ASD Resources

Brochures, Policies & Reference Documents

1. ADOS-2 Evaluation Algorithms [pdf]
2. ASD Benefit Back-Up Authorization Form and Instructions [pdf]
3. ASD Benefit WSA Stats Calculation Instructions 3.18.16 [pdf]
4. ASD Benefit Waiver Frequently Asked Questions [pdf] - rev.6.16.17
5. Autism Brochure [pdf]
6. Consent to Coordinate Care Form [pdf]
7. DWMHA ASD Benefit Audit Compliance Guide 8.24.16 [pdf]
8. DWMHA ASD Benefit Case Transfer Re-entry Form [pdf] rev.6.16.17
9. DWMHA ASD Benefit Clinic Locations [pdf] rev.6.16.17
10. DWMHA ASD Benefit Dx Capacity Without ABA Service Capacity 1.4.16 [pdf]
11. DWMHA ASD Benefit Fee Schedule [pdf] Effective 10.1.16
12. DWMHA ASD Benefit Flowchart [pdf] rev.6.16.17
13. DWMHA ASD Benefit IPOS Holder Welcome Letter [pdf] rev.6.16.17
14. DWMHA ASD Benefit MCPN CRSP ASD Provider Coding Transition Clarification 9.27.16 [pdf]
15. DWMHA ASD Benefit Scanned Document Requirements [pdf] rev.6.16.17
16. DWMHA ASD Benefit Scope of Services 7.25.17 [pdf]
17. DWMHA ASD Benefit Staffing Audit Tool 4.28.16 [pdf]
18. DWMHA ASD Benefit Telepractice Guide 6.16.16 [pdf]
19. DWMHA ASD BH Benefit Comprehensive Diagnosis Evaluation Form 2.19.16 [pdf]
20. DWMHA Autism Benefit Instructional Guide [pdf] 11.10.16
21. DWMHA Autism IPOS Training Form 1.7.15 [pdf]
22. DWMHA ASD Clinical Practice Standards Manual FY 2017 [download]
23. M-CHAT-R - With Scoring Guide [pdf]
24. MDHHS ASD Benefit Policy [pdf]
25. MDHHS ASD Benefit Policy Update [pdf]
26. MEMO - Authorization Timeline Request [pdf] 6.13.17