Section 388-106-0090 - How does the CARE tool measure cognitive performance?(1) The CARE tool uses a tool called the cognitive performance scale (CPS) to evaluate your cognitive impairment. The CPS results in a score that ranges from zero (intact) to six (very severe impairment). Your CPS score is based on information given at your assessment and documented in the CARE tool:(a) Whether you are comatose.(b) Your ability to make decisions, as defined in WAC 388-106-0010 " Decisions."(c) Your ability to make yourself understood, as defined in WAC 388-106-0010 "Ability to make self understood."(d) Whether you have short-term memory problem (e.g. can you remember recent events?) as determined by the following: (i) Information given at your assessment and documented in the CARE tool showed there is evidence that you have short-term memory loss; or(ii) You could not recall at least one of the three words you were asked to recall during the mini mental status exam completed during your assessment using the CARE tool; and(e) Whether you score as total dependence for self-performance in eating, as defined in WAC 388-106-0010 "Self-performance of ADLs."(2) You will receive a CPS score of: (a)Zero when you do not have problems with decision-making ability, making yourself understood, or recent memory.(b)One when you meet one of the following:(i) Decisions are scored as difficulty in new situations or poor decisions/unaware of consequences as defined in WAC 388-106-0010;(ii) Your ability to make yourself understood is scored as usually, sometimes, or rarely/never understood as defined in WAC 388-106-0010; or(iii) You have a short-term memory problem.(c)Two when you meet two of the following:(i) Decisions are scored as difficulty in new situations or poor decisions/unaware of consequences as defined in WAC 388-106-0010;(ii) Your ability to make yourself understood is scored as usually, sometimes, or rarely/never understood; and/or(iii) You have a short-term memory problem or delayed recall.(d)Three when you meet at least two of the criteria listed in subsection (2)(b) of this section and one of the following applies: (i) Decisions are scored as poor decisions/unaware of consequences as defined in WAC 388-106-0010; or(ii) Your ability to make yourself understood is scored as sometimes or rarely/never understood as defined in WAC 388-106-0010.(e)Four when both of the following criteria applies: (i) Decisions are scored as poor decisions/unaware of consequences as defined in WAC 388-106-0010; and(ii) Decisions are scored as sometimes or rarely/never understood as defined in WAC 388-106-0010.(f)Five Decisions are scored as no/few decisions as defined in WAC 388-106-0010.(g)Six when one of the following applies:(i) Decisions are scored as no/few decisions and you require total dependence in eating as defined in WAC 388-106-0010; orWash. Admin. Code § 388-106-0090
Amended by WSR 20-23-124, Filed 11/18/2020, effective 12/19/2020Statutory Authority: RCW 74.08.090, 74.09.520. 05-11-082, § 388-106-0090, filed 5/17/05, effective 6/17/05.