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3.704.3 Revised12/08/05,12/14/06; 12/13/07; 11/01/09, 11/18/09, 11/21/11
1 of 15
[Retrieved from: http://www.valueoptions.com/providers/Forms/Clinical/List_of_Psychological_Tests.pdf]
Note of V.M. Westerberg to the reader:
Psychological testing starts with a semi-structured interview, followed by projective tests, and finally psychometric tests.
Select free-of-charge, shorter tests. When possible use non-verbal tests to minimize cultural or educational biases.
A full test-battery is never done but it would evaluate: Intelligence, Neuropsychologicalstatus,Behaviour, Personality, Relationships, Academic, and Development (in
children) or Dementia (in elderly). For good, short,free, online psychological tests go to: http://psychcentral.com/quizzes/
Material w as prepared for use as an aid in handling requests for psychological testing. The minutes allocated for each test include administration, scoring and
w rite up. Determination of the medical necessity of psychologicaltests always requiresconsideration of the clinicalfacts of the specific case to assure that tests
given are a cost-effective 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
16 PersonalityFactorQuestionnaire(16-PF) Personality 16+ 30 35-60 minperTests in Print for admintimeonly
ABEL Screen Sexual Interest Adol + 120 Primarilyforensic in nature: may not becovered
Achenbach Systemof Empirically Based Assessment 60
Preschool Module Behav RatingScale 1.5-5 10
Caregiver-Teacher ReportForm Behav RatingScale 1.5-5 10
ChildBehavior Checklist (CBCL) Behav RatingScale 1.5-5 15
TeacherReport Form Behav RatingScale 6-18 20
Youth Self-Report (YSR) Behav RatingScale 11-18 20
ACTeERS-ADD-H Comprehensive,Teachers Rating Scale Behav RatingScale 5 – 13 15
Adaptive Behavior Assessment System(ABASII) Behav RatingScale 0-89 30
Adaptive Behavior Scale (ABS) Developmental 3-18 30
ADHD Rating Scale Behav RatingScale 4 – 18 15
Adolescent AngerRating Scale Behav RatingScale 11-19 15
Adolescent Apperception Cards ProjectivePersonality 12 – 19 60
Adult Behavior Checklist (ABCL) Behav RatingScale 18-89 30 Admin. Time 20min. + 10 min. for scoring, interpretation,writeup.
Adolescent Psychopathology Scale Personality Child-adult 60
Alzheimer’s QuickTest (AQT) Neuro Adult 10
Amen System Checklist Behav RatingScale Adult 15
Animal Naming Neuro Child-adult 10
Aphasia ScreeningTest (Reitan Indiana) Neuro 5+ 30
Asperger’s SyndromeDiagnosticScales (ASDS) Ratingscale 5-18 20
AttentionDeficit Disorder Eval. Scales (ADDES) Behav RatingScale 5 – 18 15
Attention-Deficit/HyperactivityDisorderTest(ADHDT) Behav RatingScale 3-23 10
Attention-Deficit Scales for Adults (ADSA) Behav RatingScale 17+ 15
Auditory Consonant TrigramTest (ACT) Neuro, educational 16-69 15
Auditory Continuous PerformanceTest Attention; ADHD 6 – 11 30
Australian Scale for Asperger’sSyndrome Ratingscale Primaryschool 15 On-line, self scoring
3.704.3 List of Psychological Tests
3.704.3 Revised12/08/05,12/14/06; 12/13/07; 11/01/09, 11/18/09, 11/21/11
2 of 15
3.704.3 List of Psychological Tests
Material w as prepared for use as an aid in handling requests for psychological testing. The minutes allocated for each test include administration, scoring and
w rite up. Determination of the medical necessity of psychologicaltests always requiresconsideration of the clinicalfacts of the specific case to assure that tests
given are a cost-effective 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 MINUT ES COMMENTS
Autism DiagnosticInterview(ADI-R) Autism diagnosis Mental age >2 60 90-150, shouldsubstitute for other measures
Autism DiagnosticObservationScale (ADOS) Ratingscale Toddler-Adult 60
Basic PersonalityInventory (BPI) Personality Test 12+ 35
Battell Developmental Inventory Developmental Assessment 0-7 30
Batteryfor Health Improvement (BHI) Personality Test 18-65 25-40 Relationships betweenpsychopathology andpain
Bayley Scales of Infant Development Development 1-42 months 60
Beck Anxiety Inventory Personality Test 17-80 15
Beck Depression Inventory Personality Test 17-80 15
Beck Depression Inventory-II(BDI-II) Personality Test 13 – 80 15
Beck Hopelessness Scale (BHS) Personality Test 17 – 80 15
Beck Scale for Suicidal Ideation Pers RatingScale 17 – 80 15
Beck Youth Inventory Symptom Rating Scale 7-14 15
Beery VMI (Test ofVisual-MotorIntegration) Neuro/LD: Visual 3+ 30
Behavior Assessment SystemforChildren (BASC) Behav RatingScale 4 - 18 30
Behavior RatingInventoryof ExecutiveFunctioning(BRIEF) Neuro Child/adolescent 45 Versions for preschool and child/adolescent
Bender Visual Motor GestaltTest Neuro 4+ 30 Neuro; not for personality assessment
Benton Facial RecognitionTest Neuro 6-74 30
Benton Judgment of Line OrientationTest Neuro 7+ 20
Benton Multilingual AphasiaExam (BMAE) Neuro 6-69 90
Benton MAESentenceRepetition Neuro 6-69 15
Benton MAEToken Test Neuro 6-69 15
Benton MAE: Visual Naming Test Neuro 6-69 15
Benton Right-Left OrientationTest Neuro 16-64 10
Benton Serial Digit LearningTest Neuro 16-64 15
Benton Visual Form DiscriminationTest Neuro Adult 15
Benton Visual Retention Test Neuro 8+ 30
Booklet CategoriesTest Neuro 15+ 45
Boston Diagnostic AphasiaExamination-3 Neuro Adults 60
Boston NamingTest Neuro Adults 30
3.704.3 Revised12/08/05,12/14/06; 12/13/07; 11/01/09, 11/18/09, 11/21/11
3 of 15
3.704.3 List of Psychological Tests
Material w as prepared for use as an aid in handling requests for psychological testing. The minutes allocated for each test include administration, scoring and
w rite up. Determination of the medical necessity of psychologicaltests always requiresconsideration of the clinicalfacts of the specific case to assure that tests
given are a cost-effective 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 MINUT
ES
COMMENTS
BRIEF (Behavior RatingInventoryofExecutiveFunctioning) Neuro/Educational Child/adolesce
nt
45 Versions for preschool andchild/adolescent
Brief Neuropsychological CognitiveExam Neuro 13+ 30
Brief SymptomInventory Behav RatingScale 13+ 5 Short form ofSLR-90-R.
Brief Test of Attention (BTA) AttentionMeasure 17-82 15
Brief Visuospatial MemoryTest-Revised(BVMT-R) Neuro 18-79 60
Brown Attention-Deficit DisorderScales Behav RatingScale 12+ 15
Burk’s Behavior Rating Scale Behav RatingScale Preschool 15
Burt WordReading Educational Child 5
Buschke Selective Reminding Test Neuro 5-91 30
California Psychological Inventory(CPI) Objective PersonalityTest 13+ 30
California Verbal LearningTest (CVLT) Neuro: Memory/Learning 17+ 45 Norms only onnormal population
California Verbal LearningTest forChildren (CVLT) Neuro: Memory/Learning 5 – 16.1 45
Carroll Depression Scale RatingScale 18+ 15
Category Test Neuro 15+ 45
ChildBipolar Questionnaire (CBQ) Behav RatingScale 5-18 15 Juvenile onset bipolar ratingscale- parentadministered
Children’s Apperception Test (CAT) ProjectivePersonalityTest 3-10 60
Children’s Attention& Adjustment Survey (CAAS) Behav RatingScale 5 – 13 15
Children’s AtypicalDevelopmentScale RatingScale Child 15
Children’s AuditoryVerbal LearningTest-2(CAVLT) Neuro-Memory/Learning 6.5-18 45
Children’s CategoryTest (CCT) Neuro 5 – 16 15
Children’s Depression Inventory (CDI) Personality 7-17 15
Children’s Depression RatingScale, Revised Personality 6 – 12 15
Children’s Personality Questionnaire(CPQ) Pers Inventory 8-12 30
Children’s Self Report ProjectiveInventory ProjectivePersonalityTest 5-12 120
ChildDevelopmentInventory-4 Development/Personality 15 mo.-6 60
ChildSymptom Inventory (CSI) RatingScale 6-12 15
ChildhoodAutism RatingScales (CARS)-2 RatingScales 2+ 15
ChildhoodTrauma Questionnaire PersonalityScale 12+ 15
3.704.3 Revised12/08/05,12/14/06; 12/13/07; 11/01/09, 11/18/09, 11/21/11
4 of 15
3.704.3 List of Psychological Tests
Material w as prepared for use as an aid in handling requests for psychological testing. The minutes allocated for each test include administration, scoring and
w rite up. Determination of the medical necessity of psychologicaltests always requiresconsideration of the clinicalfacts of the specific case to assure that tests
given are a cost-effective 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 MINUT
ES
COMMENTS
Clinical Evaluation ofLanguage Fundamentals(CELF)-4 Neuro 5-21 30
