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Dialectical Behavior Therapy (DBT) Intensive Outpatient Program (IOP)

Background

To promote a recovery-based system of care, Dialectical Behavior Therapy (DBT) Intensive Outpatient Programs (IOP) was added to the list of benefits covered by Minnesota Health Care Programs (MHCP) effective April 1, 2011. Bulletin #11-53-01 serves to inform mental health service providers, counties, tribal authorities, managed care organizations (MCOs), advocates and other stakeholders of Dialectical Behavior Therapy Intensive Outpatient services about this new Minnesota Health Care Programs (MHCP) funded service available to eligible Minnesotans.

DBT IOP is delivered according to the principles of the research-based model and as a comprehensive treatment using the three modalities of individual therapy, group skills training and telephone coaching by a team of trained providers. Therapists also meet 90 minutes per week as part of a consultation team. The targeted treatment group is individuals for whom empirical evidence supports its effectiveness; individuals who are suicidal, engaging in self-harm behaviors, and/or diagnosed with a borderline personality disorder. DBT as a treatment is based in cognitive, behavioral and dialectic principles and incorporates both clinical and rehabilitative interventions.

Programs must determine that a client meets the eligibility requirements for this intensive service by providing a thorough assessment, including a functional assessment and by conducting the necessary treatment readiness protocol described by the evidence based practice and defined in Minnesota Rule 9505.0372 Subp.10 .

News: DHS Announces Minnesota Certified DBT Teams

The DBT certified providers listed have met all DHS certification requirements and are authorized to use DBT-specific reimbursement codes.

Application Process

The Department of Human Services (DHS) Adult Mental Health Division (AMHD) has re-opened the application process for the certification of outpatient programs. To apply for certification as a DBT IOP provider, please fill out the online application, found at: https://edocs.dhs.state.mn.us/lfserver/Secure/DHS-6420-ENG .

Certified program with staff changes must complete the Program Staff and Qualifications Update form when the status of any team member changes. Submit updated information to: mailto:DBT.Certification@state.mn.us.

Certification Requirements

Programs interested in becoming certified by the State of Minnesota must deliver assessment and treatment services as defined by the Minnesota standards established in Minnesota Rule 9505.0370 subpart 12 and 9505.0372 subpart 10. Supervision requirements are defined in Minnesota Rule 9505.0371 subpart 4.

To be considered for certification in the state of Minnesota, a program must submit for inspection and provide evidence of continuously meeting the requirements of the above rule parts. These standards also require that a certified program be enrolled as a Minnesota Health Care Plan (MHCP) provider; collect and report individual client outcomes as specified by the commissioner of DHS; and maintain a program manual that outlines the program’s policies, procedures and practices. Only programs certified by the State of Minnesota will be allowed to use DBT specific billing codes. Certified programs are responsible for informing DHS of any significant changes to their DBT programming and any changes in their DBT team members’ employment status or credentials.

Certification-eligible programs deliver a comprehensive model of DBT and retain qualified staff to provide the following programmatic components; 1) individual therapy 2) skills training and 3) telephone coaching. This application process is intended for programs able to provide the above program components and whose DBT staff engages in weekly DBT team consultation. The applicant program must consist of team members who are trained in DBT treatment and may include persons from more than one agency as long as professional and clinical affiliations with the DBT team are delineated as employees, affiliates, or contractors of the DBT program.

The process for certification of DBT programs in Minnesota involves completing the official certification application and submitting supporting documentation including a program manual. The program manual must contain evidence that the DBT program adheres to the definition of Dialectical Behavior Therapy Intensive Outpatient Program in accordance with Minnesota Rule 9505.0370 Subp. 12 and contain evidence that the Dialectical Behavior Therapy Intensive Outpatient Program continuously meets the requirements for recipient assessment, recipient eligibility determination process, program structure, treatment components, additional certification requirements, staff qualifications, and staff training as defined in Minnesota Rule 9505.0372 Subp. 10.

Required table of contents for the DBT program manual. (PDF)

Applications will be accepted and the provider notified once all required information is received for review. If an application is received and considered incomplete, it will be returned without review. DHS will review applications and supporting documentation against the evidence-based standards of DBT as described in Minnesota Rule 9505. 0372 subpart 10. Notification of certification status will be sent by letter no more than 60 days after a completed application and supporting documentation is received. Initial certification will be for one year from the date of certification approval if all requirements are met satisfactorily. A certified program will become authorized to use DBT-specific reimbursement codes and will be listed on the DHS website as a certified DBT provider. Certified providers must submit prior authorization requests for the service and report client level outcomes data.

Re-certification will extend a program’s certification for one, two, or three years. Information about the re-certification process will be made available on this webpage.

Reporting Requirements for Certified DBT Programs

The MHIS has taken place of POSR reporting for ARMHS, ACT, DBT and ICRS providers as of July 1, 2012. IRTS providers will begin reporting, using the MHIS, as of October 1, 2012.

MHIS Instruction Manual Version 1.22 (09/17/12) (PDF) Step-by-step instructions

MHIS Data Quick Sheet (09/17/12) (DOC)

Materials from Previous Training Session

1) MHIS PowerPoint (09/17/12) (PDF)

For DBT reporting questions contact the Reporting Help Desk at (651) 431-2239, press 4 for DBT or email Dhs.amhis@state.mn.us and include “DBT” in the subject line.

Training Opportunities

To be announced

Registration website

Instructions on how to obtain a unique key and to register.

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