Minnesota Minnesota

Early Intensive Development and Behavioral Intervention Manual

Early Intensive Development and Behavioral Intervention Manual

Level II provider qualifications, roles and responsibilities

Page posted: 2/17/17

Page reviewed: 10/29/24

Page updated: 11/7/25

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), CMS-approved state plan amendment – 2022 update (PDF), Minn. Stat. §256B.0949

Definitions

Employee: A person who is employed temporarily, part time or full time by the agency that submits claims or billing for the work, services, supervision or treatment performed by the person. This does not include:

  • · Independent contractors (e.g., workers who file tax form 1099), billing agencies or consultants who do not provide EIDBI services.
  • · People who perform work, provide services, supervise or provide treatment for fewer than 80 hours in a 12-month period.
  • Qualifications

    To qualify as a level II provider, a person must be an EIDBI provider agency employee and meet at least one of the following sets of requirements:

    1. Have a bachelor’s degree from an accredited college or university in behavioral health, child development or a related field (e.g., mental health, special education, social work, psychology, speech pathology, occupational therapy) and meet at least one of the following requirements:

  • · Have at least 1,000 hours of clinical experience and/or training in the evaluation and treatment of people with autism spectrum disorder (ASD) or a related condition.
  • · Have completed the equivalent in graduate-level coursework (refer to the equivalent coursework section on this page) at an accredited university.
    Note: Coursework must be documented in one of the following areas: ASD or related condition diagnostics, ASD or related condition treatment strategies or child development.
  • · Be a Board-Certified assistant Behavior Analyst (BCaBA) through the Behavior Analyst Certification Board, Inc. (BACB) (refer to EIDBI – Treatment modalities – Certified providers).
  • · Be a Registered Behavior Technician (RBT) through the BACB (refer to EIDBI – Treatment modalities – Certified providers).
  • · Be certified in one of the other treatment modalities recognized by DHS (refer to EIDBI – Treatment modalities).
  • 2. Have both:

  • · An associate’s degree from an accredited college or university in behavioral health, child development or a related field (e.g., mental health, special education, social work, psychology, speech pathology, occupational therapy).
  • · At least 2,000 hours of supervised clinical experience delivering treatment to people with ASD or a related condition.
    Note: The provider can include hours worked as a mental health behavioral aide, special education paraprofessional or an EIDBI level III provider as required hours of experience.
  • 3. Have at least 4,000 hours of supervised clinical experience delivering treatment to people with ASD or a related condition.
    Note: The provider can include hours worked as a mental health behavioral aide, mental health practitioner, personal care assistance (PCA) worker, EIDBI level III provider or another role in a clinic or education setting as required hours of experience.

    4. Be both:

  • · A graduate student in behavioral health, child development or a related field (e.g., mental health, special education, social work, psychology, speech pathology, occupational therapy).
  • · Formally assigned by an accredited college or university to an EIDBI provider agency for clinical training with people with ASD or related conditions and receive clinical supervision from a qualified supervising professional (QSP) affiliated with the agency.
  • 5. Meet all the following requirements:

  • · Be age 18 or older.
  • · Be fluent in a non-English language or be certified by a tribal government.
  • · Complete the ASD Strategies in Action and EIDBI 101: Overview of the Benefit required trainings (refer to EIDBI – Individual EIDBI provider trainings).
  • · Receive observation and direction from a QSP or qualified level I provider at least once per week until they meet 1,000 hours of supervised clinical experience.
  • 6. Meet both the following requirements:

  • · Currently be enrolled in or have completed a bachelor’s degree program at an accredited college or university in behavioral health, child development or a related field (e.g., mental health, special education, social work, psychology, speech pathology, occupational therapy).
  • · Receive observation and direction from a QSP or level I provider at least twice per month until they meet 1,000 hours of supervised clinical experience.
    Note: The provider can include hours worked as a mental health behavioral aide, personal care assistance (PCA) worker, special education paraprofessional or EIDBI level III provider as required hours of experience. If a level II provider graduates from a bachelor’s degree program or currently has a bachelor’s degree, the provider will remain enrolled as a level II provider under the variance while they complete the 1,000 hours of supervised clinical experience.
  • 7. Meet all the following requirements:

  • · Be age 18 or older.
  • · Complete initial certification in their EIDBI agency’s treatment modality (refer to the initial certification section below).
  • · Complete the ASD Strategies in Action and EIDBI 101: Overview of the Benefit required trainings (refer to EIDBI – Individual EIDBI provider trainings).
  • · Receive observation and direction from a QSP or level I provider at least once per week until they meet 1,000 hours of clinical experience.
  • If the provider no longer meets the required provider qualifications, they must adjust their enrollment status accordingly. For more information, refer to MHCP Provider Manual EIDBI provider enrollment.

