Virginia Regulatory Town Hall
Department of Medical Assistance Services
Board of Medical Assistance Services
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8/16/23  4:43 pm
Commenter: Daniela Pretzer - The BrigeLine

Medical Necessity Criteria

Page 10

In our 20+ years’ experience, a diagnosis often includes a Neuropsychological Evaluation. If that is needed, it would be helpful if it is covered my Medicaid.

Can you please clarify exactly who completes the MPAI for a client?  What does a service provider do if the assessment is significantly different that a family member submits?  We suggest to consider adding that the MPAI can be completed once there has been sufficient time to make such an assessment.  Will the I MPAI submitted by a client or a family member should be accepted and if so, does it hold the same value?


CommentID: 218793