CARE uses the criteria of cognitive performance score as determined under WAC
388-106-0090, clinical complexity as determined under WAC
388-106-0095, mood/behavior and behavior point score as determined under WAC
388-106-0100, ADLS as determined under WAC
388-106-0105, and exceptional care as determined under WAC
388-106-0110 to place you into one of the following seventeen in-home groups. CARE classification is determined first by meeting criteria to be placed into a group, then you are further classified based on ADL score or behavior point score into a classification sub-group following a classification path of highest possible base hours to lowest qualifying base hours.
(1) If you meet the criteria for exceptional care, then CARE will place you in
Group E. CARE then further classifies you into:
(a)
Group E High with 420 base hours if you have an ADL score of 26-28; or
(b)
Group E Medium with 350 base hours if you have an ADL score of 22-25.
(2) If you meet the criteria for clinical complexity and have cognitive performance score of 4-6 or you have cognitive performance score of 5-6, then you are classified in
Group D regardless of your mood and behavior qualification or behavior points. CARE then further classifies you into:
(a)
Group D High with 280 base hours if you have an ADL score of 25-28; or
(b)
Group D Medium-High with 240 base hours if you have an ADL score of 18-24; or
(c)
Group D Medium with 190 base hours if you have an ADL score of 13-17; or
(d)
Group D Low with 145 base hours if you have an ADL score of 2-12.
(3) If you meet the criteria for clinical complexity and have a CPS score of less than 4, then you are classified in
Group C regardless of your mood and behavior qualification or behavior points. CARE then further classifies you into:
(a)
Group C High with 200 base hours if you have an ADL score of 25-28; or
(b)
Group C Medium-High with 180 base hours if you have an ADL score of 18-24; or
(c)
Group C Medium with 140 base hours if you have an ADL score of 9-17; or
(d)
Group C Low with 95 base hours if you have an ADL score of 2-8.
(4) If you meet the criteria for mood and behavior qualification and do not meet the classification for C, D, or E groups, then you are classified into
Group B. CARE further classifies you into:
(a)
Group B High with 155 base hours if you have an ADL score of 15-28; or
(b)
Group B Medium with 90 base hours if you have an ADL score of 5-14; or
(c)
Group B Low with 52 base hours if you have an ADL score of 0-4; or
(5) If you meet the criteria for behavior points and have a CPS score of greater than 2 and your ADL score is greater than 1, and do not meet the classification for C, D, or E groups, then you are classified in
Group B. CARE further classifies you into:
(a)
Group B High with 155 base hours if you have a behavior point score 12 or greater; or
(b)
Group B Medium-High with 110 base hours if you have a behavior point score greater than 6; or
(c)
Group B Medium with 90 base hours if you have a behavior point score greater than 4; or
(d)
Group B Low with 52 base hours if you have a behavior point score greater than 1.
(6) If you are not clinically complex and your CPS score is less than 5 and you do not qualify under either mood and behavior criteria, then you are classified in
Group A. CARE further classifies you into:
(a)
Group A High with 78 base hours if you have an ADL score of 10-28; or
(b)
Group A Medium with 62 base hours if you have an ADL score of 5-9; or
(c)
Group A Low with 29 base hours if you have an ADL score of 0-4.
[Statutory Authority: RCW 74.08.090, 74.09.520, and 2007 c 522. 08-10-022, § 388-106-0125, filed 4/25/08, effective 5/26/08. Statutory Authority: RCW 74.08.090, 74.09.520. 05-11-082, § 388-106-0125, filed 5/17/05, effective 6/17/05.]