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

There are five EIDBI provider types:

Each provider type has different qualifications, roles and responsibilities during EIDBI service delivery. For more information, refer to the provider-specific pages.

Every individual provider must enroll with Minnesota Health Care Programs (MHCP) to deliver EIDBI services.

Provider agencies must follow the provider responsibilities, including enrollment requirements on EIDBI – Rights and responsibilities. For enrollment information, refer to MHCP Provider Manual – EIDBI provider enrollment.

Fee-for-service (FFS)

If a person is enrolled in FFS, they can receive EIDBI services from any MHCP-enrolled EIDBI provider. For more information, refer to DHS – MHCP provider directory or Minnesota Aging & Disability Resources.

Managed care organizations (MCOs)

Not all EIDBI providers are available through all MCOs. Before a person enrolled in an MCO receives EIDBI services, including a CMDE, the family should confirm the provider is in network. Call the health plan customer service number on the back of the person’s health plan ID card or on DHS – Health plan member services phone numbers, or use the provider directory from their health plan.

Across Minnesota and the nation, communities are experiencing a shortage of qualified health care providers. The provider shortage particularly affects rural areas. There is currently a shortage of EIDBI providers, which might delay or prevent people’s ability to access and receive EIDBI services.

To learn about Minnesota’s efforts to build provider capacity, refer to DHS – Building EIDBI provider capacity.

For authorization and billing information, including provider and service limits, refer to: