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The Medical Necessity Assessment is a tool designed to give clinicians guidance and understanding with the number of hours recommended for a client's ABA Therapy direct services for an initial or concurrent treatment plan and their role in utilization management and medical necessity determination. 

*Video Overview: Medical Necessity Assessment Overview









How to Get Started?

Step 1:

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InstructionsDetails with images

Select Initial or Service Re-authorization for the assessment:

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

  • Concurrent Review: 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