Chap IV p. 14 - Required reviews & updates, including the annual review & update of the Comprehensive Needs Assessment are not billable. It is our understandinf that an annual assessment must be billed which would reuire a new Comprehensive Needs Assessment. Is it being suggested that an LMHP can just comlete an addendum for the annual assessment. This is not consistent with material presented on training for the Comprehensive Needs Assessment.