CMS-approved state plan amendment – 2017 (PDF), CMS-approved state plan amendment – 2018 update (PDF), CMS-approved state plan amendment – 2019 update (PDF), Minn. Stat. §256B.0949

Individual treatment plan (ITP) development and progress monitoring: An EIDBI service that covers the development of the person’s initial ITP and ongoing monitoring of the person’s progress.

ITP and Progress Monitoring, DHS-7109: The person-centered, individualized plan of care for a person who meets medical necessity criteria for the EIDBI benefit. The ITP incorporates the person’s and family’s information from the comprehensive multi-disciplinary evaluation (CMDE). The qualified supervising professional (QSP) uses DHS-7109 to document the person’s initial plan of care and progress monitoring updates. For more information, refer to:

This page explains ITP development and progress monitoring, including:

The following Minnesota Health Care Programs (MHCP)-enrolled EIDBI providers can deliver and bill for ITP development and progress monitoring:

The QSP must complete ITP and Progress Monitoring, DHS-7109 and supervise ITP implementation. Level I and II providers may provide input as part of the person’s provider team.

ITP development

The person’s ITP must:

The person’s ITP must include:

ITP progress monitoring update

The QSP must submit an ITP progress monitoring update at least every six months of treatment or more frequently as determined by the CMDE provider or QSP. This update describes the person’s progress toward goals and objectives specified in the person’s ITP. Based on the results of ITP progress monitoring, the QSP must both:

The person continues to receive EIDBI services while the provider team completes ITP progress monitoring updates.

The person’s ITP progress monitoring update must include:

Required form

The information above is an overview of the ITP development and progress monitoring process. The QSP must use ITP and Progress Monitoring, DHS-7109 to:

For detailed instructions, refer to EIDBI – How to complete ITP and Progress Monitoring, DHS-7109.

Submission and authorization

After completing ITP and Progress Monitoring, DHS-7109, the provider agency must follow the steps required for authorization on MHCP Provider Manual – EIDBI service authorization.

Covered services must be:

The provider may deliver ITP development and progress monitoring with or without the person or their caregiver/legal guardian present. This means ITP development and progress monitoring covers both direct and indirect clinically necessary services.

Direct clinical activities

ITP development and progress monitoring covers the following direct clinical activities completed with the person, caregiver, legal guardian or treatment team:

Indirect clinical activities

ITP development and progress monitoring covers the following indirect clinical activities that support assessment, treatment planning and ongoing progress monitoring and may occur without the person or caregiver present:

ITP development and progress monitoring does not cover the following services:

1. Administrative meetings and program operations, including:

2. Program preparation and maintenance, including:

3. Progress note documentation or review as part of the person’s health service records.

4. Review or discussion of clinical information without documented clinical analysis, progress monitoring, treatment planning, goal development, recommendations or other clinical decision-making.

For additional non-covered services, refer to EIDBI – Services.

The information documented in the person’s ITP confirms their ongoing eligibility for EIDBI services.

For more information, refer to EIDBI – Eligibility for EIDBI services.

The provider must:

For more information, refer to EIDBI – Health service records.

Authorization is not required for ITP development and progress monitoring services.

The provider must submit ITP and Progress Monitoring, DHS-7109 to the person’s health care plan to request authorization for the EIDBI services recommended in the person’s ITP.

For authorization and billing information, including information about qualified providers, refer to: