The CANS Lifetime is not yet available for review, training, or planned implementation.  A required assessment tool that must be broadly applied to Medicaid recipients in less than 8 months should not only be already developed, but should also have presented evidence base available for review, and training capacity within the system to support implementation.  Not only are providers ill prepared to implement this assessment tool, the interpretation and use of the tool by MCOs is not yet understood and could cause significant delays and potential inappropriate denials of necessary treatment.