02-12", "hint": "Optional", "type": "file_upload", "label": "Do you have any supporting documentation?", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] }, @@ -35060,9 +30064,7 @@ "id": "2021-04-a-01-01-03-02-03-02-a", "type": "text_multiline", "label": "Why was this goal discontinued?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -35103,9 +30105,7 @@ "id": "2021-04-a-01-01-03-02-03-04", "type": "integer", "label": "Numerator (total number)", - "answer": { - "entry": "41565" - } + "answer": { "entry": "41565" } } ] }, @@ -35126,9 +30126,7 @@ "id": "2021-04-a-01-01-03-02-03-06", "type": "integer", "label": "Denominator (total number)", - "answer": { - "entry": "54080" - } + "answer": { "entry": "54080" } } ] }, @@ -35195,18 +30193,14 @@ "id": "2021-04-a-01-01-03-02-03-11", "type": "text_multiline", "label": "Anything else you'd like to tell us about this goal?", - "answer": { - "entry": "No." - } + "answer": { "entry": "No." } }, { "id": "2021-04-a-01-01-03-02-03-12", "hint": "Optional", "type": "file_upload", "label": "Do you have any supporting documentation?", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] } @@ -35223,9 +30217,7 @@ "id": "2021-04-a-01-01-04-01", "type": "text_multiline", "label": "What is the next objective listed in your CHIP State Plan?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2021-04-a-01-01-04-02", @@ -35239,9 +30231,7 @@ "id": "2021-04-a-01-01-04-02-01-01", "type": "text_multiline", "label": "Briefly describe your goal for this objective.", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2021-04-a-01-01-04-02-01-02", @@ -35270,9 +30260,7 @@ "id": "2021-04-a-01-01-04-02-01-02-a", "type": "text_multiline", "label": "Why was this goal discontinued?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -35304,17 +30292,13 @@ "id": "2021-04-a-01-01-04-02-01-03", "type": "text_medium", "label": "Which population are you measuring in the numerator?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2021-04-a-01-01-04-02-01-04", "type": "integer", "label": "Numerator (total number)", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] }, @@ -35326,17 +30310,13 @@ "id": "2021-04-a-01-01-04-02-01-05", "type": "text_medium", "label": "Which population are you measuring in the denominator?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2021-04-a-01-01-04-02-01-06", "type": "integer", "label": "Denominator (total number)", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] }, @@ -35387,34 +30367,26 @@ "id": "2021-04-a-01-01-04-02-01-09", "type": "text_multiline", "label": "How did your progress towards your goal last year compare to your previous year’s progress?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2021-04-a-01-01-04-02-01-10", "type": "text_multiline", "label": "What are you doing to continually make progress towards your goal?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2021-04-a-01-01-04-02-01-11", "type": "text_multiline", "label": "Anything else you'd like to tell us about this goal?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2021-04-a-01-01-04-02-01-12", "hint": "Optional", "type": "file_upload", "label": "Do you have any supporting documentation?", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] } @@ -35431,9 +30403,7 @@ "id": "2021-04-a-01-01-05-01", "type": "text_multiline", "label": "What is the next objective listed in your CHIP State Plan?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2021-04-a-01-01-05-02", @@ -35447,9 +30417,7 @@ "id": "2021-04-a-01-01-05-02-01-01", "type": "text_multiline", "label": "Briefly describe your goal for this objective.", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2021-04-a-01-01-05-02-01-02", @@ -35478,9 +30446,7 @@ "id": "2021-04-a-01-01-05-02-01-02-a", "type": "text_multiline", "label": "Why was this goal discontinued?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -35512,17 +30478,13 @@ "id": "2021-04-a-01-01-05-02-01-03", "type": "text_medium", "label": "Which population are you measuring in the numerator?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2021-04-a-01-01-05-02-01-04", "type": "integer", "label": "Numerator (total number)", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] }, @@ -35534,17 +30496,13 @@ "id": "2021-04-a-01-01-05-02-01-05", "type": "text_medium", "label": "Which population are you measuring in the denominator?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2021-04-a-01-01-05-02-01-06", "type": "integer", "label": "Denominator (total number)", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] }, @@ -35595,34 +30553,26 @@ "id": "2021-04-a-01-01-05-02-01-09", "type": "text_multiline", "label": "How did your progress towards your goal last year compare to your previous year’s progress?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2021-04-a-01-01-05-02-01-10", "type": "text_multiline", "label": "What are you doing to continually make progress towards your goal?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2021-04-a-01-01-05-02-01-11", "type": "text_multiline", "label": "Anything else you'd like to tell us about this goal?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2021-04-a-01-01-05-02-01-12", "hint": "Optional", "type": "file_upload", "label": "Do you have any supporting documentation?", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] } @@ -35639,9 +30589,7 @@ "id": "2021-04-a-01-01-06-01", "type": "text_multiline", "label": "What is the next objective listed in your CHIP State Plan?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2021-04-a-01-01-06-02", @@ -35655,9 +30603,7 @@ "id": "2021-04-a-01-01-06-02-01-01", "type": "text_multiline", "label": "Briefly describe your goal for this objective.", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2021-04-a-01-01-06-02-01-02", @@ -35686,9 +30632,7 @@ "id": "2021-04-a-01-01-06-02-01-02-a", "type": "text_multiline", "label": "Why was this goal discontinued?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -35720,17 +30664,13 @@ "id": "2021-04-a-01-01-06-02-01-03", "type": "text_medium", "label": "Which population are you measuring in the numerator?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2021-04-a-01-01-06-02-01-04", "type": "integer", "label": "Numerator (total number)", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] }, @@ -35743,17 +30683,13 @@ "hint": "For example: The total number of eligible children in the last federal fiscal year.", "type": "text_medium", "label": "Which population are you measuring in the denominator?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2021-04-a-01-01-06-02-01-06", "type": "integer", "label": "Denominator (total number)", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] }, @@ -35804,34 +30740,26 @@ "id": "2021-04-a-01-01-06-02-01-09", "type": "text_multiline", "label": "How did your progress towards your goal last year compare to your previous year’s progress?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2021-04-a-01-01-06-02-01-10", "type": "text_multiline", "label": "What are you doing to continually make progress towards your goal?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2021-04-a-01-01-06-02-01-11", "type": "text_multiline", "label": "Anything else you'd like to tell us about this goal?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2021-04-a-01-01-06-02-01-12", "hint": "Optional", "type": "file_upload", "label": "Do you have any supporting documentation?", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] } @@ -35861,9 +30789,7 @@ "id": "2021-04-a-02-02", "type": "text_multiline", "label": "Do you plan to add new strategies for measuring and reporting on your goals and objectives? What do you plan to do, and when will this data become available?", - "answer": { - "entry": "No." - } + "answer": { "entry": "No." } }, { "id": "2021-04-a-02-03", @@ -35878,9 +30804,7 @@ "hint": "For example: studies, analyses, or any other documents that address your performance goals.", "type": "file_upload", "label": "Optional: Attach any additional documents here.", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] } @@ -35935,34 +30859,26 @@ "id": "2021-05-a-01-01-a", "type": "money", "label": "2020", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "comment": "This is the first real question so far in this part…" }, { "id": "2021-05-a-01-01-b", "type": "money", "label": "2021", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2021-05-a-01-01-c", "type": "money", "label": "2022", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2021-05-a-01-01" - }, + "fieldset_info": { "id": "2021-05-a-01-01" }, "fieldset_type": "marked" }, { @@ -35976,34 +30892,26 @@ "id": "2021-05-a-01-02-a", "type": "money", "label": "2020", - "answer": { - "entry": "356487608" - }, + "answer": { "entry": "356487608" }, "comment": "This is the first real question so far in this part…" }, { "id": "2021-05-a-01-02-b", "type": "money", "label": "2021", - "answer": { - "entry": "411883043" - } + "answer": { "entry": "411883043" } }, { "id": "2021-05-a-01-02-c", "type": "money", "label": "2022", - "answer": { - "entry": "443317001" - } + "answer": { "entry": "443317001" } } ], "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2021-05-a-01-02" - }, + "fieldset_info": { "id": "2021-05-a-01-02" }, "fieldset_type": "marked" }, { @@ -36017,34 +30925,26 @@ "id": "2021-05-a-01-03-a", "type": "money", "label": "2020", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "comment": "This is the first real question so far in this part…" }, { "id": "2021-05-a-01-03-b", "type": "money", "label": "2021", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2021-05-a-01-03-c", "type": "money", "label": "2022", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2021-05-a-01-03" - }, + "fieldset_info": { "id": "2021-05-a-01-03" }, "fieldset_type": "marked" }, { @@ -36058,34 +30958,26 @@ "id": "2021-05-a-01-04-a", "type": "money", "label": "2020", - "answer": { - "entry": "6343194" - }, + "answer": { "entry": "6343194" }, "comment": "This is the first real question so far in this part…" }, { "id": "2021-05-a-01-04-b", "type": "money", "label": "2021", - "answer": { - "entry": "7000000" - } + "answer": { "entry": "7000000" } }, { "id": "2021-05-a-01-04-c", "type": "money", "label": "2022", - "answer": { - "entry": "7000000" - } + "answer": { "entry": "7000000" } } ], "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2021-05-a-01-04" - }, + "fieldset_info": { "id": "2021-05-a-01-04" }, "fieldset_type": "marked" }, { @@ -36096,9 +30988,7 @@ "fieldset_info": { "rows": [ [ - { - "contents": "Managed Care" - }, + { "contents": "Managed Care" }, { "actions": ["identity"], "targets": [ @@ -36119,9 +31009,7 @@ } ], [ - { - "contents": "Fee for Service" - }, + { "contents": "Fee for Service" }, { "actions": ["identity"], "targets": [ @@ -36142,9 +31030,7 @@ } ], [ - { - "contents": "Other benefit costs" - }, + { "contents": "Other benefit costs" }, { "actions": ["identity"], "targets": [ @@ -36188,9 +31074,7 @@ } ], [ - { - "contents": "Total benefit costs" - }, + { "contents": "Total benefit costs" }, { "actions": ["sum"], "targets": [ @@ -36221,18 +31105,10 @@ ] ], "headers": [ - { - "contents": "" - }, - { - "contents": "FFY 2020" - }, - { - "contents": "FFY 2021" - }, - { - "contents": "FFY 2022" - } + { "contents": "" }, + { "contents": "FFY 2020" }, + { "contents": "FFY 2021" }, + { "contents": "FFY 2022" } ] }, "fieldset_type": "synthesized_table" @@ -36257,34 +31133,26 @@ "id": "2021-05-a-02-01-a", "type": "money", "label": "2020", - "answer": { - "entry": "5005640" - }, + "answer": { "entry": "5005640" }, "comment": "This is the first real question so far in this part…" }, { "id": "2021-05-a-02-01-b", "type": "money", "label": "2021", - "answer": { - "entry": "5716281" - } + "answer": { "entry": "5716281" } }, { "id": "2021-05-a-02-01-c", "type": "money", "label": "2022", - "answer": { - "entry": "6287909" - } + "answer": { "entry": "6287909" } } ], "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2021-05-a-02-01" - }, + "fieldset_info": { "id": "2021-05-a-02-01" }, "fieldset_type": "marked" }, { @@ -36298,34 +31166,26 @@ "id": "2021-05-a-02-02-a", "type": "money", "label": "2020", - "answer": { - "entry": "5839005" - }, + "answer": { "entry": "5839005" }, "comment": "This is the first real question so far in this part…" }, { "id": "2021-05-a-02-02-b", "type": "money", "label": "2021", - "answer": { - "entry": "6923267" - } + "answer": { "entry": "6923267" } }, { "id": "2021-05-a-02-02-c", "type": "money", "label": "2022", - "answer": { - "entry": "7555964" - } + "answer": { "entry": "7555964" } } ], "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2021-05-a-02-02" - }, + "fieldset_info": { "id": "2021-05-a-02-02" }, "fieldset_type": "marked" }, { @@ -36339,34 +31199,26 @@ "id": "2021-05-a-02-03-a", "type": "money", "label": "2020", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "comment": "This is the first real question so far in this part…" }, { "id": "2021-05-a-02-03-b", "type": "money", "label": "2021", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2021-05-a-02-03-c", "type": "money", "label": "2022", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2021-05-a-02-03" - }, + "fieldset_info": { "id": "2021-05-a-02-03" }, "fieldset_type": "marked" }, { @@ -36380,34 +31232,26 @@ "id": "2021-05-a-02-04-a", "type": "money", "label": "2020", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "comment": "This is the first real question so far in this part…" }, { "id": "2021-05-a-02-04-b", "type": "money", "label": "2021", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2021-05-a-02-04-c", "type": "money", "label": "2022", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2021-05-a-02-04" - }, + "fieldset_info": { "id": "2021-05-a-02-04" }, "fieldset_type": "marked" }, { @@ -36421,34 +31265,26 @@ "id": "2021-05-a-02-05-a", "type": "money", "label": "2020", - "answer": { - "entry": "201056" - }, + "answer": { "entry": "201056" }, "comment": "This is the first real question so far in this part…" }, { "id": "2021-05-a-02-05-b", "type": "money", "label": "2021", - "answer": { - "entry": "500000" - } + "answer": { "entry": "500000" } }, { "id": "2021-05-a-02-05-c", "type": "money", "label": "2022", - "answer": { - "entry": "500000" - } + "answer": { "entry": "500000" } } ], "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2021-05-a-02-05" - }, + "fieldset_info": { "id": "2021-05-a-02-05" }, "fieldset_type": "marked" }, { @@ -36462,34 +31298,26 @@ "id": "2021-05-a-02-06-a", "type": "money", "label": "2020", - "answer": { - "entry": "230094" - }, + "answer": { "entry": "230094" }, "comment": "This is the first real question so far in this part…" }, { "id": "2021-05-a-02-06-b", "type": "money", "label": "2021", - "answer": { - "entry": "200000" - } + "answer": { "entry": "200000" } }, { "id": "2021-05-a-02-06-c", "type": "money", "label": "2022", - "answer": { - "entry": "200000" - } + "answer": { "entry": "200000" } } ], "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2021-05-a-02-06" - }, + "fieldset_info": { "id": "2021-05-a-02-06" }, "fieldset_type": "marked" }, { @@ -36503,34 +31331,26 @@ "id": "2021-05-a-02-07-a", "type": "money", "label": "2020", - "answer": { - "entry": "885410" - }, + "answer": { "entry": "885410" }, "comment": "This is the first real question so far in this part…" }, { "id": "2021-05-a-02-07-b", "type": "money", "label": "2021", - "answer": { - "entry": "1371907" - } + "answer": { "entry": "1371907" } }, { "id": "2021-05-a-02-07-c", "type": "money", "label": "2022", - "answer": { - "entry": "1509098" - } + "answer": { "entry": "1509098" } } ], "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2021-05-a-02-07" - }, + "fieldset_info": { "id": "2021-05-a-02-07" }, "fieldset_type": "marked" }, { @@ -36541,9 +31361,7 @@ "fieldset_info": { "rows": [ [ - { - "contents": "Personnel" - }, + { "contents": "Personnel" }, { "actions": ["identity"], "targets": [ @@ -36564,9 +31382,7 @@ } ], [ - { - "contents": "General administration" - }, + { "contents": "General administration" }, { "actions": ["identity"], "targets": [ @@ -36587,9 +31403,7 @@ } ], [ - { - "contents": "Contractors and brokers" - }, + { "contents": "Contractors and brokers" }, { "actions": ["identity"], "targets": [ @@ -36610,9 +31424,7 @@ } ], [ - { - "contents": "Claims processing" - }, + { "contents": "Claims processing" }, { "actions": ["identity"], "targets": [ @@ -36633,9 +31445,7 @@ } ], [ - { - "contents": "Outreach and marketing" - }, + { "contents": "Outreach and marketing" }, { "actions": ["identity"], "targets": [ @@ -36656,9 +31466,7 @@ } ], [ - { - "contents": "Health Services Initiatives (HSI)" - }, + { "contents": "Health Services Initiatives (HSI)" }, { "actions": ["identity"], "targets": [ @@ -36679,9 +31487,7 @@ } ], [ - { - "contents": "Other administrative costs" - }, + { "contents": "Other administrative costs" }, { "actions": ["identity"], "targets": [ @@ -36702,9 +31508,7 @@ } ], [ - { - "contents": "Total administrative costs" - }, + { "contents": "Total administrative costs" }, { "actions": ["sum"], "targets": [ @@ -36743,9 +31547,7 @@ } ], [ - { - "contents": "10% administrative cap" - }, + { "contents": "10% administrative cap" }, { "actions": ["formula"], "formula": "(<0> + <1> + <2> - <3>) / 9", @@ -36782,18 +31584,10 @@ ] ], "headers": [ - { - "contents": "" - }, - { - "contents": "FFY 2020" - }, - { - "contents": "FFY 2021" - }, - { - "contents": "FFY 2022" - } + { "contents": "" }, + { "contents": "FFY 2020" }, + { "contents": "FFY 2021" }, + { "contents": "FFY 2022" } ] }, "fieldset_type": "synthesized_table" @@ -36806,9 +31600,7 @@ "fieldset_info": { "rows": [ [ - { - "contents": "Total program costs " - }, + { "contents": "Total program costs " }, { "actions": ["formula"], "formula": "<0> + <1> + <2> + <3> + <4> + <5> + <6> + <7> + <8> + <9> + <10>", @@ -36865,48 +31657,30 @@ } ], [ - { - "contents": "eFMAP" - }, + { "contents": "eFMAP" }, { "actions": ["identity"], - "targets": [ - { - "lookupFmapFy": "2020" - } - ], + "targets": [{ "lookupFmapFy": "2020" }], "$comment": "This should pull the FMAP data from the API for this state and plug it in (FY20)" }, { "actions": ["identity"], - "targets": [ - { - "lookupFmapFy": "2021" - } - ], + "targets": [{ "lookupFmapFy": "2021" }], "$comment": "This should pull the FMAP data from the API for this state and plug it in (FY21)" }, { "actions": ["identity"], - "targets": [ - { - "lookupFmapFy": "2022" - } - ], + "targets": [{ "lookupFmapFy": "2022" }], "$comment": "This should pull the FMAP data from the API for this state and plug it in (FY22)" } ], [ - { - "contents": "Federal share" - }, + { "contents": "Federal share" }, { "actions": ["formula"], "formula": "(<0> / 100) * (<1> + <2> + <3> + <4> + <5> + <6> + <7> + <8> + <9> + <10> + <11>)", "targets": [ - { - "lookupFmapFy": "2020" - }, + { "lookupFmapFy": "2020" }, "$..*[?(@ && @.id=='2021-05-a-01-01-a')].answer.entry", "$..*[?(@ && @.id=='2021-05-a-01-02-a')].answer.entry", "$..*[?(@ && @.id=='2021-05-a-01-03-a')].answer.entry", @@ -36925,9 +31699,7 @@ "actions": ["formula"], "formula": "(<0> / 100) * (<1> + <2> + <3> + <4> + <5> + <6> + <7> + <8> + <9> + <10> + <11>)", "targets": [ - { - "lookupFmapFy": "2021" - }, + { "lookupFmapFy": "2021" }, "$..*[?(@ && @.id=='2021-05-a-01-01-b')].answer.entry", "$..*[?(@ && @.id=='2021-05-a-01-02-b')].answer.entry", "$..*[?(@ && @.id=='2021-05-a-01-03-b')].answer.entry", @@ -36946,9 +31718,7 @@ "actions": ["formula"], "formula": "(<0> / 100) * (<1> + <2> + <3> + <4> + <5> + <6> + <7> + <8> + <9> + <10> + <11>)", "targets": [ - { - "lookupFmapFy": "2022" - }, + { "lookupFmapFy": "2022" }, "$..*[?(@ && @.id=='2021-05-a-01-01-c')].answer.entry", "$..*[?(@ && @.id=='2021-05-a-01-02-c')].answer.entry", "$..*[?