Versions Compared

Old Version 1

changes.mady.by.user Shahrukh

Saved on

compared with

New Version Current

changes.mady.by.user Brittney Kalicki

Saved on

Key

  • This line was added.
  • This line was removed.
  • Formatting was changed.

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.

Step 1:

...

Instructions

...

Details with images

...

Make sure the permissions for the MNA are turned on in the Settings area for all roles that the MNA is needed.  It is recommended to turn on the MNA for Role 4 (Administrators) and Role 2 (BCBAs).  IF your BCBAs are set up under a different role, it's recommended to give them access as well.

Check off the following in Settings under each preferred role

  • View Medical Necessity Assessment

  • Create Medical Necessity Assessment

...

 Precise ABA Hours Recommendations

  • Driven by AI and tuned over time to ensure accuracy and optimization

  • Personalized to the client, provider, treatment plan and more

Relevant Links:
New MNA Clinical Instructional Manual (Breakdown of all questions & other details): Medical Necessity Assessment Clinical Instructional Manual
White Paper AI: Rethink Medical Necessity Assessment-AiDriven System Paper

MNA Information and Documentation: Medical Necessity Assessment Information and Documentation

MNA Frequently Asked Questions: Medical Necessity Assessment FAQ

Step 1:

Instruction

Details with images

Good to Know

  • Click on a client that you'd like to complete the MNA

  • Click on the Assessment tab

  • Click View Assessment on Medical Necessity

    • You will be redirected to the BH MNA page for the Medical Necessity

Image Removed

...

    • Assessment

Image Added

The status section of the tile will display the assessment’s status as well as the date the status changed on.

Step 2:

Instructions

Details with images

Start the Assessment by Selecting "Create New Assessment"

Image Removed
Create New MNA.pngImage Added

Step

...

3:

Instructions

Details with images

Select Initial or Service Re-authorization for the assessment:

  • Initial

Review

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

Concurrent Review

  • 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).

Image Removed
image-20240603-220614.pngImage Added

Step

...

4:

Instructions

Details with images

Complete the assessment by responding

Good to Know

Completing an Assessment:

Respond to all questions in

different areas

each area that

help

helps to determine medical necessity criteria.  If additional comments are needed, use the comment field to add more information.

Treatment Model Identification:

Image Removed

Planning Considerations

Image Removed

Learning Considerations

Image Removed

Environmental Considerations

Image Removed

Dosage Considerations

Image Removed

Step 6:

...

Instructions

...

Details with images

...

Review the assessment results and click on finish.  

To review your responses, you can click on the "Prev" button on the bottom left hand corner to look at your previous responses before pressing finish and finalizing the assessment.

...





Client Record:

image-20240603-221350.pngImage Added

Clinical Details:

image-20240603-221456.pngImage Added

Provider Record:

image-20240603-221942.pngImage Added

Provider Hours Requested:

image-20240603-222040.pngImage Added

Treatment Plan Considerations:

image-20240603-222130.pngImage Added

Assessments:

image-20240603-222219.pngImage Added

Goal Considerations:

image-20240603-222315.pngImage Added

Barriers to Treatment/Progress:

image-20240603-222524.pngImage Added

Diagnostic Symptoms Considerations:

image-20240603-222622.pngImage Added

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.

Step 5:

Instructions

Details with images

Press the Blue Finish Button at bottom right hand corner to view the assessment results and recommendations.

Image Removed

The recommendations include:

  • Type of Treatment package recommended based on the responses given

  • Total Recommend Direct Service Hours (+ / - 5)

  • How the total direct services hours were determined by responses on the assessment (left hand side)

Image Removed

Step 8: 

...

Instructions

...

Details with images

...

  • Review the Research Paper

  • Print out the Summary Report or the Detailed Report

  • Save your Recommendation/Assessment to the File Cabinet

...

Step 9:

Instructions

Details and Images

Assessments can be deleted if a user has the Role permission.

Results Page

  • Upon finishing all prior pages and clicking either the next button or the results step at the top of the page, the user will see the results page

  • On this page, there will be a list of MNA recommendations, provider consideration flags, and an MNA summary

  • At the bottom of the page, there is an agreement section. Here, the user must answer the required questions to complete the assessment.

  • Once complete, the user can click the Summary Report, Detailed Report or Save to File Cabinet icons to save the report as a file, and the Finish button to save the report on Futures.

image-20240603-223710.pngImage AddedMNA Agreement Page.pngImage Added

Step 6:

Instructions

Details with images

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.

Resume Existing MNA.pngImage Added

Settings Permissions:

  • By default the delete option with assessments will be turned off for all roles except role 4.

  • Role 4 Administrators can make the decision to check the delete assessment box for staff roles that need to have access to delete

assessments.

  • If the permission to Edit an Assessment is checked, staff can Edit and Resume the Medical Necessity Assessment.

    • Image Removed

    Step 10:

    Instructions

    Details and Images

    Resuming, Editing, Deleting an Assessment:

    Resuming an assessment will be shown if an assessment has been started, but not all questions are answered. If an assessment has been started and staff members leave the assessment area, all questions answered will be saved (autosave). Previous Assessments that have not been finished will have the option to Resume (these

    • assessments

    have started but there are no responses for questions)

    Editing an assessment will be shown if an assessment has been started and all questions have been answered but the recommendation page has not been submitted. Staff can edit an assessment to make any changes needed before the assessment is submitted.

    Delete an assessment by selecting delete

    • .

     When attempting to delete an assessment, staff will receive a confirmation to delete or to cancel the request

    Resume

    Image Removed

    Edit

    Image Removed

    Delete

    Image Removed


    Rethink Behavior Health

    Have questions? Contact us at Support@RethinkBH.com