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.0625, subd. 43

Travel time: An Early Intensive Developmental and Behavioral Intervention (EIDBI) service that covers the time a qualified EIDBI provider is in transit to and from a location other than their typical place of service to provide in-person EIDBI services.

The following Minnesota Health Care Programs (MHCP)-enrolled EIDBI providers may bill for travel time:

MHCP covers provider travel time when:

1. The person has an individual treatment plan (ITP).

2. The EIDBI provider updates the person’s ITP to explain why it is medically necessary for the person to receive EIDBI services outside the provider’s typical place of service.

3. An EIDBI provider travels to deliver any of the following MHCP-covered services:

Locations

Travel time is covered when an EIDBI provider travels to and from any of the following locations:

Direct route

Travel time covers the time the provider is in transit to and from the person’s location via the most direct route. It does not cover any stops or variations in the route, other than variations resulting from posted detours or blocked routes.

When serving a person who is fee-for-service, if the provider begins the trip at their home, MHCP will reimburse the lesser distance, either the distance between the provider’s:

For example, if the provider’s home is farther away from the person’s location than the provider’s typical place of service, MHCP will reimburse only for the provider’s travel time from the typical place of service to the person’s location. This policy applies to the return trip as well.

When serving a person who receives services through a managed care organization (MCO), the provider must follow the MCO’s policy on travel time.

Multiple visits to consecutive locations

When the provider travels to consecutive locations on the same day, they count the travel time from their starting location to the first person’s location in the first person’s case notes. They count the travel time from the first person’s location to the second person’s location in the second person’s case notes. The provider counts the travel time on their return trip from the last person’s location only if they return to their typical place of service at the end of the day.

The EIDBI benefit does not cover:

The provider must document travel time in the person’s case notes. In addition to standard case note requirements, the provider must include:

Providers may attach the service-specific travel time documentation to the case note for services provided outside their typical place of service or on a separate case note. Travel time documentation should always correspond to the specific service provided in that location.

For more information about case notes, refer to EIDBI – Health service records.

The provider must:

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