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Early Intensive Development and Behavioral Intervention Manual

Early Intensive Development and Behavioral Intervention Manual

Settings for EIDBI services

Page posted: 2/17/17

Page reviewed: 9/3/24

Page updated: 9/3/24

Legal authority

Minn. Stat. §256B.0949

Overview

A person may receive EIDBI services in the following settings:

  • · Center.
  • · Clinic.
  • · Community environment (billed as the location from which the person originated, e.g., home or center).
  • · Their home.
  • · Office.
  • · Customized environment.
  • · Telehealth.
  • For information about each setting, refer to the sections below.

    Some EIDBI services also may be provided via telehealth. For more information, refer to EIDBI – Telehealth services.

    Center

    A center is a setting where a person receives EIDBI services. A center:

  • · Is not a private residence, clinic or hospital.
  • · Follows basic best practice for agency health and safety standards.
  • Clinic

    A clinic is a setting where a person receives diagnostic, outpatient and/or EIDBI services. A clinic:

  • · Is not a private residence.
  • · Follows basic best practice for agency health and safety standards.
  • Community environment

    Examples of community environments include parks, shopping centers, schools, museums, etc.

    A person may receive EIDBI services in a community environment to:

  • · Promote generalization of skills, as indicated in their individual treatment plan (ITP).
  • · Work toward specific goals that require a public setting.
  • When billing for an EIDBI service provided in a community environment, the provider must:

  • · Select “home” or “center” on the claim as the place of service and document the specific community location in the notes field.
  • · Identify the community location in the person’s case notes.
  • Home

    A home is the primary residence of a person who receives EIDBI services.

    Office

    An office is a setting where a provider performs administrative tasks and/or a person receives diagnostic services. An office:

  • · Is not a private residence, clinic or hospital.
  • · Follows basic best practice for agency health and safety standards.
  • Customized environment for higher intensity intervention

    A customized environment is a setting designed to safely deliver intervention services for severe, destructive behaviors that pose an imminent risk to the person or others. Examples of a customized environment include a room with:

  • · Dangerous objects removed.
  • · Protective equipment included to ensure safety of the person and provider.
  • A customized environment is required when billing for a higher intensity intervention session, regardless of the location where the person receives services. For information about higher intensity intervention sessions, refer to EIDBI – Intervention.

    In a customized environment for higher intensity intervention, a qualified supervising professional (QSP) or level I provider must be immediately available for support, which could include telehealth availability when clinically appropriate. The QSP or level I provider cannot be assigned to deliver any direct services to people or caregivers that would prevent them from being available.

    In all customized environments, providers must make sure the person is free from all prohibitions, punishment, restraint, etc., as defined in the Positive Supports Rule.

    Documentation

    In the person’s ITP, the QSP must document the settings where the person will receive EIDBI services.

    If the person will receive EIDBI services in a community environment, the QSP also must describe the environment and justify its use in the ITP, either in the goals and objectives section or other narrative section.

    Additional resources

    EIDBI – EIDBI services
    EIDBI – Health and safety standards
    EIDBI – Health service records
    EIDBI – Intervention
    EIDBI – ITP development and progress monitoring
    EIDBI – Level I provider qualifications, roles and responsibilities
    EIDBI – QSP qualifications, roles and responsibilities
    EIDBI – Telehealth services
    EIDBI – Travel time

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