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Comprehensive multi-disciplinary evaluation (CMDE)

Page posted: 6/15/15

Page reviewed: 2/17/17

Page updated: 1/24/18

Legal authority

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

Definition

Comprehensive multi-disciplinary evaluation (CMDE): An EIDBI service that covers the required comprehensive evaluation of the person. The information gathered in the CMDE is used to:

  • • Determine the person’s eligibility and medical need for EIDBI services
  • • Develop the person’s individual treatment plan (ITP), including treatment type and intensity.
  • Eligible providers

    An MHCP-enrolled CMDE provider must coordinate and complete the CMDE. An MHCP-enrolled qualified supervising professional (QSP) may assist the CMDE provider with the parent/primary caregiver interview portion of the CMDE. However, only a CMDE provider can bill for this service.

    Provider shortage

    For information about how the current provider shortage affects provider eligibility for CMDEs, see EIDBI – Overview of EIDBI providers.

    Process

    During the CMDE process, the provider must:

  • • Gather and summarize medical or assessment information from the person's physician or advanced practice registered nurse (APRN) and (as applicable) other licensed professionals (e.g., rehabilitation or habilitation therapists, licensed school personnel, mental health professionals)
  • • Gather input from the person's family members, school personnel, childcare providers or other caregivers
  • • Complete a structured observation of the person. This may be done in person or via telemedicine and may include administering standardized tests or other assessment tools
  • • Document the person’s parent or primary caregiver’s preferences for involvement in the person’s treatment
  • • Interview the parent(s) or primary caregiver(s) in person or via telemedicine. The interview must incorporate the family’s primary spoken language, culture, values and goals.
  • Required form

    The information above is an overview of the CMDE process. The provider must use CMDE Medical Necessity Summary Information, DHS-7108 to document the results of the person's CMDE. For details and instructions, see EIDBI – How to complete CMDE Medical Necessity Summary Information, DHS-7108.

    Submission and authorization

    Submit the form to DHS for data collection purposes by selecting the submit button at the bottom of the CMDE Medical Necessity Summary Information, DHS-7108 form. After submitting the completed form to DHS, the provider must follow the steps required for authorization. For authorization instructions, see MHCP Provider Manual – EIDBI – service authorization.

    Log in

    A provider must have a MN-ITS log in username and password to access the CMDE form. If a provider needs a username and password, see the MHCP Provider Manual MN-ITS User Manual table of contents and then select Create/Modify MN-ITS User Access (PDF).

    Case notes

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

    Telemedicine

    If medically appropriate to the condition and needs of the person and family, family/caregiver training and counseling may be provided via two-way, interactive video. For more information, see EIDBI – Telemedicine services.

    Service authorization and billing

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

    Additional provider responsibilities

    The CMDE provider must ensure the person and family's language and culture are addressed throughout the CMDE process and accommodations are made as needed (e.g., interpreter).

    After the CMDE provider completes CMDE Medical Necessity Summary Information, DHS-7108, he or she is responsible to:

  • • Send a copy to the treating provider (if one is chosen)
  • • Provide the person and/or parent/legal representative with a copy within 30 days of its completion
  • • Ensure the person and/or parent/legal representative receives and understands the CMDE results and treatment options.
  • Additional resources

    Comprehensive Multi-Disciplinary Evaluation (CMDE) Medical Necessity Summary Information, DHS-7108
    EIDBI – How to complete CMDE Medical Necessity Summary Information, DHS-7108

    EIDBI – EIDBI services

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