3.704.3 List of Psychological Tests

[Pages:11]3.704.3 List of Psychological Tests

Material was prepared for use as an aid in handling requests for psychological testing. The minutes allocated for each test include administration, scoring and write up. Determination of the medical necessity of psychological tests always requires consideration of the clinical facts of the specific case to assure that tests given are a costeffective means of determining the appropriate treatment for the individual patient and are related to the diagnosis and treatment of covered mental health conditions.

INSTRUMENT 16 Personality Factor (16PF) ABEL Screen Achenbach Child Behavior Checklist (CBCL)

TYPE Personality Inventory Sexual Interest Behav Rating Scale

AGE 16+ Adol + 416

MINUTES 30 120 15

COMMENTS Primarily forensic in nature: may not be covered

ACTeERSADDH Comprehensive, Teachers Rating Scale Adaptive Behavior Assessment System (ABAS II) ADHD Rating Scale Adolescent Apperception Cards

Behav Rating Scale Behav Rating Scale Behav Rating Scale ProjThematic

5 ? 13

15

089

15

4 ? 18

15

12 ? 19

60

Adolescent Psychopathology Scale

Alcohol Use Inventory Aphasia Screening Test (Reitan Indiana)

Objective personality test

Child

60

adult

Drinking Styles

16+

30

Neuro: Language

5+

30

Asperger/Autism Rating Scale Asperger's Syndrome Diagnostic Scales (ASDS) ADDES Attention Deficit Disorder Eval. Scales (ADDES) AttentionDeficit Scales for Adults (ADSA) Auditory Continuous Performance Test Australian Scale for Asperger's Syndrome Autism Diagnostic Observation Scale (ADOS) Bayley Scales of Infant Development Beck Anxiety Inventory Beck Depression Inventory Beck Depression InventoryII (BDIII) Beck Hopelessness Scale (BHS)

Rating scale Rating scale Behav Rating Scale ADHD Attention ADHD Rating scale Rating scale

Pers: Single Scale Pers: Single Scale Pers: Single Scale Pers Rating Scale

5 ? 18 17+ 6 ? 11

142 1780 1780 13 ? 80 17 ? 80

15

Allow 1 hr for set of checklists

15

Allow 1 hr for set of checklists

15

15

Allow 1 hr for set of checklists

30

15

60

60

15

15

15

15

Beck Scale for Suicidal Ideation Beck Youth Inventory Beery VMI (Test of VisualMotor Integration) Behavior Assessment System for Children (BASC) Bender Visual Motor Gestalt Test Benton Facial Recognition Test

Pers Rating Scale Symptom Rating Scale Neuro/LD: Visual Behav Rating Scale Neuro Neuro: Visual

17 ? 80 714 3+ 4 18 4+

15

15

30

Beery Buktenica

30

Each form allow 1hr for set of checklists

30

Neuro not for personality assessment

30

3.704.3 Revised 12/08/05, 12/14/06 12/13/07, 11/13/08

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3.704.3 List of Psychological Tests

Material was prepared for use as an aid in handling requests for psychological testing. The minutes allocated for each test include administration, scoring and write up. Determination of the medical necessity of psychological tests always requires consideration of the clinical facts of the specific case to assure that tests given are a costeffective means of determining the appropriate treatment for the individual patient and are related to the diagnosis and treatment of covered mental health conditions.

INSTRUMENT Benton Judgement of Line Orientation Test

TYPE Neuro: Visual

AGE 7+

MINUTES 20

COMMENTS

Benton Multilingual Aphasia Exam (BMAE) Benton MAE Sentence Repetition

Neuro: Visual Neuro: Language

669

90

669

15

Benton MAE Token Test Benton MAE: Visual Naming Test

Neuro: Language Neuro: Language

669

15

669

15

Benton RightLeft Orientation Test Benton Serial Digit Learning Test

Neuro: Language

20

Neuro: Memory/Learning

15

Benton Visual Form Discrimination Test

Neuro: Visual

30

Benton Visual Retention Test

Neuro: Visual

8+

30

Booklet Categories Test

Neuro: Prob. Solving

15+

45

Boston Diagnostic Aphasia Examination3

Neuro: Language

Adults

60

Boston Naming Test BRIEF (Behavior Rating Inventory of Executive Functioning)