(@ && @.id=='2021-05-a-01-03-c')].answer.entry", @@ -36965,9 +31735,7 @@ } ], [ - { - "contents": "State share" - }, + { "contents": "State share" }, { "actions": ["formula"], "formula": "<0> + <1> + <2> + <3> + <4> + <5> + <6> + <7> + <8> + <9> + <10> - ((<11> / 100) * (<12> + <13> + <14> + <15> + <16> + <17> + <18> + <19> + <20> + <21> + <22>))", @@ -36983,9 +31751,7 @@ "$..*[?(@ && @.id=='2021-05-a-02-05-a')].answer.entry", "$..*[?(@ && @.id=='2021-05-a-02-06-a')].answer.entry", "$..*[?(@ && @.id=='2021-05-a-02-07-a')].answer.entry", - { - "lookupFmapFy": "2020" - }, + { "lookupFmapFy": "2020" }, "$..*[?(@ && @.id=='2021-05-a-01-01-a')].answer.entry", "$..*[?(@ && @.id=='2021-05-a-01-02-a')].answer.entry", "$..*[?(@ && @.id=='2021-05-a-01-03-a')].answer.entry", @@ -37015,9 +31781,7 @@ "$..*[?(@ && @.id=='2021-05-a-02-05-b')].answer.entry", "$..*[?(@ && @.id=='2021-05-a-02-06-b')].answer.entry", "$..*[?(@ && @.id=='2021-05-a-02-07-b')].answer.entry", - { - "lookupFmapFy": "2021" - }, + { "lookupFmapFy": "2021" }, "$..*[?(@ && @.id=='2021-05-a-01-01-b')].answer.entry", "$..*[?(@ && @.id=='2021-05-a-01-02-b')].answer.entry", "$..*[?(@ && @.id=='2021-05-a-01-03-b')].answer.entry", @@ -37047,9 +31811,7 @@ "$..*[?(@ && @.id=='2021-05-a-02-05-c')].answer.entry", "$..*[?(@ && @.id=='2021-05-a-02-06-c')].answer.entry", "$..*[?(@ && @.id=='2021-05-a-02-07-c')].answer.entry", - { - "lookupFmapFy": "2022" - }, + { "lookupFmapFy": "2022" }, "$..*[?(@ && @.id=='2021-05-a-01-01-c')].answer.entry", "$..*[?(@ && @.id=='2021-05-a-01-02-c')].answer.entry", "$..*[?(@ && @.id=='2021-05-a-01-03-c')].answer.entry", @@ -37067,18 +31829,10 @@ ] ], "headers": [ - { - "contents": "" - }, - { - "contents": "FFY 2020" - }, - { - "contents": "FFY 2021" - }, - { - "contents": "FFY 2022" - } + { "contents": "" }, + { "contents": "FFY 2020" }, + { "contents": "FFY 2021" }, + { "contents": "FFY 2022" } ] }, "fieldset_type": "synthesized_table" @@ -37119,10 +31873,7 @@ "label": "Tobacco settlement", "value": "tobacco settlement" }, - { - "label": "Other", - "value": "other" - } + { "label": "Other", "value": "other" } ] }, "questions": [ @@ -37130,9 +31881,7 @@ "id": "2021-05-a-02-08-a", "type": "text", "label": "What other type of funding did you receive?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -37156,14 +31905,8 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "questions": [ @@ -37171,9 +31914,7 @@ "id": "2021-05-a-02-09-a", "type": "text_multiline", "label": "Briefly explain why your state didn’t have enough federal funding to cover your CHIP program costs.", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -37209,34 +31950,26 @@ "id": "2021-05-a-03-01-a", "type": "integer", "label": "2020", - "answer": { - "entry": "53253" - }, + "answer": { "entry": "53253" }, "comment": "This is the first real question so far in this part…" }, { "id": "2021-05-a-03-01-b", "type": "integer", "label": "2021", - "answer": { - "entry": "" - } + "answer": { "entry": "" } }, { "id": "2021-05-a-03-01-c", "type": "integer", "label": "2022", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2021-05-a-03-01" - }, + "fieldset_info": { "id": "2021-05-a-03-01" }, "fieldset_type": "marked" }, { @@ -37251,34 +31984,26 @@ "id": "2021-05-a-03-02-a", "type": "money", "label": "2020", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "comment": "This is the first real question so far in this part…" }, { "id": "2021-05-a-03-02-b", "type": "money", "label": "2021", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } }, { "id": "2021-05-a-03-02-c", "type": "money", "label": "2022", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2021-05-a-03-02" - }, + "fieldset_info": { "id": "2021-05-a-03-02" }, "fieldset_type": "marked" }, { @@ -37287,9 +32012,7 @@ "fieldset_info": { "rows": [ [ - { - "contents": "Eligible children" - }, + { "contents": "Eligible children" }, { "actions": ["identity"], "targets": [ @@ -37310,9 +32033,7 @@ } ], [ - { - "contents": "PMPM cost" - }, + { "contents": "PMPM cost" }, { "actions": ["identity"], "targets": [ @@ -37334,18 +32055,10 @@ ] ], "headers": [ - { - "contents": "" - }, - { - "contents": "FFY 2020" - }, - { - "contents": "FFY 2021" - }, - { - "contents": "FFY 2022" - } + { "contents": "" }, + { "contents": "FFY 2020" }, + { "contents": "FFY 2021" }, + { "contents": "FFY 2022" } ] }, "fieldset_type": "synthesized_table" @@ -37369,34 +32082,26 @@ "id": "2021-05-a-04-01-a", "type": "integer", "label": "2020", - "answer": { - "entry": "174401" - }, + "answer": { "entry": "174401" }, "comment": "This is the first real question so far in this part…" }, { "id": "2021-05-a-04-01-b", "type": "integer", "label": "2021", - "answer": { - "entry": "80722" - } + "answer": { "entry": "80722" } }, { "id": "2021-05-a-04-01-c", "type": "integer", "label": "2022", - "answer": { - "entry": "84885" - } + "answer": { "entry": "84885" } } ], "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2021-05-a-04-01" - }, + "fieldset_info": { "id": "2021-05-a-04-01" }, "fieldset_type": "marked" }, { @@ -37411,34 +32116,26 @@ "id": "2021-05-a-04-02-a", "type": "money", "label": "2020", - "answer": { - "entry": "233" - }, + "answer": { "entry": "233" }, "comment": "This is the first real question so far in this part…" }, { "id": "2021-05-a-04-02-b", "type": "money", "label": "2021", - "answer": { - "entry": "3" - } + "answer": { "entry": "3" } }, { "id": "2021-05-a-04-02-c", "type": "money", "label": "2022", - "answer": { - "entry": "252" - } + "answer": { "entry": "252" } } ], "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2021-05-a-04-02" - }, + "fieldset_info": { "id": "2021-05-a-04-02" }, "fieldset_type": "marked" }, { @@ -37447,9 +32144,7 @@ "fieldset_info": { "rows": [ [ - { - "contents": "Eligible children" - }, + { "contents": "Eligible children" }, { "actions": ["identity"], "targets": [ @@ -37470,9 +32165,7 @@ } ], [ - { - "contents": "PMPM cost" - }, + { "contents": "PMPM cost" }, { "actions": ["identity"], "targets": [ @@ -37494,18 +32187,10 @@ ] ], "headers": [ - { - "contents": "" - }, - { - "contents": "FFY 2020" - }, - { - "contents": "FFY 2021" - }, - { - "contents": "FFY 2022" - } + { "contents": "" }, + { "contents": "FFY 2020" }, + { "contents": "FFY 2021" }, + { "contents": "FFY 2022" } ] }, "fieldset_type": "synthesized_table" @@ -37528,9 +32213,7 @@ "id": "2021-05-a-05-02", "type": "file_upload", "label": "Optional: Attach any additional documents here.", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] } @@ -37607,9 +32290,7 @@ "id": "2021-06-a-01-06", "type": "file_upload", "label": "Optional: Attach any additional documents here.", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] } @@ -37696,25 +32377,19 @@ "id": "2020-00-a-01-04", "type": "text", "label": "Contact name:", - "answer": { - "entry": "Tester" - } + "answer": { "entry": "Tester" } }, { "id": "2020-00-a-01-05", "type": "text", "label": "Job title:", - "answer": { - "entry": "Director" - } + "answer": { "entry": "Director" } }, { "id": "2020-00-a-01-06", "type": "email", "label": "Email:", - "answer": { - "entry": "" - } + "answer": { "entry": "" } }, { "id": "2020-00-a-01-07", @@ -37729,9 +32404,7 @@ "id": "2020-00-a-01-08", "type": "phone_number", "label": "Phone number:", - "answer": { - "entry": "123-456-7890" - } + "answer": { "entry": "123-456-7890" } }, { "hint": "This information is being collected to assist the Centers for Medicare & Medicaid Services (CMS) in partnership with States with the ongoing management of Medicaid and CHIP programs and policies. This mandatory information collection (42 U.S.C. 1397hh) will be used to help each state meet the statutory requirements at section 2108(a) of the Social Security Act to assess the operation of the State child health plan in each Federal fiscal year and to report the results of the assessment including the progress made in reducing the number of uncovered, low-income children. Under the Privacy Act of 1974 any personally identifying information obtained will be kept private to the extent of the law. According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0938-1148 (CMS-10398 #1). The time required to complete this information collection is estimated to average 40 hours per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to CMS, 7500 Security Boulevard, Attn: Paperwork Reduction Act Reports Clearance Officer, Mail Stop C4-26-05, Baltimore, Maryland 21244-1850.", @@ -37780,14 +32453,8 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "questions": [ @@ -37795,9 +32462,7 @@ "id": "2020-01-a-01-01-a", "type": "money", "label": "How much is your enrollment fee?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -37821,14 +32486,8 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "questions": [ @@ -37842,14 +32501,8 @@ "answer": { "entry": "", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] } }, @@ -37886,9 +32539,7 @@ "id": "2020-01-a-01-02-c", "type": "money", "label": "How much is the premium for one child?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -37928,14 +32579,8 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "questions": [ @@ -37973,9 +32618,7 @@ "id": "2020-01-a-01-03-b", "type": "money", "label": "What's the maximum premium a family would be charged each year?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -37996,9 +32639,7 @@ "id": "2020-01-a-01-04", "type": "text_multiline", "label": "Do premiums differ for different Medicaid Expansion CHIP populations beyond FPL (for example, by eligibility group)? If so, briefly explain the fee structure breakdown.", - "answer": { - "entry": "N/A" - } + "answer": { "entry": "N/A" } }, { "id": "2020-01-a-01-05", @@ -38008,18 +32649,12 @@ "answer": { "entry": [null, "pccm"], "options": [ - { - "label": "Managed Care", - "value": "mco" - }, + { "label": "Managed Care", "value": "mco" }, { "label": "Primary Care Case Management", "value": "pccm" }, - { - "label": "Fee for Service", - "value": "ffs" - } + { "label": "Fee for Service", "value": "ffs" } ] } }, @@ -38027,9 +32662,7 @@ "id": "2020-01-a-01-06", "type": "text_multiline", "label": "Which delivery system(s) are available to which Medicaid Expansion CHIP populations? Indicate whether eligibility status, income level, age range, or other criteria determine which delivery system a population receives.", - "answer": { - "entry": "N/A" - } + "answer": { "entry": "N/A" } } ], "context_data": { @@ -38052,14 +32685,8 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "questions": [ @@ -38067,9 +32694,7 @@ "id": "2020-01-a-02-01-a", "type": "money", "label": "How much is your enrollment fee?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -38093,14 +32718,8 @@ "answer": { "entry": "yes", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "questions": [ @@ -38114,14 +32733,8 @@ "answer": { "entry": "yes", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] } }, @@ -38163,9 +32776,7 @@ "id": "2020-01-a-02-02-c", "type": "money", "label": "How much is the premium for one child?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -38205,14 +32816,8 @@ "answer": { "entry": "yes", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "questions": [ @@ -38255,9 +32860,7 @@ "id": "2020-01-a-02-03-b", "type": "money", "label": "What's the maximum premium fee a family would be charged each year?", - "answer": { - "entry": "312" - }, + "answer": { "entry": "312" }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -38290,18 +32893,12 @@ "answer": { "entry": [null, "ffs"], "options": [ - { - "label": "Managed Care", - "value": "mco" - }, + { "label": "Managed Care", "value": "mco" }, { "label": "Primary Care Case Management", "value": "pccm" }, - { - "label": "Fee for Service", - "value": "ffs" - } + { "label": "Fee for Service", "value": "ffs" } ] } }, @@ -38309,9 +32906,7 @@ "id": "2020-01-a-02-06", "type": "text_multiline", "label": "Which delivery system(s) are available to which CHIP populations? Indicate whether eligibility status, income level, age range, or other criteria determine which delivery system a population receives.", - "answer": { - "entry": "N/A" - } + "answer": { "entry": "N/A" } } ], "context_data": { @@ -38332,18 +32927,9 @@ "answer": { "entry": "", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, "context_data": { @@ -38357,18 +32943,9 @@ "answer": { "entry": "yes", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, "context_data": { @@ -38383,18 +32960,9 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, "context_data": { @@ -38409,18 +32977,9 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, "context_data": { @@ -38434,18 +32993,9 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, "context_data": { @@ -38460,23 +33010,12 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, - "context_data": { - "bullet_text": "Outreach efforts" - } + "context_data": { "bullet_text": "Outreach efforts" } }, { "id": "2020-01-a-03-07", @@ -38486,23 +33025,12 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, - "context_data": { - "bullet_text": "Delivery system(s)" - } + "context_data": { "bullet_text": "Delivery system(s)" } }, { "id": "2020-01-a-03-08", @@ -38512,23 +33040,12 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, - "context_data": { - "bullet_text": "Cost sharing" - } + "context_data": { "bullet_text": "Cost sharing" } }, { "id": "2020-01-a-03-09", @@ -38538,18 +33055,9 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, "context_data": { @@ -38563,18 +33071,9 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, "context_data": { @@ -38589,18 +33088,9 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, "context_data": { @@ -38615,23 +33105,12 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, - "context_data": { - "bullet_text": "Premium assistance" - } + "context_data": { "bullet_text": "Premium assistance" } }, { "id": "2020-01-a-03-13", @@ -38640,18 +33119,9 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, "context_data": { @@ -38665,18 +33135,9 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, "context_data": { @@ -38690,18 +33151,9 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, "context_data": { @@ -38715,23 +33167,12 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, - "context_data": { - "bullet_text": "Other program areas" - } + "context_data": { "bullet_text": "Other program areas" } }, { "type": "fieldset", @@ -38751,18 +33192,9 @@ "answer": { "entry": "yes", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] } } @@ -38821,18 +33253,9 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, "context_data": { @@ -38846,18 +33269,9 @@ "answer": { "entry": "yes", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, "context_data": { @@ -38872,18 +33286,9 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, "context_data": { @@ -38898,18 +33303,9 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, "context_data": { @@ -38923,18 +33319,9 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, "context_data": { @@ -38949,23 +33336,12 @@ "answer": { "entry": "yes", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, - "context_data": { - "bullet_text": "Outreach efforts" - } + "context_data": { "bullet_text": "Outreach efforts" } }, { "id": "2020-01-a-04-07", @@ -38975,23 +33351,12 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, - "context_data": { - "bullet_text": "Delivery system(s)" - } + "context_data": { "bullet_text": "Delivery system(s)" } }, { "id": "2020-01-a-04-08", @@ -39001,23 +33366,12 @@ "answer": { "entry": "yes", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, - "context_data": { - "bullet_text": "Cost sharing" - } + "context_data": { "bullet_text": "Cost sharing" } }, { "id": "2020-01-a-04-09", @@ -39027,23 +33381,12 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, - "context_data": { - "bullet_text": "Crowd-out policies" - } + "context_data": { "bullet_text": "Crowd-out policies" } }, { "id": "2020-01-a-04-10", @@ -39052,18 +33395,9 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, "context_data": { @@ -39077,18 +33411,9 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, "context_data": { @@ -39103,18 +33428,9 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, "context_data": { @@ -39129,23 +33445,12 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, - "context_data": { - "bullet_text": "Premium assistance" - } + "context_data": { "bullet_text": "Premium assistance" } }, { "id": "2020-01-a-04-14", @@ -39154,18 +33459,9 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, "context_data": { @@ -39180,18 +33476,9 @@ "answer": { "entry": "yes", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, "context_data": { @@ -39206,18 +33493,9 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, "context_data": { @@ -39231,18 +33509,9 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, "context_data": { @@ -39256,18 +33525,9 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, "context_data": { @@ -39281,23 +33541,12 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "n/a" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "n/a" } ] }, - "context_data": { - "bullet_text": "Other program areas" - } + "context_data": { "bullet_text": "Other program areas" } }, { "type": "fieldset", @@ -39317,14 +33566,8 @@ "answer": { "entry": "yes", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] } } @@ -39452,9 +33695,7 @@ "fieldset_info": { "rows": [ [ - { - "contents": "2015" - }, + { "contents": "2015" }, { "lookupAcs": { "ffy": "2015", @@ -39481,9 +33722,7 @@ } ], [ - { - "contents": "2016" - }, + { "contents": "2016" }, { "lookupAcs": { "ffy": "2016", @@ -39510,9 +33749,7 @@ } ], [ - { - "contents": "2017" - }, + { "contents": "2017" }, { "lookupAcs": { "ffy": "2017", @@ -39539,9 +33776,7 @@ } ], [ - { - "contents": "2018" - }, + { "contents": "2018" }, { "lookupAcs": { "ffy": "2018", @@ -39568,9 +33803,7 @@ } ], [ - { - "contents": "2019" - }, + { "contents": "2019" }, { "lookupAcs": { "ffy": "2019", @@ -39598,21 +33831,13 @@ ] ], "headers": [ - { - "contents": "Year" - }, - { - "contents": "Number of uninsured children" - }, - { - "contents": "Margin of error" - }, + { "contents": "Year" }, + { "contents": "Number of uninsured children" }, + { "contents": "Margin of error" }, { "contents": "Percent of uninsured children (of total children in your state)" }, - { - "contents": "Margin of error" - } + { "contents": "Margin of error" } ] }, "fieldset_type": "synthesized_table" @@ -39633,9 +33858,7 @@ ] ], "headers": [ - { - "contents": "Percent change between 2018 and 2019" - } + { "contents": "Percent change between 2018 and 2019" } ] }, "fieldset_type": "synthesized_table" @@ -39655,14 +33878,8 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "questions": [ @@ -39670,9 +33887,7 @@ "id": "2020-02-a-02-02-a", "type": "text_multiline", "label": "What are some reasons why the American Community Survey estimates might not reflect the number of uninsured children in your state?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -39696,14 +33911,8 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "questions": [ @@ -39714,9 +33923,7 @@ "id": "2020-02-a-02-03-a", "type": "text_multiline", "label": "What is the alternate data source or methodology?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2020-02-a-02-03-b", @@ -39731,49 +33938,37 @@ "id": "2020-02-a-02-03-c", "type": "text_multiline", "label": "Define the population you’re measuring, including ages and federal poverty levels.", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2020-02-a-02-03-d", "type": "text_multiline", "label": "Give numbers and/or the percent of uninsured children for at least two points in time.", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2020-02-a-02-03-e", "type": "text_multiline", "label": "Why did your state choose to adopt this alternate data source?