Children’s Manifest Anxiety ScaleRevised Personality 6 – 19 15
Children’s MemoryScale (CMS) Neuro 5 – 16 60
Children’s Personality Questionnaire Personality 8-12 45
Children’s State-Trait AnxietyInventory Beh Ratingscale 8 – 14 15
Chronic PainBattery Pain adaptation Adult 15
Clock Drawing Neuro Not stated 15
Cognistat Neuro 18+ 30
Cognitive Abilities Scale II (CAS) Neuro/Educational 5-18 60 60 for basic; 75 for standard
Cognitive Assessment System (CAS) Neuro/educational 5-18 60
Cognitive CopingStrategiesInventory-R RatingScale Adult 15
Color TrailsTest Neuro Adult-
Elderly
10
Comprehensive Assessment of SpokenLanguage(CASL) Neuro; Educational 3-21 60 45 for children3-5
Comprehensive Behavior RatingScale for Children (CBRSC) Behav RatingScale 6 – 14 15
Comprehensive Test of Nonverbal Intelligence(CTONI) Nonverbal test ofIntelligence 6-19 60
Comprehensive Test of Phonological Processing (CTOPP) Neuro/Educational 5-24 45
Comprehensive Trail MakingTest (CTMT) Neuro 8-74 15
Computer Category Test Neuro 15-80 45
ComputerizedAssessment ofResponse Bias (CARB) Neuro; Forensic Adult 15 Effort, malingering
Conner’s Adult ADHD RatingScale (CAARS) Behav RatingScale 18+ 15
Conner’s Continuous Performance Test II (CCPT) Neuro 4+ 60
Conner’s Continuous Performance Test, Kiddie Version (KCPT) Neuro, Forensic 4-5 15
Conner’s RatingScale-Teacher orParent Behav RatingScale 3- 17 15
Conner’s RatingScales-Revised Behav RatingScale 3 – 17 15
Contextual MemoryTest (CMT) Neuro; educational Adult 30
ControlledOral WordAssociationTest (COWATorCOWA) Neuro; educational 16+ 15
CopingResponses Inventory (CRI) Personality 12-90 20
D2 Test of Attention Attention Child-Adult 10
3.704.3 Revised12/08/05,12/14/06; 12/13/07; 11/01/09, 11/18/09, 11/21/11
5 of 15
3.704.3 List of Psychological Tests
Material w as prepared for use as an aid in handling requests for psychological testing. The minutes allocated for each test include administration, scoring and
w rite up. Determination of the medical necessity of psychologicaltests always requiresconsideration of the clinicalfacts of the specific case to assure that tests
given are a cost-effective 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 MINUT
ES
COMMENTS
Delis-Kaplan Executive Functional Scale(D-KEFS) Neuro: Exec 8-89 120
DementiaRatingScales (Mattis) Neuro: Screen 65-81 60
Depression andAnxietyin YouthScale (DAYS) Objective Personality 6-19 45
DetailedAssessment of Posttraumatic Stress(DAPS) Personality 18-91 60
Detroit Test of LearningAptitude (DTLA)-4 Intelligence 6-17 120
Developmental Indicators for theAssessment of Learning(DIAL)-3 Educational; Neuro 3-7 40
Developmental Profile II Neuro; Educational 0-9.5 40
Developmental Test of Visual Perception (DTVP)-2 Development; Neuro 4-9 45
DevereauScales of Mental Disorders Personality 5-18 30
Diagnostic Achievement Battery –2(DAB2) Academic achievement 6-14 60 Primarilyeducational; maynot be covered
Diagnostic Assessment of Reading(DAR) Neuro; Educational 5-Adult 30
Differential Ability Sale (DAS) Educational; Neuro 6-18 60
Digit Vigilance Test Neuro 20-80 20
Dot CountingTest (DCT) Neuro; Forensic 17+ 15 Effort, malingering
Draw-a-Person (DAP) ProjectivePersonality Child-Adult 15
Dyadic Adjustment Scale Personality Adult 15
Dyslexia Screening Instrument Educational 6-21 20
Early ChildhoodAttention Deficit Disorders EvaluationScale
(ECADDES)
Beh Ratingscale 2-7 F; 2-6.5 M 20
EatingInventory Personality 17+ 15
EatingDisorder Inventory2 (EDI-2) Personality 12+ 15
Endler Multidimensional AnxietyScales Pers RatingScale 13+ 15
Estimateof Risk of Adolescent Sexual OffenseRecidivism
(ERASOR)
Sex offender assessment 12-18 15 Forensic; may not be covered
Examiningfor Aphasia Neuro 13 – adult 75
Executive Control Battery (ECB) Neuro Not Specified 60
Expressive OneWorkVocabulary Test –Revised Neuro 2-12 20
Expressive Oral-WordPicture Vocabulary Test(EOPVT) Neuro 2-80 15
Family ApperceptionTest ProjectivePersonalityTest 6 – 15 30
3.704.3 Revised12/08/05,12/14/06; 12/13/07; 11/01/09, 11/18/09, 11/21/11
6 of 15
3.704.3 List of Psychological Tests
Material w as prepared for use as an aid in handling requests for psychological testing. The minutes allocated for each test include administration, scoring and
w rite up. Determination of the medical necessity of psychologicaltests always requiresconsideration of the clinicalfacts of the specific case to assure that tests
given are a cost-effective 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 MINUT
ES
COMMENTS
Family KineticDrawing ProjectivePersonalityTest Child+ 30
Fear-Avoidance Beliefs Questionnaire (FABQ) Back Pain Assessment Not Specified 10
Feelings, Attitudes andBehaviors Scale forChildren Behav RatingScale <12 10
Finger TappingTest (Electric orManual) Neuro Child+ 5
Folstein Mini Mental Status Neuro Adult 15 Should be part of 90801intake assessment rather thantesting
Frontal Systems Behavior Scale Neuro 18-95 25
Fuld Object Memory Evaluation Neuro: Memory 70-90 15 Geriatric
Fundamental Interpersonal RelationsOrientation-Behavior
(FIRO-B)
Personality Adult 15
General Ability Measure forAdults (GAMA) Intelligence 18-80 45
Gilliam Autism RatingScale (GARS-2) Ratingscale 3-22 15
Gilliam Asperger’s Disorder Scale (GADS) Ratingscale 3-22 15
Gordon DiagnosticSystem Attention 4+ 60
Gray Oral ReadingTest (GORT-R orGORT-3) Educational Child+ 45
Gray Silent Reading Test Educational; Neuro 7-25 45
Green WordMemory Test Neuro Not listed 30
Grip Strength Neuro 6+ 5
GroovedPegboard Neuro 5-89 10
Guilford-ZimmermanTemperament Survey Personality 16+ 60 Assessment of normal personalityratherthanclinical assessment
HalsteadReitan Neuro Battery Neuro Battery Child+ N/A See times for individual tests fromthis battery (6)
HamiltonDepressionInventory (HDI) Symptom rating scale 18+ 15
HamiltonRatingScale for Depression-Revised(ClinicianForm) Personality 18+ 0 Part of MSE only
HamiltonRatingScale for Depression-Revised(Self-Report) Pers RatingScale 18+ 15
HandTest ProjectivePersonality Adult 45
Hare Psychopathychecklist-R (PCL-R) Personality 18+ 150
High School Personality Inventory Personality 13+ 30
HoltzmanInkblotTest/Technique ProjectivePersonality Child+ 120
Home Situations Questionnaire (HSQ,HSQ-R) Beh RatingScale 4-18 15
Hooper Visual OrganizationTest (VOT) Neurosych 5+ 30
Hopkins Verbal Learning Test-R Neuro 16-92 20
3.704.3 Revised12/08/05,12/14/06; 12/13/07; 11/01/09, 11/18/09, 11/21/11
7 of 15
3.704.3 List of Psychological Tests
Material w as prepared for use as an aid in handling requests for psychological testing. The minutes allocated for each test include administration, scoring and
w rite up. Determination of the medical necessity of psychologicaltests always requiresconsideration of the clinicalfacts of the specific case to assure that tests
given are a cost-effective 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 MINUT
ES
COMMENTS
House Tree Person (H-T-P) ProjectivePersonality Child+ 30
Human Figure Drawings ProjectivePersonality Child+ 30
Impact ofWeight on Qualityof LifeQuestionnaire(IWQOL) Personality Adult 15 Childversion for ages 11-19
Incomplete Sentences Blank Projective Child+ 15
Independent LivingScales (ILS) Neuro; Forensic 65+ 45 Competencyin performing ADLs
IntegratedVisual andAuditory Continuous PerformanceTest
(IVACPT)
Attention 6-96 60
Jesness Inventory Antisocial personality 8-adult 45 Personalityfordelinquent andconduct d/o, personalityfor delinquentand
conduct d/o 8--adult
Jesness Inventory Revised (JI-R) Antisocial personality 8-adult 60 Admin time- 20-30min., howeveroutput is multidimensional andmay take
considerable time to interpret andintegrateinto otherassessment data.
http://www.mhs.com/product.aspx?gr=saf&prod=ji-r&id=resources
Jordon Left-Right ReversalTest-R Neuro; Educational 5-12 20
J-Soap Juvenile Sex Offender AssessmentProtocol Sex offender assessment 9-20 60 Forensic; may not be covered
Judgment of Line Orientation Neuro Adult 30
Kaufman Brief IntelligenceTest (K-BIT) Intelligence 4-90 30
Kaufman Adolescent andAdult IntelligenceTest Intelligence 11-85 90
Kaufman Assessment Batteryfor Children(KABC) Intelligence& AcademicSkills 2.5-12.5 90
Kaufman Functional Academic Skills Test(K-FAST) Developmental 15-85 30 Adaptive behaviorinventory.15-25for admin.