Brief Neuropsychological Cognitive Exam Brief Symptom Inventory

Neuro: Language Neuro,

Neuro Symptom Checklist

Adults

30

Child/adol

45

Versions for preschool and child/adolescent

escent

13+

30

13+

5

Short form of SLR90R

Brown AttentionDeficit Disorder Scales

Behav Rating Scale

12+

15

Allow 1 hr for set of checklists

Burk's Behavior Rating Scale

Behav Rating Scale

Preschool

15

Child Attention Problems (CAP)

Behav Rating Scale

616

15

Children's Adaptive Behavior Scale, Revised (CABS)

NeuroDevelopmental

511

50

Children's Apperception Test (CAT)

Proj: Thematic

310

60

Children's Auditory Verbal Learning Test (CAVLT)

NeuroMemory/Learning

6.518

45

Categories Test

NeuroProb. Solving

15+

45

Child Behavior Checklist (CBCL see Achenbach)

Behav Rating Scale

416

15

Childhood Autism Rating Scales

Rating Scales

15

Allow 1 hr for set of checklists

Childhood Trauma Questionnaire

Personality Scale

12+

15

Children's Attention & Adjustment Survey (CAAS)

Behav Rating Scale

5 ? 13

Children's Category Test (CCT)

Neuro

5 ? 16

15

Children's Depression Inventory (CDI)

Pers: Screening

717

15

Children's Depression Rating Scale, Revised

Pers Rating Scale

6 ? 12

15

Allow 1 hr for set of checklists

3.704.3 Revised 12/08/05, 12/14/06 12/13/07, 11/13/08

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3.704.3 List of Psychological Tests

Material was prepared for use as an aid in handling requests for psychological testing. The minutes allocated for each test include administration, scoring and write up. Determination of the medical necessity of psychological tests always requires consideration of the clinical facts of the specific case to assure that tests given are a costeffective means of determining the appropriate treatment for the individual patient and are related to the diagnosis and treatment of covered mental health conditions.

INSTRUMENT

TYPE

AGE

MINUTES

COMMENTS

Clinical Evaluation of Language Fundamentals (CELF)

NeuroLanguage

45

Revised Children's Manifest Anxiety Scale (RCMAS)

Pers Rating Scale

6 ? 19

15

Allow 1 hr for set of checklists

Children's Memory Scale (CMS)

NeuroMemory

5 ? 16

60

Children's Personality Questionnaire

Pers Inventory

812

45

Children's StateTrait Anxiety Inventory

Beh Rating scale

8 ? 14

15

Allow 1 hr for set of checklists

Chronic Pain Battery

Pain adaptation

Adult

15

Clock Drawing

Neuro

15

Cognistat

Neuro

18+

30

Cognitive Assessment System (CAS)

Neuro/educational

518

60

Color Form Test

Neuro: Child

15

Comprehensive Behavior Rating Scale for Children (CBRSC)

Behav Rating Scale

6 ? 14

15

Comprehensive Test of Nonverbal Intelligence (CTONI)

Nonverbal test of IQ

619

60

Comprehensive Test of Phonological Processing (CTOPP)

NeuroLanguage

524

30

Computer Category Test

Neuro: Prob Solving

45

Conner's Adult ADHD Rating Scale (CAARS)

Behav Rating Scale

18+

15

Conner's Continuous Performance Test II (CCPT)

Neuro: Attention

4+

60

Conners' Rating ScaleTeacher or Parent

Behav Rating Scale

3 17

15

Conner's Rating ScalesRevised

Behav Rating Scale

3 ? 17

15

Allow 1 hr for set of Cklists Expected to be free part of 90801

Controlled Oral Word Association Test (COWAT)

Neuro: language

15

California Psychological Inventory (CPI)

Pers Inventory

13+

30

Children's Personality Questionnaire (CPQ)

Pers Inventory

812

30

California Verbal Learning Test for Children (CVLT)

