Minnesota Minnesota

Early Intensive Development and Behavioral Intervention Manual

Early Intensive Development and Behavioral Intervention Manual

Level I provider qualifications, roles and responsibilities

Page posted: 2/17/17

Page reviewed: 8/28/24

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 I provider, a person must meet both of the following requirements:

    1. Be an EIDBI agency employee.

    2. Complete either:

  • · At least 2,000 hours of supervised clinical experience and/or training in the examination and/or treatment of people with autism spectrum disorder (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 II or level III provider or another role in a clinic or education setting as required hours of experience.
  • · The equivalent in graduate-level coursework at an accredited university (refer to the equivalent coursework section on this page).
    Note: Coursework must be documented in one or more of the following areas: ASD or related condition diagnostics, ASD or related condition developmental and behavioral treatment strategies or child development.
  • In addition to the above requirements, a person must meet one of the following requirements:

    1. Have a doctoral or master’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).

    2. Be a Board-Certified Behavior Analyst-Doctoral (BCBA-D) through the Behavior Analyst Certification Board, Inc. (BACB). As of Jan. 1, 2025, behavior analysts must be licensed through Board of Psychology – Applying for licensed behavior analyst to continue to practice applied behavior analysis. For more information, refer to the Oct. 8, 2024, eList announcement.

    3. Be a Board-Certified Behavior Analyst (BCBA) through the BACB.

    4. Be a Qualified Behavior Analyst as defined by the Qualified Applied Behavior Analysis Credentialing Board. As of Jan. 1, 2025, behavior analysts must be licensed through Board of Psychology – Applying for licensed behavior analyst to continue to practice applied behavior analysis. For more information, refer to the Oct. 8, 2024, eList announcement.

    5. 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 advanced certification in one of the DHS-recognized treatment modalities (refer to the advanced certification section on this page and EIDBI – Treatment modalities).

    6. Be a Board-Certified assistant Behavior Analyst (BCaBA) through the BACB and have 4,000 hours of supervised clinical experience that meets all registration, supervision and continuing education requirements of the certification. As of Jan. 1, 2025, behavior analysts must be licensed through Board of Psychology – Applying for licensed behavior analyst to continue to practice applied behavior analysis. For more information, refer to the Oct. 8, 2024, eList announcement.

    7. Meet all the following:

  • · 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).
  • · Complete the ASD Strategies in Action and EIDBI 101: Overview of the Benefit required trainings (refer to EIDBI – Individual EIDBI provider trainings).
  • · Have at least 6,000 hours of clinical experience providing early intervention services in their EIDBI agency’s treatment modality.
  • 8. Meet both the following:

  • · Complete or currently be enrolled in a master’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 qualified supervising professional (QSP) at least once per month until they reach 2,000 hours of supervised clinical experience.
  • Note: If a provider no longer meets the required provider qualifications, they must adjust their enrollment status accordingly. For more information, refer for 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.
  • A level I provider’s experience or training hours must make up at least 25% of the total required amount of experience (i.e., 500 hours). The provider may count coursework toward the remaining 75% (i.e., the other 1,500 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 in the following settings:

  • · School.
  • · Community settings (e.g., parks, library, stores).
  • · Clinical treatment setting.
  • Coursework

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

  • · ASD or related condition diagnostics.
  • · ASD or related condition treatment strategies.
  • · Mental health, behavioral health, child development, special education, social work, psychology, speech pathology or occupational therapy.
  • 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 training hours. The provider must have completed coursework at a graduate level through an accredited university or college.

    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.

    Advanced certification

    Advanced certification is specialized credentials beyond foundational training in one of the DHS-recognized treatment modalities. Advanced certification:

  • · Typically involves additional coursework or training, supervised clinical experience and a certification exam.
  • · Equips providers to address complex cases and make informed, evidence-based decisions in treatment planning and implementation.
  • · Enhances providers’ ability to effectively support people with ASD and related conditions.
  • All EIDBI services use one of the DHS-recognized treatment modalities listed on EIDBI – Treatment modalities.

    An advanced certification provider is a provider who holds advanced certification in the DHS-recognized treatment modality the agency provides. When a level I provider has advanced certification in a modality, they are responsible to oversee fidelity of the modality and training of non-certified staff. If the level I provider with advanced certification leaves the agency (e.g., resigns or disaffiliates their enrollment) or experiences an absence longer than 31 consecutive days, another provider with advanced certification must take over these responsibilities for the agency to continue providing services. An agency cannot operate without an advanced certification provider.

    All enrolling EIDBI agencies must have a QSP or level I provider with advanced certification in one of the following treatment modalities:

    1. Applied Behavior Analysis (ABA):

  • · BCaBA.
  • · Licensed BCBA.
  • · Licensed BCBA-D.
  • · Licensed Qualified Behavior Analyst (QBA).
  • 2. DIR/Floortime:

  • · Provider with Level 3 certification or DIR/Floortime Advanced Certificate.
  • · Provider with Level 4 certification or DIR/Floortime Expert Training Leader Certificate.
  • 3. Early Start Denver Model (ESDM):

  • · Certified Trainer.
  • · Parent Coach Trainer.
  • · Senior Trainer.
  • 4. Relationship Development Intervention (RDI):

  • · RDI Certified Consultant.
  • 5. Other specific modality certifications.

    For more information, refer to EIDBI – Treatment modalities – Certified providers.

    Mental health practitioner/CMDE clinical trainee services

    If a level I 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, subd. 6 for licensure or board certification as a mental health professional, including supervised practice in the delivery of mental health services for the treatment of 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, subd. 6 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 more 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 I provider must:

  • · Make sure the individual treatment plan (ITP) and all services provided consider the person’s and 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 and objectives and treatment outcomes, including data collection.
  • · Participate in the person’s coordinated care conference, as determined by the QSP and requested by the parent/primary caregiver.
  • · Perform all clinical supervision functions required by their professional licensing or certification board and defined in this policy manual.
  • · Provide family/caregiver training and counseling, as determined by the QSP and identified in the person’s ITP.
  • · Provide observation and direction to level I, II and 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 required clinical supervision and intervention observation and direction, as identified in the person’s ITP.
  • Enroll with MHCP as a level I provider

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

    Additional resources

    EIDBI – Clinical supervision
    EIDBI – CMDE provider qualifications, roles and responsibilities
    EIDBI – Eligibility for EIDBI services
    EIDBI – Health service records
    EIDBI – Individual EIDBI provider trainings
    EIDBI – Observation and direction
    EIDBI – Overview of EIDBI providers
    EIDBI – QSP qualifications, roles and responsibilities
    EIDBI – Treatment modalities
    EIDBI – Treatment modalities – Certified providers
    EIDBI Assurance Statement for CMDE Providers, DHS-7120A (PDF)
    Behavior Analyst Certification Board, Inc. (BACB)
    Board of Psychology – Applying for licensed behavior analyst
    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
    DHS – MHCP Provider Resource Center

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