Kaufman Short Neuropsychological Assess Procedure(K-SNAP) Neuro screen 11 – 85 30
Kaufman Test ofEducationAchievement(K-TEA) Educational 6-18 60
Key-MathDiagnostic Arithmetic Test –Revised Educational 5-14 80
Kinetic FamilyDrawings (KFD) ProjectivePersonality Child+ 30
Lateral Dominance Exam Neuro Child-Adult 25
LearningDisabilities Diagnostic Inventory(LDDI) Educational 8-18 30
Leiter International Performance Scale Revised(Leiter-R) Intelligence 2-20 60
Louisville BehavioralChecklist Beh RatingScale 4-17 15
Luria-Nebraska Neuropsych Battery Neuro 13+ 150
Luria-Nebraska Neuropsych – ScreenVersion Neuro 13+ 30
Luria-Nebraska NeuropsychBatteryforChildren Neuro 8-12 150
Luria-Nebraska NeuropsychforChildren – ScreenVersion Neuro 8-12 30
3.704.3 Revised12/08/05,12/14/06; 12/13/07; 11/01/09, 11/18/09, 11/21/11
8 of 15
3.704.3 List of Psychological Tests
Material w as prepared for use as an aid in handling requests for psychological testing. The minutes allocated for each test include administration, scoring and
w rite up. Determination of the medical necessity of psychologicaltests always requiresconsideration of the clinicalfacts of the specific case to assure that tests
given are a cost-effective 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 MINUT
ES
COMMENTS
Make a Picture Story ProjectivePersonality Adolescent 60
Marital SatisfactionInventory-Revised(MSI-R) Marital/Relationship 18 – 90 15
MarylandAddictions Questionnaire(MAQ) Chemical Dep 16+ 15
McCarthyScales of Children’s Abilities Intelligence 2.6-8.6 90
McGill Pain Inventory Personality, pain coping 18+ 15
Memory Assessment Scales Neuro 18-90 60
Millon Adolescent PersonalityInventory (MAPI) Personality 13-18 60
Millon Behavioral Medicine Diagnostic(MBMD) Personality 18-85 30 Has bariatric norms
Millon Clinical Multiaxial Inventory-III(MCMI) Personality 18+ 60
MicroCogAssessment ofCognitiveFunctioning Neuro 18 – 89 60
Millon Adolescent Clinical Inventory(MACI) Personality 13-19 60
Millon Adolescent PersonalityInventory (MAPI) Pers Inventory 13-19 60
Millon Behavioral Health Inventory (MBH/MBHI) Medical CopingStyle 18+ 60
Millon Pre-Adolescent Clinical Inventory(M-PACI) Pers Inventory 9-12 30
Minnesota Multiphasic Pers.Inventory-2(MMPI-2) Personality 18+ 60
Minnesota Multiphasic Pers.Inventory-Adolesc.(MMPI-A) Personality 13-18 60 Assumes 6th
grade readinglevel
Minnesota Test forDifferential Diagnosis of Aphasia Neuro Adults 90
Mooney ProblemCheck Lists Personality Jr. High-Adult 35
Motor-Free Visual PerceptionTest Neuro; Educational 4-8 25
Mullen Scales of Early Learning Neuro; Educational
Birth-68
months 15 (1yr) 25-35 (3yrs), 40-60(5yrs)
Multidimensional AnxietyScale for Children(MASC) Pers Inventory 8-19 30
Multidimensional HealthProfile Pers Inventory 18-90 15
Multilingual Aphasia Examination (MAE)-3 Neuro 6-69 60
Multiphasic Sex Inventory Sex offender assessment Adult 60 Versions for adolescent andadult males
Multiscore DepressionInventoryforChildren Personality 8 – 17 15
Multiscore DepressionInventoryforAdolescents andAdults Personality 17+ 15
Nelson-DennyReadingTest (Forms Gand H) Educational; Neuro 9-Adult 30
NEO Personality-R (NEO PI-R) Personality 17+ 30
NEPSY (Developmental NeuropsychologicalAssessment) Neuro 3-12 120 60 for pre-school; 120forschool age children
3.704.3 Revised12/08/05,12/14/06; 12/13/07; 11/01/09, 11/18/09, 11/21/11
9 of 15
3.704.3 List of Psychological Tests
Material w as prepared for use as an aid in handling requests for psychological testing. The minutes allocated for each test include administration, scoring and
w rite up. Determination of the medical necessity of psychologicaltests always requiresconsideration of the clinicalfacts of the specific case to assure that tests
given are a cost-effective 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 MINUT
ES
COMMENTS
Neuropsychological Assessment Battery(NAB) Neuro 18-97 240 6 different modules @ 40 minutes each
Neuropsychological Impairment Scale Neuro screen 18 – 88 15
Neuropsych Questionnaire (NPQ) Neuro / Beh Rating Scale Child-Adult 45 NPQ is a computer administered& scoredquestionnaire; developedandused
in NC
Neuropsych Questionnaire Short Form (NPQ-SF) Neuro / Beh Rating Scale Child-Adult 10 NPQ Follow-up version
NICHQ Vanderbilt Assessment Scale Beh RatingScale 6-12 15
Omni PersonalityInventory Pers Inventory 18-74 60
Omni IVPersonalityDisorderInventory Pers Inventory 18-74 60
Oral andWrittenLanguage Skills (OWLS) Educational; Neuro 3-21 40
PacedAuditory Serial AdditionTask(PASAT: C) Neuro: Attention 16+ 45
Pain Apperception Test Pain disorders Adult 15
Pain Patient Profile (P3) Pain disorders 17-76 15
Parent-Childrelationship Inventory(PCRI) Prenatal Style 3 – 12 15
ParentingStress Index (PSI) Parental Style 3 – 12 15
Paulhaus Deception Scales Personality 16+ 15 Measures response distortion
Peabody Developmental Motor Scales andActivity Cards Developmental 0 – 7 90
Peabody Individual Achievement Test – Revised(PIAT-R) Educational 5 – 18 75
Peabody Picture VocabularyTest – Revised(PPVT-R) Intelligence; Educational 2.5-Adult 30
Pediatric AttentionDisorders Diagnostic Screener (PADDS) Beh RatingScale 6-12 60 Includes ratings scales andexecutive functionmeasures
Personal ExperienceInventory for Adolescents (PEI) Chemical Dep 12 – 18 15
Personal ExperienceInventory for Adults(PEI-A) Chemical Dep 19+ 30
PersonalityAssessment Inventory (PAI) Personality 18+ 60
PersonalityInventoryforChildren-R Personality 3-16 30
PersonalityInventoryforYouth (PIY) Pers Inventory 9-19 30
PersonalityResearch Form (PRF) Personality 11+ 60
PHASE Sex offender assessment Not Specified 30 Forensic; may not be covered, sexualattitudes
PhiladelphiaHeadInjury Questionnaire Neuro Adult 15
Piers-Harris Children's Self Anapt Scale Personality 7-18 15
Porteus Mazes Intelligence; Neuro 3+ 30
Posttraumatic Stress Diagnostic Scale (PDS) Personality 18-65 15
3.704.3 List of Psychological Tests
3.704.3 Revised12/08/05,12/14/06; 12/13/07; 11/01/09, 11/18/09, 11/21/11
10 of 15
Material w as prepared for use as an aid in handling requests for psychological testing. The minutes allocated for each test include administration, scoring and
w rite up. Determination of the medical necessity of psychologicaltests always requiresconsideration of the clinicalfacts of the specific case to assure that tests
given are a cost-effective 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 MINUT
ES
COMMENTS
Preschool Language Scale, 4th
Edition (PLS-4) Educational; Neuro 0-6 60
Problem Behavior Inventory Pers RatingScale 13+ 15
Problem Experiences Checklist Personality 13 – 19 15
Process Assessment ofthe Learner(PAL)-II Educational Grades K-6 30-60 W/all subtests, 1-6 minpersubtest.
Progressive Figures Test Neuro 5-8 15
ProjectiveDrawings Personality Child-Adult 30
Psychological Screening Inventory Personality Adolescent-
Adult
15
Purdue Pegboard Neuro Child+ 15
QB Test Attention/ADHD 6-55 60
Quality of Life Inventory (QOLI) Personality 17+ 5 Not a clinical test but maybe useful in some assessments (e.g.pain)
Quick Neurological ScreeningTest-2(QNST-2) Neuro 12 to adults 30
Quotient Test of Attention Attention Child-Adult 60
Raven’s ProgressiveMatrices (all versions) IQ/Neuro; Problem Solving 6.5+ 45
Receptive One WordPicture VocabularyTest (ROWPVT) Neuro 2-95 30
Repeatable Batteryfor Assessment ofNeuropsychologicalStatus
(RBANS)
Neuro 20-89 30
Resiliency Scales for Children and Adolescents Personality 9-18 30
RevisedBehavior ProblemChecklist (RBPC) Behavior RatingScale 5 – 18 15
RevisedChildren’s Manifest Anxiety Scale(RCMAS)-2 Personality 6-19 15
RevisedTokenTest Neuro ; Educational 20-80 30
Rey Auditory Verbal Learning Test Neuro 7-89 15
Rey 15-Item Test—move toalphabeticorder Neuro, malingering Adult 15 May be primarily forensic
Reynolds Adolescent Depression Scale-2 Personality 11-20 15
Reynolds Adolescent Adjustment Screening Inventory Personality 12-19 15
Reynolds ChildDepression Scale Personality 7-12 15
Reynolds Intellectual Assessment Scales (RIAS) Intelligence 3-94 45
Reynolds Intellectual ScreeningTest(RIST) Intelligence 3-94 15
Rey-OsterriethComplexfigure Test (RCFT) Neuro 30
RivermeadBehavioral Memory Test Neuro 16-96 45
3.704.3 List of Psychological Tests
3.704.3 Revised12/08/05,12/14/06; 12/13/07; 11/01/09, 11/18/09, 11/21/11
11 of 15
Material w as prepared for use as an aid in handling requests for psychological testing. The minutes allocated for each test include administration, scoring and
w rite up. Determination of the medical necessity of psychologicaltests always requiresconsideration of the clinicalfacts of the specific case to assure that tests
given are a cost-effective 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 MINUT
ES
COMMENTS
RivermeadPerceptual AssessmentBattery-III Neuro 16-96 60
Roberts ApperceptionTest forChildren (RATC) ProjectivePersonality 6-15 60
Rorschach ProjectivePersonality Child+ 120 Includes scoring
RosenzweigPicture Frustration Study Personality 14-85 30
Rotter IncompleteSentenceTest ProjectivePersonality Child+ 60
Risk-Sophistication-Treatment Inventory(RSTI) Sex offender assessment 9-18 60 Forensic; may not be covered
Ruff 2 & 7 Selective AttentionTest Neuro 16-70 30
Scales of Independent Behavior (WoodcockJohnson) (SIB)-R Developmental 0-80 60
SCAN-3C: Test for AuditoryProcessingDisorders inChildren Educational; Neuro 5-12 60
Scholastic Abilities Test forAdults (SATA) Educational; Neuro 16-70 60-120
School BehaviorChecklist Beh RatingScale 4 – 13 15
School MotivationandLearningStrategies Inventory(SMLSI) Beh RatingScale 8-18 15
School Situations Questionnaire (SSQ,SSQ-R)/Survey Behavioral Rating Scale 6-12 15
Screener andOpioidAssessment for Patients with Pain-Revised
(SOAPP-R)
Pain assessment Adult 15
Seashore RhythmTest Neuro: Perceptual 15+ 20
Sensory Profile Neuro; Developmental 3-10 25
Severe Impairment Battery (SIB) Neuro Adult 30
Sexual Adjustment Inventory-Juvenile Sex offender assessment 14-18 90 Forensic; may not be covered, norms 14-18
Sexual Attitude Questionnaire Sex offender assessment Teen + 15 Forensic; may not be covered, 40 items
Shipley Instituteof Living Scale Intelligence 14+ 30
Short CategoryTest, Booklet Format Neuro: ProblemSolving 15+ 35
Short Sensory Profile Neuro; Developmental 3-10 15
Sixteen Personality Factor Questionnaire(16PF) Pers Inventory 16+ 30
Slosson Full-Range Intelligence Test(S-FRIT) Intelligence 5 – 21 45
Slosson IntelligenceTest – Revised Intelligence 4+ 30
Social CommunicationQuestionnaire(SCQ) RatingScale 4+ 15 For Autism Spectrum; requires mental age. 2
Social Phobia andAnxiety Inventory Beh RatingScale 14+ 15
Social Responsiveness Scale (SRS) Beh RatingScale 4-18 30 Autism spectrumsymptom severity. Admin. time15-20min.produces
several indictors and subscales.
