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Minnesota Department of Human Services Early Intensive Development and Behavioral Intervention Manual
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Travel time to deliver EIDBI services

Page posted: 2/17/17

Page reviewed:

Page updated:

Legal authority

CMS-approved EIDBI state plan amendment (PDF), Minn. Stat. §256B.0625, subd.43

Definition

Travel time: An Early Intensive Developmental and Behavioral Intervention (EIDBI) service that covers the time it takes for a qualified EIDBI provider to travel to and from a location other than his or her typical place of service to provide face-to-face EIDBI services.

Eligible providers

The following MHCP-enrolled, EIDBI providers may bill for travel time:

Requirements

EIDBI services

Travel time is covered when an EIDBI provider travels to deliver any of the following services:

Locations

Travel time is covered when an EIDBI provider travels to any of the following locations:

  • • Community setting that is not an EIDBI office, center or clinic.
  • • Person's home.
  • Direct route

    Travel time covers the time the provider is in transit to and from the person’s location via the most direct route. It does not cover any stops or variations in the route. Only variations resulting from posted detours or blocked routes may be included in claims for EIDBI provider travel time.

    Secondary information

    The individual treatment plan (ITP) must indicate why the person needs to receive EIDBI services outside the provider’s typical place of service.

    When serving a person who is fee-for-service, if the provider begins the trip at his or her home, Minnesota Health Care programs (MHCP) will reimburse the lesser distance, either the distance between the provider’s:

  • • Home and the person’s location
  • • Typical place of service and the person’s location.
  • For example, if the provider’s home is further away from the person’s location than the provider’s typical place of service, then MHCP will reimburse only for the provider’s travel time from the typical place of service to the person’s location. This policy applies to the return trip as well.

    When serving a person who receives services through a managed care organization (MCO), follow the MCO’s policy on travel time.

    Non-covered

    Travel time is not covered when the person does not receive services (e.g., no-shows).

    The EIDBI Benefit does not cover transportation provided to the person who receives services. As an MHCP provider, transportation may be covered as an access service. For more information, see MHCP Provider Manual – Access services.

    Case notes

    The provider must document travel time in the person’s case notes. In addition to standard case note requirements, include:

  • • EIDBI service delivered
  • • Locations of origination and destination
  • • Rationale for service delivery outside of the usual place of service
  • • Source used to calculate driving directions and distance between locations
  • • Travel start and stop time (with a.m. and p.m. notations).
  • For more information about case notes, see EIDBI – Health service records.

    Service authorization and billing

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

    Additional resources

    EIDBI – EIDBI services
    MHCP Provider Manual – Mental health provider travel time

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    © 2017 Minnesota Department of Human Services Updated: 2/21/17 3:33 PM | Accessibility | Terms/Policy | Contact DHS | Top of Page | Updated: 2/21/17 3:33 PM