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The Health Risk Screening Tool (HRST) is used to detect health risks and destabilization EARLY. The HRST assigns scores to 22 health and behaviorally related rating items. The total points result in a Health Care Level with an associated degree of health risk. Health Care Levels (HCL) can range from 1 through 6; Level 1 being the lowest risk for health concerns and Level 6 being the highest risk of health concerns. It is important to understand that the HRST measures health risk not disability. The following links provide an overview of the HRST and some details about how it will be implemented in Maryland.