Speech Sounds Perception Test Neuro 9-Adult 30
3.704.3 List of Psychological Tests
3.704.3 Revised12/08/05,12/14/06; 12/13/07; 11/01/09, 11/18/09, 11/21/11
12 of 15
Material w as prepared for use as an aid in handling requests for psychological testing. The minutes allocated for each test include administration, scoring and
w rite up. Determination of the medical necessity of psychologicaltests always requiresconsideration of the clinicalfacts of the specific case to assure that tests
given are a cost-effective 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 MINUT
ES
COMMENTS
StructuredClinical Interview(SCID II PatientQuestionnaire) Beh RatingScale 18+ 30 Structuredinterviewfor DSM-IV-TR-Axis II
StandardizedReadingInventory- 2nd
Edition(SRI-2) Educational; Neuro 6-14 60
requiresStanfordBinet IntelligenceScale Intelligence 2-adult 120
State-Trait Anger Expression Inventory Beh RatingScale 12 – 67 15
State-Trait AnxietyInventory Beh RatingScale 15+ 15
Stroop ColorNaming Neuro: Attention 7+ 20
Substance Abuse Subtle ScreeningInventory (SASSI) Chemical Dep 12+ 15
Suicidal IdeationQuestionnaire Symptom rating scale 12 – 18 15
Suicide ProbabilityScale Personality 13+ 15
Survey of Teenage Readiness andNeurodevelopment Status
(STRANDS)
Neuro; Developmental 13-19 60
Symbol-Digit Modalities test Neuro: Attention 6+ 20
Symptom Assessment 45 (SA-45) Sex offender assessment 13+ 15 Forensic; may not be covered
Symptom Checklist 90 Revised (SCL-90-R) Symptom Checklist 13+ 15
Tactual Performance Task (TPT) Neuro 5+ 35
Target Test Neuro 5+ 35
Tasks of Emotional Development(TED) ProjectivePersonality Approx 6- 60
Taylor-JohnsonTemperament Analysis Personality/Marital 13+ 30
Tell-Me-A-Story(TEMAS) ProjectivePersonality 5 – 18 60 Minorities andnon-minorities
Test of AuditoryAnalysis Skills (TAAS) Educational 5-8 10
Test of AuditoryComprehensionofLanguage-3 Educational; Neuro 3-9 30
Test of Auditory-Perceptual Skills (TAPS)-R Educational 4-18 30
Test of Early MathAbility (TEMA) Educational 3-8 30
Test of Early ReadingAbility(TERA)-3 Educational 3-8.5 30
Test of Emotional Development (TED) ProjectivePersonality 6+ 20
Test of EverydayAttention(TEA) (TEA-CH for children) Attention 18 – 80 60
Test of Language Competence-Expanded(TLC-E) Educational 5-18 60+
Test of Language Development – Primary(TOLDP:3) Neuro/language/educational 4-8 60
Test of Language Development – Intermediary (TOLDP:3) Neuro/language/educational 8-12 60
3.704.3 List of Psychological Tests
3.704.3 Revised12/08/05,12/14/06; 12/13/07; 11/01/09, 11/18/09, 11/21/11
13 of 15
Material w as prepared for use as an aid in handling requests for psychological testing. The minutes allocated for each test include administration, scoring and
w rite up. Determination of the medical necessity of psychologicaltests always requiresconsideration of the clinicalfacts of the specific case to assure that tests
given are a cost-effective 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 MINUT
ES
COMMENTS
Test of MemoryMalingering (TOMM) Malingering/Effort 16+ 15
Test of MemoryandLearning (TOMAL) Neuro-Mem-LD 5-19.11 60
Test of Nonverbal Intelligence-3(TONI-3) Intelligence 6 – 89 30
Test of Pragmatic Language (TOPL) Educational 6-18 45
Test of Problem Solving (TOPS) Educational; Neuro 6-11 25
Test of Variables of Attention(TOVA) Attention 4-80 60
Test of Visual-Motor Integration(see BeeryVMI) Neuro; Developmental 3+ 30
Test of Visual –MotorSkills, UpperLevel Neuro: Educational 12 – 40 20
Test of Visual-Motor Skills, Revised Neuro: Educational 3 – 13 20
Test of Visual-Perceptual Skills Revised(non-motor)(TVPS-3) Neuro: Educational 4 – 13 30
Test of Visual-Perceptual Skills Revised(non-motor) UpperLevel
(TVPS-3)
Neuro: Educational 12 – 18 20
Test of WordReadingEfficiency (TOWRE) Educational 6-25 15
Test of WrittenLanguage (TOWL)-4 Educational 7-17 90
ThematicApperceptionTest (TAT) ProjectivePersonality Adoles+ 60
TokenTest (RevisedTokenTest, TokenTest for children) Neuro-Language 3+ 30
Tower of London Neuro Child-Adult 30
Trail MakingTest Neuro; Attention 6-97 15
Trauma SymptomChecklist forChildren (TSC) Personality 8 – 16 15 Youngchildren version ages 3-12
Trauma SymptomInventory (TSI) Personality 18+ 30
Validity IndicatorProfile (VIP) Malingering 18-69 60
VinelandAdaptive Behavior Scales (VABS) Developmental 0-18.11 75
VinelandSocial-EmotionalEarlyChildhoodScales Emotional Developmental 5 – 11 30
Visual–Motor Integration(VMI) Neuro: Visual 3+ 20
Visual-Aural Digit Span Test Neuro/LD; Memory 12+ 20
Wechsler Adult IntelligenceScale – III(WAIS-III) IQ-Multitask 16-74 135
Wechsler Adult IntelligenceScale – IV(WAIS-IV) IQ-Multitask 16-74 135
Wechsler Adult IntelligenceScale – Revisedas aNeurological
Instrument (WAIS-R NI)
IQ/Neuro 16-74 180
3.704.3 Revised12/08/05,12/14/06; 12/13/07; 11/01/09, 11/18/09, 11/21/11
15 of 15
Material w as prepared for use as an aid in handling requests for psychological testing. The minutes allocated for each test include
administration, scoring and w rite up. Determination of the medical necessity of psychologicaltests always requires consideration of the clinical
facts of the specific case to assure that tests given are a cost-effective 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 MINUT
ES
COMMENTS
Wechsler AbbreviatedScale of Intelligence(WASI) IQ 16-74 60 May be appropriate for screening
Wechsler Individual Achievement Test (WIAT) Academic Skills 12+ 45 Screeningversion .5 hr.
Wechsler Individual Achievement Test for Children (WIAT) Academic Skills 5-12 45 Screeningversion .5 hr.
Wechsler IntellScale for Children (WISC-IV) IQ-Multitask 6-16 135
Wechsler Memory Scale – 3rd
Ed. (WMS-III) Neuro: Memory 16 – 89 75
Wechsler Preschool & PrimaryScale of Intell.Rev (WPPSI-R) IQ-Multitask 3-7 120
Wechsler Test of Adult Reading (WTAR) Educational 16-89 15
Wender UtahRatingScale Beh RatingScale Adult 15
Wepman Auditory Discrimination Test Neuro/LD: Language 4-8 20
Wepman’s AuditoryMemory Battery Memory-LD 5 – 8 15
Western Aphasia Battery Neuro: Language Adol+ 75
Western PersonalityInventory Chemical Dep 18+ 15
Whitaker Index ofSchizophrenic Thinking(WIST) Symptom Screen 16+ 15 8th
grade education andnormalIQ
Wide Range Achievement Test – 3rd
Edition(WRAT-3) Neuro/Educational 5+ 30
Wide Range Achievement Test – 4th Edition(WRAT-4) Neuro/Educational 5+ 40/60 40 min for 5-7yr olds/60 minfor 8+; Admintime varies dependingon the
age of child: 15 to 25minutes for ages 5 to7 years and35to45minutes for
ages 8+. 15 minutes addedfor scoringandwrite-up.
Wide Range Assessment of Memory& Learning (WRAML) Neuro/Educational 5-17 60 10-15 minutes screeningversion available
Wide Range Assessment of Visual Motor Abilities(WRAVMA) Neuro/Educational 3-17 45
Wisconsin CardSortingTest (WCST) Neuro: 12+ 45 Needs IQ or HALTEADASREFERENCE
Woodcock-Johnson Psychoeduca Battery(Achievement) Academic Skills 2+ 90 1.5 for StandardBattery/2.0for Standard& Supp.
Woodcock-Johnson Psychoeduca Battery(Cognitive) Cognitive/IQ 2+ 90 1.5 for R StandardBattery/2.0forStandard& Supp.
