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Minnesota Department of Human Services Early Intensive Development and Behavioral Intervention Manual
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Intervention

Page posted: 6/15/15

Page reviewed: 2/17/17

Page updated: 2/17/17

Legal authority

CMS-approved EIDBI state plan amendment (PDF), Minn. Stat. §256B.0949

Definition

Intervention: An EIDBI service that covers the medically necessary, intensive and individually designed direct treatment. The treatment is specifically designed to address the person’s core developmental skill deficits identified in his or her comprehensive multi-disciplinary evaluation (CMDE) and goals/objectives specified in his or her individual treatment plan (ITP).

Individual intervention session: A defined period of time when a qualified EIDBI provider delivers face-to-face intervention to one person.

Group intervention session: A defined period of time when a qualified EIDBI provider delivers face-to-face intervention to at least two people who receive EIDBI services.

Session: A period of time in which a qualified provider delivers an EIDBI service to a person. Each provider agency may further define a session, but all EIDBI intervention sessions must:

  • • Have a pre-determined start and end time
  • • Only include covered EIDBI services
  • • Follow the person’s ITP
  • • Meet DHS billing requirements.
  • Eligible providers

    The following MHCP-enrolled, EIDBI providers can deliver and bill for individual and group intervention sessions:

    Treatment modalities

    The person should receive intervention according to one of the DHS-recognized treatment modalities. For more information, see EIDBI – Treatment modalities.

    Requirements

    Group session

    In a group intervention session, each participating person must have an approved EIDBI service agreement and rationale for group intervention services in his or her ITP.

    At least two people who receive EIDBI services must be present at one time to bill for group intervention services.

    Provider ratios

    In an individual intervention session, one provider delivers intervention services to one person.

    In a group intervention session, the provider delivers services to at least two people who receive EIDBI services. The provider-to-person ratio can be no more than 1:2.

    Session parameters

    An individual or group intervention session starts when the provider begins to deliver intervention to the person or people.

    An individual or group intervention session ends when the provider stops delivering intervention to the person or people. A session is considered done when either of the following occurs:

  • • An unplanned break that lasts for more than 15 minutes
  • • The person (or, in a group session, one of the people) begins an activity that is not related to services identified in his or her ITP but is a part of his or her daily routine (e.g., nap, lunch, bathroom break etc.).
  • The session must end on the same day it began.

    Change in EIDBI service intensity

    If the provider believes a change in EIDBI service intensity may improve the person’s treatment outcomes, he or she may either request:

  • • A change in service intensity at the next ITP progress monitoring update
  • • A 60-day temporary increase in intervention services above what was authorized in the person’s CMDE summary/ITP (for more information, see below).
  • The change in EIDBI service intensity, whether requested at the next ITP progress monitoring update or in between updates, must meet medical necessity criteria. For more information, see EIDBI – Medical necessity criteria.

    60-day temporary increase

    To request a temporary increase, complete and submit EIDBI 60-Day Temporary Increase Request for Intervention Services, DHS-7109D (PDF). For help completing this form, see Instructions to complete the request form, DHS-7109E (PDF).

    If approved, the increase requested on DHS-7109D is temporary and lasts no more than 60 days. The temporary increase will determine if an increase in service intensity and frequency affects the person’s treatment outcomes.

    The state medical review agent only will review the 60-day temporary increase request if the person:

  • • Has a current EIDBI service agreement
  • • Has been receiving EIDBI services for at least 60 days.
  • Case notes

    The provider must document intervention services in the person’s case notes. For more information, see EIDBI – Health service records.

    Service authorization and billing

    For authorization and billing information, including provider and service limits see:

    Additional provider responsibilities

    Each EIDBI provider is responsible to deliver intervention services according to the specifications in the person’s ITP.

    The QSP must ensure each intervention session is billed for accurately.

    Each level I, II and III provider must receive clinical supervision from a QSP for intervention services he or she provides.

    Additional resources

    EIDBI – Clinical supervision
    EIDBI – EIDBI services

    EIDBI – Intervention observation and direction

    EIDBI – Treatment modalities

    Forms

    CMDE Medical Necessity Summary Information, DHS-7108 (PDF)
    EIDBI 60-Day Temporary Increase Request for Intervention Services, DHS-7109D (PDF)

    Instructions to complete the EIDBI 60-Day Temporary Increase Request for Intervention Services form, DHS-7109E (PDF)

    ITP and Progress Monitoring, DHS-7109 (PDF)

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    © 2017 Minnesota Department of Human Services Updated: 3/29/17 5:02 PM | Accessibility | Terms/Policy | Contact DHS | Top of Page | Updated: 3/29/17 5:02 PM