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Board of Medical Assistance Services
 
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7/20/18  3:37 pm
Commenter: Cynthia Hale, Cumberland Mtn. Community Services

CMHRS-Chapter IV- Pages 74, 75, 77, & 81
 

"Comprehensive needs assessment" is noted in the service definition of Mental Health Case Management.  Previously stated it is required to be completed by Licensed Type provider.  This language is confusing to intermix between services that require Licensed Type provider and ones who only require Qualified Case manager. 

Chapter VI- Page 10- "All services require a comprehensive needs assessment which is required at the onset of services.  The comprehensive needs assessment must be completed face to face by an LMHP, LMHP-S, LMHP-R, or LMHP-RP."  However later on the same page, case management services is not in the list of services that require a "comprehensive needs assessment" prior to initiating services.  This language is contradictory.

Chapter VI-page 13- "If the provider feels an additional comprehensive needs assessment is needed and there are remaining assessments available for the fiscal year, they may choose to complete a comprehensive needs assessment and bill the appropriate-- comprehensive needs assessment code that cooresponds to the service/treatment."  Please specify how many comprehensive needs assessments can be billed per year? Are there a specific number of comprehensive needs assessments allotted for each CMHRS service per year?

 

CommentID: 65784