WoodcockLanguage ProficiencyBattery-R Language 2 – adult 60
WoodcockReadingMasteryTests-R Academic Skills 5 – 75 60
WorkingMemoryTest BatteryforChildren Neuro; Educational 5-15 60 Reportedout of print effective1/2011
Yale-Brown Obsessive CompulsiveScale Personality Adult 15
Yale FoodAddiction Scale Personality Adult 15
ZungDepression Index RatingScale Adult 5

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Psychological Tests Guide

  • 1. 3.704.3 Revised12/08/05,12/14/06; 12/13/07; 11/01/09, 11/18/09, 11/21/11 1 of 15 [Retrieved from: http://www.valueoptions.com/providers/Forms/Clinical/List_of_Psychological_Tests.pdf] Note of V.M. Westerberg to the reader: Psychological testing starts with a semi-structured interview, followed by projective tests, and finally psychometric tests. Select free-of-charge, shorter tests. When possible use non-verbal tests to minimize cultural or educational biases. A full test-battery is never done but it would evaluate: Intelligence, Neuropsychologicalstatus,Behaviour, Personality, Relationships, Academic, and Development (in children) or Dementia (in elderly). For good, short,free, online psychological tests go to: http://psychcentral.com/quizzes/ Material w as prepared for use as an aid in handling requests for psychological testing. The minutes allocated for each test include administration, scoring and w rite up. Determination of the medical necessity of psychologicaltests always requiresconsideration of the clinicalfacts of the specific case to assure that tests given are a cost-effective 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 16 PersonalityFactorQuestionnaire(16-PF) Personality 16+ 30 35-60 minperTests in Print for admintimeonly ABEL Screen Sexual Interest Adol + 120 Primarilyforensic in nature: may not becovered Achenbach Systemof Empirically Based Assessment 60 Preschool Module Behav RatingScale 1.5-5 10 Caregiver-Teacher ReportForm Behav RatingScale 1.5-5 10 ChildBehavior Checklist (CBCL) Behav RatingScale 1.5-5 15 TeacherReport Form Behav RatingScale 6-18 20 Youth Self-Report (YSR) Behav RatingScale 11-18 20 ACTeERS-ADD-H Comprehensive,Teachers Rating Scale Behav RatingScale 5 – 13 15 Adaptive Behavior Assessment System(ABASII) Behav RatingScale 0-89 30 Adaptive Behavior Scale (ABS) Developmental 3-18 30 ADHD Rating Scale Behav RatingScale 4 – 18 15 Adolescent AngerRating Scale Behav RatingScale 11-19 15 Adolescent Apperception Cards ProjectivePersonality 12 – 19 60 Adult Behavior Checklist (ABCL) Behav RatingScale 18-89 30 Admin. Time 20min. + 10 min. for scoring, interpretation,writeup. Adolescent Psychopathology Scale Personality Child-adult 60 Alzheimer’s QuickTest (AQT) Neuro Adult 10 Amen System Checklist Behav RatingScale Adult 15 Animal Naming Neuro Child-adult 10 Aphasia ScreeningTest (Reitan Indiana) Neuro 5+ 30 Asperger’s SyndromeDiagnosticScales (ASDS) Ratingscale 5-18 20 AttentionDeficit Disorder Eval. Scales (ADDES) Behav RatingScale 5 – 18 15 Attention-Deficit/HyperactivityDisorderTest(ADHDT) Behav RatingScale 3-23 10 Attention-Deficit Scales for Adults (ADSA) Behav RatingScale 17+ 15 Auditory Consonant TrigramTest (ACT) Neuro, educational 16-69 15 Auditory Continuous PerformanceTest Attention; ADHD 6 – 11 30 Australian Scale for Asperger’sSyndrome Ratingscale Primaryschool 15 On-line, self scoring 3.704.3 List of Psychological Tests
  • 2. 3.704.3 Revised12/08/05,12/14/06; 12/13/07; 11/01/09, 11/18/09, 11/21/11 2 of 15 3.704.3 List of Psychological Tests Material w as prepared for use as an aid in handling requests for psychological testing. The minutes allocated for each test include administration, scoring and w rite up. Determination of the medical necessity of psychologicaltests always requiresconsideration of the clinicalfacts of the specific case to assure that tests given are a cost-effective 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 MINUT ES COMMENTS Autism DiagnosticInterview(ADI-R) Autism diagnosis Mental age >2 60 90-150, shouldsubstitute for other measures Autism DiagnosticObservationScale (ADOS) Ratingscale Toddler-Adult 60 Basic PersonalityInventory (BPI) Personality Test 12+ 35 Battell Developmental Inventory Developmental Assessment 0-7 30 Batteryfor Health Improvement (BHI) Personality Test 18-65 25-40 Relationships betweenpsychopathology andpain Bayley Scales of Infant Development Development 1-42 months 60 Beck Anxiety Inventory Personality Test 17-80 15 Beck Depression Inventory Personality Test 17-80 15 Beck Depression Inventory-II(BDI-II) Personality Test 13 – 80 15 Beck Hopelessness Scale (BHS) Personality Test 17 – 80 15 Beck Scale for Suicidal Ideation Pers RatingScale 17 – 80 15 Beck Youth Inventory Symptom Rating Scale 7-14 15 Beery VMI (Test ofVisual-MotorIntegration) Neuro/LD: Visual 3+ 30 Behavior Assessment SystemforChildren (BASC) Behav RatingScale 4 - 18 30 Behavior RatingInventoryof ExecutiveFunctioning(BRIEF) Neuro Child/adolescent 45 Versions for preschool and child/adolescent Bender Visual Motor GestaltTest Neuro 4+ 30 Neuro; not for personality assessment Benton Facial RecognitionTest Neuro 6-74 30 Benton Judgment of Line OrientationTest Neuro 7+ 20 Benton Multilingual AphasiaExam (BMAE) Neuro 6-69 90 Benton MAESentenceRepetition Neuro 6-69 15 Benton MAEToken Test Neuro 6-69 15 Benton MAE: Visual Naming Test Neuro 6-69 15 Benton Right-Left OrientationTest Neuro 16-64 10 Benton Serial Digit LearningTest Neuro 16-64 15 Benton Visual Form DiscriminationTest Neuro Adult 15 Benton Visual Retention Test Neuro 8+ 30 Booklet CategoriesTest Neuro 15+ 45 Boston Diagnostic AphasiaExamination-3 Neuro Adults 60 Boston NamingTest Neuro Adults 30
  • 3. 3.704.3 Revised12/08/05,12/14/06; 12/13/07; 11/01/09, 11/18/09, 11/21/11 3 of 15 3.704.3 List of Psychological Tests Material w as prepared for use as an aid in handling requests for psychological testing. The minutes allocated for each test include administration, scoring and w rite up. Determination of the medical necessity of psychologicaltests always requiresconsideration of the clinicalfacts of the specific case to assure that tests given are a cost-effective 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 MINUT ES COMMENTS BRIEF (Behavior RatingInventoryofExecutiveFunctioning) Neuro/Educational Child/adolesce nt 45 Versions for preschool andchild/adolescent Brief Neuropsychological CognitiveExam Neuro 13+ 30 Brief SymptomInventory Behav RatingScale 13+ 5 Short form ofSLR-90-R. Brief Test of Attention (BTA) AttentionMeasure 17-82 15 Brief Visuospatial MemoryTest-Revised(BVMT-R) Neuro 18-79 60 Brown Attention-Deficit DisorderScales Behav RatingScale 12+ 15 Burk’s Behavior Rating Scale Behav RatingScale Preschool 15 Burt WordReading Educational Child 5 Buschke Selective Reminding Test Neuro 5-91 30 California Psychological Inventory(CPI) Objective PersonalityTest 13+ 30 California Verbal LearningTest (CVLT) Neuro: Memory/Learning 17+ 45 Norms only onnormal population California Verbal LearningTest forChildren (CVLT) Neuro: Memory/Learning 5 – 16.1 45 Carroll Depression Scale RatingScale 18+ 15 Category Test Neuro 15+ 45 ChildBipolar Questionnaire (CBQ) Behav RatingScale 5-18 15 Juvenile onset bipolar ratingscale- parentadministered Children’s Apperception Test (CAT) ProjectivePersonalityTest 3-10 60 Children’s Attention& Adjustment Survey (CAAS) Behav RatingScale 5 – 13 15 Children’s AtypicalDevelopmentScale RatingScale Child 15 Children’s AuditoryVerbal LearningTest-2(CAVLT) Neuro-Memory/Learning 6.5-18 45 Children’s CategoryTest (CCT) Neuro 5 – 16 15 Children’s Depression Inventory (CDI) Personality 7-17 15 Children’s Depression RatingScale, Revised Personality 6 – 12 15 Children’s Personality Questionnaire(CPQ) Pers Inventory 8-12 30 Children’s Self Report ProjectiveInventory ProjectivePersonalityTest 5-12 120 ChildDevelopmentInventory-4 Development/Personality 15 mo.-6 60 ChildSymptom Inventory (CSI) RatingScale 6-12 15 ChildhoodAutism RatingScales (CARS)-2 RatingScales 2+ 15 ChildhoodTrauma Questionnaire PersonalityScale 12+ 15