Neuro: Memory/Learning

5 ? 16.1

45

California Verbal Learning Test (CVLT)

Neuro: Memory/Learning

17+

45

Norms only on normal pop

DelisKaplan Executive Functional Scale (DKEFS)

Neuro: Exec

120

Includes Trails, Verbal Fluency, Proverb subtests, etc (9 total)

Dementia Rating Scales (Mattis)

Neuro: Screen

6581

60

Denman Memory Battery

Neuro: Memory Battery

80

Detroit Test of Learning Aptitude

IQ

617

80

Devereau Scales of Mental Disorders

Personality

518

30

Diagnostic Achievement Battery ? 2

Academic Skills

614

90

3.704.3 Revised 12/08/05, 12/14/06 12/13/07, 11/13/08

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3.704.3 List of Psychological Tests

Material was prepared for use as an aid in handling requests for psychological testing. The minutes allocated for each test include administration, scoring and write up. Determination of the medical necessity of psychological tests always requires consideration of the clinical facts of the specific case to assure that tests given are a costeffective means of determining the appropriate treatment for the individual patient and are related to the diagnosis and treatment of covered mental health conditions.

INSTRUMENT

TYPE

AGE

MINUTES

COMMENTS

Diagnostic Achievement Battery ?2 (DAB2)

Academic achievement

614

60

Primarily educational may not be covered

Diagnostic Interview for Children and Adolescents Computer Program (DICAIV) Differential Ability Sale (DAS)

Behav Rating Scale Cog/Neuro

6 ? 17 618

30

Structured interview

60

DrawAPerson (DAP)

ProjThematic

5+

25

Dyadic Adjustment Scale

Relationship Satisfaction

Adult

15

Allow 1 hr for set of checklists

Eating Inventory Eating Disorder Inventory 2 (EDI2) Endler Multidimensional Anxiety Scales Examining for Aphasia

Personality Personality Pers Rating Scale Language

17+ 12+ 13+ 13 ? adult

15

15

Allow 1 hr for set of checklists

15

Allow 1 hr for set of checklists

75

Expressive One Work Vocabulary Test ? Revised

Neuro: Language

212

20

Family Apperception Test

ProjThematic

6 ? 15

30

Family Kinetic Drawing

ProjThematic

Child+

30

Finger Tapping Test (Electric or Manual)

Neuro: Motor

Folstein Mini Mental Status

Neuro

Fuld Object Memory Evaluation

Neuro: Memory

Fundamental Interpersonal Relations OrientationBehavior FIROB PersSoc/Behav

General Ability Measure for Adults (GAMA)

IQ

Gilliam Autism Rating Scale (GARS2)

Rating scale

Gilliam Asperger's Disorder Scale (GADS)

Rating scale

GoldmanFristoeWoodcock Auditory Discrim. Battery

LD/Neuro

Gordon Diagnostic System

Neuro/ADD attnCPT

Gray Oral Reading Test (GORT4)

Academic

Grip Strength

Neuro: Motor

Grooved Pegboard

Neuro: Motor

Halstead Reitan Neuro Battery

Neuro Battery

Hamilton Depression Inventory (HDI)

Symptom rating scale

Hamilton Rating Scale for DepressionRevised (Clinician Form) Hamilton Rating Scale for DepressionRevised (SelfReport)

Pers Rating Scale Pers Rating Scale

Child+ Adult Adult

4+ Child+

Child+ 18+ 18+ 18+

5

15

15

15

45

15

15

45

60

45

5

10

N/A

See times for individual tests from this battery

15

Allow 1 hr for set of cklists selfreport version of Hamilton Depression

Rating Scale.

0

Part of MSE only

15

Allow 1 hr for set of checklists

3.704.3 Revised 12/08/05, 12/14/06 12/13/07, 11/13/08

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3.704.3 List of Psychological Tests

Material was prepared for use as an aid in handling requests for psychological testing. The minutes allocated for each test include administration, scoring and write up. Determination of the medical necessity of psychological tests always requires consideration of the clinical facts of the specific case to assure that tests given are a costeffective means of determining the appropriate treatment for the individual patient and are related to the diagnosis and treatment of covered mental health conditions.

