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

Comprehensive multi-disciplinary evaluation (CMDE): An EIDBI service that covers the required comprehensive evaluation of the person. The CMDE is an assessment that must be completed to initiate services and updated at least once every three years. The information gathered in the CMDE is used to:

CMDE Medical Necessity Summary Information, DHS-7108: The form the CMDE provider uses to document and summarize the results of the person’s evaluation. The provider must submit DHS-7108 to the state medical review agent or applicable health care plan for medical necessity approval before the person can receive EIDBI services.

A Minnesota Health Care Programs (MHCP)-enrolled CMDE provider must coordinate and complete the CMDE.

An MHCP-enrolled qualified supervising professional (QSP) may assist the CMDE provider with the parent/primary caregiver interview portion of the CMDE. However, only the following providers can bill for this service:

For more about these roles, refer to EIDBI – CMDE provider qualifications, roles and responsibilities.

Provider shortage

For information about how the current provider shortage affects provider eligibility for CMDEs, refer to DHS – Building EIDBI provider capacity.

The provider must update a person’s CMDE at least once every three years or when clinically necessary, including when:

The provider may complete one CMDE per year without authorization. The person’s family may request a CMDE at any time.

During the CMDE process, the provider must:

Use of autism-specific assessments for eligibility/benefit determinations

Certain disability or benefit decisions (e.g., enrollment into home and community-based waiver services, Supplemental Security Income [SSI] eligibility), require the following autism-specific assessments:

The diagnostic assessment in the CMDE submitted for eligibility review or benefit determination must include these tools. Use of only developmental history, report or non-autism-specific screening tools is insufficient in these contexts.

Required form

The information above is an overview of the CMDE process. The provider must use CMDE Medical Necessity Summary Information, DHS-7108 (PDF) to document the results of the person’s CMDE and gather signatures for consent for the person to begin receiving services. For detailed instructions, refer to EIDBI – How to complete CMDE Medical Necessity Summary Information, DHS-7108.

Submission and authorization

After the CMDE provider completes DHS-7108, they must:

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

If medically appropriate to the condition and needs of the person and family, the provider may bill the CMDE service via telehealth. For more information, refer to EIDBI – Telehealth services.

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