Page posted: 10/1/03
Page reviewed: 2/19/13
Page updated: 5/26/17
Behavioral support: Service to increase positive behavior and decrease or eliminate severe, challenging behavior.
Behavioral support covered the following services:
Behavioral support services may be provided in the home or community.
Behavioral support services cannot supplant or duplicate services available through other funding sources such as Medicare, Medicaid and private insurance. See the additional resources section for services that should be maximized before this waiver service.
Prior to initial authorization of behavioral support services, the lead agency must:
Choice of providers
When the person resides in a setting where the residential provider also provides behavioral support services, the lead agency must ensure there is documentation of the person's choice of behavioral support providers.
Roles and responsibilities
Behavioral support service consists of three progressive staffing levels: waiver behavior professionals, waiver behavior analysts and waiver behavior specialists. More than one staffing level can be authorized. The following determine the level(s) of behavioral support to be authorized:
Each staffing level has associated functions. Most of these functions are billable indirect support activities.
Waiver behavior professionals
Waiver behavior professionals may do the following:
1. Complete individualized functional assessments
Waiver behavior professional consultative activities may be delivered face-to-face or via remote communication (e.g., phone, web).
Waiver behavior analysts
Waiver behavior analysts may do the following:
1. Oversee implementation of the person-centered, positive-practice, individualized behavior support plan; this includes assessing the adequacy of the plan
Waiver behavior specialists
Waiver behavior specialists may do the following:
1. Collect and record behavioral data
Billable indirect support activities
Some components of behavioral support services do not involve direct support to the person. The providers may bill the following services and support activities as indirect time to support people:
For more information on billable indirect services, see Rates Management System User Manual — Quick reference guide on billable indirect time page.
Behavioral support is a DHS enrollment-required service. For more information, see CBSM – Waiver/AC provider enrollment standards.
A behavioral support provider must have a license under Minnesota Statutes, Chapter 245D as an intensive support service provider. A provider licensed under 245D must report all uses of controlled procedures, emergency use of manual restraint and prohibited procedures according to Minn. Stat. 245D.06, subd. 5 to DHS via the Behavioral Intervention Report Form DHS-5148 (PDF).
Requirements for each staffing level
The following sections include specific requirements for the three staffing levels.
Waiver behavior professional
A waiver behavior professional must have competencies in areas related to:
The waiver behavior professional must also meet one of the following six sets of criteria:
1. Psychologist licensed under Minn. Stat. §148.88 to 148.98 with competencies as identified above actively listed with the Minnesota Board of Psychology
2. Clinical social worker licensed as an independent clinical social worker under Minn. Statutes, Chapter 148D, or a person with a master's degree in social work from an accredited college or university with at least 4,000 hours of post-master's, supervised experience in the delivery of clinical services in the above competency areas
3. Physician licensed under Minnesota Statutes, Chapter 147 and certified by the American Board of Psychiatry and Neurology, or eligible for board certification in psychiatry
4. A licensed professional clinical counselor licensed under Minn. Stat. §148B.29 to 148B.39 with at least 4,000 hours of post-master's supervised experience in the delivery of clinical services who has demonstrated competencies in the above areas
5. A person with a master's degree from an accredited college or university in one of the behavioral sciences or related fields, with at least 4,000 hours of post-master's supervised experience in the delivery of clinical services
6. A registered nurse who is licensed under Minn. Stat. §148.171 to 148.285 and who either:
A waiver behavior analyst must either:
Additionally, a waiver behavior analyst must have all of the following:
A waiver behavior specialist must have either:
Additionally, the waiver behavior specialist must have all of the following:
Authorization, rates and billing
Behavioral support is a framework service. The lead agency uses the Rate Management System (RMS) to determine rates. For more information, see CBSM – Rate Management System and Long-Term Services and Supports (LTSS) Service Rate Limits, DHS-3945 (PDF).