INSTRUMENT Hand Test Hare Psychopathy check listR (PCLR)

TYPE Projective Personality

AGE Adult 18+

MINUTES 45 150

COMMENTS

High School Personality Inventory

Pers. Inventory

13+

30

Holtzman Inkblot Test

ProjInkblot

Child+

120

Hooper Visual Organization Test

Neurosych

30

House Tree Person (HTP)

ProjThematic

Child+

30

Home Situations Questionnaire (HSQ, HSQR)

Beh Rating Scale

418

15

Human Figure Drawings

ProjThematic

Child+

30

Incomplete Sentences Blank

Proj

Child+

15

Intermediate Visual and Auditory CPT (IVA)

Attn ? ADHD

5 ? 90

60

Judgment of Line Orientation

Neuropsych

Adult

30

Kaufman Brief Intelligence Test (KBIT)

IQ

490

30

Kaufman Adolescent and Adult Intelligence Test

IQ

1185

90

Kaufman Assessment Battery for Children (KABC)

IQ & Academic Skills

2.512.5

90

Kaufman Short Neuropsychological Assess Procedure (KSNAP) Neuro screen

11 ? 85

30

Kaufman Test of Education Achievement (KTEA) KeyMath Diagnostic Arithmetic Test ? Revised

Academic Skills Academic Skills

618

60

514

80

Kinetic Family Drawings Lateral Dominance Exam

ProjThematic Neuro: Motor

Child+

30

25

Learning Disabilities Diagnostic Inventory (LDDI)

Educational

818

30

Louisville Behavioral Checklist LuriaNebraska Neuropsych Battery

Beh Rating Scale Neuro Battery

417

15

13+

150

LuriaNebraska Neuropsych ? Screen Version

Neuro Screen

13+

30

LuriaNebraska Neuropsych Battery for Children

Neuro Battery

812

150

LuriaNebraska Neuropsych for Children ? Screen Version

Neuro Screen

812

30

Make a Picture Story Millon Adolescent Personality Inventory (MAPI)

Projective Pers Inventory

Adolescent

60

1318

60

Marital Satisfaction InventoryRevised (MSIR)

Marital/Relationship

18 ? 90

15

Allow 1 hr for set of checklists

Maryland Addictions Questionnaire (MAQ)

Chemical Dep

16+

15

Allow 1 hr for set of checklists

Matching V's and Figures Test

Neuro ? Attention

15

3.704.3 Revised 12/08/05, 12/14/06 12/13/07, 11/13/08

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3.704.3 List of Psychological Tests

Material was prepared for use as an aid in handling requests for psychological testing. The minutes allocated for each test include administration, scoring and write up. Determination of the medical necessity of psychological tests always requires consideration of the clinical facts of the specific case to assure that tests given are a costeffective means of determining the appropriate treatment for the individual patient and are related to the diagnosis and treatment of covered mental health conditions.

INSTRUMENT

TYPE

AGE

MINUTES

COMMENTS

McCarthy Scales of Children's Abilities McGill Pain Inventory

IQ Personality, pain coping

2.68.6

90

18+

15

Memory Assessment Scales

Neuro: Memory

1890

60

MicroCog Assessment of Cognitive Functioning Millon Adolescent Clinical Inventory (MACI) Millon Adolescent Personality Inventory (MAPI) Millon Behavioral Health Inventory (MBH)

Neuro Pers Inventory Pers Inventory Medical Coping Style

18 ? 89

60

1319

60

1319

60

18+

60

Millon Behavioral Medicine Diagnostic (MBMD) Minnesota Multiphasic Personality Inventory (MMPI)

Medical Coping Style Pers Inventory

1885 14+

25

60

Recommend most recent version MMPIII.

