6Procedure for determining classification level—residential care other than respite care

6 Procedure for determining classification level—residential care other than respite care

(1) The procedure set out in subsection (2) is specified for determining the appropriate classification level for a care recipient being provided with residential care (other than respite care). (2) The Secretary must take the following steps, using the application for classification completed in respect of the care recipient.

Procedure for determining classification level

Step 1. For the ADL domain and the behaviour domain in the completed application, the Secretary must:

(a) use the tables in Parts 1 and 2 of Schedule 1 to identify the score for the rating for each question in each domain; and

(b) add up the scores to work out an aggregate figure for each domain (the domain aggregate); and

(c) use the tables in Parts 1 and 2 of Schedule 2 to identify, for each domain:

(i) the range within which the domain aggregate falls (the domain aggregate range); and

(ii) the domain category that applies to that domain aggregate range.

Step 2. If:

(a) the domain category identified for the behaviour domain is the high behaviour category; and

(b) the completed application does not include a mental and behavioural diagnosis code;

the Secretary must reduce the domain category to the medium behaviour category.

Step 3. For the CHC domain in the completed application, the Secretary must:

(a) use the matrix in Part 3 of Schedule 1, which combines ratings for the questions in the domain, to work out the overall score for the domain; and

(b) identify the domain category mentioned in the table in Part 3 of Schedule 2 that applies to that score.

Step 4. The Secretary must determine that the appropriate classification level for the care recipient consists of the domain categories identified for each domain.

Note 1: For the classification level for a care recipient being provided with residential care (other than respite care), see subsection 11(1).

Note 2: The procedure set out in this subsection also applies in relation to a renewal of the classification level for a care recipient being provided with residential care (other than respite care). See section 23.