Early Intensive Development and Behavioral Intervention Manual

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Early Intensive Development and Behavioral Intervention Manual

EIDBI Benefit Policy Manual Services Telehealth

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EIDBI telehealth services

Page posted: 2/17/17		Page reviewed: 8/6/24	Page updated: 8/6/24
Legal authority	Minn. Stat. §256B.0949, Minn. Stat. §256B.0625, subd. 3b, Minn. Stat. §245.462, subd. 17, Minn. Stat. §245.4871, subd. 26, Health Insurance Portability and Accountability Act (HIPAA) Privacy and Security Rules
Definition	Telehealth: Delivery of health care services or consultations through real time, two-way interactive audio and visual communications to: · Provide or support health care delivery. · Facilitate assessment, diagnosis consultation, treatment, education and care management.
Overview	Medical Assistance (MA) covers medically necessary telehealth services and consultations. The telehealth services and consultations must be provided with the same service thresholds, authorization requirements and reimbursement rates as services delivered in person. Because the Early Intensive Developmental and Behavioral Intervention (EIDBI) benefit is available under MA, telehealth is an option for some EIDBI services. For additional telehealth requirements, refer to MHCP Provider Manual – Telehealth services. For information about the Telehealth for Early Intervention training, refer to EIDBI – Individual provider trainings.
Eligible providers	Eligible providers include health care professionals who are licensed or registered by the state to perform health care services within the provider’s scope of practice and in accordance with state law. Eligible providers are defined as: · Mental health professionals (as defined under Minn. Stat. §245.462, subd. 18 or Minn. Stat. §245.4871, subd. 27). · Mental health practitioners (as defined by Minn. Stat. §245.462, subd. 17 or Minn. Stat. §245.4871, subd. 26) working under the general supervision of a mental health professional. Comprehensive multi-disciplinary evaluation (CMDE) providers, qualified supervising professionals (QSPs), level I and some level II providers may meet the requirements outlined above and may apply to provide EIDBI services via telehealth. For more information, refer to: · MHCP Provider Manual – EIDBI provider enrollment. · MHCP Provider Manual – Physician and professional services – Telehealth.
Covered services	An eligible EIDBI provider may deliver the following EIDBI services via telehealth: · CMDE. · Coordinated care conference. · Family/caregiver training and counseling. · Individual treatment plan (ITP) development and progress monitoring. · Intervention – group and individual only (higher intensity intervention sessions cannot occur via telehealth). · Observation and direction.
Non-covered services	EIDBI telehealth services do not cover: · Connection charges. · Origination, set-up or site fees. · Communication between health care providers that consists solely of email or fax transmission (i.e., a copy of written or printed material). · Communication between a person and health care provider that consists solely of email or fax transmission (i.e., a copy of written or printed material). · Higher intensity intervention sessions.
Requirements	EIDBI telehealth services must be: · Compliant with industry interoperable standards (i.e., ability for systems and organizations to share data and information). · Compliant with Health Insurance Portability and Accountability Act (HIPAA) privacy and security requirements and regulations. · Medically necessary for the person and/or family. For additional telehealth provider requirements, refer to MHCP Provider Manual – Physician and professional services – Telehealth.
Service authorization and billing	Providers must deliver EIDBI telehealth services with the same service thresholds, authorization requirements and reimbursement rates as services delivered in person. For authorization and billing information, including provider and service limits, refer to: · EIDBI billing grid (PDF). · MHCP Provider Manual – EIDBI billing. · MHCP Provider Manual – EIDBI service authorization.
Additional resources	EIDBI billing grid (PDF) EIDBI – CMDE EIDBI – Coordinated care conference EIDBI – EIDBI services EIDBI – Family/caregiver training and counseling EIDBI – Individual provider trainings EIDBI – ITP development and progress monitoring EIDBI – Intervention – group and individual only EIDBI – Observation and direction MHCP Provider Manual – EIDBI billing MHCP Provider Manual – EIDBI provider enrollment MHCP Provider Manual – EIDBI service authorization MHCP Provider Manual – Physician and professional services – Telehealth MHCP Provider Manual – Telehealth services

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