Quick Answer
Community Behavioral Health Support (CBHS) is a Medicaid benefit administered by the Health Care Authority with DSHS that pays for supportive supervision of residents with qualifying behavioral health needs. There are six tiers, defined by average hours per day of dedicated staff: Tier 1 is 0.5 to 2 hours, Tier 2 is 2.1 to 6, Tier 3 is 6.1 to 10, Tier 4 is 10.1 to 15, Tier 5 is 15.1 to 20, and Tier 6 is 20.1 to 24.
If an adult family home owner talks about Tier 2 or Tier 4 residents, this is almost certainly the system they mean. It is separate from the A through E classification that sets the base Medicaid rate.
No. The tier belongs to the individual resident, and only residents who meet the eligibility criteria have one.
Yes. Eligibility is reviewed at least once every 12 months, a home can submit a re-tiering request, and if the resident moves out the payment leaves with them.
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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