ADR 2014 Data Validations

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1 Grantee Report Validation Checks Q. #2 Poverty Level is required Q. #3 Clinical Eligibility is required Q. #4 Drug Pricing program is required Q. #5 Funding Total (a through h) must be greater than zero (0). Q. #6 Amount expended is Report Period is required. Q. #6 Expenditure Total (a through f) must be greater than zero (0). Q. #7a At least on ARV must be specified as included in your formulary Q. #7a The date which the ARV was added to the formulary must fall within the reporting period: April 1, 2014 to March 31, 2015.

2 No client records uploaded Client Demographics Item 9 Clients reported with an age of 90 or older. Item 9 Clients reported with Birth Year after Reporting Period Year. NEW Item 7 Clients reported with Transgender Status missing Transgender Gender. Enrollment and Certification NEW Item 15 Clients reported with ADAP Application Date and an existing Client Enrollment status (Item 14) NEW Item 15 Clients reported with ADAP Application Date before the reporting period. NEW Item 15 Clients reported with ADAP Application Date after the reporting period. NEW Item 16 Clients reported with ADAP Application Approval Date and an existing Client Enrollment status (Item 14). NEW Item 16 Clients reported with ADAP Application Approval Date before the reporting period. NEW Item 16 Clients reported with ADAP Application Approval Date after the reporting period. NEW Item 17 Clients reported with ADAP Recertification Date and a newly enrolled client Enrollment status (Item 14). NEW Item 17 Clients reported with ADAP Recertification Dates before the reporting period. NEW Item 17 Clients reported with ADAP Recertification Dates after the reporting period. NEW Item 19 Clients reported with Disenrollment Reason and missing Dis enrolled Enrollment Status Insurance Services NEW Item 20 Clients reported with Insurance Assistance Received and missing Premium Paid Amount (Item 21) and Insurance Deductible and Co pays (Item 23). NEW Item 21 Clients reported with Insurance Premium Paid Amount but indicated No for Insurance Assistance Received (Item 20). Item 22 Clients reported with Insurance Premium Months of Coverage but missing Insurance Premium Paid Amount (Item 21) NEW Item 22 Clients reported with Insurance Premium Months of Coverage but indicated No for Insurance Assistance Received (Item 20).

3 NEW Item 23 Clients reported with Insurance Deductible and Co pays Paid Amount but Indicated No Insurance Assistance Received (Item 20).

4 Drugs and Drug Expenditures NEW Item 25 Clients reported with ADAP Funded Medications Dispensed but missing ADAP Funded Medication Dispensed Codes (Item 26). NEW Item 25 Clients reported with ADAP Funded Medications Dispensed but missing ADAP Funded Medication Dispensed Number of Days (Item 28). NEW Item 25 Clients reported with ADAP Funded Medications Dispensed but missing CD4 Test Date (Item 32). NEW Item 25 Clients reported with ADAP Funded Medications Dispensed but missing CD4 Test Count (Item 33). NEW Item 25 Clients reported with ADAP Funded Medications Dispensed but missing Viral Load Test Date (Item 34). NEW Item 25 Clients reported with ADAP Funded Medications Dispensed but missing Viral Load Test Count (Item 35). NEW Item 26 Clients reported with ADAP Funded Medication Dispensed Codes but indicated No ADAP Funded Medications Funded Medication Dispensed Start Date (Item 27). Funded Medication Dispensed Number of Days (Item 28). Funded Medication Dispensed Total Cost (Item 29). Item 27 Clients reported with ADAP Funded Medication Dispensed Start Date before the reporting period. Item 27 Clients reported with ADAP Funded Medication Dispensed Start Date after the reporting period. NEW Item 27 Clients reported with ADAP Funded Medication Dispensed Start Date but indicated no ADAP Funded Medications NEW Item 28 Clients reported with ADAP Funded Medication Dispensed Number of Days but indicated no ADAP Funded Medications

5 NEW Item 29 Clients reported with ADAP Funded Medication Dispensed Total Cost but indicated no ADAP Funded Medications Drugs and Drug Expenditures (continued) NEW Item 29 Clients reported with ADAP Funded Medication Dispensed Total Cost but missing ADAP Funded Medications Dispensed (Item 26) Clinical Information Item 32 Clients reported with CD4 Test Dates after reporting period. NEW Item 32 Clients reported with CD4 Test Date but indicated no ADAP Funded Medications NEW Item 32 Clients reported with CD4 Test Dates before the reporting period. NEW Item 32 Clients reported with CD4 Test Date but missing CD4 Test Count (Item 33). NEW Item 33 Clients reported with CD4 Test Count but Indicated no ADAP Funded Medications NEW Item 33 Clients reported with CD4 Test Count but missing CD4 Test Date (Item 32). Item 34 Clients reported with Viral Load Test Dates after Reporting Period. NEW Item 34 Clients reported with Viral Load Test Date but indicated no ADAP Funded Medications NEW Item 34 Clients reported with Viral Load Dates before the reporting period. NEW Item 34 Clients reported with Viral Load Test Date but missing Viral Load Test Count (Item 35). NEW Item 35 Clients reported with Viral Load Test Count but indicated no ADAP Funded Medications NEW Item 35 Clients reported with Viral Load Test Count but missing Viral Load Test Date (Item 34).

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