    For questions about the required qualifications, contact the EIDBI team through the Minnesota Autism Resource Portal Contact Form.

    Equivalent coursework

    DHS defines equivalent graduate coursework as a combination of:

  • · Experience or training hours providing treatment and/or examination of people with ASD or related conditions (refer to EIDBI – Eligibility – Related conditions).
  • · Hours spent completing coursework.
  • 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 in the following settings:

  • · School.
  • · Community settings (e.g., parks, library, stores).
  • · Clinical treatment setting.
  • A level II provider is not required to have previous experience or training hours if they currently are enrolled or have graduated from a bachelor’s degree program at an accredited college or university in behavioral health, child development or a related field (e.g., mental health, special education, social work, psychology, speech pathology, occupational therapy).

    A level II provider must receive observation and direction from a QSP or level I provider at least twice per month until they meet 1,000 hours of supervised clinical experience. For more information, refer to EIDBI – Observation and direction.

    Related degrees

    Related degree fields (i.e., majors) may include but are not limited to mental health, special education, social work, psychology, speech pathology or occupational therapy. However, DHS:

  • · Cannot guarantee approval or pre-verify that a degree will meet requirements.
  • · Does not share a comprehensive list of accepted or unaccepted degree majors.
  • Provider agencies must:

  • · Ensure each individual provider meets the degree requirements for their respective EIDBI provider level outlined in Minn. Stat. §256B.0949.
  • · Submit degree records to DHS with their enrollment application.
  • · Maintain record of the degree major in the provider’s personnel file for audits and revalidations.
  • DHS review standards

    DHS will confirm all the following:

  • · The degree is from an accredited institution.
  • · The degree major aligns with behavioral health, child development or a related field.
  • · The degree corresponds to the requested provider level.
  • · The provider meets the requirements in place at the time of enrollment or revalidation.
  • Note: DHS does not consider minors, coursework, training, experience or certificates in isolation as substitutes for an unrelated major or degree program.

    Provider Eligibility and Compliance (PEC) reviews each application on a case-by-case basis to verify that the degree major is in behavioral health, child development or a related field from an accredited institution. Enrollment determinations reflect current clinical standards and evolving best practices in the field.

    Provider agency guidance for evaluating degree alignment

    To help provider agencies evaluate degree alignment before they submit an enrollment application, DHS recommends provider agencies conduct an internal review process to verify all the following:

  • · Degree title and major on the transcript or diploma.
  • · Institution accreditation.
  • · Degree major or program curriculum includes substantial child development, behavioral health or related coursework as outlined on the transcript.
  • · Degree aligns with the person’s EIDBI role and supervision level.
  • Provider agencies should:

    1. Verify the degree major and school accreditation.

    Providers can verify the degree major:

  • · On the transcript or diploma.
  • · Through institutional records.
  • Note: The degree must be in a qualifying major or related field. The following education components do not meet degree requirements:

  • · Minor.
  • · Emphasis area.
  • · Concentration.
  • · Collection of coursework.
  • · Experience.
  • · Training.
  • Providers can verify school accreditation by searching for the institution’s status in either:

  • · U.S. Department of Education – Database of Accredited Postsecondary Institutions and Programs (DAPIP).
  • · Council for Higher Education Accreditation (CHEA) online directory.
  • 2. Determine if the degree is in a related field.

    A related field is a field that provides substantial educational preparation to support or deliver interventions for people with developmental, behavioral or mental health conditions.

    When provider agencies review a degree major that is not clearly identified in statute (e.g., behavioral health, child development, mental health, special education, social work, psychology, speech pathology, occupational therapy), they should determine if the major includes core content in at least one of the following areas:

  • · Child development and human behavior.
  • · Behavioral, psychological or mental health theory and application.
  • · Social work, human services or applied public health focused on behavioral or developmental populations.
  • · Rehabilitative or therapeutic disciplines (e.g., speech-language pathology, occupational therapy).
  • · Assessment, intervention or treatment methodologies for developmental or behavioral needs.
  • If at least 50 percent of the degree’s coursework or program outcomes reflect these areas, DHS may consider the degree to be in a related field.