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2020-02-a-02-03-f", "type": "text_multiline", "label": "How reliable are these estimates? Provide standard errors, confidence intervals, and/or p-values if available.", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2020-02-a-02-03-g", "type": "text_multiline", "label": "What are the limitations of this alternate data source or methodology?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2020-02-a-02-03-h", "type": "text_multiline", "label": "How do you use this alternate data source in CHIP program planning?", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "context_data": { @@ -39796,17 +33991,13 @@ "id": "2020-02-a-02-04", "type": "text_multiline", "label": "Is there anything else you’d like to add about your enrollment and uninsured data?", - "answer": { - "entry": "No." - } + "answer": { "entry": "No." } }, { "id": "2020-02-a-02-05", "type": "file_upload", "label": "Optional: Attach any additional documents here.", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] } @@ -39846,14 +34037,8 @@ "answer": { "entry": "yes", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "questions": [ @@ -39888,14 +34073,8 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "questions": [ @@ -39903,9 +34082,7 @@ "id": "2020-03-a-01-02-a", "type": "text_multiline", "label": "Have these efforts been successful? How have you measured the effectiveness of your outreach efforts?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -39935,17 +34112,13 @@ "id": "2020-03-a-01-04", "type": "text_multiline", "label": "Is there anything else you’d like to add about your outreach efforts?", - "answer": { - "entry": "No." - } + "answer": { "entry": "No." } }, { "id": "2020-03-a-01-05", "type": "file_upload", "label": "Optional: Attach any additional documents here.", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] } @@ -39968,18 +34141,9 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "na" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "na" } ] }, "questions": [ @@ -39987,9 +34151,7 @@ "id": "2020-03-b-01-01-a", "type": "text_multiline", "label": "What percent of CHIP enrollees had access to private insurance at the time of application?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -40013,18 +34175,9 @@ "answer": { "entry": "yes", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "na" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "na" } ] }, "questions": [ @@ -40032,9 +34185,7 @@ "id": "2020-03-b-01-02-a", "type": "text_multiline", "label": "Which database do you use?", - "answer": { - "entry": "BCBS of AL enrollment database" - }, + "answer": { "entry": "BCBS of AL enrollment database" }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -40055,9 +34206,7 @@ "id": "2020-03-b-01-03", "type": "percentage", "label": "What percent of applicants screened for CHIP eligibility cannot be enrolled because they have group health plan coverage?", - "answer": { - "entry": "4.11" - } + "answer": { "entry": "4.11" } }, { "type": "fieldset", @@ -40069,18 +34218,9 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "na" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "na" } ] }, "questions": [ @@ -40091,9 +34231,7 @@ "id": "2020-03-b-01-04-a", "type": "text_multiline", "label": "How long is the waiting period?", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "context_data": { @@ -40114,9 +34252,7 @@ "id": "2020-03-b-01-04-b", "type": "text_multiline", "label": "Which populations does the waiting period apply to? (Include the FPL for each group.)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -40135,9 +34271,7 @@ "id": "2020-03-b-01-04-c", "type": "text_multiline", "label": "What exemptions apply to the waiting period?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -40156,9 +34290,7 @@ "id": "2020-03-b-01-04-d", "type": "text_multiline", "label": "What percent of individuals subject to the waiting period meet a state or federal exemption?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -40188,17 +34320,13 @@ "id": "2020-03-b-01-05", "type": "text_multiline", "label": "Is there anything else you’d like to add about substitution of coverage that wasn’t already covered? Did you run into any limitations when collecting data?", - "answer": { - "entry": "No. " - } + "answer": { "entry": "No. " } }, { "id": "2020-03-b-01-06", "type": "file_upload", "label": "Optional: Attach any additional documents here.", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] } @@ -40223,18 +34351,9 @@ "answer": { "entry": "", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "na" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "na" } ] }, "questions": [ @@ -40245,17 +34364,13 @@ "id": "2020-03-c-01-01-a", "type": "percentage", "label": "What percent of children are presumptively enrolled in CHIP pending a full eligibility determination?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2020-03-c-01-01-b", "type": "percentage", "label": "Of the children who are presumptively enrolled, what percent are determined fully eligible and enrolled in the program (upon completion of the full eligibility determination)?", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "context_data": { @@ -40281,14 +34396,8 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] } }, @@ -40299,14 +34408,8 @@ "answer": { "entry": "yes", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "questions": [ @@ -40317,9 +34420,7 @@ "id": "2020-03-c-01-03-a", "type": "text", "label": "How many notices do you send to families before disenrolling a child from the program?", - "answer": { - "entry": "2" - } + "answer": { "entry": "2" } }, { "id": "2020-03-c-01-03-b", @@ -40374,9 +34475,7 @@ "id": "2020-03-c-01-07", "type": "text_multiline", "label": "Is there anything else you’d like to add that wasn’t already covered?", - "answer": { - "entry": "No. " - } + "answer": { "entry": "No. " } } ] }, @@ -40390,35 +34489,27 @@ "hint": "Don’t include applicants being considered for redetermination — this data will be collected in Part 3.", "type": "integer", "label": "How many applicants were denied CHIP coverage in FFY 2020?", - "answer": { - "entry": "4283" - } + "answer": { "entry": "4283" } }, { "id": "2020-03-c-02-02", "hint": "For example: They were denied because of an incomplete application, missing documentation, or a missing enrollment fee.", "type": "integer", "label": "How many applicants were denied CHIP coverage for procedural reasons?", - "answer": { - "entry": "500" - } + "answer": { "entry": "500" } }, { "id": "2020-03-c-02-03", "hint": "For example: They were denied because their income was too high or too low, they were determined eligible for Medicaid instead, or they had other coverage available.", "type": "integer", "label": "How many applicants were denied CHIP coverage for eligibility reasons?", - "answer": { - "entry": "3484" - }, + "answer": { "entry": "3484" }, "questions": [ { "id": "2020-03-c-02-03-a", "type": "integer", "label": "How many applicants were denied CHIP (Title XXI) coverage and determined eligible for Medicaid (Title XIX) instead?", - "answer": { - "entry": "299" - } + "answer": { "entry": "299" } } ] }, @@ -40426,9 +34517,7 @@ "id": "2020-03-c-02-04", "type": "integer", "label": "How many applicants were denied CHIP coverage for other reasons?", - "answer": { - "entry": "" - } + "answer": { "entry": "" } }, { "id": "2020-03-c-02-05", @@ -40446,9 +34535,7 @@ "fieldset_info": { "rows": [ [ - { - "contents": "Total denials" - }, + { "contents": "Total denials" }, { "targets": [ "$..*[?(@ && @.id=='2020-03-c-02-01')].answer.entry" @@ -40463,9 +34550,7 @@ } ], [ - { - "contents": "Denied for procedural reasons" - }, + { "contents": "Denied for procedural reasons" }, { "targets": [ "$..*[?(@ && @.id=='2020-03-c-02-02')].answer.entry" @@ -40480,9 +34565,7 @@ } ], [ - { - "contents": "Denied for eligibility reasons" - }, + { "contents": "Denied for eligibility reasons" }, { "targets": [ "$..*[?(@ && @.id=='2020-03-c-02-03')].answer.entry" @@ -40497,9 +34580,7 @@ } ], [ - { - "contents": "Denials for other reasons" - }, + { "contents": "Denials for other reasons" }, { "targets": [ "$..*[?(@ && @.id=='2020-03-c-02-04')].answer.entry" @@ -40515,15 +34596,9 @@ ] ], "headers": [ - { - "contents": "" - }, - { - "contents": "Number" - }, - { - "contents": "Percent" - } + { "contents": "" }, + { "contents": "Number" }, + { "contents": "Percent" } ] }, "fieldset_type": "synthesized_table" @@ -40540,34 +34615,26 @@ "id": "2020-03-c-03-01", "type": "integer", "label": "How many children were eligible for redetermination in CHIP in FFY 2020?", - "answer": { - "entry": "145390" - } + "answer": { "entry": "145390" } }, { "id": "2020-03-c-03-02", "type": "integer", "label": "Of the eligible children, how many were then screened for redetermination?", - "answer": { - "entry": "131011" - } + "answer": { "entry": "131011" } }, { "id": "2020-03-c-03-03", "type": "integer", "label": "How many children were retained in CHIP after redetermination?", - "answer": { - "entry": "113009" - } + "answer": { "entry": "113009" } }, { "id": "2020-03-c-03-04", "hint": "This number should be equal to the total of 4a, 4b, and 4c below.", "type": "integer", "label": "How many children were disenrolled in CHIP after the redetermination process?", - "answer": { - "entry": "17989" - }, + "answer": { "entry": "17989" }, "questions": [ { "hint": "The answer to 4 should be equal to the sum of a, b, and c below: ", @@ -40588,26 +34655,20 @@ "hint": "This could be due to an incomplete application, missing documentation, or a missing enrollment fee.", "type": "integer", "label": "How many children were disenrolled for procedural reasons?", - "answer": { - "entry": "1893" - } + "answer": { "entry": "1893" } }, { "id": "2020-03-c-03-04-b", "hint": "This could be due to income that was too high or too low, eligibility in Medicaid (Title XIX) instead, or access to private coverage.", "type": "integer", "label": "How many children were disenrolled for eligibility reasons?", - "answer": { - "entry": "15242" - } + "answer": { "entry": "15242" } }, { "id": "2020-03-c-03-04-c", "type": "integer", "label": "How many children were disenrolled for other reasons?", - "answer": { - "entry": "854" - } + "answer": { "entry": "854" } } ] }, @@ -40615,9 +34676,7 @@ "id": "2020-03-c-03-05", "type": "text_multiline", "label": "Did you have any limitations in collecting this data?", - "answer": { - "entry": "No." - } + "answer": { "entry": "No." } }, { "hint": "These tables are auto-populated with the data you entered above.", @@ -40679,15 +34738,9 @@ ] ], "headers": [ - { - "contents": "" - }, - { - "contents": "Number" - }, - { - "contents": "Percent" - } + { "contents": "" }, + { "contents": "Number" }, + { "contents": "Percent" } ] }, "fieldset_type": "synthesized_table" @@ -40769,15 +34822,9 @@ ] ], "headers": [ - { - "contents": "" - }, - { - "contents": "Number" - }, - { - "contents": "Percent" - } + { "contents": "" }, + { "contents": "Number" }, + { "contents": "Percent" } ] }, "fieldset_type": "synthesized_table" @@ -40794,34 +34841,26 @@ "id": "2020-03-c-04-01", "type": "integer", "label": "How many children were eligible for redetermination in Medicaid in FFY 2020?", - "answer": { - "entry": "463373" - } + "answer": { "entry": "463373" } }, { "id": "2020-03-c-04-02", "type": "integer", "label": "Of the eligible children, how many were then screened for redetermination?", - "answer": { - "entry": "438232" - } + "answer": { "entry": "438232" } }, { "id": "2020-03-c-04-03", "type": "integer", "label": "How many children were retained in Medicaid after redetermination?", - "answer": { - "entry": "413500" - } + "answer": { "entry": "413500" } }, { "id": "2020-03-c-04-04", "hint": "This number should be equal to the total of 4a, 4b, and 4c below.", "type": "integer", "label": "How many children were disenrolled in Medicaid after the redetermination process?", - "answer": { - "entry": "24718" - }, + "answer": { "entry": "24718" }, "questions": [ { "hint": "The answer to 4 should be equal to the sum of a, b, and c below: ", @@ -40842,26 +34881,20 @@ "hint": "This could be due to an incomplete application, missing documentation, or a missing enrollment fee.", "type": "integer", "label": "How many children were disenrolled for procedural reasons?", - "answer": { - "entry": "559" - } + "answer": { "entry": "559" } }, { "id": "2020-03-c-04-04-b", "hint": "This could be due to an income that was too high and/or eligibility in CHIP instead.", "type": "integer", "label": "How many children were disenrolled for eligibility reasons?", - "answer": { - "entry": "23489" - } + "answer": { "entry": "23489" } }, { "id": "2020-03-c-04-04-c", "type": "integer", "label": "How many children were disenrolled for other reasons?", - "answer": { - "entry": "670" - } + "answer": { "entry": "670" } } ] }, @@ -40869,9 +34902,7 @@ "id": "2020-03-c-04-05", "type": "text_multiline", "label": "Did you have any limitations in collecting this data?", - "answer": { - "entry": "No." - } + "answer": { "entry": "No." } }, { "hint": "These tables are auto-populated with the data you entered above.", @@ -40933,15 +34964,9 @@ ] ], "headers": [ - { - "contents": "" - }, - { - "contents": "Number" - }, - { - "contents": "Percent" - } + { "contents": "" }, + { "contents": "Number" }, + { "contents": "Percent" } ] }, "fieldset_type": "synthesized_table" @@ -41023,15 +35048,9 @@ ] ], "headers": [ - { - "contents": "" - }, - { - "contents": "Number" - }, - { - "contents": "Percent" - } + { "contents": "" }, + { "contents": "Number" }, + { "contents": "Percent" } ] }, "fieldset_type": "synthesized_table" @@ -41076,14 +35095,8 @@ "answer": { "entry": "yes", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] } }, @@ -41100,9 +35113,7 @@ "id": "2020-03-c-05-03-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -41138,33 +35149,25 @@ "id": "2020-03-c-05-03-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": "919" - } + "answer": { "entry": "919" } }, { "id": "2020-03-c-05-03-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": "2265" - } + "answer": { "entry": "2265" } }, { "id": "2020-03-c-05-03-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": "5710" - } + "answer": { "entry": "5710" } }, { "id": "2020-03-c-05-03-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": "4958" - } + "answer": { "entry": "4958" } } ], "context_data": { @@ -41182,9 +35185,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2020-03-c-05-03" - }, + "fieldset_info": { "id": "2020-03-c-05-03" }, "fieldset_type": "marked" }, { @@ -41201,9 +35202,7 @@ "id": "2020-03-c-05-04-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -41239,33 +35238,25 @@ "id": "2020-03-c-05-04-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": "909" - } + "answer": { "entry": "909" } }, { "id": "2020-03-c-05-04-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": "22213" - } + "answer": { "entry": "22213" } }, { "id": "2020-03-c-05-04-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": "5451" - } + "answer": { "entry": "5451" } }, { "id": "2020-03-c-05-04-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": "4445" - } + "answer": { "entry": "4445" } } ], "context_data": { @@ -41283,9 +35274,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2020-03-c-05-04" - }, + "fieldset_info": { "id": "2020-03-c-05-04" }, "fieldset_type": "marked" }, { @@ -41296,9 +35285,7 @@ "id": "2020-03-c-05-05-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -41334,33 +35321,25 @@ "id": "2020-03-c-05-05-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": "0" - } + "answer": { "entry": "0" } }, { "id": "2020-03-c-05-05-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": "0" - } + "answer": { "entry": "0" } }, { "id": "2020-03-c-05-05-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": "2" - } + "answer": { "entry": "2" } }, { "id": "2020-03-c-05-05-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": "3" - } + "answer": { "entry": "3" } } ], "context_data": { @@ -41378,9 +35357,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2020-03-c-05-05" - }, + "fieldset_info": { "id": "2020-03-c-05-05" }, "fieldset_type": "marked" }, { @@ -41391,9 +35368,7 @@ "id": "2020-03-c-05-06-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -41429,33 +35404,25 @@ "id": "2020-03-c-05-06-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": "0" - } + "answer": { "entry": "0" } }, { "id": "2020-03-c-05-06-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": "0" - } + "answer": { "entry": "0" } }, { "id": "2020-03-c-05-06-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": "2" - } + "answer": { "entry": "2" } }, { "id": "2020-03-c-05-06-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": "3" - } + "answer": { "entry": "3" } } ], "context_data": { @@ -41473,9 +35440,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2020-03-c-05-06" - }, + "fieldset_info": { "id": "2020-03-c-05-06" }, "fieldset_type": "marked" }, { @@ -41487,9 +35452,7 @@ "id": "2020-03-c-05-07-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -41525,33 +35488,25 @@ "id": "2020-03-c-05-07-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": "10" - } + "answer": { "entry": "10" } }, { "id": "2020-03-c-05-07-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": "44" - } + "answer": { "entry": "44" } }, { "id": "2020-03-c-05-07-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": "257" - } + "answer": { "entry": "257" } }, { "id": "2020-03-c-05-07-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": "510" - } + "answer": { "entry": "510" } } ], "context_data": { @@ -41569,9 +35524,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2020-03-c-05-07" - }, + "fieldset_info": { "id": "2020-03-c-05-07" }, "fieldset_type": "marked" }, { @@ -41582,9 +35535,7 @@ "id": "2020-03-c-05-08-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -41620,33 +35571,25 @@ "id": "2020-03-c-05-08-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": "0" - } + "answer": { "entry": "0" } }, { "id": "2020-03-c-05-08-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": "0" - } + "answer": { "entry": "0" } }, { "id": "2020-03-c-05-08-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": "145" - } + "answer": { "entry": "145" } }, { "id": "2020-03-c-05-08-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": "447" - } + "answer": { "entry": "447" } } ], "context_data": { @@ -41664,18 +35607,14 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2020-03-c-05-08" - }, + "fieldset_info": { "id": "2020-03-c-05-08" }, "fieldset_type": "marked" }, { "id": "2020-03-c-05-09", "type": "text_multiline", "label": "Is there anything else you’d like to add about your data?", - "answer": { - "entry": "" - } + "answer": { "entry": "" } }, { "hint": "Next year you’ll report this data. Leave it blank in the meantime.", @@ -41692,10 +35631,7 @@ "id": "2020-03-c-05-10-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null, - "readonly": true - }, + "answer": { "entry": null, "readonly": true }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -41731,37 +35667,25 @@ "id": "2020-03-c-05-10-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2020-03-c-05-10-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2020-03-c-05-10-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2020-03-c-05-10-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } } ], "context_data": { @@ -41779,9 +35703,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2020-03-c-05-10" - }, + "fieldset_info": { "id": "2020-03-c-05-10" }, "fieldset_type": "marked" }, { @@ -41792,10 +35714,7 @@ "id": "2020-03-c-05-11-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null, - "readonly": true - }, + "answer": { "entry": null, "readonly": true }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -41831,37 +35750,25 @@ "id": "2020-03-c-05-11-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2020-03-c-05-11-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2020-03-c-05-11-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2020-03-c-05-11-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } } ], "context_data": { @@ -41879,9 +35786,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2020-03-c-05-11" - }, + "fieldset_info": { "id": "2020-03-c-05-11" }, "fieldset_type": "marked" }, { @@ -41892,10 +35797,7 @@ "id": "2020-03-c-05-12-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null, - "readonly": true - }, + "answer": { "entry": null, "readonly": true }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -41931,37 +35833,25 @@ "id": "2020-03-c-05-12-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2020-03-c-05-12-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2020-03-c-05-12-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2020-03-c-05-12-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } } ], "context_data": { @@ -41979,9 +35869,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2020-03-c-05-12" - }, + "fieldset_info": { "id": "2020-03-c-05-12" }, "fieldset_type": "marked" }, { @@ -41993,10 +35881,7 @@ "id": "2020-03-c-05-13-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null, - "readonly": true - }, + "answer": { "entry": null, "readonly": true }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -42032,37 +35917,25 @@ "id": "2020-03-c-05-13-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2020-03-c-05-13-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2020-03-c-05-13-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2020-03-c-05-13-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } } ], "context_data": { @@ -42080,9 +35953,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2020-03-c-05-13" - }, + "fieldset_info": { "id": "2020-03-c-05-13" }, "fieldset_type": "marked" }, { @@ -42093,10 +35964,7 @@ "id": "2020-03-c-05-14-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null, - "readonly": true - }, + "answer": { "entry": null, "readonly": true }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -42132,37 +36000,25 @@ "id": "2020-03-c-05-14-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2020-03-c-05-14-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2020-03-c-05-14-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2020-03-c-05-14-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } } ], "context_data": { @@ -42180,9 +36036,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2020-03-c-05-14" - }, + "fieldset_info": { "id": "2020-03-c-05-14" }, "fieldset_type": "marked" }, { @@ -42200,10 +36054,7 @@ "id": "2020-03-c-05-15-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null, - "readonly": true - }, + "answer": { "entry": null, "readonly": true }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -42239,37 +36090,25 @@ "id": "2020-03-c-05-15-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2020-03-c-05-15-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2020-03-c-05-15-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2020-03-c-05-15-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } } ], "context_data": { @@ -42287,9 +36126,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2020-03-c-05-15" - }, + "fieldset_info": { "id": "2020-03-c-05-15" }, "fieldset_type": "marked" }, { @@ -42300,10 +36137,7 @@ "id": "2020-03-c-05-16-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null, - "readonly": true - }, + "answer": { "entry": null, "readonly": true }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -42339,37 +36173,25 @@ "id": "2020-03-c-05-16-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2020-03-c-05-16-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2020-03-c-05-16-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2020-03-c-05-16-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } } ], "context_data": { @@ -42387,9 +36209,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2020-03-c-05-16" - }, + "fieldset_info": { "id": "2020-03-c-05-16" }, "fieldset_type": "marked" }, { @@ -42400,10 +36220,7 @@ "id": "2020-03-c-05-17-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null, - "readonly": true - }, + "answer": { "entry": null, "readonly": true }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -42439,37 +36256,25 @@ "id": "2020-03-c-05-17-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2020-03-c-05-17-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2020-03-c-05-17-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2020-03-c-05-17-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } } ], "context_data": { @@ -42487,9 +36292,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2020-03-c-05-17" - }, + "fieldset_info": { "id": "2020-03-c-05-17" }, "fieldset_type": "marked" }, { @@ -42501,10 +36304,7 @@ "id": "2020-03-c-05-18-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null, - "readonly": true - }, + "answer": { "entry": null, "readonly": true }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -42540,37 +36340,25 @@ "id": "2020-03-c-05-18-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2020-03-c-05-18-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2020-03-c-05-18-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2020-03-c-05-18-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } } ], "context_data": { @@ -42588,9 +36376,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2020-03-c-05-18" - }, + "fieldset_info": { "id": "2020-03-c-05-18" }, "fieldset_type": "marked" }, { @@ -42601,10 +36387,7 @@ "id": "2020-03-c-05-19-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null, - "readonly": true - }, + "answer": { "entry": null, "readonly": true }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -42640,37 +36423,25 @@ "id": "2020-03-c-05-19-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2020-03-c-05-19-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2020-03-c-05-19-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2020-03-c-05-19-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } } ], "context_data": { @@ -42688,18 +36459,14 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2020-03-c-05-19" - }, + "fieldset_info": { "id": "2020-03-c-05-19" }, "fieldset_type": "marked" }, { "id": "2020-03-c-05-20", "type": "text_multiline", "label": "Is there anything else you’d like to add about your data?", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] }, @@ -42741,14 +36508,8 @@ "answer": { "entry": "yes", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] } }, @@ -42765,9 +36526,7 @@ "id": "2020-03-c-06-03-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -42803,33 +36562,25 @@ "id": "2020-03-c-06-03-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": "127630" - } + "answer": { "entry": "127630" } }, { "id": "2020-03-c-06-03-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": "7311" - } + "answer": { "entry": "7311" } }, { "id": "2020-03-c-06-03-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": "9418" - } + "answer": { "entry": "9418" } }, { "id": "2020-03-c-06-03-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": "4527" - } + "answer": { "entry": "4527" } } ], "context_data": { @@ -42847,9 +36598,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2020-03-c-06-03" - }, + "fieldset_info": { "id": "2020-03-c-06-03" }, "fieldset_type": "marked" }, { @@ -42866,9 +36615,7 @@ "id": "2020-03-c-06-04-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -42904,33 +36651,25 @@ "id": "2020-03-c-06-04-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": "12237" - } + "answer": { "entry": "12237" } }, { "id": "2020-03-c-06-04-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": "70464" - } + "answer": { "entry": "70464" } }, { "id": "2020-03-c-06-04-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": "9159" - } + "answer": { "entry": "9159" } }, { "id": "2020-03-c-06-04-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": "3821" - } + "answer": { "entry": "3821" } } ], "context_data": { @@ -42948,9 +36687,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2020-03-c-06-04" - }, + "fieldset_info": { "id": "2020-03-c-06-04" }, "fieldset_type": "marked" }, { @@ -42961,9 +36698,7 @@ "id": "2020-03-c-06-05-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -42999,33 +36734,25 @@ "id": "2020-03-c-06-05-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": "87" - } + "answer": { "entry": "87" } }, { "id": "2020-03-c-06-05-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": "36" - } + "answer": { "entry": "36" } }, { "id": "2020-03-c-06-05-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": "23" - } + "answer": { "entry": "23" } }, { "id": "2020-03-c-06-05-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": "8" - } + "answer": { "entry": "8" } } ], "context_data": { @@ -43043,9 +36770,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2020-03-c-06-05" - }, + "fieldset_info": { "id": "2020-03-c-06-05" }, "fieldset_type": "marked" }, { @@ -43056,9 +36781,7 @@ "id": "2020-03-c-06-06-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -43094,33 +36817,25 @@ "id": "2020-03-c-06-06-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": "87" - } + "answer": { "entry": "87" } }, { "id": "2020-03-c-06-06-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": "36" - } + "answer": { "entry": "36" } }, { "id": "2020-03-c-06-06-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": "23" - } + "answer": { "entry": "23" } }, { "id": "2020-03-c-06-06-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": "88" - } + "answer": { "entry": "88" } } ], "context_data": { @@ -43138,9 +36853,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2020-03-c-06-06" - }, + "fieldset_info": { "id": "2020-03-c-06-06" }, "fieldset_type": "marked" }, { @@ -43152,9 +36865,7 @@ "id": "2020-03-c-06-07-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -43190,33 +36901,25 @@ "id": "2020-03-c-06-07-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": "439" - } + "answer": { "entry": "439" } }, { "id": "2020-03-c-06-07-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": "229" - } + "answer": { "entry": "229" } }, { "id": "2020-03-c-06-07-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": "236" - } + "answer": { "entry": "236" } }, { "id": "2020-03-c-06-07-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": "698" - } + "answer": { "entry": "698" } } ], "context_data": { @@ -43234,9 +36937,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2020-03-c-06-07" - }, + "fieldset_info": { "id": "2020-03-c-06-07" }, "fieldset_type": "marked" }, { @@ -43247,9 +36948,7 @@ "id": "2020-03-c-06-08-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -43285,33 +36984,25 @@ "id": "2020-03-c-06-08-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": "4" - } + "answer": { "entry": "4" } }, { "id": "2020-03-c-06-08-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": "8" - } + "answer": { "entry": "8" } }, { "id": "2020-03-c-06-08-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": "46" - } + "answer": { "entry": "46" } }, { "id": "2020-03-c-06-08-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": "55" - } + "answer": { "entry": "55" } } ], "context_data": { @@ -43329,18 +37020,14 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2020-03-c-06-08" - }, + "fieldset_info": { "id": "2020-03-c-06-08" }, "fieldset_type": "marked" }, { "id": "2020-03-c-06-09", "type": "text_multiline", "label": "Is there anything else you’d like to add about your data?", - "answer": { - "entry": "No. yes added more " - } + "answer": { "entry": "No. yes added more " } }, { "hint": "Next year you’ll report this data. Leave it blank in the meantime.", @@ -43357,10 +37044,7 @@ "id": "2020-03-c-06-10-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null, - "readonly": true - }, + "answer": { "entry": null, "readonly": true }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -43396,37 +37080,25 @@ "id": "2020-03-c-06-10-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2020-03-c-06-10-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2020-03-c-06-10-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2020-03-c-06-10-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } } ], "context_data": { @@ -43444,9 +37116,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2020-03-c-06-10" - }, + "fieldset_info": { "id": "2020-03-c-06-10" }, "fieldset_type": "marked" }, { @@ -43457,10 +37127,7 @@ "id": "2020-03-c-06-11-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null, - "readonly": true - }, + "answer": { "entry": null, "readonly": true }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -43496,37 +37163,25 @@ "id": "2020-03-c-06-11-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2020-03-c-06-11-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2020-03-c-06-11-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2020-03-c-06-11-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } } ], "context_data": { @@ -43544,9 +37199,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2020-03-c-06-11" - }, + "fieldset_info": { "id": "2020-03-c-06-11" }, "fieldset_type": "marked" }, { @@ -43557,10 +37210,7 @@ "id": "2020-03-c-06-12-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null, - "readonly": true - }, + "answer": { "entry": null, "readonly": true }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -43596,37 +37246,25 @@ "id": "2020-03-c-06-12-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2020-03-c-06-12-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2020-03-c-06-12-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2020-03-c-06-12-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } } ], "context_data": { @@ -43644,9 +37282,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2020-03-c-06-12" - }, + "fieldset_info": { "id": "2020-03-c-06-12" }, "fieldset_type": "marked" }, { @@ -43658,10 +37294,7 @@ "id": "2020-03-c-06-13-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null, - "readonly": true - }, + "answer": { "entry": null, "readonly": true }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -43697,37 +37330,25 @@ "id": "2020-03-c-06-13-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2020-03-c-06-13-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2020-03-c-06-13-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2020-03-c-06-13-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } } ], "context_data": { @@ -43745,9 +37366,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2020-03-c-06-13" - }, + "fieldset_info": { "id": "2020-03-c-06-13" }, "fieldset_type": "marked" }, { @@ -43758,10 +37377,7 @@ "id": "2020-03-c-06-14-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null, - "readonly": true - }, + "answer": { "entry": null, "readonly": true }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -43797,37 +37413,25 @@ "id": "2020-03-c-06-14-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2020-03-c-06-14-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2020-03-c-06-14-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2020-03-c-06-14-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } } ], "context_data": { @@ -43845,9 +37449,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2020-03-c-06-14" - }, + "fieldset_info": { "id": "2020-03-c-06-14" }, "fieldset_type": "marked" }, { @@ -43865,10 +37467,7 @@ "id": "2020-03-c-06-15-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null, - "readonly": true - }, + "answer": { "entry": null, "readonly": true }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -43904,37 +37503,25 @@ "id": "2020-03-c-06-15-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2020-03-c-06-15-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2020-03-c-06-15-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2020-03-c-06-15-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } } ], "context_data": { @@ -43952,9 +37539,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2020-03-c-06-15" - }, + "fieldset_info": { "id": "2020-03-c-06-15" }, "fieldset_type": "marked" }, { @@ -43965,10 +37550,7 @@ "id": "2020-03-c-06-16-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null, - "readonly": true - }, + "answer": { "entry": null, "readonly": true }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -44004,37 +37586,25 @@ "id": "2020-03-c-06-16-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2020-03-c-06-16-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2020-03-c-06-16-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2020-03-c-06-16-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } } ], "context_data": { @@ -44052,9 +37622,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2020-03-c-06-16" - }, + "fieldset_info": { "id": "2020-03-c-06-16" }, "fieldset_type": "marked" }, { @@ -44065,10 +37633,7 @@ "id": "2020-03-c-06-17-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null, - "readonly": true - }, + "answer": { "entry": null, "readonly": true }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -44104,37 +37669,25 @@ "id": "2020-03-c-06-17-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2020-03-c-06-17-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2020-03-c-06-17-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2020-03-c-06-17-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } } ], "context_data": { @@ -44152,9 +37705,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2020-03-c-06-17" - }, + "fieldset_info": { "id": "2020-03-c-06-17" }, "fieldset_type": "marked" }, { @@ -44166,10 +37717,7 @@ "id": "2020-03-c-06-18-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null, - "readonly": true - }, + "answer": { "entry": null, "readonly": true }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -44205,37 +37753,25 @@ "id": "2020-03-c-06-18-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2020-03-c-06-18-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2020-03-c-06-18-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2020-03-c-06-18-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } } ], "context_data": { @@ -44253,9 +37789,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2020-03-c-06-18" - }, + "fieldset_info": { "id": "2020-03-c-06-18" }, "fieldset_type": "marked" }, { @@ -44266,10 +37800,7 @@ "id": "2020-03-c-06-19-a", "type": "integer", "label": "Total for all ages (0-16)", - "answer": { - "entry": null, - "readonly": true - }, + "answer": { "entry": null, "readonly": true }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -44305,37 +37836,25 @@ "id": "2020-03-c-06-19-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2020-03-c-06-19-c", "type": "integer", "label": "Ages 1-5", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2020-03-c-06-19-d", "type": "integer", "label": "Ages 6-12", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } }, { "id": "2020-03-c-06-19-e", "type": "integer", "label": "Ages 13-16", - "answer": { - "entry": null, - "readonly": true - } + "answer": { "entry": null, "readonly": true } } ], "context_data": { @@ -44353,18 +37872,14 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2020-03-c-06-19" - }, + "fieldset_info": { "id": "2020-03-c-06-19" }, "fieldset_type": "marked" }, { "id": "2020-03-c-06-20", "type": "text_multiline", "label": "Is there anything else you’d like to add about your data?", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] } @@ -44387,14 +37902,8 @@ "answer": { "entry": "yes", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] } }, @@ -44416,18 +37925,12 @@ "label": "Health plans", "value": "health_plans" }, - { - "label": "States", - "value": "states" - }, + { "label": "States", "value": "states" }, { "label": "Third party administrator", "value": "third_party_administrator" }, - { - "label": "Other ", - "value": "other" - } + { "label": "Other ", "value": "other" } ] }, "questions": [ @@ -44467,9 +37970,7 @@ "id": "2020-03-d-01-02-b", "type": "text_multiline", "label": "Who tracks cost sharing?