Section 388-106-0115 - How does CARE use criteria to place me in a classification group for residential facilities?The CARE tool uses the criteria of cognitive performance as determined under WAC 388-106-0090, clinical complexity as determined under WAC 388-106-0095, mood/behaviors as determined under WAC 388-106-0100, ADLs as determined under WAC 388-106-0105 and exceptional care under WAC 388-106-0110 to place you into one of the following seventeen residential classification 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 subgroup following a classification path of highest possible group to lowest qualifying group.
(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 if you have an ADL score of 26-28; or(b) Group E Medium if you have an ADL score of 22-25.(2) If you meet the criteria for clinical complexity and have a cognitive performance score of 4-6 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 if you have an ADL score of 25-28; or(b) Group D Medium-High if you have an ADL score of 18-24; or(c) Group D Medium if you have an ADL score of 13-17; or(d) Group D Low 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 if you have an ADL score of 25-28; or(b) Group C Medium-High if you have an ADL score of 18-24; or(c) Group C Medium if you have an ADL score of 9-17; or(d) Group C Low 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 if you have an ADL score of 15-28; or(b) Group B Medium if you have an ADL score of 5-14; or(c) Group B Low if you have an ADL score of 0-4.(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 if you have a behavior point score 12 or greater; or(b) Group B Medium-High if you have a behavior point score greater than 6; or(c) Group B Medium if you have a behavior point score greater than 4; or(d) Group B Low if you have a behavior point score greater than 1.(6) If you are not clinically complex 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 if you have an ADL score of 10-28; or(b) Group A Medium if you have an ADL score of 5-9; or(c) Group A Low if you have an ADL score of 0-4.Wash. Admin. Code § 388-106-0115
Statutory Authority: 2008 c 329. 08-19-102, § 388-106-0115, filed 9/17/08, effective 10/18/08. Statutory Authority: RCW 74.08.090, 74.09.520. 05-11-082, § 388-106-0115, filed 5/17/05, effective 6/17/05.