    More information

    For more information on enrollment, refer to MHCP Provider Manual – EIDBI provider enrollment criteria and forms.

    For questions, contact the MHCP Provider Resource Center and request to speak to PEC. For more information, refer to DHS – MHCP Provider Resource Center.

    Initial certification

    All EIDBI services use one of the DHS-recognized treatment modalities listed on EIDBI – Treatment modalities.

    Providers must complete their initial certification in at least one of the following treatment modalities used by their EIDBI agency:

    1. Applied Behavior Analysis (ABA):

  • · Registered Behavioral Technician (RBT).
  • · Applied Behavior Analysis Technician (ABAT).
  • 2. DIR/Floortime:

  • · Provider with a Level 1 Certification.
  • · DIR/Floortime Basic Certificate (DIR-Basic).
  • · DIR-FCD Certificate in Emotional, Social and Cognitive Development – Level 1 (CL1) course.
  • 3. Early Start Denver Model (ESDM):

  • · Certified Therapist.
  • 4. Relationship Development Intervention (RDI):

  • · Professional Supervision.
  • When a level II provider holds initial certification in a treatment modality, they are responsible to submit all necessary documentation and maintain their certification.

    For more information, refer to:

  • · MHCP Provider Manual – EIDBI provider enrollment criteria and forms.
  • · EIDBI – Treatment modalities – Certified providers.
  • Mental health practitioner/CMDE clinical trainee services

    If a level II provider wants to add mental health practitioner clinical trainee services to their existing EIDBI provider enrollment record to assist with comprehensive multi-disciplinary evaluation (CMDE) completion, 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:

  • · Complies with requirements in Minn. Stat. §245I.04 for licensure or board certification as a mental health professional, including supervised practice in mental health service delivery to treat mental illnesses.
  • · Is a student in an assigned field placement or internship under a program that leads to completion of the requirements in Minn. Stat. §245I.04 to be licensed as a mental health professional.
  • 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 requirements of a CMDE provider listed on the form.

    For additional information, refer to:

  • · MHCP Provider Manual – Clinical supervision of outpatient mental health services.
  • · MHCP Provider Manual – General MHCP non-enrollable mental health provider requirements.
  • · EIDBI – CMDE provider qualifications, roles and responsibilities.
  • Roles and responsibilities

    The level II provider must:

  • · Make sure the individual treatment plan (ITP) and all services provided consider the person’s and their family’s values, goals, preferences, culture and language.
  • · Document all services provided in the person’s case notes and/or health care plan as specified in EIDBI – Health service records.
  • · Develop and modify the person’s ITP.
  • · Monitor the person’s progress on targeted goals, objectives and treatment outcomes, including data collection.
  • · Participate in the person’s coordinated care conference as needed.
  • · Provide family/caregiver training and counseling, as determined by the QSP and identified in the person’s ITP.
  • · Provide observation and direction to level II or III providers, as determined by the QSP and identified in the person’s ITP.
  • · Provide intervention services as determined necessary in the CMDE and identified in the person’s ITP, with fidelity to the treatment method or modality necessary to promote progress on targeted goals and objectives.
  • · Receive clinical supervision and intervention observation and direction as identified in the person’s ITP.
  • Enroll with MHCP as a level II provider

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

    Additional resources

    Behavior Analyst Certification Board, Inc. (BACB)
    Qualified Applied Behavior Analysis (QABA) Credentialing Board
    EIDBI Assurance Statement for CMDE Providers, DHS-7120A (PDF)
    EIDBI – Clinical supervision
    EIDBI – CMDE provider qualifications, roles and responsibilities
    EIDBI – Health service records
    EIDBI – Individual EIDBI provider trainings
    EIDBI – Observation and direction
    EIDBI – Overview of EIDBI providers
    EIDBI – Treatment modalities
    EIDBI – Treatment modalities – Certified providers
    MHCP Provider Manual – Clinical supervision of outpatient mental health services
    MHCP Provider Manual – EIDBI provider enrollment criteria and forms
    MHCP Provider Manual – General MHCP non-enrollable mental health provider requirements
    Minnesota Autism Resource Portal Contact Form

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