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -44508,9 +38009,7 @@ "id": "2020-03-d-01-04", "type": "text_multiline", "label": "Approximately how many families exceeded the 5% cap in the last federal fiscal year?", - "answer": { - "entry": "0" - } + "answer": { "entry": "0" } }, { "id": "2020-03-d-01-05", @@ -44519,14 +38018,8 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "questions": [ @@ -44534,9 +38027,7 @@ "id": "2020-03-d-01-05-a", "type": "text_multiline", "label": "What did you find in your assessment?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -44560,14 +38051,8 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "questions": [ @@ -44575,9 +38060,7 @@ "id": "2020-03-d-01-06-a", "type": "text_multiline", "label": "What did you find in your assessment?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -44622,17 +38105,13 @@ "id": "2020-03-d-01-08", "type": "text_multiline", "label": "Is there anything else you’d like to add that wasn’t already covered?", - "answer": { - "entry": "No." - } + "answer": { "entry": "No." } }, { "id": "2020-03-d-01-09", "type": "file_upload", "label": "Optional: Attach any additional documents here.", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "context_data": { @@ -44675,14 +38154,8 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] } } @@ -44722,14 +38195,8 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] } }, @@ -44738,9 +38205,7 @@ "hint": "This only applies to states operating an 1115 demo.", "type": "text_multiline", "label": "What benefit package is offered as part of your premium assistance program, including any applicable minimum coverage requirements?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2020-03-e-02-04", @@ -44750,18 +38215,9 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "na" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "na" } ] } }, @@ -44773,18 +38229,9 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "na" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "na" } ] } }, @@ -44796,18 +38243,9 @@ "answer": { "entry": null, "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "na" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "na" } ] }, "questions": [ @@ -44815,9 +38253,7 @@ "id": "2020-03-e-02-06-a", "type": "text_multiline", "label": "How do you track cost sharing to ensure families don’t pay more than 5% of the aggregate household income in a year?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -44838,9 +38274,7 @@ "id": "2020-03-e-02-07", "type": "integer", "label": "How many children were enrolled in the premium assistance program on average each month in FFY 2020?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "type": "fieldset", @@ -44849,25 +38283,19 @@ "id": "2020-03-e-02-08", "type": "money", "label": "What’s the average monthly contribution the state pays towards coverage of a child?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2020-03-e-02-09", "type": "money", "label": "What’s the average monthly contribution the employer pays towards coverage of a child?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2020-03-e-02-10", "type": "money", "label": "What’s the average monthly contribution the employee pays towards coverage of a child?", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] }, @@ -44900,15 +38328,9 @@ ] ], "headers": [ - { - "contents": "State" - }, - { - "contents": "Employer" - }, - { - "contents": "Employee" - } + { "contents": "State" }, + { "contents": "Employer" }, + { "contents": "Employee" } ] }, "fieldset_type": "synthesized_table" @@ -44968,41 +38390,31 @@ "id": "2020-03-e-02-14", "type": "text_multiline", "label": "What strategies have been most effective in reducing the administrative barriers in order to provide premium assistance?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2020-03-e-02-15", "type": "text_multiline", "label": "What challenges did you experience with your premium assistance program in FFY 2020?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2020-03-e-02-16", "type": "text_multiline", "label": "What accomplishments did you experience with your premium assistance program in FFY 2020?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2020-03-e-02-17", "type": "text_multiline", "label": "Is there anything else you’d like to add that wasn’t already covered?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2020-03-e-02-18", "type": "file_upload", "label": "Optional: Attach any additional documents here.", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "context_data": { @@ -45039,14 +38451,8 @@ "answer": { "entry": "yes", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] } }, @@ -45057,14 +38463,8 @@ "answer": { "entry": "yes", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] } }, @@ -45075,14 +38475,8 @@ "answer": { "entry": "yes", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] } }, @@ -45101,18 +38495,9 @@ "answer": { "entry": "na", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - }, - { - "label": "N/A", - "value": "na" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" }, + { "label": "N/A", "value": "na" } ] }, "questions": [ @@ -45120,9 +38505,7 @@ "id": "2020-03-f-01-05-a", "type": "text_multiline", "label": "What safeguards and procedures do the Managed Care plans have in place?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -45143,17 +38526,13 @@ "id": "2020-03-f-01-06", "type": "integer", "label": "How many eligibility denials have been appealed in a fair hearing in FFY 2020?", - "answer": { - "entry": "0" - } + "answer": { "entry": "0" } }, { "id": "2020-03-f-01-07", "type": "integer", "label": "How many cases have been found in favor of the beneficiary in FFY 2020?", - "answer": { - "entry": "0" - } + "answer": { "entry": "0" } }, { "type": "fieldset", @@ -45162,17 +38541,13 @@ "id": "2020-03-f-01-08", "type": "integer", "label": "How many cases related to provider credentialing were investigated in FFY 2020?", - "answer": { - "entry": "2" - } + "answer": { "entry": "2" } }, { "id": "2020-03-f-01-09", "type": "integer", "label": "How many cases related to provider credentialing were referred to appropriate law enforcement officials in FFY 2020?", - "answer": { - "entry": "0" - } + "answer": { "entry": "0" } } ] }, @@ -45183,17 +38558,13 @@ "id": "2020-03-f-01-10", "type": "integer", "label": "How many cases related to provider billing were investigated in FFY 2020?", - "answer": { - "entry": "19" - } + "answer": { "entry": "19" } }, { "id": "2020-03-f-01-11", "type": "integer", "label": "How many cases were referred to appropriate law enforcement officials in FFY 2020?", - "answer": { - "entry": "0" - } + "answer": { "entry": "0" } } ] }, @@ -45204,17 +38575,13 @@ "id": "2020-03-f-01-12", "type": "integer", "label": "How many cases related to beneficiary eligibility were investigated in FFY 2020?", - "answer": { - "entry": "4" - } + "answer": { "entry": "4" } }, { "id": "2020-03-f-01-13", "type": "integer", "label": "How many cases related to beneficiary eligibility were referred to appropriate law enforcement officials in FFY 2020?", - "answer": { - "entry": "0" - } + "answer": { "entry": "0" } } ] }, @@ -45225,10 +38592,7 @@ "answer": { "entry": "separate_chip_only", "options": [ - { - "label": "CHIP only", - "value": "separate_chip_only" - }, + { "label": "CHIP only", "value": "separate_chip_only" }, { "label": "Medicaid and CHIP combined", "value": "medicaid_separate_chip_combined" @@ -45243,14 +38607,8 @@ "answer": { "entry": "yes", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "questions": [ @@ -45284,14 +38642,8 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "questions": [ @@ -45299,9 +38651,7 @@ "id": "2020-03-f-01-16-a", "type": "text_multiline", "label": "What specifically are the contractors responsible for in terms of oversight?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -45322,17 +38672,13 @@ "id": "2020-03-f-01-17", "type": "text_multiline", "label": "Is there anything else you’d like to add that wasn’t already covered?", - "answer": { - "entry": "Only Separate CHIP reported." - } + "answer": { "entry": "Only Separate CHIP reported." } }, { "id": "2020-03-f-01-18", "type": "file_upload", "label": "Optional: Attach any additional documents here.", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "context_data": { @@ -45366,14 +38712,8 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] } }, @@ -45385,9 +38725,7 @@ "id": "2020-03-g-01-02-a", "type": "integer", "label": "Total for all ages (0-18)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -45425,49 +38763,37 @@ "id": "2020-03-g-01-02-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": "1915" - } + "answer": { "entry": "1915" } }, { "id": "2020-03-g-01-02-c", "type": "integer", "label": "Ages 1-2", - "answer": { - "entry": "8659" - } + "answer": { "entry": "8659" } }, { "id": "2020-03-g-01-02-d", "type": "integer", "label": "Ages 3-5", - "answer": { - "entry": "15546" - } + "answer": { "entry": "15546" } }, { "id": "2020-03-g-01-02-e", "type": "integer", "label": "Ages 6-9", - "answer": { - "entry": "21088" - } + "answer": { "entry": "21088" } }, { "id": "2020-03-g-01-02-f", "type": "integer", "label": "Ages 10-14", - "answer": { - "entry": "26998" - } + "answer": { "entry": "26998" } }, { "id": "2020-03-g-01-02-g", "type": "integer", "label": "Ages 15-18", - "answer": { - "entry": "19934" - } + "answer": { "entry": "19934" } } ], "context_data": { @@ -45485,9 +38811,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2020-03-g-01-02" - }, + "fieldset_info": { "id": "2020-03-g-01-02" }, "fieldset_type": "marked" }, { @@ -45498,9 +38822,7 @@ "id": "2020-03-g-01-03-a", "type": "integer", "label": "Total for all ages (0-18)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -45538,49 +38860,37 @@ "id": "2020-03-g-01-03-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": "24" - } + "answer": { "entry": "24" } }, { "id": "2020-03-g-01-03-c", "type": "integer", "label": "Ages 1-2", - "answer": { - "entry": "2238" - } + "answer": { "entry": "2238" } }, { "id": "2020-03-g-01-03-d", "type": "integer", "label": "Ages 3-5", - "answer": { - "entry": "8868" - } + "answer": { "entry": "8868" } }, { "id": "2020-03-g-01-03-e", "type": "integer", "label": "Ages 6-9", - "answer": { - "entry": "14543" - } + "answer": { "entry": "14543" } }, { "id": "2020-03-g-01-03-f", "type": "integer", "label": "Ages 10-14", - "answer": { - "entry": "17462" - } + "answer": { "entry": "17462" } }, { "id": "2020-03-g-01-03-g", "type": "integer", "label": "Ages 15-18", - "answer": { - "entry": "11415" - } + "answer": { "entry": "11415" } } ], "context_data": { @@ -45598,9 +38908,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2020-03-g-01-03" - }, + "fieldset_info": { "id": "2020-03-g-01-03" }, "fieldset_type": "marked" }, { @@ -45617,9 +38925,7 @@ "id": "2020-03-g-01-04-a", "type": "integer", "label": "Total for all ages (0-18)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -45657,49 +38963,37 @@ "id": "2020-03-g-01-04-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": "8" - } + "answer": { "entry": "8" } }, { "id": "2020-03-g-01-04-c", "type": "integer", "label": "Ages 1-2", - "answer": { - "entry": "1997" - } + "answer": { "entry": "1997" } }, { "id": "2020-03-g-01-04-d", "type": "integer", "label": "Ages 3-5", - "answer": { - "entry": "8504" - } + "answer": { "entry": "8504" } }, { "id": "2020-03-g-01-04-e", "type": "integer", "label": "Ages 6-9", - "answer": { - "entry": "13966" - } + "answer": { "entry": "13966" } }, { "id": "2020-03-g-01-04-f", "type": "integer", "label": "Ages 10-14", - "answer": { - "entry": "16828" - } + "answer": { "entry": "16828" } }, { "id": "2020-03-g-01-04-g", "type": "integer", "label": "Ages 15-18", - "answer": { - "entry": "10639" - } + "answer": { "entry": "10639" } } ], "context_data": { @@ -45717,9 +39011,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2020-03-g-01-04" - }, + "fieldset_info": { "id": "2020-03-g-01-04" }, "fieldset_type": "marked" }, { @@ -45736,9 +39028,7 @@ "id": "2020-03-g-01-05-a", "type": "integer", "label": "Total for all ages (0-18)", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -45776,49 +39066,37 @@ "id": "2020-03-g-01-05-b", "type": "integer", "label": "Ages 0-1", - "answer": { - "entry": "12" - } + "answer": { "entry": "12" } }, { "id": "2020-03-g-01-05-c", "type": "integer", "label": "Ages 1-2", - "answer": { - "entry": "117" - } + "answer": { "entry": "117" } }, { "id": "2020-03-g-01-05-d", "type": "integer", "label": "Ages 3-5", - "answer": { - "entry": "2133" - } + "answer": { "entry": "2133" } }, { "id": "2020-03-g-01-05-e", "type": "integer", "label": "Ages 6-9", - "answer": { - "entry": "5991" - } + "answer": { "entry": "5991" } }, { "id": "2020-03-g-01-05-f", "type": "integer", "label": "Ages 10-14", - "answer": { - "entry": "5931" - } + "answer": { "entry": "5931" } }, { "id": "2020-03-g-01-05-g", "type": "integer", "label": "Ages 15-18", - "answer": { - "entry": "4883" - } + "answer": { "entry": "4883" } } ], "context_data": { @@ -45836,9 +39114,7 @@ "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2020-03-g-01-05" - }, + "fieldset_info": { "id": "2020-03-g-01-05" }, "fieldset_type": "marked" }, { @@ -45851,9 +39127,7 @@ "id": "2020-03-g-01-06", "type": "integer", "label": "How many children in the “ages 6–9” group received a sealant on at least one permanent molar tooth during FFY 2020?", - "answer": { - "entry": "1893" - } + "answer": { "entry": "1893" } }, { "hint": "The sealant on a permanent molar tooth is provided by a dental professional for whom placing a sealant is within their scope of practice. It’s defined by HCPCS code D1351 (or equivalent CDT code D1351) based on an unduplicated paid, unpaid, or denied claim. Permanent molars are teeth numbered 2, 3, 14, 15, 18, 19, 30, and 31, and additionally — for states covering sealants on third molars (“wisdom teeth”) — teeth numbered 1, 16, 17, and 32.\n\nAll data should be based on the definitions in the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Report (Form CMS-416).", @@ -45868,14 +39142,8 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "questions": [ @@ -45886,18 +39154,14 @@ "id": "2020-03-g-01-07-a", "type": "integer", "label": "How many children were enrolled in supplemental dental coverage during FFY 2020?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2020-03-g-01-07-b", "hint": "This is the total number for all children between 0-18 years from question 1.", "type": "integer", "label": "How many children were enrolled in Separate CHIP for at least 90 continuous days during FFY 2020?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "type": "fieldset", @@ -45931,9 +39195,7 @@ { "contents": "Children enrolled in Separate CHIP" }, - { - "contents": "Percentage" - } + { "contents": "Percentage" } ] }, "fieldset_type": "synthesized_table" @@ -45959,17 +39221,13 @@ "id": "2020-03-g-01-08", "type": "text_multiline", "label": "Is there anything else you’d like to add about your dental benefits? If you weren’t able to provide data, let us know why.", - "answer": { - "entry": "No." - } + "answer": { "entry": "No." } }, { "id": "2020-03-g-01-09", "type": "file_upload", "label": "Optional: Attach any additional documents here.", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "context_data": { @@ -45996,14 +39254,8 @@ "answer": { "entry": "yes", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "questions": [ @@ -46014,14 +39266,8 @@ "answer": { "entry": "yes", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "context_data": { @@ -46053,9 +39299,7 @@ "hint": "This is optional if you already submitted CAHPS raw data to the AHRQ CAHPS database. Submit results only for the CHIP population, not for both Medicaid (Title XIX) and CHIP (Title XXI) together. Your data should represent children enrolled in all types of delivery systems (Managed Care, PCCM, and Fee for Service).", "type": "file_upload", "label": "Upload a summary report of your CAHPS survey results.", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2020-03-h-02-02", @@ -46068,18 +39312,12 @@ "label": "Medicaid Expansion CHIP", "value": "medicaid expansion chip" }, - { - "label": "Separate CHIP", - "value": "separate chip" - }, + { "label": "Separate CHIP", "value": "separate chip" }, { "label": "Both Separate CHIP and Medicaid Expansion CHIP", "value": "combination chip" }, - { - "label": "Other", - "value": "other" - } + { "label": "Other", "value": "other" } ] }, "questions": [ @@ -46091,17 +39329,13 @@ "id": "2020-03-h-02-02-a", "type": "text", "label": "Which population did you survey?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2020-03-h-02-02-b", "type": "integer", "label": "How many children were included in the survey?", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "context_data": { @@ -46136,18 +39370,9 @@ "answer": { "entry": "5.0H", "options": [ - { - "label": "CAHPS 5.0", - "value": "5.0" - }, - { - "label": "CAHPS 5.0H", - "value": "5.0H" - }, - { - "label": "Other", - "value": "other" - } + { "label": "CAHPS 5.0", "value": "5.0" }, + { "label": "CAHPS 5.0H", "value": "5.0H" }, + { "label": "Other", "value": "other" } ] }, "questions": [ @@ -46159,9 +39384,7 @@ "id": "2020-03-h-02-03-a", "type": "text", "label": "Which CAHPS survey did you use?", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "context_data": { @@ -46188,18 +39411,12 @@ "answer": { "entry": [null, "chronic"], "options": [ - { - "label": "None", - "value": "none" - }, + { "label": "None", "value": "none" }, { "label": "Children with Chronic Conditions", "value": "chronic" }, - { - "label": "Other", - "value": "other" - } + { "label": "Other", "value": "other" } ] }, "questions": [ @@ -46207,9 +39424,7 @@ "id": "2020-03-h-02-04-a", "type": "text", "label": "Which supplemental item sets did you include?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -46238,14 +39453,8 @@ "label": "NCQA HEDIS CAHPS 5.0H", "value": "ncqa hedis cahps 5.0h" }, - { - "label": "HRQ CAHPS", - "value": "hrq cahps" - }, - { - "label": "Other", - "value": "other" - } + { "label": "HRQ CAHPS", "value": "hrq cahps" }, + { "label": "Other", "value": "other" } ] }, "questions": [ @@ -46257,9 +39466,7 @@ "id": "2020-03-h-02-05-a", "type": "text", "label": "Which administrative protocol did you use?", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "context_data": { @@ -46282,9 +39489,7 @@ "id": "2020-03-h-02-06", "type": "text_multiline", "label": "Is there anything else you'd like to add about your CAHPS survey results?", - "answer": { - "entry": "No." - } + "answer": { "entry": "No." } } ], "context_data": { @@ -46356,10 +39561,7 @@ "label": "Sample size was too small (fewer than 30)", "value": "Sample size was too small (fewer than 30)" }, - { - "label": "Other", - "value": "other" - } + { "label": "Other", "value": "other" } ] } }, @@ -46367,9 +39569,7 @@ "id": "2020-03-h-03-02", "type": "text_multiline", "label": "Explain in more detail why you weren’t able to collect the CAHPS survey.", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "context_data": { @@ -46407,14 +39607,8 @@ "answer": { "entry": "yes", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] } } @@ -46448,14 +39642,8 @@ "answer": { "entry": "yes", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] } }, @@ -46502,9 +39690,7 @@ "id": "2020-03-i-02-01-01-04", "type": "integer", "label": "How many children do you estimate are being served by the HSI program?", - "answer": { - "entry": "112" - }, + "answer": { "entry": "112" }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -46523,9 +39709,7 @@ "id": "2020-03-i-02-01-01-05", "type": "integer", "label": "How many children in the HSI program are below your state's FPL threshold? ", - "answer": { - "entry": "112" - }, + "answer": { "entry": "112" }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -46650,9 +39834,7 @@ "id": "2020-03-i-02-01-01-09", "type": "file_upload", "label": "Optional: Attach any additional documents.", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -46783,9 +39965,7 @@ "id": "2020-04-a-01-01-01-02-01-02-a", "type": "text_multiline", "label": "Why was this goal discontinued?