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. Each classification group is
assigned a number of base hours as described below based upon the level of
funding provided by the legislature for personal care services, and based upon
the relative level of functional disability of persons in each classification
group as compared to persons in other classification groups.
(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 393 base hours if you have an ADL score of 26-28; or
(b)
Group E Medium with 327 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 260 base hours if you have an ADL score of
25-28; or
(b)
Group D
Medium-High with 215 base hours if you have an ADL score of 18-24;
or
(c)
Group D Medium
with 168 base hours if you have an ADL score of 13-17; or
(d)
Group D Low with 120 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 176 base
hours if you have an ADL score of 25-28; or
(b)
Group C Medium-High with 158
base hours if you have an ADL score of 18-24; or
(c)
Group C Medium with 115 base
hours if you have an ADL score of 9-17; or
(d)
Group C Low with 73 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 129 base hours if you have an ADL score of 15-28; or
(b)
Group B Medium with 69 base
hours if you have an ADL score of 5-14; or
(c)
Group B Low with 39 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 129 base
hours if you have a behavior point score 12 or greater; or
(b)
Group B Medium-High with 84
base hours if you have a behavior point score greater than 6; or
(c)
Group B Medium with 69 base
hours if you have a behavior point score greater than 4; or
(d)
Group B Low with 39 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 59 base hours if you have an ADL score of 10-28;
or
(b)
Group A Medium
with 47 base hours if you have an ADL score of 5-9; or
(c)
Group A Low with 22 base
hours if you have an ADL score of 0-4.
