Completing a Single Assessment Referral in Neo
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From the MaineCare P.A. screen, click ‘Create New Request’ ![]() |
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Service Type: Single Assessment Request Request Type: Referral Procedure Code: 125-100 Enter start date of the referral # of Days: 365 # of Units: 1 ![]() |
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Select a primary diagnosis ![]() |
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Add any supporting documentation ![]() |
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Complete the Single Assessment Referral Questionnaire. ![]() |