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -46826,9 +40006,7 @@ "id": "2020-04-a-01-01-01-02-01-04", "type": "integer", "label": "Numerator (total number)", - "answer": { - "entry": "30669" - } + "answer": { "entry": "30669" } } ] }, @@ -46849,9 +40027,7 @@ "id": "2020-04-a-01-01-01-02-01-06", "type": "integer", "label": "Denominator (total number)", - "answer": { - "entry": "1127906" - } + "answer": { "entry": "1127906" } } ] }, @@ -46918,18 +40094,14 @@ "id": "2020-04-a-01-01-01-02-01-11", "type": "text_multiline", "label": "Anything else you'd like to tell us about this goal?", - "answer": { - "entry": "No." - } + "answer": { "entry": "No." } }, { "id": "2020-04-a-01-01-01-02-01-12", "hint": "Optional", "type": "file_upload", "label": "Do you have any supporting documentation?", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] }, @@ -46973,9 +40145,7 @@ "id": "2020-04-a-01-01-01-02-02-02-a", "type": "text_multiline", "label": "Why was this goal discontinued?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -47016,9 +40186,7 @@ "id": "2020-04-a-01-01-01-02-02-04", "type": "integer", "label": "Numerator (total number)", - "answer": { - "entry": "13922" - } + "answer": { "entry": "13922" } } ] }, @@ -47039,9 +40207,7 @@ "id": "2020-04-a-01-01-01-02-02-06", "type": "integer", "label": "Denominator (total number)", - "answer": { - "entry": "359680" - } + "answer": { "entry": "359680" } } ] }, @@ -47108,18 +40274,14 @@ "id": "2020-04-a-01-01-01-02-02-11", "type": "text_multiline", "label": "Anything else you'd like to tell us about this goal?", - "answer": { - "entry": "No." - } + "answer": { "entry": "No." } }, { "id": "2020-04-a-01-01-01-02-02-12", "hint": "Optional", "type": "file_upload", "label": "Do you have any supporting documentation?", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] }, @@ -47163,9 +40325,7 @@ "id": "2020-04-a-01-01-01-02-03-02-a", "type": "text_multiline", "label": "Why was this goal discontinued?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -47206,9 +40366,7 @@ "id": "2020-04-a-01-01-01-02-03-04", "type": "integer", "label": "Numerator (total number)", - "answer": { - "entry": "16747" - } + "answer": { "entry": "16747" } } ] }, @@ -47229,9 +40387,7 @@ "id": "2020-04-a-01-01-01-02-03-06", "type": "integer", "label": "Denominator (total number)", - "answer": { - "entry": "351278" - } + "answer": { "entry": "351278" } } ] }, @@ -47298,18 +40454,14 @@ "id": "2020-04-a-01-01-01-02-03-11", "type": "text_multiline", "label": "Anything else you'd like to tell us about this goal?", - "answer": { - "entry": "No." - } + "answer": { "entry": "No." } }, { "id": "2020-04-a-01-01-01-02-03-12", "hint": "Optional", "type": "file_upload", "label": "Do you have any supporting documentation?", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] } @@ -47327,9 +40479,7 @@ "hint": "You can edit the suggested objective so it matches what’s in your CHIP State Plan.", "type": "text_multiline", "label": "What is the next objective listed in your CHIP State Plan?", - "answer": { - "entry": "Increase Access to Care" - } + "answer": { "entry": "Increase Access to Care" } }, { "id": "2020-04-a-01-01-02-02", @@ -47375,9 +40525,7 @@ "id": "2020-04-a-01-01-02-02-01-02-a", "type": "text_multiline", "label": "Why was this goal discontinued?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -47418,9 +40566,7 @@ "id": "2020-04-a-01-01-02-02-01-04", "type": "integer", "label": "Numerator (total number)", - "answer": { - "entry": "78593" - } + "answer": { "entry": "78593" } } ] }, @@ -47441,9 +40587,7 @@ "id": "2020-04-a-01-01-02-02-01-06", "type": "integer", "label": "Denominator (total number)", - "answer": { - "entry": "78908" - } + "answer": { "entry": "78908" } } ] }, @@ -47510,18 +40654,14 @@ "id": "2020-04-a-01-01-02-02-01-11", "type": "text_multiline", "label": "Anything else you'd like to tell us about this goal?", - "answer": { - "entry": "No." - } + "answer": { "entry": "No." } }, { "id": "2020-04-a-01-01-02-02-01-12", "hint": "Optional", "type": "file_upload", "label": "Do you have any supporting documentation?", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] }, @@ -47565,9 +40705,7 @@ "id": "2020-04-a-01-01-02-02-02-02-a", "type": "text_multiline", "label": "Why was this goal discontinued?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -47608,9 +40746,7 @@ "id": "2020-04-a-01-01-02-02-02-04", "type": "integer", "label": "Numerator (total number)", - "answer": { - "entry": "1329" - } + "answer": { "entry": "1329" } } ] }, @@ -47631,9 +40767,7 @@ "id": "2020-04-a-01-01-02-02-02-06", "type": "integer", "label": "Denominator (total number)", - "answer": { - "entry": "1338" - } + "answer": { "entry": "1338" } } ] }, @@ -47700,18 +40834,14 @@ "id": "2020-04-a-01-01-02-02-02-11", "type": "text_multiline", "label": "Anything else you'd like to tell us about this goal?", - "answer": { - "entry": "No." - } + "answer": { "entry": "No." } }, { "id": "2020-04-a-01-01-02-02-02-12", "hint": "Optional", "type": "file_upload", "label": "Do you have any supporting documentation?", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] }, @@ -47755,9 +40885,7 @@ "id": "2020-04-a-01-01-02-02-03-02-a", "type": "text_multiline", "label": "Why was this goal discontinued?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -47798,9 +40926,7 @@ "id": "2020-04-a-01-01-02-02-03-04", "type": "integer", "label": "Numerator (total number)", - "answer": { - "entry": "10464" - } + "answer": { "entry": "10464" } } ] }, @@ -47821,9 +40947,7 @@ "id": "2020-04-a-01-01-02-02-03-06", "type": "integer", "label": "Denominator (total number)", - "answer": { - "entry": "10776" - } + "answer": { "entry": "10776" } } ] }, @@ -47890,18 +41014,14 @@ "id": "2020-04-a-01-01-02-02-03-11", "type": "text_multiline", "label": "Anything else you'd like to tell us about this goal?", - "answer": { - "entry": "No." - } + "answer": { "entry": "No." } }, { "id": "2020-04-a-01-01-02-02-03-12", "hint": "Optional", "type": "file_upload", "label": "Do you have any supporting documentation?", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] }, @@ -47945,9 +41065,7 @@ "id": "2020-04-a-01-01-02-02-04-02-a", "type": "text_multiline", "label": "Why was this goal discontinued?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -47988,9 +41106,7 @@ "id": "2020-04-a-01-01-02-02-04-04", "type": "integer", "label": "Numerator (total number)", - "answer": { - "entry": "53395" - } + "answer": { "entry": "53395" } } ] }, @@ -48011,9 +41127,7 @@ "id": "2020-04-a-01-01-02-02-04-06", "type": "integer", "label": "Denominator (total number)", - "answer": { - "entry": "66741" - } + "answer": { "entry": "66741" } } ] }, @@ -48080,18 +41194,14 @@ "id": "2020-04-a-01-01-02-02-04-11", "type": "text_multiline", "label": "Anything else you'd like to tell us about this goal?", - "answer": { - "entry": "No." - } + "answer": { "entry": "No." } }, { "id": "2020-04-a-01-01-02-02-04-12", "hint": "Optional", "type": "file_upload", "label": "Do you have any supporting documentation?", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] }, @@ -48135,9 +41245,7 @@ "id": "2020-04-a-01-01-02-02-05-02-a", "type": "text_multiline", "label": "Why was this goal discontinued?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -48178,9 +41286,7 @@ "id": "2020-04-a-01-01-02-02-05-04", "type": "integer", "label": "Numerator (total number)", - "answer": { - "entry": "43656" - } + "answer": { "entry": "43656" } } ] }, @@ -48201,9 +41307,7 @@ "id": "2020-04-a-01-01-02-02-05-06", "type": "integer", "label": "Denominator (total number)", - "answer": { - "entry": "46439" - } + "answer": { "entry": "46439" } } ] }, @@ -48254,9 +41358,7 @@ "id": "2020-04-a-01-01-02-02-05-09", "type": "text_multiline", "label": "How did your progress towards your goal last year compare to your previous year’s progress?", - "answer": { - "entry": "This is a new goal." - } + "answer": { "entry": "This is a new goal." } }, { "id": "2020-04-a-01-01-02-02-05-10", @@ -48270,18 +41372,14 @@ "id": "2020-04-a-01-01-02-02-05-11", "type": "text_multiline", "label": "Anything else you'd like to tell us about this goal?", - "answer": { - "entry": "No." - } + "answer": { "entry": "No." } }, { "id": "2020-04-a-01-01-02-02-05-12", "hint": "Optional", "type": "file_upload", "label": "Do you have any supporting documentation?", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] } @@ -48347,9 +41445,7 @@ "id": "2020-04-a-01-01-03-02-01-02-a", "type": "text_multiline", "label": "Why was this goal discontinued?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -48390,9 +41486,7 @@ "id": "2020-04-a-01-01-03-02-01-04", "type": "integer", "label": "Numerator (total number)", - "answer": { - "entry": "367" - } + "answer": { "entry": "367" } } ] }, @@ -48413,9 +41507,7 @@ "id": "2020-04-a-01-01-03-02-01-06", "type": "integer", "label": "Denominator (total number)", - "answer": { - "entry": "378" - } + "answer": { "entry": "378" } } ] }, @@ -48466,9 +41558,7 @@ "id": "2020-04-a-01-01-03-02-01-09", "type": "text_multiline", "label": "How did your progress towards your goal last year compare to your previous year’s progress?", - "answer": { - "entry": "This is a new goal" - } + "answer": { "entry": "This is a new goal" } }, { "id": "2020-04-a-01-01-03-02-01-10", @@ -48482,18 +41572,14 @@ "id": "2020-04-a-01-01-03-02-01-11", "type": "text_multiline", "label": "Anything else you'd like to tell us about this goal?", - "answer": { - "entry": "No." - } + "answer": { "entry": "No." } }, { "id": "2020-04-a-01-01-03-02-01-12", "hint": "Optional", "type": "file_upload", "label": "Do you have any supporting documentation?", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] }, @@ -48537,9 +41623,7 @@ "id": "2020-04-a-01-01-03-02-02-02-a", "type": "text_multiline", "label": "Why was this goal discontinued?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -48580,9 +41664,7 @@ "id": "2020-04-a-01-01-03-02-02-04", "type": "integer", "label": "Numerator (total number)", - "answer": { - "entry": "369" - } + "answer": { "entry": "369" } } ] }, @@ -48603,9 +41685,7 @@ "id": "2020-04-a-01-01-03-02-02-06", "type": "integer", "label": "Denominator (total number)", - "answer": { - "entry": "401" - } + "answer": { "entry": "401" } } ] }, @@ -48672,18 +41752,14 @@ "id": "2020-04-a-01-01-03-02-02-11", "type": "text_multiline", "label": "Anything else you'd like to tell us about this goal?", - "answer": { - "entry": "No." - } + "answer": { "entry": "No." } }, { "id": "2020-04-a-01-01-03-02-02-12", "hint": "Optional", "type": "file_upload", "label": "Do you have any supporting documentation?", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] }, @@ -48727,9 +41803,7 @@ "id": "2020-04-a-01-01-03-02-03-02-a", "type": "text_multiline", "label": "Why was this goal discontinued?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -48770,9 +41844,7 @@ "id": "2020-04-a-01-01-03-02-03-04", "type": "integer", "label": "Numerator (total number)", - "answer": { - "entry": "41565" - } + "answer": { "entry": "41565" } } ] }, @@ -48793,9 +41865,7 @@ "id": "2020-04-a-01-01-03-02-03-06", "type": "integer", "label": "Denominator (total number)", - "answer": { - "entry": "54080" - } + "answer": { "entry": "54080" } } ] }, @@ -48862,18 +41932,14 @@ "id": "2020-04-a-01-01-03-02-03-11", "type": "text_multiline", "label": "Anything else you'd like to tell us about this goal?", - "answer": { - "entry": "No." - } + "answer": { "entry": "No." } }, { "id": "2020-04-a-01-01-03-02-03-12", "hint": "Optional", "type": "file_upload", "label": "Do you have any supporting documentation?", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] } @@ -48890,9 +41956,7 @@ "id": "2020-04-a-01-01-04-01", "type": "text_multiline", "label": "What is the next objective listed in your CHIP State Plan?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2020-04-a-01-01-04-02", @@ -48906,9 +41970,7 @@ "id": "2020-04-a-01-01-04-02-01-01", "type": "text_multiline", "label": "Briefly describe your goal for this objective.", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2020-04-a-01-01-04-02-01-02", @@ -48937,9 +41999,7 @@ "id": "2020-04-a-01-01-04-02-01-02-a", "type": "text_multiline", "label": "Why was this goal discontinued?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -48971,17 +42031,13 @@ "id": "2020-04-a-01-01-04-02-01-03", "type": "text_medium", "label": "Which population are you measuring in the numerator?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2020-04-a-01-01-04-02-01-04", "type": "integer", "label": "Numerator (total number)", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] }, @@ -48993,17 +42049,13 @@ "id": "2020-04-a-01-01-04-02-01-05", "type": "text_medium", "label": "Which population are you measuring in the denominator?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2020-04-a-01-01-04-02-01-06", "type": "integer", "label": "Denominator (total number)", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] }, @@ -49054,34 +42106,26 @@ "id": "2020-04-a-01-01-04-02-01-09", "type": "text_multiline", "label": "How did your progress towards your goal last year compare to your previous year’s progress?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2020-04-a-01-01-04-02-01-10", "type": "text_multiline", "label": "What are you doing to continually make progress towards your goal?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2020-04-a-01-01-04-02-01-11", "type": "text_multiline", "label": "Anything else you'd like to tell us about this goal?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2020-04-a-01-01-04-02-01-12", "hint": "Optional", "type": "file_upload", "label": "Do you have any supporting documentation?", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] } @@ -49098,9 +42142,7 @@ "id": "2020-04-a-01-01-05-01", "type": "text_multiline", "label": "What is the next objective listed in your CHIP State Plan?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2020-04-a-01-01-05-02", @@ -49114,9 +42156,7 @@ "id": "2020-04-a-01-01-05-02-01-01", "type": "text_multiline", "label": "Briefly describe your goal for this objective.", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2020-04-a-01-01-05-02-01-02", @@ -49145,9 +42185,7 @@ "id": "2020-04-a-01-01-05-02-01-02-a", "type": "text_multiline", "label": "Why was this goal discontinued?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -49179,17 +42217,13 @@ "id": "2020-04-a-01-01-05-02-01-03", "type": "text_medium", "label": "Which population are you measuring in the numerator?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2020-04-a-01-01-05-02-01-04", "type": "integer", "label": "Numerator (total number)", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] }, @@ -49201,17 +42235,13 @@ "id": "2020-04-a-01-01-05-02-01-05", "type": "text_medium", "label": "Which population are you measuring in the denominator?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2020-04-a-01-01-05-02-01-06", "type": "integer", "label": "Denominator (total number)", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] }, @@ -49262,34 +42292,26 @@ "id": "2020-04-a-01-01-05-02-01-09", "type": "text_multiline", "label": "How did your progress towards your goal last year compare to your previous year’s progress?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2020-04-a-01-01-05-02-01-10", "type": "text_multiline", "label": "What are you doing to continually make progress towards your goal?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2020-04-a-01-01-05-02-01-11", "type": "text_multiline", "label": "Anything else you'd like to tell us about this goal?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2020-04-a-01-01-05-02-01-12", "hint": "Optional", "type": "file_upload", "label": "Do you have any supporting documentation?", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] } @@ -49306,9 +42328,7 @@ "id": "2020-04-a-01-01-06-01", "type": "text_multiline", "label": "What is the next objective listed in your CHIP State Plan?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2020-04-a-01-01-06-02", @@ -49322,9 +42342,7 @@ "id": "2020-04-a-01-01-06-02-01-01", "type": "text_multiline", "label": "Briefly describe your goal for this objective.", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2020-04-a-01-01-06-02-01-02", @@ -49353,9 +42371,7 @@ "id": "2020-04-a-01-01-06-02-01-02-a", "type": "text_multiline", "label": "Why was this goal discontinued?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -49387,17 +42403,13 @@ "id": "2020-04-a-01-01-06-02-01-03", "type": "text_medium", "label": "Which population are you measuring in the numerator?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2020-04-a-01-01-06-02-01-04", "type": "integer", "label": "Numerator (total number)", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] }, @@ -49410,17 +42422,13 @@ "hint": "For example: The total number of eligible children in the last federal fiscal year.", "type": "text_medium", "label": "Which population are you measuring in the denominator?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2020-04-a-01-01-06-02-01-06", "type": "integer", "label": "Denominator (total number)", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] }, @@ -49471,34 +42479,26 @@ "id": "2020-04-a-01-01-06-02-01-09", "type": "text_multiline", "label": "How did your progress towards your goal last year compare to your previous year’s progress?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2020-04-a-01-01-06-02-01-10", "type": "text_multiline", "label": "What are you doing to continually make progress towards your goal?