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

There are five EIDBI provider types:

Each provider type has different qualifications, roles and responsibilities during EIDBI service delivery. For more information, refer to the provider-specific pages.

MHCP enrollment

Every individual provider must enroll with Minnesota Health Care Programs (MHCP) to deliver EIDBI services. Provider agencies are responsible to ensure:

QSP and CMDE providers are responsible to ensure their provider affiliation is accurate.

For enrollment information, refer to MHCP Provider Manual – EIDBI provider enrollment.

Clinical supervision

EIDBI treatment services must be delivered under the clinical supervision of a QSP.

Note: CMDE providers are licensed providers and do not need to be employed by an EIDBI agency or supervised by a QSP.

QSPs and level I providers with advanced certification must ensure integrity and fidelity of the services provided. They also must ensure compliance and performance standards of all supervisees to ensure services are delivered consistently with the standards of the approved modality. For more information, refer to EIDBI – Clinical supervision.

Use the pathway to EIDBI services for families tool to find an EIDBI provider or make a referral to EIDBI services.

Fee-for-service (FFS)

If a person is enrolled in FFS, they can receive EIDBI services from any MHCP-enrolled EIDBI provider.

Managed care organizations (MCOs)

Not all EIDBI providers are available through all MCOs. Before a person enrolled in an MCO receives EIDBI services, including a CMDE, the family should confirm the provider is in network. Call the health plan customer service number on the back of the person’s health plan ID card or on DHS – Health plan member services, or use the provider directory their health plan mailed to them.

Across Minnesota and the nation, communities are experiencing a shortage of qualified health care providers. The provider shortage particularly affects rural areas. There is currently a shortage of EIDBI providers, which might delay or prevent people’s ability to access and receive EIDBI services.

To learn about what Minnesota is doing to build provider capacity, refer to DHS – Building EIDBI provider capacity.

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