  • 4. 3.704.3 Revised12/08/05,12/14/06; 12/13/07; 11/01/09, 11/18/09, 11/21/11 4 of 15 3.704.3 List of Psychological Tests Material w as prepared for use as an aid in handling requests for psychological testing. The minutes allocated for each test include administration, scoring and w rite up. Determination of the medical necessity of psychologicaltests always requiresconsideration of the clinicalfacts of the specific case to assure that tests given are a cost-effective 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 MINUT ES COMMENTS Clinical Evaluation ofLanguage Fundamentals(CELF)-4 Neuro 5-21 30 Children’s Manifest Anxiety ScaleRevised Personality 6 – 19 15 Children’s MemoryScale (CMS) Neuro 5 – 16 60 Children’s Personality Questionnaire Personality 8-12 45 Children’s State-Trait AnxietyInventory Beh Ratingscale 8 – 14 15 Chronic PainBattery Pain adaptation Adult 15 Clock Drawing Neuro Not stated 15 Cognistat Neuro 18+ 30 Cognitive Abilities Scale II (CAS) Neuro/Educational 5-18 60 60 for basic; 75 for standard Cognitive Assessment System (CAS) Neuro/educational 5-18 60 Cognitive CopingStrategiesInventory-R RatingScale Adult 15 Color TrailsTest Neuro Adult- Elderly 10 Comprehensive Assessment of SpokenLanguage(CASL) Neuro; Educational 3-21 60 45 for children3-5 Comprehensive Behavior RatingScale for Children (CBRSC) Behav RatingScale 6 – 14 15 Comprehensive Test of Nonverbal Intelligence(CTONI) Nonverbal test ofIntelligence 6-19 60 Comprehensive Test of Phonological Processing (CTOPP) Neuro/Educational 5-24 45 Comprehensive Trail MakingTest (CTMT) Neuro 8-74 15 Computer Category Test Neuro 15-80 45 ComputerizedAssessment ofResponse Bias (CARB) Neuro; Forensic Adult 15 Effort, malingering Conner’s Adult ADHD RatingScale (CAARS) Behav RatingScale 18+ 15 Conner’s Continuous Performance Test II (CCPT) Neuro 4+ 60 Conner’s Continuous Performance Test, Kiddie Version (KCPT) Neuro, Forensic 4-5 15 Conner’s RatingScale-Teacher orParent Behav RatingScale 3- 17 15 Conner’s RatingScales-Revised Behav RatingScale 3 – 17 15 Contextual MemoryTest (CMT) Neuro; educational Adult 30 ControlledOral WordAssociationTest (COWATorCOWA) Neuro; educational 16+ 15 CopingResponses Inventory (CRI) Personality 12-90 20 D2 Test of Attention Attention Child-Adult 10
  • 5. 3.704.3 Revised12/08/05,12/14/06; 12/13/07; 11/01/09, 11/18/09, 11/21/11 5 of 15 3.704.3 List of Psychological Tests Material w as prepared for use as an aid in handling requests for psychological testing. The minutes allocated for each test include administration, scoring and w rite up. Determination of the medical necessity of psychologicaltests always requiresconsideration of the clinicalfacts of the specific case to assure that tests given are a cost-effective 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 MINUT ES COMMENTS Delis-Kaplan Executive Functional Scale(D-KEFS) Neuro: Exec 8-89 120 DementiaRatingScales (Mattis) Neuro: Screen 65-81 60 Depression andAnxietyin YouthScale (DAYS) Objective Personality 6-19 45 DetailedAssessment of Posttraumatic Stress(DAPS) Personality 18-91 60 Detroit Test of LearningAptitude (DTLA)-4 Intelligence 6-17 120 Developmental Indicators for theAssessment of Learning(DIAL)-3 Educational; Neuro 3-7 40 Developmental Profile II Neuro; Educational 0-9.5 40 Developmental Test of Visual Perception (DTVP)-2 Development; Neuro 4-9 45 DevereauScales of Mental Disorders Personality 5-18 30 Diagnostic Achievement Battery –2(DAB2) Academic achievement 6-14 60 Primarilyeducational; maynot be covered Diagnostic Assessment of Reading(DAR) Neuro; Educational 5-Adult 30 Differential Ability Sale (DAS) Educational; Neuro 6-18 60 Digit Vigilance Test Neuro 20-80 20 Dot CountingTest (DCT) Neuro; Forensic 17+ 15 Effort, malingering Draw-a-Person (DAP) ProjectivePersonality Child-Adult 15 Dyadic Adjustment Scale Personality Adult 15 Dyslexia Screening Instrument Educational 6-21 20 Early ChildhoodAttention Deficit Disorders EvaluationScale (ECADDES) Beh Ratingscale 2-7 F; 2-6.5 M 20 EatingInventory Personality 17+ 15 EatingDisorder Inventory2 (EDI-2) Personality 12+ 15 Endler Multidimensional AnxietyScales Pers RatingScale 13+ 15 Estimateof Risk of Adolescent Sexual OffenseRecidivism (ERASOR) Sex offender assessment 12-18 15 Forensic; may not be covered Examiningfor Aphasia Neuro 13 – adult 75 Executive Control Battery (ECB) Neuro Not Specified 60 Expressive OneWorkVocabulary Test –Revised Neuro 2-12 20 Expressive Oral-WordPicture Vocabulary Test(EOPVT) Neuro 2-80 15 Family ApperceptionTest ProjectivePersonalityTest 6 – 15 30
  • 6. 3.704.3 Revised12/08/05,12/14/06; 12/13/07; 11/01/09, 11/18/09, 11/21/11 6 of 15 3.704.3 List of Psychological Tests Material w as prepared for use as an aid in handling requests for psychological testing. The minutes allocated for each test include administration, scoring and w rite up. Determination of the medical necessity of psychologicaltests always requiresconsideration of the clinicalfacts of the specific case to assure that tests given are a cost-effective 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 MINUT ES COMMENTS Family KineticDrawing ProjectivePersonalityTest Child+ 30 Fear-Avoidance Beliefs Questionnaire (FABQ) Back Pain Assessment Not Specified 10 Feelings, Attitudes andBehaviors Scale forChildren Behav RatingScale <12 10 Finger TappingTest (Electric orManual) Neuro Child+ 5 Folstein Mini Mental Status Neuro Adult 15 Should be part of 90801intake assessment rather thantesting Frontal Systems Behavior Scale Neuro 18-95 25 Fuld Object Memory Evaluation Neuro: Memory 70-90 15 Geriatric Fundamental Interpersonal RelationsOrientation-Behavior (FIRO-B) Personality Adult 15 General Ability Measure forAdults (GAMA) Intelligence 18-80 45 Gilliam Autism RatingScale (GARS-2) Ratingscale 3-22 15 Gilliam Asperger’s Disorder Scale (GADS) Ratingscale 3-22 15 Gordon DiagnosticSystem Attention 4+ 60 Gray Oral ReadingTest (GORT-R orGORT-3) Educational Child+ 45 Gray Silent Reading Test Educational; Neuro 7-25 45 Green WordMemory Test Neuro Not listed 30 Grip Strength Neuro 6+ 5 GroovedPegboard Neuro 5-89 10 Guilford-ZimmermanTemperament Survey Personality 16+ 60 Assessment of normal personalityratherthanclinical assessment HalsteadReitan Neuro Battery Neuro Battery Child+ N/A See times for individual tests fromthis battery (6) HamiltonDepressionInventory (HDI) Symptom rating scale 18+ 15 HamiltonRatingScale for Depression-Revised(ClinicianForm) Personality 18+ 0 Part of MSE only HamiltonRatingScale for Depression-Revised(Self-Report) Pers RatingScale 18+ 15 HandTest ProjectivePersonality Adult 45 Hare Psychopathychecklist-R (PCL-R) Personality 18+ 150 High School Personality Inventory Personality 13+ 30 HoltzmanInkblotTest/Technique ProjectivePersonality Child+ 120 Home Situations Questionnaire (HSQ,HSQ-R) Beh RatingScale 4-18 15 Hooper Visual OrganizationTest (VOT) Neurosych 5+ 30 Hopkins Verbal Learning Test-R Neuro 16-92 20
  • 7. 3.704.3 Revised12/08/05,12/14/06; 12/13/07; 11/01/09, 11/18/09, 11/21/11 7 of 15 3.704.3 List of Psychological Tests Material w as prepared for use as an aid in handling requests for psychological testing. The minutes allocated for each test include administration, scoring and w rite up. Determination of the medical necessity of psychologicaltests always requiresconsideration of the clinicalfacts of the specific case to assure that tests given are a cost-effective 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 MINUT ES COMMENTS House Tree Person (H-T-P) ProjectivePersonality Child+ 30 Human Figure Drawings ProjectivePersonality Child+ 30 Impact ofWeight on Qualityof LifeQuestionnaire(IWQOL) Personality Adult 15 Childversion for ages 11-19 Incomplete Sentences Blank Projective Child+ 15 Independent LivingScales (ILS) Neuro; Forensic 65+ 45 Competencyin performing ADLs IntegratedVisual andAuditory Continuous PerformanceTest (IVACPT) Attention 6-96 60 Jesness Inventory Antisocial personality 8-adult 45 Personalityfordelinquent andconduct d/o, personalityfor delinquentand conduct d/o 8--adult Jesness Inventory Revised (JI-R) Antisocial personality 8-adult 60 Admin time- 20-30min., howeveroutput is multidimensional andmay take considerable time to interpret andintegrateinto otherassessment data. http://www.mhs.com/product.aspx?gr=saf&prod=ji-r&id=resources Jordon Left-Right ReversalTest-R Neuro; Educational 5-12 20 J-Soap Juvenile Sex Offender AssessmentProtocol Sex offender assessment 9-20 60 Forensic; may not be covered Judgment of Line Orientation Neuro Adult 30 Kaufman Brief IntelligenceTest (K-BIT) Intelligence 4-90 30 Kaufman Adolescent andAdult IntelligenceTest Intelligence 11-85 90 Kaufman Assessment Batteryfor Children(KABC) Intelligence& AcademicSkills 2.5-12.5 90 Kaufman Functional Academic Skills Test(K-FAST) Developmental 15-85 30 Adaptive behaviorinventory.15-25for admin. Kaufman Short Neuropsychological Assess Procedure(K-SNAP) Neuro screen 11 – 85 30 Kaufman Test ofEducationAchievement(K-TEA) Educational 6-18 60 Key-MathDiagnostic Arithmetic Test –Revised Educational 5-14 80 Kinetic FamilyDrawings (KFD) ProjectivePersonality Child+ 30 Lateral Dominance Exam Neuro Child-Adult 25 LearningDisabilities Diagnostic Inventory(LDDI) Educational 8-18 30 Leiter International Performance Scale Revised(Leiter-R) Intelligence 2-20 60 Louisville BehavioralChecklist Beh RatingScale 4-17 15 Luria-Nebraska Neuropsych Battery Neuro 13+ 150 Luria-Nebraska Neuropsych – ScreenVersion Neuro 13+ 30 Luria-Nebraska NeuropsychBatteryforChildren Neuro 8-12 150 Luria-Nebraska NeuropsychforChildren – ScreenVersion Neuro 8-12 30
  • 8. 3.704.3 Revised12/08/05,12/14/06; 12/13/07; 11/01/09, 11/18/09, 11/21/11 8 of 15 3.704.3 List of Psychological Tests Material w as prepared for use as an aid in handling requests for psychological testing. The minutes allocated for each test include administration, scoring and w rite up. Determination of the medical necessity of psychologicaltests always requiresconsideration of the clinicalfacts of the specific case to assure that tests given are a cost-effective 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 MINUT ES COMMENTS Make a Picture Story ProjectivePersonality Adolescent 60 Marital SatisfactionInventory-Revised(MSI-R) Marital/Relationship 18 – 90 15 MarylandAddictions Questionnaire(MAQ) Chemical Dep 16+ 15 McCarthyScales of Children’s Abilities Intelligence 2.6-8.6 90 McGill Pain Inventory Personality, pain coping 18+ 15 Memory Assessment Scales Neuro 18-90 60 Millon Adolescent PersonalityInventory (MAPI) Personality 13-18 60 Millon Behavioral Medicine Diagnostic(MBMD) Personality 18-85 30 Has bariatric norms Millon Clinical Multiaxial Inventory-III(MCMI) Personality 18+ 60 MicroCogAssessment ofCognitiveFunctioning Neuro 18 – 89 60 Millon Adolescent Clinical Inventory(MACI) Personality 13-19 60 Millon Adolescent PersonalityInventory (MAPI) Pers Inventory 13-19 60 Millon Behavioral Health Inventory (MBH/MBHI) Medical CopingStyle 18+ 60 Millon Pre-Adolescent Clinical Inventory(M-PACI) Pers Inventory 9-12 30 Minnesota Multiphasic Pers.Inventory-2(MMPI-2) Personality 18+ 60 Minnesota Multiphasic Pers.Inventory-Adolesc.(MMPI-A) Personality 13-18 60 Assumes 6th grade readinglevel Minnesota Test forDifferential Diagnosis of Aphasia Neuro Adults 90 Mooney ProblemCheck Lists Personality Jr. High-Adult 35 Motor-Free Visual PerceptionTest Neuro; Educational 4-8 25 Mullen Scales of Early Learning Neuro; Educational Birth-68 months 15 (1yr) 25-35 (3yrs), 40-60(5yrs) Multidimensional AnxietyScale for Children(MASC) Pers Inventory 8-19 30 Multidimensional HealthProfile Pers Inventory 18-90 15 Multilingual Aphasia Examination (MAE)-3 Neuro 6-69 60 Multiphasic Sex Inventory Sex offender assessment Adult 60 Versions for adolescent andadult males Multiscore DepressionInventoryforChildren Personality 8 – 17 15 Multiscore DepressionInventoryforAdolescents andAdults Personality 17+ 15 Nelson-DennyReadingTest (Forms Gand H) Educational; Neuro 9-Adult 30 NEO Personality-R (NEO PI-R) Personality 17+ 30 NEPSY (Developmental NeuropsychologicalAssessment) Neuro 3-12 120 60 for pre-school; 120forschool age children
  • 9. 3.704.3 Revised12/08/05,12/14/06; 12/13/07; 11/01/09, 11/18/09, 11/21/11 9 of 15 3.704.3 List of Psychological Tests Material w as prepared for use as an aid in handling requests for psychological testing. The minutes allocated for each test include administration, scoring and w rite up. Determination of the medical necessity of psychologicaltests always requiresconsideration of the clinicalfacts of the specific case to assure that tests given are a cost-effective 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 MINUT ES COMMENTS Neuropsychological Assessment Battery(NAB) Neuro 18-97 240 6 different modules @ 40 minutes each Neuropsychological Impairment Scale Neuro screen 18 – 88 15 Neuropsych Questionnaire (NPQ) Neuro / Beh Rating Scale Child-Adult 45 NPQ is a computer administered& scoredquestionnaire; developedandused in NC Neuropsych Questionnaire Short Form (NPQ-SF) Neuro / Beh Rating Scale Child-Adult 10 NPQ Follow-up version NICHQ Vanderbilt Assessment Scale Beh RatingScale 6-12 15 Omni PersonalityInventory Pers Inventory 18-74 60 Omni IVPersonalityDisorderInventory Pers Inventory 18-74 60 Oral andWrittenLanguage Skills (OWLS) Educational; Neuro 3-21 40 PacedAuditory Serial AdditionTask(PASAT: C) Neuro: Attention 16+ 45 Pain Apperception Test Pain disorders Adult 15 Pain Patient Profile (P3) Pain disorders 17-76 15 Parent-Childrelationship Inventory(PCRI) Prenatal Style 3 – 12 15 ParentingStress Index (PSI) Parental Style 3 – 12 15 Paulhaus Deception Scales Personality 16+ 15 Measures response distortion Peabody Developmental Motor Scales andActivity Cards Developmental 0 – 7 90 Peabody Individual Achievement Test – Revised(PIAT-R) Educational 5 – 18 75 Peabody Picture VocabularyTest – Revised(PPVT-R) Intelligence; Educational 2.5-Adult 30 Pediatric AttentionDisorders Diagnostic Screener (PADDS) Beh RatingScale 6-12 60 Includes ratings scales andexecutive functionmeasures Personal ExperienceInventory for Adolescents (PEI) Chemical Dep 12 – 18 15 Personal ExperienceInventory for Adults(PEI-A) Chemical Dep 19+ 30 PersonalityAssessment Inventory (PAI) Personality 18+ 60 PersonalityInventoryforChildren-R Personality 3-16 30 PersonalityInventoryforYouth (PIY) Pers Inventory 9-19 30 PersonalityResearch Form (PRF) Personality 11+ 60 PHASE Sex offender assessment Not Specified 30 Forensic; may not be covered, sexualattitudes PhiladelphiaHeadInjury Questionnaire Neuro Adult 15 Piers-Harris Children's Self Anapt Scale Personality 7-18 15 Porteus Mazes Intelligence; Neuro 3+ 30 Posttraumatic Stress Diagnostic Scale (PDS) Personality 18-65 15
  • 10. 3.704.3 List of Psychological Tests 3.704.3 Revised12/08/05,12/14/06; 12/13/07; 11/01/09, 11/18/09, 11/21/11 10 of 15 Material w as prepared for use as an aid in handling requests for psychological testing. The minutes allocated for each test include administration, scoring and w rite up. Determination of the medical necessity of psychologicaltests always requiresconsideration of the clinicalfacts of the specific case to assure that tests given are a cost-effective 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 MINUT ES COMMENTS Preschool Language Scale, 4th Edition (PLS-4) Educational; Neuro 0-6 60 Problem Behavior Inventory Pers RatingScale 13+ 15 Problem Experiences Checklist Personality 13 – 19 15 Process Assessment ofthe Learner(PAL)-II Educational Grades K-6 30-60 W/all subtests, 1-6 minpersubtest. Progressive Figures Test Neuro 5-8 15 ProjectiveDrawings Personality Child-Adult 30 Psychological Screening Inventory Personality Adolescent- Adult 15 Purdue Pegboard Neuro Child+ 15 QB Test Attention/ADHD 6-55 60 Quality of Life Inventory (QOLI) Personality 17+ 5 Not a clinical test but maybe useful in some assessments (e.g.pain) Quick Neurological ScreeningTest-2(QNST-2) Neuro 12 to adults 30 Quotient Test of Attention Attention Child-Adult 60 Raven’s ProgressiveMatrices (all versions) IQ/Neuro; Problem Solving 6.5+ 45 Receptive One WordPicture VocabularyTest (ROWPVT) Neuro 2-95 30 Repeatable Batteryfor Assessment ofNeuropsychologicalStatus (RBANS) Neuro 20-89 30 Resiliency Scales for Children and Adolescents Personality 9-18 30 RevisedBehavior ProblemChecklist (RBPC) Behavior RatingScale 5 – 18 15 RevisedChildren’s Manifest Anxiety Scale(RCMAS)-2 Personality 6-19 15 RevisedTokenTest Neuro ; Educational 20-80 30 Rey Auditory Verbal Learning Test Neuro 7-89 15 Rey 15-Item Test—move toalphabeticorder Neuro, malingering Adult 15 May be primarily forensic Reynolds Adolescent Depression Scale-2 Personality 11-20 15 Reynolds Adolescent Adjustment Screening Inventory Personality 12-19 15 Reynolds ChildDepression Scale Personality 7-12 15 Reynolds Intellectual Assessment Scales (RIAS) Intelligence 3-94 45 Reynolds Intellectual ScreeningTest(RIST) Intelligence 3-94 15 Rey-OsterriethComplexfigure Test (RCFT) Neuro 30 RivermeadBehavioral Memory Test Neuro 16-96 45
  • 11. 3.704.3 List of Psychological Tests 3.704.3 Revised12/08/05,12/14/06; 12/13/07; 11/01/09, 11/18/09, 11/21/11 11 of 15 Material w as prepared for use as an aid in handling requests for psychological testing. The minutes allocated for each test include administration, scoring and w rite up. Determination of the medical necessity of psychologicaltests always requiresconsideration of the clinicalfacts of the specific case to assure that tests given are a cost-effective 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 MINUT ES COMMENTS RivermeadPerceptual AssessmentBattery-III Neuro 16-96 60 Roberts ApperceptionTest forChildren (RATC) ProjectivePersonality 6-15 60 Rorschach ProjectivePersonality Child+ 120 Includes scoring RosenzweigPicture Frustration Study Personality 14-85 30 Rotter IncompleteSentenceTest ProjectivePersonality Child+ 60 Risk-Sophistication-Treatment Inventory(RSTI) Sex offender assessment 9-18 60 Forensic; may not be covered Ruff 2 & 7 Selective AttentionTest Neuro 16-70 30 Scales of Independent Behavior (WoodcockJohnson) (SIB)-R Developmental 0-80 60 SCAN-3C: Test for AuditoryProcessingDisorders inChildren Educational; Neuro 5-12 60 Scholastic Abilities Test forAdults (SATA) Educational; Neuro 16-70 60-120 School BehaviorChecklist Beh RatingScale 4 – 13 15 School MotivationandLearningStrategies Inventory(SMLSI) Beh RatingScale 8-18 15 School Situations Questionnaire (SSQ,SSQ-R)/Survey Behavioral Rating Scale 6-12 15 Screener andOpioidAssessment for Patients with Pain-Revised (SOAPP-R) Pain assessment Adult 15 Seashore RhythmTest Neuro: Perceptual 15+ 20 Sensory Profile Neuro; Developmental 3-10 25 Severe Impairment Battery (SIB) Neuro Adult 30 Sexual Adjustment Inventory-Juvenile Sex offender assessment 14-18 90 Forensic; may not be covered, norms 14-18 Sexual Attitude Questionnaire Sex offender assessment Teen + 15 Forensic; may not be covered, 40 items Shipley Instituteof Living Scale Intelligence 14+ 30 Short CategoryTest, Booklet Format Neuro: ProblemSolving 15+ 35 Short Sensory Profile Neuro; Developmental 3-10 15 Sixteen Personality Factor Questionnaire(16PF) Pers Inventory 16+ 30 Slosson Full-Range Intelligence Test(S-FRIT) Intelligence 5 – 21 45 Slosson IntelligenceTest – Revised Intelligence 4+ 30 Social CommunicationQuestionnaire(SCQ) RatingScale 4+ 15 For Autism Spectrum; requires mental age. 2 Social Phobia andAnxiety Inventory Beh RatingScale 14+ 15 Social Responsiveness Scale (SRS) Beh RatingScale 4-18 30 Autism spectrumsymptom severity. Admin. time15-20min.produces several indictors and subscales. Speech Sounds Perception Test Neuro 9-Adult 30
  • 12. 3.704.3 List of Psychological Tests 3.704.3 Revised12/08/05,12/14/06; 12/13/07; 11/01/09, 11/18/09, 11/21/11 12 of 15 Material w as prepared for use as an aid in handling requests for psychological testing. The minutes allocated for each test include administration, scoring and w rite up. Determination of the medical necessity of psychologicaltests always requiresconsideration of the clinicalfacts of the specific case to assure that tests given are a cost-effective 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 MINUT ES COMMENTS StructuredClinical Interview(SCID II PatientQuestionnaire) Beh RatingScale 18+ 30 Structuredinterviewfor DSM-IV-TR-Axis II StandardizedReadingInventory- 2nd Edition(SRI-2) Educational; Neuro 6-14 60 requiresStanfordBinet IntelligenceScale Intelligence 2-adult 120 State-Trait Anger Expression Inventory Beh RatingScale 12 – 67 15 State-Trait AnxietyInventory Beh RatingScale 15+ 15 Stroop ColorNaming Neuro: Attention 7+ 20 Substance Abuse Subtle ScreeningInventory (SASSI) Chemical Dep 12+ 15 Suicidal IdeationQuestionnaire Symptom rating scale 12 – 18 15 Suicide ProbabilityScale Personality 13+ 15 Survey of Teenage Readiness andNeurodevelopment Status (STRANDS) Neuro; Developmental 13-19 60 Symbol-Digit Modalities test Neuro: Attention 6+ 20 Symptom Assessment 45 (SA-45) Sex offender assessment 13+ 15 Forensic; may not be covered Symptom Checklist 90 Revised (SCL-90-R) Symptom Checklist 13+ 15 Tactual Performance Task (TPT) Neuro 5+ 35 Target Test Neuro 5+ 35 Tasks of Emotional Development(TED) ProjectivePersonality Approx 6- 60 Taylor-JohnsonTemperament Analysis Personality/Marital 13+ 30 Tell-Me-A-Story(TEMAS) ProjectivePersonality 5 – 18 60 Minorities andnon-minorities Test of AuditoryAnalysis Skills (TAAS) Educational 5-8 10 Test of AuditoryComprehensionofLanguage-3 Educational; Neuro 3-9 30 Test of Auditory-Perceptual Skills (TAPS)-R Educational 4-18 30 Test of Early MathAbility (TEMA) Educational 3-8 30 Test of Early ReadingAbility(TERA)-3 Educational 3-8.5 30 Test of Emotional Development (TED) ProjectivePersonality 6+ 20 Test of EverydayAttention(TEA) (TEA-CH for children) Attention 18 – 80 60 Test of Language Competence-Expanded(TLC-E) Educational 5-18 60+ Test of Language Development – Primary(TOLDP:3) Neuro/language/educational 4-8 60 Test of Language Development – Intermediary (TOLDP:3) Neuro/language/educational 8-12 60
  • 13. 3.704.3 List of Psychological Tests 3.704.3 Revised12/08/05,12/14/06; 12/13/07; 11/01/09, 11/18/09, 11/21/11 13 of 15 Material w as prepared for use as an aid in handling requests for psychological testing. The minutes allocated for each test include administration, scoring and w rite up. Determination of the medical necessity of psychologicaltests always requiresconsideration of the clinicalfacts of the specific case to assure that tests given are a cost-effective 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 MINUT ES COMMENTS Test of MemoryMalingering (TOMM) Malingering/Effort 16+ 15 Test of MemoryandLearning (TOMAL) Neuro-Mem-LD 5-19.11 60 Test of Nonverbal Intelligence-3(TONI-3) Intelligence 6 – 89 30 Test of Pragmatic Language (TOPL) Educational 6-18 45 Test of Problem Solving (TOPS) Educational; Neuro 6-11 25 Test of Variables of Attention(TOVA) Attention 4-80 60 Test of Visual-Motor Integration(see BeeryVMI) Neuro; Developmental 3+ 30 Test of Visual –MotorSkills, UpperLevel Neuro: Educational 12 – 40 20 Test of Visual-Motor Skills, Revised Neuro: Educational 3 – 13 20 Test of Visual-Perceptual Skills Revised(non-motor)(TVPS-3) Neuro: Educational 4 – 13 30 Test of Visual-Perceptual Skills Revised(non-motor) UpperLevel (TVPS-3) Neuro: Educational 12 – 18 20 Test of WordReadingEfficiency (TOWRE) Educational 6-25 15 Test of WrittenLanguage (TOWL)-4 Educational 7-17 90 ThematicApperceptionTest (TAT) ProjectivePersonality Adoles+ 60 TokenTest (RevisedTokenTest, TokenTest for children) Neuro-Language 3+ 30 Tower of London Neuro Child-Adult 30 Trail MakingTest Neuro; Attention 6-97 15 Trauma SymptomChecklist forChildren (TSC) Personality 8 – 16 15 Youngchildren version ages 3-12 Trauma SymptomInventory (TSI) Personality 18+ 30 Validity IndicatorProfile (VIP) Malingering 18-69 60 VinelandAdaptive Behavior Scales (VABS) Developmental 0-18.11 75 VinelandSocial-EmotionalEarlyChildhoodScales Emotional Developmental 5 – 11 30 Visual–Motor Integration(VMI) Neuro: Visual 3+ 20 Visual-Aural Digit Span Test Neuro/LD; Memory 12+ 20 Wechsler Adult IntelligenceScale – III(WAIS-III) IQ-Multitask 16-74 135 Wechsler Adult IntelligenceScale – IV(WAIS-IV) IQ-Multitask 16-74 135 Wechsler Adult IntelligenceScale – Revisedas aNeurological Instrument (WAIS-R NI) IQ/Neuro 16-74 180
  • 14. 3.704.3 Revised12/08/05,12/14/06; 12/13/07; 11/01/09, 11/18/09, 11/21/11 15 of 15 Material w as prepared for use as an aid in handling requests for psychological testing. The minutes allocated for each test include administration, scoring and w rite up. Determination of the medical necessity of psychologicaltests always requires consideration of the clinical facts of the specific case to assure that tests given are a cost-effective 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 MINUT ES COMMENTS Wechsler AbbreviatedScale of Intelligence(WASI) IQ 16-74 60 May be appropriate for screening Wechsler Individual Achievement Test (WIAT) Academic Skills 12+ 45 Screeningversion .5 hr. Wechsler Individual Achievement Test for Children (WIAT) Academic Skills 5-12 45 Screeningversion .5 hr. Wechsler IntellScale for Children (WISC-IV) IQ-Multitask 6-16 135 Wechsler Memory Scale – 3rd Ed. (WMS-III) Neuro: Memory 16 – 89 75 Wechsler Preschool & PrimaryScale of Intell.Rev (WPPSI-R) IQ-Multitask 3-7 120 Wechsler Test of Adult Reading (WTAR) Educational 16-89 15 Wender UtahRatingScale Beh RatingScale Adult 15 Wepman Auditory Discrimination Test Neuro/LD: Language 4-8 20 Wepman’s AuditoryMemory Battery Memory-LD 5 – 8 15 Western Aphasia Battery Neuro: Language Adol+ 75 Western PersonalityInventory Chemical Dep 18+ 15 Whitaker Index ofSchizophrenic Thinking(WIST) Symptom Screen 16+ 15 8th grade education andnormalIQ Wide Range Achievement Test – 3rd Edition(WRAT-3) Neuro/Educational 5+ 30 Wide Range Achievement Test – 4th Edition(WRAT-4) Neuro/Educational 5+ 40/60 40 min for 5-7yr olds/60 minfor 8+; Admintime varies dependingon the age of child: 15 to 25minutes for ages 5 to7 years and35to45minutes for ages 8+. 15 minutes addedfor scoringandwrite-up. Wide Range Assessment of Memory& Learning (WRAML) Neuro/Educational 5-17 60 10-15 minutes screeningversion available Wide Range Assessment of Visual Motor Abilities(WRAVMA) Neuro/Educational 3-17 45 Wisconsin CardSortingTest (WCST) Neuro: 12+ 45 Needs IQ or HALTEADASREFERENCE Woodcock-Johnson Psychoeduca Battery(Achievement) Academic Skills 2+ 90 1.5 for StandardBattery/2.0for Standard& Supp. Woodcock-Johnson Psychoeduca Battery(Cognitive) Cognitive/IQ 2+ 90 1.5 for R StandardBattery/2.0forStandard& Supp. WoodcockLanguage ProficiencyBattery-R Language 2 – adult 60 WoodcockReadingMasteryTests-R Academic Skills 5 – 75 60 WorkingMemoryTest BatteryforChildren Neuro; Educational 5-15 60 Reportedout of print effective1/2011 Yale-Brown Obsessive CompulsiveScale Personality Adult 15 Yale FoodAddiction Scale Personality Adult 15 ZungDepression Index RatingScale Adult 5