New MNA User Guide

The New 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. The New Medical Necessity Assessment is a new and improved version of the previous version of the assessment with specific improvements in the following areas:

*Reminder: Client’s File Cabinet has PDF versions of any MNA completed or ‘in progress’ as of 11:59pm ET Friday, July 12.

Improved Usability and Workflow Enhancements

Re-designed UI captures richer data per authorization and over time
No more double data entry for re-authorizations, MNA will auto-fill
The new results screen provides more visibility into possible clinical gaps, a visual dose/response curve to support hours requested for payor and parent discussions, and more

More 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:
*FAQs: Rethink BH MNA FAQs

*New MNA Clinical Instructional Manual (Breakdown of all questions & other details): New MNA Clinical Instructional Manual
*White Paper AI: Rethink MNA-AiDriven System Paper

	Instructions	Details with Images	Good To Know

	Instructions	Details with Images	Good To Know
1	Role Permissions: Make sure the permissions for the MNA are turned on the company account 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 the company account under each preferred role View Medical Necessity Assessment Create Medical Necessity Assessment		Both Role 2 and 4 will be preselected in role permissions for any new accounts using the new MNA
2	Navigate to the assessment Click on a client that you'd like to complete the MNA Click on their Assessment tab Click View Assessment on Medical Necessity You will be redirected to the “New” BH MNA page for the Medical Necessity Assessment		Hover over the “new” icon in the Medical Necessity tile to see info about the new Medical Necessity Assessment. The status section of the tile will display the assessment’s status as well as the date the status changed on.
3	Creating a New Assessment On the MNA home page, click “create assessment” to create a new assessment
4	Selecting an Assessment Select Initial or Service Reauthorization for the Assessment Use the Initial Service Authorization for any new clients starting services with you (regardless of their past services with another organization). Use the 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).
5	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 Clinical Details Provider Record Provider Hours Requested Treatment Plan Considerations Assessments Goal Considerations Barriers to Treatment/Progress Diagnostic Symptoms Considerations	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 assesssment remains.
6	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.
7	Resuming, Reporting, and Deleting existing MNA reports On the main BH Futures 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.

Selecting an Assessment