Early Intensive Developmental and Behavioral Intervention (EIDBI) benefit

Children with autism spectrum disorder may benefit from Early Intensive Developmental and Behavioral Intervention (EIDBI) services. These are intensive, medically necessary services that support children and young adults with autism spectrum disorder (ASD) and related conditions. Examples of ASD and related conditions include:

  • • Asperger’s syndrome
  • • Fetal alcohol spectrum disorders
  • • Pervasive developmental disorder, not otherwise specified (PDD-NOS)
  • • Rett syndrome.
  • EIDBI services

    EIDBI services are intensive services designed to meet each child or young adult’s therapeutic needs. EIDBI services are based on the person’s and his or her family’s values, language(s), culture and preferences. They may include one-on-one or group treatment sessions. They also include training and support for the family.

    The assessed needs of the person and his or her family determines where, how often and for how long he or she receives EIDBI services.

    EIDBI services teach a child or young adult skills that help him or her:

  • • Interact and communicate with others
  • • Learn and play
  • • Improve challenging behaviors
  • • Build independence
  • • Participate in family, school and community life.
  • Eligibility

    A person can receive EIDBI services if he or she:

  • • Is under the age of 21
  • • Has ASD or a related condition
  • • Does not need 24-hour medical monitoring
  • • Is enrolled in Medical Assistance (MA) or MinnesotaCare
  • • Has had a comprehensive multi-disciplinary evaluation (CMDE) that shows his or her medical need for EIDBI services.
  • To find a qualified provider who can do a CMDE:

    1. Visit the Minnesota Health Care Programs (MHCP) Provider Directory
    2. In the “Type” field, select “Autism – Early Intensive Developmental and Behavioral Intervention”|
    3. Select “Next”
    4. In the “Subtype” field, select “CMDE assessments”
    5. Select “Search.”

    Before a person receives a CMDE, make sure the provider is in his or her health plan network.

    Access

    How a person accesses EIDBI services depends on his or her health care coverage. If a person is enrolled in the fee-for-service health care delivery system, he or she can receive services from any EIDBI provider. If a person is enrolled in a health plan, he or she should contact his or her health plan for a list of EIDBI providers that are in the plan's network. See MHCP Member Help Desk for more information.

    EIDBI providers

    If you want to become an EIDBI provider, see EIDBI provider enrollment in the Minnesota Health Care Programs (MHCP) Provider Manual.

    Training

    We offer training on how to bill for EIDBI services. See Early Intensive Developmental and Behavioral Intervention (EIDBI) training for more information. For other upcoming training opportunities and an archive of past training materials, see Disability Services Division training news and information.

    Background

    Equal federal and state dollars are used for the EIDBI benefit, which funds EIDBI services. The Minnesota Legislature passed a law that created the EIDBI benefit in 2013, and the Centers for Medicare & Medicaid Services (CMS) approved the EIDBI benefit (PDF) in March 2015.

    Before the EIDBI benefit was created, the Minnesota Department of Human Services (DHS) gathered input from Minnesota's broad and diverse community of ASD stakeholders and consulted with local and national experts.

    More information

    If you have questions, email asd.dhs@state.mn.us.

    If you want to receive updates about EIDBI policies, trainings and web content, subscribe to this email. To do so, see DHS email subscriptions and search for "Autism spectrum disorders stakeholders" under the "Providers" section.

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