Clear distinction between screening and assessment in terms of timelines.  Screening and assessments are not always completed in the same setting.  In Chapter 4, it states that the Comprehensive ISP is to be completed 30 days from initiation of services, is this at the screening or assessment, or first visit? 

Clarification on functions a CSAC and CSAC-Supervise can perform. Recommended that CSACs/S been given additional functions as long as it fits into their scope.  There is contradictory language on page 25 and 28 concerning function of CSAC.  Page 25 states that  “The member shall be assessed by a CATP, as defined in 12VAC30-130-5020, acting within the scope of their practice…”, however on page 38 it states that the member meets medical necessity based on “multidimensional assessment completed by a CATP or CSAC/CSAC-Supervisee.” However, the new definition of the CATP, does not include CSAC or CSAC-S.

Clarification or revision should be consistent in utilizing terms clinical assessment and multidimensional assessment. Are these being used interchangeably or do they differ based on who can perform them?