MHCM Medical Necessity Criteria-Admission Criteria Diagnosis, Symptoms, and Functional Impairment, 2. Required LMHP documentation:  This new requirement will be challenging for kids meeting at risk criteria since often those kids have been referred to us to link them to services and have never seen any provider, especially kids under 5 where we don’t have any providers to see them. We also have a lot of SED kids referred for the purpose of starting them in services as they have never had any. We don’t/can’t diagnose them but kids come to us with a reported diagnosis by the parent/guardian and/or referral source but often tracking down documentation of that is sometimes challenging (for example a parent will tell us the kid is depressed or has ADHD but there is not always documentation that we can obtain to support that).