Neuropsychological tests are specifically designed tasks that are used to measure a psychological function, known to be linked to a brain structure or pathway. Tests are used for research into brain function and in a clinical setting, for the diagnosis of deficits. This is a guide to the Denver Health Medical Plan (DHMP) benefits by line of business (LOB) for neuropsychology testing.

Medicaid

  • Managed by Colorado Access (Behavioral Health Diagnosis)
    For neuropsychology testing, there is a procedure code component and a diagnostic component for services included in the behavioral health benefit. Neuropsychology testing is covered by the capitated behavioral health program which is managed by Colorado Access (COA). If neuropsychology testing is for a behavioral health diagnosis, please fax requests, using the Medicaid Psychological Testing Prior Authorization Form to 720-744-5130. The list of procedure codes is found on page two of the form.

  • Managed by DHMP (Medical Diagnosis)
    Neuropsychology testing is a DHMP benefit. If neuropsychology is for a medical diagnosis, please request prior authorization by completing the UM Prior Authorization Request Form.

Commercial Plans, Medicare, Child Health Plan Plus (CHP+)

  • Managed by DHMP
    Neuropsychology testing is a covered benefit and is managed by DHMP. Please request prior authorization by completing the UM Prior Authorization Request Form.