MCOs such as ABHVA have little to no availability of any in network psychiatrists and clinical psychologists. This service delivery failure then forces various Medicaid members to initiate Good Cause Change Requests so that those members can access an MCO who has a wider and deeper selection or simply a selection of some kind.

Also, certain providers in clinical psychology will provide testing for Level 1 HFA or other testing but they never produce a report on the testing which forces the member to contact SSA, DDS, a disability attorney, and other clinical practices to contact the uncooperative practice so that some type of a report and diagnosis is generated. Being forced to go through such a process is an ordeal for the member. Best practices should mandate that such business practices do not take place at all.