This study investigates measurement decision theory (MDT) as an underlying model for computer adaptive testing when the goal is to classify examinees into one of a finite number of groups. The first analysis compares MDT with a popular item response theory model and finds little difference in terms of the percentage of correct classifications. The second analysis examines the number of examinees needed to calibrate MDT item parameters and finds accurate classifications even with calibration sample sizes as small as 100 examinees.