CANS/ANSA Billing Workflow

Creation date: 8/16/2023 2:48 PM    Updated: 8/16/2023 2:49 PM   ansa billing workflow cans cans/ansa billing

ANSA/CANS Workflow 

 

The CANS (Child & Adolescent Needs & Strengths tool) and ANSA (Adult Needs & Strengths Assessment) services are now qualifying services, which means they count towards HCRS’ monthly case rate requirements. 

The ANSA/CANS service will count towards HCRS’ case rate requirement as long as: 

  • It is done with the client or family (this can include an interview or discussion of the actual questions, the review of the CANS/ANSA, or both). 
  • The service takes at least 8 minutes. 
  • It is done by a provider certified to complete the CANS or ANSA (non-licensed providers (rostered clinicians or case managers) who are certified must have a licensed supervisor who is also certified in order for their ANSA/CANS services to qualify). 

How to Account for the CANS/ANSA in Credible (based on when it’s performed) 


Completed at Assessment or Re-Assessment 


Stand Alone Service 


Part of a Service Other Than an Assessment or Re-Assessment 


The CANS/ANSA should be done as part of the assessment/re-assessment service; the CANS/ANSA should not stand alone.  

 

Simply note the amount of time you worked on the CANS/ANSA (interview and review).  

 

You do not need to deduct the amount of time spent on the CANS/ANSA from the assessment. 

 


When you do the CANS/ANSA interview and/or review with a client/family and no other service(s) are provided, simply document the time using the appropriate CANS or ANSA service. 

 


When you complete the CANS/ANSA interview and/or review within another scheduled service, you will need to complete the appropriate CANS or ANSA service for the amount of time you spent completing that service 

 

You will also need to complete the associated documentation for the remainder of that service. However, you do not need to deduct the CANS/ANSA time from the other service. 

 


Notes: 

  • Times of the ANSA/CANS and the re-assessment or other service can overlap. 

  • You will need to accurately account for your time with the appropriate service codes. 

  • All providers who complete the ANSA and/or CANS are required to maintain their certification. If your certification lapses, you will no longer be able to complete the service in Credible until you complete the re-certification.