Minnesota Minnesota

Early Intensive Development and Behavioral Intervention Manual

Early Intensive Development and Behavioral Intervention Manual

Family/caregiver training and counseling

Page posted: 6/15/15

Page reviewed: 12/4/24

Page updated: 12/4/24

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), Minn. Stat. §256B.0949

Definition

Family/caregiver training and counseling (also known as family adaptive behavior treatment guidance): An EIDBI service that covers specialized training, education and support for a person’s family/caregiver.

Purpose

The purpose of family/caregiver training and counseling is to:

1. Help families and caregivers support the person’s development by learning about:

  • · The person’s condition.
  • · Other resources available to support the person and their family.
  • · How to access those other resources.
  • · Intervention goals that assist families and caregivers in helping the person generalize skills learned in the intervention setting(s) and positively impact treatment outcomes.
  • · How to use specialized behavioral and developmental techniques and strategies to reduce interfering or unwanted behaviors, meet sensory needs and build skills.
  • 2. Build family and caregiver confidence and resilience.

    3. Promote the person’s and family’s participation in their home, school and community.

    Eligible providers

    The following MHCP-enrolled EIDBI providers can deliver and bill for family/caregiver training and counseling:

  • · Qualified supervising professional (QSP).
  • · Level I.
  • · Level II.
  • Requirements

    Family/caregiver training and counseling must be:

  • · Culturally and linguistically responsive to the person and family.
  • · Individualized and meaningful to the person and family.
  • Family/caregiver training and counseling may occur with or without other EIDBI services requested on the individualized treatment plan (ITP) (refer to EIDBI – ITP development and progress monitoring).

    The provider must document a rationale in the person’s comprehensive multi-disciplinary evaluation (CMDE) if the person needs to receive less service than the recommended treatment guidelines (i.e., less than 10 hours per week), as defined on EIDBI – Medical necessity criteria. The provider may adjust the person’s ITP to reflect these changes, as needed.

    Provider ratios

    Family/caregiver training and counseling – individual

    In an individual family/caregiver training and counseling session, one provider delivers services to one parent/caregiver or one set of parents/caregivers.

    Family/caregiver training and counseling – group

    In a group family/caregiver training and counseling session, one provider delivers services to the parents or caregivers of two to eight people who receive services. There cannot be more than eight sets of parents/caregivers in a group or more than 16 parents/caregivers in the group.

    Other considerations

    Other important considerations include, but are not limited to:

  • · Multiple providers can provide family/caregiver training and counseling at the same time.
  • · Providers can bill for family/caregiver training and counseling at the same time as other EIDBI services, as clinically necessary.
  • · Family/caregiver training can occur with or without the person present, but a family member or caregiver must be present.
  • · Family members and caregivers may include immediate family members (e.g., parents, legal guardians, siblings), extended family members (e.g., grandparents, aunts, uncles, cousins) and other types of caregivers (e.g., teachers, paraprofessionals, personal care assistance [PCA] workers, transportation drivers).
  • Covered services

    Family/caregiver training and counseling covers, but is not limited to, the following indirect and direct activities.

    Indirect activities

    Through family/caregiver training and counseling, the provider can:

  • · Actively listen, talk through concerns of the family/caregiver, identify coping strategies and problem-solve.
  • · Spend time developing rapport with the family/caregiver.
  • · Facilitate person-centered planning (refer to Disability Hub MN – Charting the LifeCourse: Tools and guides for any stage of life).
  • · Review Navigating Autism Supports and Services: A guidebook for parents and caregivers, DHS-8129 (PDF) with the family/caregiver.
  • · Provide family/caregiver education (e.g., treatment modality options, understanding the person’s diagnosis or condition, advocacy).
  • · Establish roles of the person’s team and explain training, education and background of individual providers (refer to EIDBI – Treatment modalities – Certified providers).
  • · Help the family/caregiver make calls to the person’s case manager or schedule referral appointments.
  • · Set up environmental adaptations (e.g., visuals, timers, safety equipment).
  • · Prepare for a MnCHOICES assessment (refer to MnCHOICES Assessment: Steps to get help, DHS-7283 [PDF]).
  • · Help the family/caregiver access basic needs (refer to Minnesota Autism Resource Portal – Basic needs).
  • · Complete Family Caregiver Checklist, DHS-6751B (PDF) or translated versions: Family Caregiver Checklist – Hmong (PDF), Family Caregiver Checklist – Somali (PDF) or Family Caregiver Checklist – Spanish (PDF).
  • · Develop materials with the family/caregiver for programming, visual schedules, etc.
  • · Help the family/caregiver connect with peer networks or support groups (refer to Minnesota Autism Resource Portal – Support groups).
  • · Explore Minnesota Autism Resource Portal.
  • · Explore Disability Hub MN.
  • · Explore resources to improve quality of life for the person, caregiver and/or family.
  • Direct activities

    Through family/caregiver training and counseling, the provider can:

  • · Develop goals with the family/caregiver.
  • · Provide direct, hands-on demonstration of effective strategies to support the person’s development and support interfering or unwanted behaviors.
  • · Discuss and reflect on the training interactions between either the family/caregiver and person or the provider and person.
  • · Spend time with the family/caregiver as they demonstrate the learned skills or strategies to give feedback and support.
  • · Use video modeling, observation, role play and other teaching strategies to help families and caregivers implement treatment strategies independently.
  • · Use family/caregiver training curriculums that provide the family/caregiver with practical tools and knowledge to incorporate into their daily life.
  • · Track and analyze data.
  • · Provide instruction, modeling, feedback and role-playing strategies to teach skills and reduce unwanted behaviors.
  • · Incorporate culturally responsive practices into intervention.
  • Case notes

    The provider must document family/caregiver training and counseling services in the person’s case notes. For more information, refer to EIDBI – Health service records.

    Telehealth

    If medically appropriate to the condition and needs of the person and family, the provider may deliver family/caregiver training and counseling via two-way, interactive video. For more information, refer to EIDBI – Telehealth services.

    Service authorization and billing

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

  • · EIDBI billing grid (PDF).
  • · MHCP Provider Manual – EIDBI – billing.
  • · MHCP Provider Manual – EIDBI – service authorization.
  • Additional resources

    Disability Hub MN
    Disability Hub MN – Charting the LifeCourse: Tools and guides for any stage of life
    EIDBI – EIDBI services
    EIDBI – Health service records
    EIDBI – How to complete CMDE Medical Necessity Summary Information, DHS-7108
    EIDBI – How to complete ITP and Progress Monitoring, DHS-7109
    EIDBI – ITP development and progress monitoring
    EIDBI – Level I provider qualifications, roles and responsibilities
    EDIBI – Level II provider qualifications, roles and responsibilities
    EIDBI – Medical necessity criteria
    EIDBI – QSP qualifications, roles and responsibilities
    EIDBI – Telehealth services
    EIDBI – Treatment modalities – Certified providers
    EIDBI billing grid (PDF)
    Family Caregiver Checklist, DHS-6751B (PDF)
    Family Caregiver Checklist – Hmong (PDF)
    Family Caregiver Checklist – Somali (PDF)
    Family Caregiver Checklist – Spanish (PDF)
    MHCP Provider Manual – EIDBI – billing
    MHCP Provider Manual – EIDBI – service authorization
    Minnesota Autism Resource Portal
    Minnesota Autism Resource Portal – Basic needs
    Minnesota Autism Resource Portal – Support groups
    MnCHOICES Assessment: Steps to get help, DHS-7283 (PDF)
    Navigating Autism Supports and Services: A guidebook for parents and caregivers, DHS-8129 (PDF)

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