Quick Answer
They are the five groups in DSHS's CARE assessment, which places every Medicaid long-term care client into one of seventeen residential classifications from A Low to E High. Group E is exceptional care, D is clinical complexity with significant cognitive impairment, C is clinical complexity without it, B is qualifying mood and behavior needs, and A is everyone else. The classification and the county set the daily rate the home is paid.
When a Medicaid client moves into an adult family home, the home does not set the price. An assessment produces a classification, and the classification sets the daily rate, so one bed can be worth very different amounts.
No. The letters describe different combinations of need, not steps. A physically frail resident with no behavioral or medical complexity can be A High, while a physically capable resident with serious behaviors is a B.
Yes. A classification reflects current assessed need, residents are reassessed, and the rate can go down as well as up.
About the author: David Stein is a Washington State licensed real estate broker (eXp Realty, license #133972) and a Washington State certified residential appraiser (Stein Appraisal, license #1702080), with more than 20 years of experience in both disciplines. More about David.
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