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

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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 Assessment

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

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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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Rethink Behavior Health

Have questions? Contact us at Support@RethinkBH.com