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

Date posted: 6/18/15

Date reviewed: 2/21/17

Date updated: 12/15/17

Legal authority

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


Clinical supervision: The act of a qualified EIDBI provider supervising service delivery to ensure that all EIDBI services provided are medically necessary, clinically appropriate and individualized to the unique needs of each person and his or her family.

Supervisee: An individual EIDBI provider who is receiving documented clinical supervision while delivering EIDBI services. He or she may be working toward licensure or certification.


DHS recommends that each level II and III provider receive one hour of clinical supervision per month.

Clinical supervision frequency and intensity should be based on the needs of individual EIDBI providers and the people who receive services.


The qualified EDBI provider who provides clinical supervision is responsible to:

  • • Develop and document an initial clinical supervision plan and any changes to the plan for each supervisee; the plan should include the frequency and method of supervision necessary to ensure treatment integrity
  • • Observe and direct services provided by lower-level EIDBI providers within the EIDBI provider agency
  • • Ensure lower-level providers receive the information, training and support necessary to independently provide EIDBI services that are specific to the person’s needs
  • • Determine an appropriate supervisor-to-supervisee ratio to ensure effective implementation of EIDBI services
  • • Perform and document all clinical supervision functions required by EIDBI supervision standards.
  • Telemedicine

    An EIDBI provider may provide clinical supervision via telemedicine. For guidelines about electronic communication, see EIDBI – Telemedicine services.

    Additional standards

    In addition to EIDBI clinical supervision guidelines, providers, when applicable, must comply with the supervision requirements for:

  • • Certification in a specific DHS-recognized treatment modality
  • The Behavior Analyst Certification Board (BACB)
  • The QSP’s professional licensure (e.g., Board of Psychology, Board of Social Work).
  • Documentation

    The EIDBI provider should document clinical supervision in the supervisee’s record. The documentation should include:

  • • Date and duration of supervision
  • • Brief description of the supervision provided
  • • Name and title/provider level of the person who provided the supervision
  • • Name and title/provider level of the person who received supervision
  • • Subsequent actions the supervisee should take or changes he or she should make
  • • Date and signatures of the providers involved.
  • • The EIDBI provider should document clinical supervision that is pertinent to a person’s treatment in his or her case notes.
  • Additional resources

    EIDBI – Overview of EIDBI providers
    EIDBI – Intervention observation and direction

    EIDBI – Health service records

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