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2020-04-a-01-01-06-02-01-11", "type": "text_multiline", "label": "Anything else you'd like to tell us about this goal?", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2020-04-a-01-01-06-02-01-12", "hint": "Optional", "type": "file_upload", "label": "Do you have any supporting documentation?", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] } @@ -49528,9 +42528,7 @@ "id": "2020-04-a-02-02", "type": "text_multiline", "label": "Do you plan to add new strategies for measuring and reporting on your goals and objectives? What do you plan to do, and when will this data become available?", - "answer": { - "entry": "No." - } + "answer": { "entry": "No." } }, { "id": "2020-04-a-02-03", @@ -49545,9 +42543,7 @@ "hint": "For example: studies, analyses, or any other documents that address your performance goals.", "type": "file_upload", "label": "Optional: Attach any additional documents here.", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] } @@ -49602,34 +42598,26 @@ "id": "2020-05-a-01-01-a", "type": "money", "label": "2020", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "comment": "This is the first real question so far in this part…" }, { "id": "2020-05-a-01-01-b", "type": "money", "label": "2021", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2020-05-a-01-01-c", "type": "money", "label": "2022", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2020-05-a-01-01" - }, + "fieldset_info": { "id": "2020-05-a-01-01" }, "fieldset_type": "marked" }, { @@ -49643,34 +42631,26 @@ "id": "2020-05-a-01-02-a", "type": "money", "label": "2020", - "answer": { - "entry": "356487608" - }, + "answer": { "entry": "356487608" }, "comment": "This is the first real question so far in this part…" }, { "id": "2020-05-a-01-02-b", "type": "money", "label": "2021", - "answer": { - "entry": "411883043" - } + "answer": { "entry": "411883043" } }, { "id": "2020-05-a-01-02-c", "type": "money", "label": "2022", - "answer": { - "entry": "443317001" - } + "answer": { "entry": "443317001" } } ], "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2020-05-a-01-02" - }, + "fieldset_info": { "id": "2020-05-a-01-02" }, "fieldset_type": "marked" }, { @@ -49684,34 +42664,26 @@ "id": "2020-05-a-01-03-a", "type": "money", "label": "2020", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "comment": "This is the first real question so far in this part…" }, { "id": "2020-05-a-01-03-b", "type": "money", "label": "2021", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2020-05-a-01-03-c", "type": "money", "label": "2022", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2020-05-a-01-03" - }, + "fieldset_info": { "id": "2020-05-a-01-03" }, "fieldset_type": "marked" }, { @@ -49725,34 +42697,26 @@ "id": "2020-05-a-01-04-a", "type": "money", "label": "2020", - "answer": { - "entry": "6343194" - }, + "answer": { "entry": "6343194" }, "comment": "This is the first real question so far in this part…" }, { "id": "2020-05-a-01-04-b", "type": "money", "label": "2021", - "answer": { - "entry": "7000000" - } + "answer": { "entry": "7000000" } }, { "id": "2020-05-a-01-04-c", "type": "money", "label": "2022", - "answer": { - "entry": "7000000" - } + "answer": { "entry": "7000000" } } ], "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2020-05-a-01-04" - }, + "fieldset_info": { "id": "2020-05-a-01-04" }, "fieldset_type": "marked" }, { @@ -49763,9 +42727,7 @@ "fieldset_info": { "rows": [ [ - { - "contents": "Managed Care" - }, + { "contents": "Managed Care" }, { "actions": ["identity"], "targets": [ @@ -49786,9 +42748,7 @@ } ], [ - { - "contents": "Fee for Service" - }, + { "contents": "Fee for Service" }, { "actions": ["identity"], "targets": [ @@ -49809,9 +42769,7 @@ } ], [ - { - "contents": "Other benefit costs" - }, + { "contents": "Other benefit costs" }, { "actions": ["identity"], "targets": [ @@ -49855,9 +42813,7 @@ } ], [ - { - "contents": "Total benefit costs" - }, + { "contents": "Total benefit costs" }, { "actions": ["sum"], "targets": [ @@ -49888,18 +42844,10 @@ ] ], "headers": [ - { - "contents": "" - }, - { - "contents": "FFY 2020" - }, - { - "contents": "FFY 2021" - }, - { - "contents": "FFY 2022" - } + { "contents": "" }, + { "contents": "FFY 2020" }, + { "contents": "FFY 2021" }, + { "contents": "FFY 2022" } ] }, "fieldset_type": "synthesized_table" @@ -49924,34 +42872,26 @@ "id": "2020-05-a-02-01-a", "type": "money", "label": "2020", - "answer": { - "entry": "5005640" - }, + "answer": { "entry": "5005640" }, "comment": "This is the first real question so far in this part…" }, { "id": "2020-05-a-02-01-b", "type": "money", "label": "2021", - "answer": { - "entry": "5716281" - } + "answer": { "entry": "5716281" } }, { "id": "2020-05-a-02-01-c", "type": "money", "label": "2022", - "answer": { - "entry": "6287909" - } + "answer": { "entry": "6287909" } } ], "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2020-05-a-02-01" - }, + "fieldset_info": { "id": "2020-05-a-02-01" }, "fieldset_type": "marked" }, { @@ -49965,34 +42905,26 @@ "id": "2020-05-a-02-02-a", "type": "money", "label": "2020", - "answer": { - "entry": "5839005" - }, + "answer": { "entry": "5839005" }, "comment": "This is the first real question so far in this part…" }, { "id": "2020-05-a-02-02-b", "type": "money", "label": "2021", - "answer": { - "entry": "6923267" - } + "answer": { "entry": "6923267" } }, { "id": "2020-05-a-02-02-c", "type": "money", "label": "2022", - "answer": { - "entry": "7555964" - } + "answer": { "entry": "7555964" } } ], "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2020-05-a-02-02" - }, + "fieldset_info": { "id": "2020-05-a-02-02" }, "fieldset_type": "marked" }, { @@ -50006,34 +42938,26 @@ "id": "2020-05-a-02-03-a", "type": "money", "label": "2020", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "comment": "This is the first real question so far in this part…" }, { "id": "2020-05-a-02-03-b", "type": "money", "label": "2021", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2020-05-a-02-03-c", "type": "money", "label": "2022", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2020-05-a-02-03" - }, + "fieldset_info": { "id": "2020-05-a-02-03" }, "fieldset_type": "marked" }, { @@ -50047,34 +42971,26 @@ "id": "2020-05-a-02-04-a", "type": "money", "label": "2020", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "comment": "This is the first real question so far in this part…" }, { "id": "2020-05-a-02-04-b", "type": "money", "label": "2021", - "answer": { - "entry": null - } + "answer": { "entry": null } }, { "id": "2020-05-a-02-04-c", "type": "money", "label": "2022", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2020-05-a-02-04" - }, + "fieldset_info": { "id": "2020-05-a-02-04" }, "fieldset_type": "marked" }, { @@ -50088,34 +43004,26 @@ "id": "2020-05-a-02-05-a", "type": "money", "label": "2020", - "answer": { - "entry": "201056" - }, + "answer": { "entry": "201056" }, "comment": "This is the first real question so far in this part…" }, { "id": "2020-05-a-02-05-b", "type": "money", "label": "2021", - "answer": { - "entry": "500000" - } + "answer": { "entry": "500000" } }, { "id": "2020-05-a-02-05-c", "type": "money", "label": "2022", - "answer": { - "entry": "500000" - } + "answer": { "entry": "500000" } } ], "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2020-05-a-02-05" - }, + "fieldset_info": { "id": "2020-05-a-02-05" }, "fieldset_type": "marked" }, { @@ -50129,34 +43037,26 @@ "id": "2020-05-a-02-06-a", "type": "money", "label": "2020", - "answer": { - "entry": "230094" - }, + "answer": { "entry": "230094" }, "comment": "This is the first real question so far in this part…" }, { "id": "2020-05-a-02-06-b", "type": "money", "label": "2021", - "answer": { - "entry": "200000" - } + "answer": { "entry": "200000" } }, { "id": "2020-05-a-02-06-c", "type": "money", "label": "2022", - "answer": { - "entry": "200000" - } + "answer": { "entry": "200000" } } ], "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2020-05-a-02-06" - }, + "fieldset_info": { "id": "2020-05-a-02-06" }, "fieldset_type": "marked" }, { @@ -50170,34 +43070,26 @@ "id": "2020-05-a-02-07-a", "type": "money", "label": "2020", - "answer": { - "entry": "885410" - }, + "answer": { "entry": "885410" }, "comment": "This is the first real question so far in this part…" }, { "id": "2020-05-a-02-07-b", "type": "money", "label": "2021", - "answer": { - "entry": "1371907" - } + "answer": { "entry": "1371907" } }, { "id": "2020-05-a-02-07-c", "type": "money", "label": "2022", - "answer": { - "entry": "1509098" - } + "answer": { "entry": "1509098" } } ], "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2020-05-a-02-07" - }, + "fieldset_info": { "id": "2020-05-a-02-07" }, "fieldset_type": "marked" }, { @@ -50208,9 +43100,7 @@ "fieldset_info": { "rows": [ [ - { - "contents": "Personnel" - }, + { "contents": "Personnel" }, { "actions": ["identity"], "targets": [ @@ -50231,9 +43121,7 @@ } ], [ - { - "contents": "General administration" - }, + { "contents": "General administration" }, { "actions": ["identity"], "targets": [ @@ -50254,9 +43142,7 @@ } ], [ - { - "contents": "Contractors and brokers" - }, + { "contents": "Contractors and brokers" }, { "actions": ["identity"], "targets": [ @@ -50277,9 +43163,7 @@ } ], [ - { - "contents": "Claims processing" - }, + { "contents": "Claims processing" }, { "actions": ["identity"], "targets": [ @@ -50300,9 +43184,7 @@ } ], [ - { - "contents": "Outreach and marketing" - }, + { "contents": "Outreach and marketing" }, { "actions": ["identity"], "targets": [ @@ -50323,9 +43205,7 @@ } ], [ - { - "contents": "Health Services Initiatives (HSI)" - }, + { "contents": "Health Services Initiatives (HSI)" }, { "actions": ["identity"], "targets": [ @@ -50346,9 +43226,7 @@ } ], [ - { - "contents": "Other administrative costs" - }, + { "contents": "Other administrative costs" }, { "actions": ["identity"], "targets": [ @@ -50369,9 +43247,7 @@ } ], [ - { - "contents": "Total administrative costs" - }, + { "contents": "Total administrative costs" }, { "actions": ["sum"], "targets": [ @@ -50410,9 +43286,7 @@ } ], [ - { - "contents": "10% administrative cap" - }, + { "contents": "10% administrative cap" }, { "actions": ["formula"], "formula": "(<0> + <1> + <2> - <3>) / 9", @@ -50449,18 +43323,10 @@ ] ], "headers": [ - { - "contents": "" - }, - { - "contents": "FFY 2020" - }, - { - "contents": "FFY 2021" - }, - { - "contents": "FFY 2022" - } + { "contents": "" }, + { "contents": "FFY 2020" }, + { "contents": "FFY 2021" }, + { "contents": "FFY 2022" } ] }, "fieldset_type": "synthesized_table" @@ -50473,9 +43339,7 @@ "fieldset_info": { "rows": [ [ - { - "contents": "Total program costs " - }, + { "contents": "Total program costs " }, { "actions": ["formula"], "formula": "<0> + <1> + <2> + <3> + <4> + <5> + <6> + <7> + <8> + <9> + <10>", @@ -50532,48 +43396,30 @@ } ], [ - { - "contents": "eFMAP" - }, + { "contents": "eFMAP" }, { "actions": ["identity"], - "targets": [ - { - "lookupFmapFy": "2020" - } - ], + "targets": [{ "lookupFmapFy": "2020" }], "$comment": "This should pull the FMAP data from the API for this state and plug it in (FY20)" }, { "actions": ["identity"], - "targets": [ - { - "lookupFmapFy": "2021" - } - ], + "targets": [{ "lookupFmapFy": "2021" }], "$comment": "This should pull the FMAP data from the API for this state and plug it in (FY21)" }, { "actions": ["identity"], - "targets": [ - { - "lookupFmapFy": "2022" - } - ], + "targets": [{ "lookupFmapFy": "2022" }], "$comment": "This should pull the FMAP data from the API for this state and plug it in (FY22)" } ], [ - { - "contents": "Federal share" - }, + { "contents": "Federal share" }, { "actions": ["formula"], "formula": "(<0> / 100) * (<1> + <2> + <3> + <4> + <5> + <6> + <7> + <8> + <9> + <10> + <11>)", "targets": [ - { - "lookupFmapFy": "2020" - }, + { "lookupFmapFy": "2020" }, "$..*[?(@ && @.id=='2020-05-a-01-01-a')].answer.entry", "$..*[?(@ && @.id=='2020-05-a-01-02-a')].answer.entry", "$..*[?(@ && @.id=='2020-05-a-01-03-a')].answer.entry", @@ -50592,9 +43438,7 @@ "actions": ["formula"], "formula": "(<0> / 100) * (<1> + <2> + <3> + <4> + <5> + <6> + <7> + <8> + <9> + <10> + <11>)", "targets": [ - { - "lookupFmapFy": "2021" - }, + { "lookupFmapFy": "2021" }, "$..*[?(@ && @.id=='2020-05-a-01-01-b')].answer.entry", "$..*[?(@ && @.id=='2020-05-a-01-02-b')].answer.entry", "$..*[?(@ && @.id=='2020-05-a-01-03-b')].answer.entry", @@ -50613,9 +43457,7 @@ "actions": ["formula"], "formula": "(<0> / 100) * (<1> + <2> + <3> + <4> + <5> + <6> + <7> + <8> + <9> + <10> + <11>)", "targets": [ - { - "lookupFmapFy": "2022" - }, + { "lookupFmapFy": "2022" }, "$..*[?(@ && @.id=='2020-05-a-01-01-c')].answer.entry", "$..*[?(@ && @.id=='2020-05-a-01-02-c')].answer.entry", "$..*[?(@ && @.id=='2020-05-a-01-03-c')].answer.entry", @@ -50632,9 +43474,7 @@ } ], [ - { - "contents": "State share" - }, + { "contents": "State share" }, { "actions": ["formula"], "formula": "<0> + <1> + <2> + <3> + <4> + <5> + <6> + <7> + <8> + <9> + <10> - ((<11> / 100) * (<12> + <13> + <14> + <15> + <16> + <17> + <18> + <19> + <20> + <21> + <22>))", @@ -50650,9 +43490,7 @@ "$..*[?(@ && @.id=='2020-05-a-02-05-a')].answer.entry", "$..*[?(@ && @.id=='2020-05-a-02-06-a')].answer.entry", "$..*[?(@ && @.id=='2020-05-a-02-07-a')].answer.entry", - { - "lookupFmapFy": "2020" - }, + { "lookupFmapFy": "2020" }, "$..*[?(@ && @.id=='2020-05-a-01-01-a')].answer.entry", "$..*[?(@ && @.id=='2020-05-a-01-02-a')].answer.entry", "$..*[?(@ && @.id=='2020-05-a-01-03-a')].answer.entry", @@ -50682,9 +43520,7 @@ "$..*[?(@ && @.id=='2020-05-a-02-05-b')].answer.entry", "$..*[?(@ && @.id=='2020-05-a-02-06-b')].answer.entry", "$..*[?(@ && @.id=='2020-05-a-02-07-b')].answer.entry", - { - "lookupFmapFy": "2021" - }, + { "lookupFmapFy": "2021" }, "$..*[?(@ && @.id=='2020-05-a-01-01-b')].answer.entry", "$..*[?(@ && @.id=='2020-05-a-01-02-b')].answer.entry", "$..*[?(@ && @.id=='2020-05-a-01-03-b')].answer.entry", @@ -50714,9 +43550,7 @@ "$..*[?(@ && @.id=='2020-05-a-02-05-c')].answer.entry", "$..*[?(@ && @.id=='2020-05-a-02-06-c')].answer.entry", "$..*[?(@ && @.id=='2020-05-a-02-07-c')].answer.entry", - { - "lookupFmapFy": "2022" - }, + { "lookupFmapFy": "2022" }, "$..*[?(@ && @.id=='2020-05-a-01-01-c')].answer.entry", "$..*[?(@ && @.id=='2020-05-a-01-02-c')].answer.entry", "$..*[?(@ && @.id=='2020-05-a-01-03-c')].answer.entry", @@ -50734,18 +43568,10 @@ ] ], "headers": [ - { - "contents": "" - }, - { - "contents": "FFY 2020" - }, - { - "contents": "FFY 2021" - }, - { - "contents": "FFY 2022" - } + { "contents": "" }, + { "contents": "FFY 2020" }, + { "contents": "FFY 2021" }, + { "contents": "FFY 2022" } ] }, "fieldset_type": "synthesized_table" @@ -50786,10 +43612,7 @@ "label": "Tobacco settlement", "value": "tobacco settlement" }, - { - "label": "Other", - "value": "other" - } + { "label": "Other", "value": "other" } ] }, "questions": [ @@ -50797,9 +43620,7 @@ "id": "2020-05-a-02-08-a", "type": "text", "label": "What other type of funding did you receive?", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -50823,14 +43644,8 @@ "answer": { "entry": "no", "options": [ - { - "label": "Yes", - "value": "yes" - }, - { - "label": "No", - "value": "no" - } + { "label": "Yes", "value": "yes" }, + { "label": "No", "value": "no" } ] }, "questions": [ @@ -50838,9 +43653,7 @@ "id": "2020-05-a-02-09-a", "type": "text_multiline", "label": "Briefly explain why your state didn’t have enough federal funding to cover your CHIP program costs.", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "context_data": { "conditional_display": { "type": "conditional_display", @@ -50876,34 +43689,26 @@ "id": "2020-05-a-03-01-a", "type": "integer", "label": "2020", - "answer": { - "entry": "53253" - }, + "answer": { "entry": "53253" }, "comment": "This is the first real question so far in this part…" }, { "id": "2020-05-a-03-01-b", "type": "integer", "label": "2021", - "answer": { - "entry": "" - } + "answer": { "entry": "" } }, { "id": "2020-05-a-03-01-c", "type": "integer", "label": "2022", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2020-05-a-03-01" - }, + "fieldset_info": { "id": "2020-05-a-03-01" }, "fieldset_type": "marked" }, { @@ -50918,34 +43723,26 @@ "id": "2020-05-a-03-02-a", "type": "money", "label": "2020", - "answer": { - "entry": null - }, + "answer": { "entry": null }, "comment": "This is the first real question so far in this part…" }, { "id": "2020-05-a-03-02-b", "type": "money", "label": "2021", - "answer": { - "entry": "5" - } + "answer": { "entry": "5" } }, { "id": "2020-05-a-03-02-c", "type": "money", "label": "2022", - "answer": { - "entry": null - } + "answer": { "entry": null } } ], "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2020-05-a-03-02" - }, + "fieldset_info": { "id": "2020-05-a-03-02" }, "fieldset_type": "marked" }, { @@ -50954,9 +43751,7 @@ "fieldset_info": { "rows": [ [ - { - "contents": "Eligible children" - }, + { "contents": "Eligible children" }, { "actions": ["identity"], "targets": [ @@ -50977,9 +43772,7 @@ } ], [ - { - "contents": "PMPM cost" - }, + { "contents": "PMPM cost" }, { "actions": ["identity"], "targets": [ @@ -51001,18 +43794,10 @@ ] ], "headers": [ - { - "contents": "" - }, - { - "contents": "FFY 2020" - }, - { - "contents": "FFY 2021" - }, - { - "contents": "FFY 2022" - } + { "contents": "" }, + { "contents": "FFY 2020" }, + { "contents": "FFY 2021" }, + { "contents": "FFY 2022" } ] }, "fieldset_type": "synthesized_table" @@ -51036,34 +43821,26 @@ "id": "2020-05-a-04-01-a", "type": "integer", "label": "2020", - "answer": { - "entry": "174401" - }, + "answer": { "entry": "174401" }, "comment": "This is the first real question so far in this part…" }, { "id": "2020-05-a-04-01-b", "type": "integer", "label": "2021", - "answer": { - "entry": "80722" - } + "answer": { "entry": "80722" } }, { "id": "2020-05-a-04-01-c", "type": "integer", "label": "2022", - "answer": { - "entry": "84885" - } + "answer": { "entry": "84885" } } ], "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2020-05-a-04-01" - }, + "fieldset_info": { "id": "2020-05-a-04-01" }, "fieldset_type": "marked" }, { @@ -51078,34 +43855,26 @@ "id": "2020-05-a-04-02-a", "type": "money", "label": "2020", - "answer": { - "entry": "233" - }, + "answer": { "entry": "233" }, "comment": "This is the first real question so far in this part…" }, { "id": "2020-05-a-04-02-b", "type": "money", "label": "2021", - "answer": { - "entry": "3" - } + "answer": { "entry": "3" } }, { "id": "2020-05-a-04-02-c", "type": "money", "label": "2022", - "answer": { - "entry": "252" - } + "answer": { "entry": "252" } } ], "fieldset_type": "datagrid" } ], - "fieldset_info": { - "id": "2020-05-a-04-02" - }, + "fieldset_info": { "id": "2020-05-a-04-02" }, "fieldset_type": "marked" }, { @@ -51114,9 +43883,7 @@ "fieldset_info": { "rows": [ [ - { - "contents": "Eligible children" - }, + { "contents": "Eligible children" }, { "actions": ["identity"], "targets": [ @@ -51137,9 +43904,7 @@ } ], [ - { - "contents": "PMPM cost" - }, + { "contents": "PMPM cost" }, { "actions": ["identity"], "targets": [ @@ -51161,18 +43926,10 @@ ] ], "headers": [ - { - "contents": "" - }, - { - "contents": "FFY 2020" - }, - { - "contents": "FFY 2021" - }, - { - "contents": "FFY 2022" - } + { "contents": "" }, + { "contents": "FFY 2020" }, + { "contents": "FFY 2021" }, + { "contents": "FFY 2022" } ] }, "fieldset_type": "synthesized_table" @@ -51195,9 +43952,7 @@ "id": "2020-05-a-05-02", "type": "file_upload", "label": "Optional: Attach any additional documents here.", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] } @@ -51274,9 +44029,7 @@ "id": "2020-06-a-01-06", "type": "file_upload", "label": "Optional: Attach any additional documents here.", - "answer": { - "entry": null - } + "answer": { "entry": null } } ] } diff --git a/services/ui-src/src/components/fields/DataGrid.jsx b/services/ui-src/src/components/fields/DataGrid.jsx index 4b913d5b1..99a40a1ab 100644 --- a/services/ui-src/src/components/fields/DataGrid.jsx +++ b/services/ui-src/src/components/fields/DataGrid.jsx @@ -1,12 +1,13 @@ import React, { useEffect, useState } from "react"; +import { useDispatch, useSelector } from "react-redux"; import PropTypes from "prop-types"; import Question from "./Question"; -import { connect, useDispatch } from "react-redux"; import { ADD_TO_TOTAL, FINISH_CALCULATION } from "../../store/lastYearTotals"; -const DataGrid = ({ question, lastYearFormData }) => { +const DataGrid = ({ question, printView }) => { const [renderQuestions, setRenderQuestions] = useState([]); const [questionsToSet, setQuestionsToSet] = useState([]); + const lastYearFormData = useSelector((state) => state.lastYearFormData); const dispatch = useDispatch(); const rowStyle = @@ -138,6 +139,7 @@ const DataGrid = ({ question, lastYearFormData }) => { hideNumber={question.type !