Minnesota Multiphasic Pers. Inventory2 (MMPI2) Minnesota Multiphasic Pers. InventoryAdolesc. (MMPIA) Minnesota Test for Differential Diagnosis of Aphasia MotorFree Visual Perception Test Multidimensional Anxiety Scale for Children (MASC10) Multidimensional Health Profile Multiscore Depression Inventory for Children Multiscore Depression Inventory for Adolescents and Adults

Pers Inventory Pers Inventory Neuro Language Neuro/LD: Perceptual SelfReport Psychosocial Health Assmt. Pers Rating Scale Pers Rating Scale

18+ 1318 Adults

48 819 1890 8 ? 17 17+

60

60

Assumes 6th grade reading level

90

25

15

Allow 1 hr for set of checklists

15

15

Allow 1 hr for set of checklists

15

Allow 1 hr for set of checklists

NEO PersonalityR (NEO PIR)

Pers Inventory

17+

30

NESPY (Executive Function Test) NEPSY (Developmental Neuropsychological Assessment) Neuropsychological Impairment Scale Omni Personality Inventory Omni IV Personality Disorder Inventory Paced Auditory Serial Addition Test (PSAT) Pain Apperception Test Pain Patient Profile (P3) Pain Patient Profile ParentChild relationship Inventory (PCRI) Parenting Stress Index (PSI)

Neuro Neuro screen Neuro screen Pers Inventory Pers Inventory Neuro: Attention Pain disorders Pain Medical Coping Style Prenatal Style Parental Style

17+ 312 18 ? 88 1874 1874

Adult 1776 1776 3 ? 12 3 ? 12

30 60/120

15 60 60 30 15 15 10 15 15

60 for preschool 120 for school age children Allow 1 hr for set of checklists

Allow 1 hr for set of checklists Allow 1 hr for set of checklists

Paced Auditory Serial Addition Task (PASAT: C) Peabody Developmental Motor Scales and Activity Cards

Neuro: Attention Developmental

16+

45

0?7

90

3.704.3 Revised 12/08/05, 12/14/06 12/13/07, 11/13/08

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3.704.3 List of Psychological Tests

Material was prepared for use as an aid in handling requests for psychological testing. The minutes allocated for each test include administration, scoring and write up. Determination of the medical necessity of psychological tests always requires consideration of the clinical facts of the specific case to assure that tests given are a costeffective means of determining the appropriate treatment for the individual patient and are related to the diagnosis and treatment of covered mental health conditions.

INSTRUMENT

TYPE

AGE

MINUTES

COMMENTS

Peabody Individual Achievement Test ? Revised (PIATR)

Academic Skills

5 ? 18

75

Peabody Picture Vocabulary Test ? Revised (PPVTR)

IQBrief/LD

2.5Adult

30

Perception of Ability Scale for Students

Personality Inventory

15

Allow 1 hr for set of checklists

Personal Experience Inventory for Adolescents (PEI) Personal Experience Inventory for Adults (PEIA) Personality Assessment Inventory (PAI)

Chemical Dep Chemical Dep Pers Inventory

12 ? 18 19+ 18+

15

Allow 1 hr for set of checklists

30

60

Personality Research Form (PRF) Personality Inventory for Youth Philadelphia Head Injury Questionnaire Peabody Individual Achievement Test (PIATR) Personality Inventory for Children, revised (PICR)

Pers Inventory Pers Inventory Neuro Academic Skills Pers Inventory

11+ 829 Adult 518 316

60

60

15

Allow 1 hr for set of checklists

75

30

PiersHarris Children's Self Anapt Scale

Personality

718

15

Porteus Mazes

IQSingle Task

3+

30

Problem Behavior Inventory Problem Experiences Checklist Progressive Figures Test Psychiatric Diagnostic Interview, Revised (PDIR) Purdue Pegboard

Pers Rating Scale Life Problems Neuro: Attention Interview Schedule Neuro/LD: Motor

13+ 13 ? 19

18+ Child +

15

Allow 1 hr for set of checklists

15

Allow 1 hr for set of checklists

15

45

15

Quick Neurological Screening Test2 (QNST2) Roberts Apperception Test for Children (RATC)

NeuroMemoryLang Proj.Thematic

12 to

30

adults

615

60

Raven's Progressive Matrices (all versions) Rey Auditory Verbal Learning Test--move to alphabetic order Rey 15Item Test--move to alphabetic order Rey Complex Figure Test and Recognition Trial (RCFT) Repeatable Battery for Assessment of Neuropsychological Status (RBANS) Revised Behavior Problem Checklist (RBPC)

IQ/Neuro Problem Solving Neuro: Memory Neuro:Malingering Neuro: Memory Neuro

Beh Rating Scale

6.5+ 789 Adult 689

5 ? 18

45

15

15

May be primarily forensic

45

30

15

Allow 1 hr for set of checklists

Revised Token Test Reynolds Adolescent Depression Scale Reynolds Adolescent Adjustment Screening Inventory

Neuro: Language Symptom rating scale Personality

2080 7 ? 12 1219

30

15

Allow 1 hr for set of checklists

15

Allow 1 hr for set of checklists

3.704.3 Revised 12/08/05, 12/14/06 12/13/07, 11/13/08

7 of 11

3.704.3 List of Psychological Tests

Material was prepared for use as an aid in handling requests for psychological testing. The minutes allocated for each test include administration, scoring and write up. Determination of the medical necessity of psychological tests always requires consideration of the clinical facts of the specific case to assure that tests given are a costeffective means of determining the appropriate treatment for the individual patient and are related to the diagnosis and treatment of covered mental health conditions.

INSTRUMENT Reynolds Adolescent Depression Scale Reynolds Child Depression Scale

TYPE Personality single scale Symptom rating scale

AGE 712

MINUTES 15 15

COMMENTS Allow 1 hr for set of checklists

ReyOsterrieth Complex figure Test

Neuro: VisualMotor

30

Roberts Apperception Test for Children (RATC)

ProjThematic

615

30

Rorschach

ProjInkblot

Child+

120

Includes scoring

Rotter Incomplete Sentence Test

Proj.

Child+

60

School Behavior Checklist

Beh Rating Scale

4 ? 13

15

Allow 1 hr for set of checklists

Structured Clinical Interview (SCID II Patient Questionnaire)

Beh Rating Scale

18+

30

Structured interview for DSMIVTRAxis II

Symptom Checklist 90 Revised (SCL90R)

Symptom Checklist

15

Seashore Rhythm Test

Neuro: Perceptual

20

Selective Reminding Test

Neuro: Memory

30

Sensory Perceptual exam (Klove)

Neuro: Perceptual

30

Severe Impairment Battery (SIB)

NeuroDementia

Adult

30

Shipley Institute of Living Scale Short Category Test, Booklet Format

IQBRIEF

14+

30

Neuro: Problem Solving

15+

35

Single and Double Simultaneous Stimulation Test Sixteen Personality Factor Questionnaire (16pf)

Neuro: Perceptual Pers Inventory

20

16+

30

Slosson FullRange Intelligence Test (SFRIT)

IQ

5t ? 21

30

Slosson FullRange Intelligence Test (SFRIT)

IQ

5 ? 21

45

Slosson Intelligence Test ? Revised

IQBrief

4+

30

Social Phobia and Anxiety Inventory Speech Sounds Perception Test

Beh Rating Scale Neuro: Language

14+

15

Allow 1 hr for set of checklists

30

School Situations Questionnaire (SSQ, SSQR)/Survey Stanford Binet Intelligence Scale

Behavioral Rating Scale IQMultitask

612

15

120

StateTrait Anger Expression Inventory StateTrait Anxiety Inventory

Symptom rating scale Symptom rating scale

12 ? 67 15+

15

Allow 1 hr for set of checklists

15

Allow 1 hr for set of checklists

Stroop Color Naming

Neuro: Attention

7+

20

Structured Interview of Reported Symptoms

Malingering Screen

18+

45

Structural Clinical Interview for DSMDissociative Disorders (SCIDD)

Beh Rating Scale

18+

30

Structured interview for dissociative disorders

Substance Abuse Subtle Screening Inventory (SASSI)

Chemical Dep

12+

15

3.704.3 Revised 12/08/05, 12/14/06 12/13/07, 11/13/08

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