Legal authority

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, Minn. Stat. §245I.04, subd. 2, Minn. Stat. §245I.04, subd. 6, Minn. R. 9505.0371, subp. 5

Qualifications

To qualify as a comprehensive multi-disciplinary evaluation (CMDE) provider, a professional must meet all the following requirements:

1. Be either:

2. Have either:

3. Be able to diagnose, evaluate and/or provide treatment within their scope of practice and license.

Additional provider criteria

CMDE providers must be able to:

DHS recommends CMDE providers maintain competency in ASD and/or related conditions diagnostic assessment tools and functional/developmental assessments to promote accurate, consistent and evidence-informed evaluations. For more information, refer to EIDBI – Eligibility for EIDBI services.

Compliance

Providers that do not comply with the additional provider criteria listed above risk denial of eligibility determinations associated with their diagnostic reports.

For more information, refer to the autism assessment requirements section of Minnesota Autism Resource Portal – Screening and identification.

Mental health practitioner clinical trainee services

If a level I or level II provider wants to add mental health practitioner clinical trainee services to their existing EIDBI provider enrollment record, they must complete and submit the EIDBI Assurance Statement for CMDE Providers, DHS-7120A (PDF). On DHS-7120A, the provider must attest they meet both of the following requirements:

Upon completion of the mental health professional licensure or board certification requirements, the provider must resubmit the EIDBI Assurance Statement for CMDE Providers, DHS-7120A (PDF) and attest to the CMDE provider requirements listed on the form.

For more information, refer to:

Equivalent coursework

Equivalent graduate coursework is defined as a combination of:

A CMDE provider’s experience or training hours must make up at least 50% of the total required amount of experience (i.e., 1,000 hours). The provider may count coursework toward the remaining 50% (i.e., the other 1,000 hours).

Experience or training

Experience or training includes the examination and/or treatment of people with ASD or a related condition. Experience and training must be in person and can be completed the following settings:

Coursework

A CMDE provider must document graduate-level coursework in one or more of the following areas:

The provider must submit a transcript to DHS with enrollment forms to demonstrate proof of completed coursework (refer to MHCP Provider Manual – EIDBI provider enrollment). One credit of completed coursework is equivalent to 45 hours of time. The provider must have completed the coursework at a graduate level through an accredited university or college.

Roles and responsibilities

The CMDE provider must complete CMDE Medical Necessity Summary Information, DHS-7108 to determine the person’s medical necessity for EIDBI services.

Enroll with MHCP as a CMDE provider

For information about how to enroll with Minnesota Health Care Programs (MHCP) as a CMDE provider, refer to MHCP Provider Manual – EIDBI provider enrollment.

Enroll with MHCP as a qualified mental health professional supervisor

For a CMDE provider to supervise a mental health practitioner who meets the requirements of a clinical trainee, they must enroll as an MHCP qualified mental health professional supervisor. Refer to MHCP Provider Manual – EIDBI provider enrollment.