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The Medical Necessity Assessment is an evidence-based tool designed and used by clinicians that provides clinical recommendations for appropriate level of care for individuals diagnosed with autism spectrum disorder based on available research for direct ABA services. Informed by client history, records review, learning considerations, and specific diagnostic considerations, medical necessity is determined and an ABA dosage for direct service hours per week is recommended.

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Instructions

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Select Initial or Service Re-authorization for the assessment:

  • Initial Service Authorization: Use the initial service authorization for any new clients starting services with you (regardless of their past services with another organization). 

  • Service Reauthorization: Use the concurrent/on-going review for service reauthorization for any client that has been assessed and provided treatment at your organization within the last 6 month period (regardless of who the providing clinician was).

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Instructions

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Good to Know

MNA Navigation Wizard:

A new feature with the new MNA is the Navigation Wizard at the top of the screen showing the user where they are in the assessment and how much more of the assessment remains.

Completing an Assessment:

Respond to all questions in each area that helps to determine medical necessity criteria.  If additional comments are needed, use the comment field to add more information.





Client Record:

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Clinical Details:

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Provider Record:

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Provider Hours Requested:

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Treatment Plan Considerations:

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Assessments:

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Goal Considerations:

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Barriers to Treatment/Progress:

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Diagnostic Symptoms Considerations:

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MNA Navigation Wizard:

The Navigation Wizard at the top of the screen will show the user where they are in the assessment and how much more of the assessment remains.

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Instructions

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Good to Know

Resuming, Reporting, and Deleting existing MNA reports:

  • On the main BH MNA page, the current assessment and previous assessments are listed.

  • On any assessment, the resume button can be used to modify the fields of the assessment.

  • The report button can be used to bring up a report containing information from the assessment.

  • Delete can be used to delete an existing assessment.

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Reminder about permission needed to delete.


Rethink Behavior Health

Have questions? Contact us at Support@RethinkBH.com