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 03.18.16 [pdf]
4. ASD Benefit Waiver Frequently Asked Questions [pdf] - rev.06.16.17
5. ASD Parent Welcome Letter [pdf] 07.01.19
6. Autism Brochure [pdf]
7. Consent to Coordinate Care Form [pdf]
8. DWMHA ASD Benefit Audit Compliance Guide 08.24.16 [pdf]
9. DWMHA ASD Benefit Case Transfer Re-entry Form [pdf] rev.06.16.17
10. DWMHA ASD Benefit Clinic Locations [pdf] rev.06.16.17
11. DWMHA ASD Benefit Dx Capacity Without ABA Service Capacity 01.04.16 [pdf]
12. DWMHA ASD Benefit Fee Schedule [pdf] Effective 10.01.16
13. DWMHA ASD Benefit Flowchart [pdf] rev.06.16.17
14. DWMHA ASD Benefit IPOS Holder Welcome Letter [pdf] rev.06.16.17
15. DWMHA ASD Benefit MCPN CRSP ASD Provider Coding Transition Clarification 09.27.16 [pdf]
16. DWMHA ASD Benefit Scanned Document Requirements [pdf] rev.06.16.17
17. DWMHA ASD Benefit Scope of Services 07.25.17 [pdf]
18. DWMHA ASD Benefit Staffing Audit Tool 04.28.16 [pdf]
19. DWMHA ASD Benefit Telepractice Guide 06.16.16 [pdf]
20. DWMHA ASD BH Benefit Comprehensive Diagnosis Evaluation Form 02.19.16 [pdf]
21. DWMHA Autism Benefit Instructional Guide [pdf] 06.12.19
22. DWMHA Autism IPOS Training Form 01.7.15 [pdf]
23. DWMHA ASD Clinical Practice Standards Manual.Rev02.08.19 [download]
24. M-CHAT-R - With Scoring Guide [pdf]
25. MDHHS ASD Benefit Policy [pdf]
26. MDHHS ASD Benefit Policy Update [pdf]
27. MEMO - Authorization Timeline Request [pdf] 06.13.17