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Early Intensive Developmental and Behavioral Intervention (EIDBI) Benefit Policy Manual

The Early Intensive Developmental and Behavioral Intervention (EIDBI) benefit is a Minnesota Health Care Program (MHCP) that offers medically necessary treatment for people who:

· Are younger than age 21.

· Have had a comprehensive multi-disciplinary evaluation (CMDE) that establishes their medical need for EIDBI services.

· Are enrolled in Medical Assistance (MA), MinnesotaCare, Minnesota Tax Equity and Fiscal Responsibility Act (TEFRA) or other qualifying health care programs.

· Have autism spectrum disorder (ASD) or a related condition.

If a person receives other MA-funded services (e.g., personal care assistance, home and community-based waivers), they also may be eligible to receive EIDBI services.

About the policy manual

This policy guide provides EIDBI policy information, such as:

· Overview of the EIDBI benefit.

· Rights and responsibilities of people who receive services and provider agencies.

· EIDBI services.

· Eligibility criteria for EIDBI services.

· Medical necessity criteria.

· Provider qualifications, roles and responsibilities.

· Provider training opportunities and requirements.

· Resources.

Additional required information

The MHCP Provider Manual also includes important information for EIDBI providers.

For information that applies to all MHCP providers, refer to MHCP Provider Manual – Provider basics.

For EIDBI-specific provider enrollment, billing and authorization information, refer to MHCP Provider Manual – EIDBI.

Updates to the policy manual

We will announce updates to the policy manual:

· On EIDBI – Updates to the EIDBI Benefit Policy Manual.

· Via emails from the ASD stakeholders and MHCP provider email lists.

ASD stakeholders email list

Subscribe to the ASD stakeholders email list here:

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MHCP provider email list

The MHCP provider email list includes multiple topics. We will announce EIDBI policy updates via the following topics:

· County and tribal human services.

· Managed care organizations.

· Mental health providers.

To subscribe to the MHCP provider email list and choose topics, refer to MHCP Provider email lists.

Questions

For policy or clinical questions, submit an inquiry using the Minnesota Autism Resource Portal Contact Form.

For provider enrollment, billing procedures and fee-for-service coverage policies, contact the MHCP Provider Resource Center.

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Early Intensive Development and Behavioral Intervention Manual