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Minnesota Department of Human Services Early Intensive Development and Behavioral Intervention Manual
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Intervention (also known as adaptive behavior treatment)

Page posted: 6/15/15

Page reviewed: 2/17/17

Page updated: 1/2/19

Legal authority

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

Definition

Intervention (also known as adaptive behavior treatment): An EIDBI service that covers the medically necessary, intensive and individually designed direct treatment. The treatment is designed specifically to address the person’s core developmental skill deficits identified in his/her comprehensive multi-disciplinary evaluation (CMDE) and goals/objectives specified in his/her individual treatment plan (ITP).

Individual intervention session: A defined period of time when a qualified EIDBI provider delivers face-to-face intervention to one person.

Group intervention session: A defined period of time when a qualified EIDBI provider delivers face-to-face intervention to at least two, but no more than eight, people who receive EIDBI services.

Session: A period of time in which a qualified provider delivers an EIDBI service to a person. Each provider agency may further define a session, but all EIDBI intervention sessions must:

  • • Have a pre-determined start and end time
  • • Only include covered EIDBI services
  • • Follow the person’s ITP
  • • Meet DHS billing requirements.
  • Eligible providers

    The following MHCP-enrolled EIDBI providers can deliver and bill for individual and group intervention sessions:

    Treatment modalities

    The person should receive intervention according to one of the DHS-recognized treatment modalities. For more information, see EIDBI – Treatment modalities and EIDBI – Treatment modalities – Certified providers.

    Requirements

    Group session

    In a group intervention session, each participating person must have an approved EIDBI service agreement and rationale for group intervention services in his/her ITP.

    At least two, but not more than eight, people who receive EIDBI services must be present at one time to bill for group intervention services.

    Provider ratios

    In an individual intervention session, one provider delivers intervention services to one person.

    In a group intervention session, the provider delivers services to two to eight people who receive EIDBI services.

    Session parameters

    An individual or group intervention session starts when the provider begins to deliver intervention to the person or people.

    An individual or group intervention session ends when the provider stops delivering intervention to the person or people. A session is considered done when either of the following occurs:

  • • An unplanned break that lasts for more than 15 minutes
  • • The person (or, in a group session, one of the people) begins an activity that is not related to services identified in his/her ITP but is a part of his/her daily routine (e.g., nap, lunch, bathroom break etc.).
  • The session must end on the same day it began.

    Change in EIDBI service intensity

    If the provider recommends an increase in EIDBI service intensity, he/she may request a change in an ITP progress monitoring update.

    The change in EIDBI service intensity must meet medical necessity criteria. For more information, see EIDBI – Medical necessity criteria.

    Case notes

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

    Service authorization and billing

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

    Additional provider responsibilities

    Each EIDBI provider is responsible to deliver intervention services according to the specifications in the person’s ITP.

    The QSP must ensure all intervention services are implemented and billed for accurately.

    Each Level I, II and III provider must receive clinical supervision from a QSP for intervention services he/she provides.

    Additional resources

    EIDBI – Clinical supervision
    EIDBI – EIDBI services

    EIDBI – Intervention observation and direction

    EIDBI – Treatment modalities

    EIDBI – Treatment modalities – Certified providers

    Forms

    CMDE Medical Necessity Summary Information, DHS-7108 (PDF)
    ITP and Progress Monitoring, DHS-7109 (PDF)

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