South Dakota Medicaid Classification System
 

C-M
CODE

     C-M
      WT.

Extensive

ADL   7 - 18

4 - 5 Extensive Procedures

SE3

2.67

ADL   7 - 18

2 - 3 Extensive Procedures

SE2

2.19

ADL   7 - 18

     1 Extensive Procedure

SE1

1.88

                   

Rehab

ADL   17 - 18

RAD

2.16

ADL   14 - 16

RAC

1.83

ADL   9 - 13

RAB

1.66

ADL   4 - 8

RAA

1.38
                 

Special

ADL   17 - 18

SSC

1.82

ADL   15 - 16

SSB

1.68

ADL   7 - 14

SSA

1.60
              

Complex

ADL   17 - 18

Depressed Mood - Yes

CC2

1.42
Depressed Mood - No

CC1

1.32

ADL   12 - 16

Depressed Mood - Yes

CB2

1.24
Depressed Mood - No

CB1

1.16

ADL   4 - 11

Depressed Mood - Yes

CA2

1.03
Depressed Mood - No

CA1

0.92
               
Impaired ADL   6 - 10 Nursing Rehab - 2+ IB2 1.06
Nursing Rehab - 0-1 IB1 0.94
ADL   4 - 5 Nursing Rehab - 2+ IA2 0.77
Nursing Rehab - 0-1 IA1 0.70
             
Behavior ADL   6 - 10 Nursing Rehab - 2+ BB2 1.02
Nursing Rehab - 0-1 BB1 0.87
ADL   4 - 5 Nursing Rehab - 2+ BA2 0.74
Nursing Rehab - 0-1 BA1 0.61
             
Physical ADL   16 - 18 Nursing Rehab - 2+ PE2 1.20
Nursing Rehab - 0-1 PE1 1.10
ADL   11 - 15 Nursing Rehab - 2+ PD2 1.11
Nursing Rehab - 0-1 PD1 1.00
ADL   9 - 10 Nursing Rehab - 2+ PC2 0.94
Nursing Rehab - 0-1 PC1 0.87
ADL   6 - 8 Nursing Rehab - 2+ PB2 0.83
Nursing Rehab - 0-1 PB1 0.75
ADL   4 - 5 Nursing Rehab - 2+ PA2 0.63
Nursing Rehab - 0-1 PA1 0.59
              
Non-Classifiable BC1


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