== "fieldset"} question={question.question} prevYear={question.prevYear} + printView={printView} /> ); @@ -148,16 +150,7 @@ const DataGrid = ({ question, lastYearFormData }) => { DataGrid.propTypes = { question: PropTypes.object.isRequired, - year: PropTypes.number.isRequired, - state: PropTypes.string.isRequired, - lastYearFormData: PropTypes.object.isRequired, + printView: PropTypes.bool, }; -const mapStateToProps = (state) => ({ - year: state.formData[0].contents.section.year, - state: state.formData[0].contents.section.state, - lastYearFormData: state.lastYearFormData, - lastYearTotals: state.lastYearTotals, -}); - -export default connect(mapStateToProps)(DataGrid); +export default DataGrid; diff --git a/services/ui-src/src/components/fields/Integer.jsx b/services/ui-src/src/components/fields/Integer.jsx index fee83e44f..14d2c9c68 100644 --- a/services/ui-src/src/components/fields/Integer.jsx +++ b/services/ui-src/src/components/fields/Integer.jsx @@ -4,12 +4,54 @@ import { TextField } from "@cmsgov/design-system"; import { useSelector } from "react-redux"; import { generateQuestionNumber } from "../utils/helperFunctions"; -const Integer = ({ onChange, question, prevYear, ...props }) => { +const getPrevYearValue = (question, lastYearFormData) => { + let prevYearValue; + + // Split and create array from id + const splitID = question.id.split("-"); + + // the subquestion id (a, b, c, etc) + const questionId = splitID[5]; + + // Custom handling for -03-c-05 and -03-c-06 + if ( + splitID[1] === "03" && + splitID[2] === "c" && + (splitID[3] === "05" || splitID[3] === "06") && + questionId === "a" && + parseInt(splitID[4]) > 2 && + parseInt(splitID[4]) < 10 + ) { + // Set year to last year + splitID[0] = parseInt(splitID[0]) - 1; + splitID.pop(); + + const fieldsetId = splitID.join("-"); + const partIndex = parseInt(splitID[3]) - 1; + + // Get questions from last years JSON + const questions = + lastYearFormData[3].contents.section.subsections[2].parts[partIndex] + .questions; + + // Filter down to this question + const matchingQuestion = questions.filter( + (question) => fieldsetId === question?.fieldset_info?.id + ); + + // The first will always be correct + if (matchingQuestion[0]) { + prevYearValue = parseInt(matchingQuestion[0].questions[0].answer?.entry); + } + } + return prevYearValue; +}; + +const Integer = ({ onChange, question, prevYear, printView, ...props }) => { const [error, setError] = useState(false); const [answer, setAnswer] = useState(question.answer.entry); - const lastYearTotals = useSelector((state) => state.lastYearTotals); - const prevYearNumber = - lastYearTotals[question.id.substring(0, question.id.length - 2)]; + const lastYearFormData = useSelector((state) => state.lastYearFormData); + const change = ({ target: { name, value } }) => { const stripped = value.replace(/[^0-9]+/g, ""); const parsed = parseFloat(stripped); @@ -25,22 +67,26 @@ const Integer = ({ onChange, question, prevYear, ...props }) => { } }; - if (prevYearNumber && question.id.indexOf("-a") > -1) { + const isLessThanElevenMask = (value) => { return ( - + printView && + question.mask === "lessThanEleven" && + value <= 10 && + value > 0 ); - } - const renderAnswer = (val) => (val || Number.isInteger(val) ? val : ""); // may attempt to rerender string on page load, so both val || isInteger + }; + + const renderAnswer = () => { + if (answer === null) { + const value = + getPrevYearValue(question, lastYearFormData) ?? prevYear?.value; + if (isLessThanElevenMask(value)) return "<11"; + return value; + } else { + if (isLessThanElevenMask(answer)) return "<11"; + return answer || Number.isInteger(answer) ? answer : ""; + } + }; return ( { name={question.id} numeric onChange={change} - value={answer != null ? renderAnswer(answer) : prevYear && prevYear.value} + value={renderAnswer()} {...props} /> ); @@ -59,7 +105,7 @@ Integer.propTypes = { onChange: PropTypes.func.isRequired, question: PropTypes.object.isRequired, prevYear: PropTypes.object, + printView: PropTypes.bool, }; -export { Integer }; export default Integer; diff --git a/services/ui-src/src/components/fields/Integer.test.jsx b/services/ui-src/src/components/fields/Integer.test.jsx index e9bb8095e..54f8672ab 100644 --- a/services/ui-src/src/components/fields/Integer.test.jsx +++ b/services/ui-src/src/components/fields/Integer.test.jsx @@ -6,7 +6,40 @@ import Integer from "./Integer"; import { screen, render, fireEvent } from "@testing-library/react"; const mockStore = configureMockStore(); -const store = mockStore({ lastYearTotals: { 2022: [] } }); +const lastYearFormData = [ + {}, + {}, + {}, + { + contents: { + section: { + subsections: [ + {}, + {}, + { + parts: [ + {}, + {}, + {}, + {}, + { + questions: [ + { + fieldset_info: { + id: "2022-03-c-05-03", + }, + questions: [{ answer: { entry: 3000 } }], + }, + ], + }, + ], + }, + ], + }, + }, + }, +]; +const store = mockStore({ lastYearTotals: { 2022: [] }, lastYearFormData }); const buildInteger = (intProps) => { return ( @@ -14,6 +47,7 @@ const buildInteger = (intProps) => { ); }; + describe("", () => { it("should render correctly", () => { const props = { question: { id: "2023-00-a-01-01", answer: 1 } }; @@ -29,7 +63,7 @@ describe("", () => { const props = { question: { id: "2023-00-a-01-01", - label: "How many lightbulbs does it take to change a man?", + label: "Example Question", answer: { entry: 123 }, }, }; @@ -45,7 +79,7 @@ describe("", () => { const props = { question: { id: "2023-00-a-01-01", - label: "How many lightbulbs does it take to change a man?", + label: "Example Question", answer: { entry: 123 }, }, }; @@ -61,7 +95,7 @@ describe("", () => { const props = { question: { id: "2023-00-a-01-01", - label: "How many lightbulbs does it take to change a man?", + label: "Example Question", answer: { entry: "hope" }, }, }; @@ -73,4 +107,67 @@ describe("", () => { expect(screen.queryByDisplayValue("raw text")).not.toBeInTheDocument(); expect(screen.getByRole("alert")).toBeInTheDocument(); }); + + it("should show <11 if passed >0 and <=10 with printView and lessThanEleven", () => { + const props = { + question: { + id: "2023-00-a-01-01", + label: "Example Question", + answer: { entry: "5" }, + mask: "lessThanEleven", + }, + printView: true, + }; + + render(buildInteger(props)); + expect(screen.getByDisplayValue("<11")).toBeInTheDocument(); + expect(screen.queryByDisplayValue("5")).not.toBeInTheDocument(); + }); + + it("should show original answer if passed >=11 with printView and lessThanEleven mask", () => { + const props = { + question: { + id: "2023-00-a-01-01", + label: "Example Question", + answer: { entry: "12" }, + mask: "lessThanEleven", + }, + printView: true, + }; + + render(buildInteger(props)); + expect(screen.getByDisplayValue("12")).toBeInTheDocument(); + }); + + it("should show original answer if passed 0 with printView and lessThanEleven mask", () => { + const props = { + question: { + id: "2023-00-a-01-01", + label: "Example Question", + answer: { entry: "0" }, + mask: "lessThanEleven", + }, + printView: true, + }; + + render(buildInteger(props)); + expect(screen.getByDisplayValue("0")).toBeInTheDocument(); + }); + + it("should render previous year value for appropriate 3c part 5 or 6 questions", () => { + const props = { + question: { + id: "2023-03-c-05-03-a", + label: "How much?", + answer: { entry: null }, + }, + }; + + render(buildInteger(props)); + + expect(screen.getByDisplayValue("3000")).toBeInTheDocument(); + const input = screen.getByRole("textbox"); + fireEvent.change(input, { target: { value: 234 } }); + expect(screen.getByDisplayValue("234")).toBeInTheDocument(); + }); }); diff --git a/services/ui-src/src/components/fields/Money.jsx b/services/ui-src/src/components/fields/Money.jsx index d7fcce141..dba1ac251 100644 --- a/services/ui-src/src/components/fields/Money.jsx +++ b/services/ui-src/src/components/fields/Money.jsx @@ -1,6 +1,6 @@ import React from "react"; import PropTypes from "prop-types"; -import { Integer } from "./Integer"; +import Integer from "./Integer"; const Money = ({ ...props }) => { return ; diff --git a/services/ui-src/src/components/fields/Objective.jsx b/services/ui-src/src/components/fields/Objective.jsx index a7470e65e..abf0796e7 100644 --- a/services/ui-src/src/components/fields/Objective.jsx +++ b/services/ui-src/src/components/fields/Objective.jsx @@ -4,14 +4,13 @@ import { AccordionButton, AccordionPanel } from "@reach/accordion"; import Question from "./Question"; -const Objective = ({ headerRef, objective, objectiveNumber }) => { +const Objective = ({ headerRef, objective, objectiveNumber, printView }) => { const first = objective.questions[0].answer.readonly === true; const name = first ? objective.questions[0].answer.default_entry : objective.questions[0].answer.entry; const children = first ? objective.questions.slice(1) : objective.questions; - return ( <>
@@ -27,7 +26,7 @@ const Objective = ({ headerRef, objective, objectiveNumber }) => { {children.map((q) => (
- +
))}
@@ -38,6 +37,7 @@ Objective.propTypes = { headerRef: PropTypes.func.isRequired, objective: PropTypes.object.isRequired, objectiveNumber: PropTypes.number.isRequired, + printView: PropTypes.bool, }; export { Objective }; diff --git a/services/ui-src/src/components/fields/Objectives.jsx b/services/ui-src/src/components/fields/Objectives.jsx index 4953ed21f..f80167133 100644 --- a/services/ui-src/src/components/fields/Objectives.jsx +++ b/services/ui-src/src/components/fields/Objectives.jsx @@ -16,9 +16,9 @@ const Objectives = ({ disabled, question, removeObjectiveFrom, + printView, }) => { const ref = useRef(); - const add = () => { addObjectiveTo(question.id); @@ -47,7 +47,12 @@ const Objectives = ({ > {question.questions.map((q, i) => ( - + ))} @@ -92,6 +97,7 @@ Objectives.propTypes = { disabled: PropTypes.bool.isRequired, question: PropTypes.object.isRequired, removeObjectiveFrom: PropTypes.func.isRequired, + printView: PropTypes.bool, }; const mapDispatchToProps = { diff --git a/services/ui-src/src/components/fields/Question.jsx b/services/ui-src/src/components/fields/Question.jsx index 271024817..88716bebc 100644 --- a/services/ui-src/src/components/fields/Question.jsx +++ b/services/ui-src/src/components/fields/Question.jsx @@ -9,7 +9,7 @@ import { DateRange } from "./DateRange"; import { Email } from "./Email"; import { Fieldset } from "./Fieldset"; import UploadComponent from "../layout/UploadComponent"; -import { Integer } from "./Integer"; +import Integer from "./Integer"; import { MailingAddress } from "./MailingAddress"; import { Money } from "./Money"; import { Objectives } from "./Objectives"; @@ -57,7 +57,14 @@ Container.propTypes = { children: PropTypes.node.isRequired, }; -const Question = ({ hideNumber, question, prevYear, tableTitle, ...props }) => { +const Question = ({ + hideNumber, + question, + prevYear, + tableTitle, + printView, + ...props +}) => { let Component = Text; if (questionTypes.has(question.type)) { Component = questionTypes.get(question.type); @@ -144,6 +151,7 @@ const Question = ({ hideNumber, question, prevYear, tableTitle, ...props }) => { false } prevYear={prevYear} + printView={printView} /> {/* If there are subquestions, wrap them so they are indented with the @@ -153,7 +161,12 @@ const Question = ({ hideNumber, question, prevYear, tableTitle, ...props }) => { {shouldRenderChildren && (
{question.questions.map((q) => ( - + ))}
)} @@ -167,6 +180,7 @@ Question.propTypes = { question: PropTypes.object.isRequired, prevYear: PropTypes.object, tableTitle: PropTypes.string, + printView: PropTypes.bool, }; Question.defaultProps = { hideNumber: false, diff --git a/services/ui-src/src/components/fields/Repeatable.jsx b/services/ui-src/src/components/fields/Repeatable.jsx index f32413bf4..644f34a36 100644 --- a/services/ui-src/src/components/fields/Repeatable.jsx +++ b/services/ui-src/src/components/fields/Repeatable.jsx @@ -4,7 +4,7 @@ import { AccordionButton, AccordionPanel } from "@reach/accordion"; import Question from "./Question"; -const Repeatable = ({ headerRef, number, question, type }) => { +const Repeatable = ({ headerRef, number, question, type, printView }) => { const children = question.questions ? question.questions : []; const title = type ? `${type} ${number}` : `${number}`; @@ -20,7 +20,7 @@ const Repeatable = ({ headerRef, number, question, type }) => {
{children.map((q) => ( - + ))} @@ -31,6 +31,7 @@ Repeatable.propTypes = { number: PropTypes.number.isRequired, question: PropTypes.object.isRequired, type: PropTypes.oneOf([PropTypes.string, null]), + printView: PropTypes.bool, }; Repeatable.defaultProps = { diff --git a/services/ui-src/src/components/fields/Repeatables.jsx b/services/ui-src/src/components/fields/Repeatables.jsx index 14a13a72e..dc66bf27b 100644 --- a/services/ui-src/src/components/fields/Repeatables.jsx +++ b/services/ui-src/src/components/fields/Repeatables.jsx @@ -17,6 +17,7 @@ const Repeatables = ({ question, removeRepeatableFrom, type, + printView, }) => { const ref = useRef(); @@ -62,6 +63,7 @@ const Repeatables = ({ number={i + 1} question={q} type={question.typeLabel ? question.typeLabel : type} + printView={printView} /> ))} @@ -107,6 +109,7 @@ Repeatables.propTypes = { question: PropTypes.object.isRequired, removeRepeatableFrom: PropTypes.func.isRequired, type: PropTypes.oneOf([PropTypes.string, null]), + printView: PropTypes.bool, }; Repeatables.defaultProps = { type: null, diff --git a/services/ui-src/src/components/layout/Part.jsx b/services/ui-src/src/components/layout/Part.jsx index 0e5a8b9a5..d2d5e8022 100644 --- a/services/ui-src/src/components/layout/Part.jsx +++ b/services/ui-src/src/components/layout/Part.jsx @@ -9,7 +9,7 @@ import { selectFragment } from "../../store/formData"; import { selectQuestionsForPart } from "../../store/selectors"; import { shouldDisplay } from "../../util/shouldDisplay"; -const Part = ({ partId, partNumber, nestedSubsectionTitle }) => { +const Part = ({ partId, partNumber, nestedSubsectionTitle, printView }) => { const [, section] = partId.split("-"); const [ @@ -67,6 +67,7 @@ const Part = ({ partId, partNumber, nestedSubsectionTitle }) => { question={question} tableTitle={title} data-testid="part-question" + printView={printView} /> ))} diff --git a/services/ui-src/src/components/layout/Section.jsx b/services/ui-src/src/components/layout/Section.jsx index 88800ac85..b204e1b25 100644 --- a/services/ui-src/src/components/layout/Section.jsx +++ b/services/ui-src/src/components/layout/Section.jsx @@ -8,7 +8,7 @@ import FormNavigation from "./FormNavigation"; import FormActions from "./FormActions"; import Autosave from "../fields/Autosave"; -const Section = ({ subsectionId, sectionId }) => { +const Section = ({ subsectionId, sectionId, printView }) => { const formData = useSelector((state) => state.formData); const title = selectSectionTitle(formData, sectionId); @@ -17,7 +17,11 @@ const Section = ({ subsectionId, sectionId }) => {

{title}

- +
@@ -30,6 +34,7 @@ const Section = ({ subsectionId, sectionId }) => { Section.propTypes = { subsectionId: PropTypes.string.isRequired, sectionId: PropTypes.number.isRequired, + printView: PropTypes.bool, }; export default Section; diff --git a/services/ui-src/src/components/layout/Subsection.jsx b/services/ui-src/src/components/layout/Subsection.jsx index 67433a5b5..6417beca6 100644 --- a/services/ui-src/src/components/layout/Subsection.jsx +++ b/services/ui-src/src/components/layout/Subsection.jsx @@ -8,7 +8,7 @@ import { selectSubsectionTitleAndPartIDs } from "../../store/selectors"; //types import PropTypes from "prop-types"; -const Subsection = ({ subsectionId }) => { +const Subsection = ({ subsectionId, printView }) => { const formData = useSelector((state) => state.formData); const subsection = selectSubsectionTitleAndPartIDs(formData, subsectionId); @@ -31,6 +31,7 @@ const Subsection = ({ subsectionId }) => { partId={partId} partNumber={partIds.length > 1 ? index + 1 : null} nestedSubsectionTitle={!!title} + printView={printView} /> ))}
@@ -38,6 +39,7 @@ const Subsection = ({ subsectionId }) => { }; Subsection.propTypes = { subsectionId: PropTypes.string.isRequired, + printView: PropTypes.bool, }; Subsection.defaultProps = { text: null, diff --git a/services/ui-src/src/components/sections/Print.jsx b/services/ui-src/src/components/sections/Print.jsx index e313f5f9b..f7bc26f35 100644 --- a/services/ui-src/src/components/sections/Print.jsx +++ b/services/ui-src/src/components/sections/Print.jsx @@ -140,6 +140,7 @@ const Print = () => { sectionId={sectionId} subsectionId={subsectionId} readonly="false" + printView="true" /> ); } else { @@ -164,6 +165,7 @@ const Print = () => { sectionId={sectionId} subsectionId={subsectionId} readonly="false" + printView="true" /> ); } diff --git a/services/ui-src/src/util/synthesize.js b/services/ui-src/src/util/synthesize.js index 361d698c7..497eabff0 100644 --- a/services/ui-src/src/util/synthesize.js +++ b/services/ui-src/src/util/synthesize.js @@ -215,6 +215,20 @@ const snakeToCamel = (str) => group.toUpperCase().replace("-", "").replace("_", "") ); +// returns the state abbreviation for the associated report +const getStateAbbr = (stateUserAbbr) => { + if (stateUserAbbr) return stateUserAbbr; + const windowPathName = window.location.pathname; + // if admin, grab the state from the URL + const stateFromURL = windowPathName.split("/")[3]; + + // if admin and in a print view get state param + const urlSearchParams = new URLSearchParams(window.location.search); + const stateFromParams = urlSearchParams.get("state"); + + return windowPathName.includes("print") ? stateFromParams : stateFromURL; +}; + /** * Retrieve acsSet from state and return for individual state. * @@ -230,26 +244,13 @@ const lookupAcs = (allStatesData, stateUserAbbr, { ffy, acsProperty }) => { ? snakeToCamel(acsProperty) : acsProperty; - // if allStatesData and stateUser are available - if (allStatesData && stateUserAbbr) { - const windowPathName = window.location.pathname; - // if admin, grab the state from the URL - const stateFromURL = windowPathName.split("/")[3]; + // if allStatesData is a populated array + if (allStatesData?.length > 0) { + const stateAbbr = getStateAbbr(stateUserAbbr); - // if admin and in a print view get state param - const urlSearchParams = new URLSearchParams(window.location.search); - const stateFromParams = urlSearchParams.get("state"); - - // Get stateUser state or fallback to the URL, if an admin - const stateAbbr = - stateUserAbbr || - (windowPathName.includes("print") ? stateFromParams : stateFromURL); - - // Filter for only matching state - const stateData = allStatesData.filter((st) => st.code === stateAbbr)[0]; - - // Filter for matching state from JSON - const acs = stateData?.acsSet.filter((year) => year.year === +ffy)[0]; + // Find data for matching state + const stateData = allStatesData.find((st) => st.code === stateAbbr); + const acs = stateData?.acsSet.find((year) => year.year === +ffy); // If acs exists, return the value from the object if (acs) { @@ -279,20 +280,18 @@ export const compareACS = ( ) => { const percentagePrecision = 2; let returnValue = "Not Available"; - // if allStatesData and stateUser are available - if (allStatesData && stateUserAbbr) { - // Filter for only matching state - const stateData = allStatesData.filter( - (st) => st.code === stateUserAbbr - )[0]; - - // Filter for the correct year of state data - const startACS = stateData?.acsSet.filter( + // if allStatesData is a populated array + if (allStatesData?.length > 0) { + const stateAbbr = getStateAbbr(stateUserAbbr); + const stateData = allStatesData.find((st) => st.code === stateAbbr); + + // Find the correct year of state data + const startACS = stateData?.acsSet.find( (year) => year.year === parseInt(ffy1, 10) - )[0]; - const endACS = stateData?.acsSet.filter( + ); + const endACS = stateData?.acsSet.find( (year) => year.year === parseInt(ffy2, 10) - )[0]; + ); // If start year and end year of ACS exist, return the calculated value (percent change) from the objects if (startACS && endACS) { diff --git a/services/ui-src/src/util/synthesize.test.js b/services/ui-src/src/util/synthesize.test.js index a9f17cc45..43aed8a7b 100644 --- a/services/ui-src/src/util/synthesize.test.js +++ b/services/ui-src/src/util/synthesize.test.js @@ -128,7 +128,7 @@ const fallbackChipState = { }, }; -describe("value synthesization utility", () => { +describe("value synthesis utility", () => { describe("handles identity", () => { test("with no values", () => { // Returns undefined, because there's not a value @@ -615,6 +615,29 @@ describe("value synthesization utility", () => { ); expect(out).toEqual({ contents: ["3.70%"] }); }); + + it("compares two ffys as admin user", () => { + Object.defineProperty(window, "location", { + value: { + pathname: "/views/sections/AL/2023/02", + }, + }); + const out = synthesize( + { + compareACS: { + ffy1: 2021, + ffy2: 2020, + acsProperty: "numberUninsured", + }, + }, + state.allStatesData, + state.global.stateName, + undefined, // state user abbreviation + state.enrollmentCounts.chipEnrollments, + state.formData + ); + expect(out).toEqual({ contents: ["3.70%"] }); + }); }); describe("handles CHIPS Enrollment Data", () => {