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: 8/17/22

Page updated: 1/1/24

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

Qualifications

To qualify as a level II provider, a person must be employed by an EIDBI provider agency 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, health science, education, sociology, nursing, human services, counseling, family studies), 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 a behavioral health, child development or a related field (e.g., mental health, special education, social work, psychology, speech pathology, occupational therapy, health science, education, sociology, nursing, human services, counseling, family studies).
  • · 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, health science, education, sociology, nursing, human services, counseling, family studies).
  • · Formally assigned by an accredited college or university to an EIDBI provider agency for clinical training with people with ASD or related conditions and receiving clinical supervision from a qualified supervising professional (QSP) affiliated with the agency.
  • 5. Meet all of 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 all of the following the requirements for provider shortage variance one:

  • · Currently be enrolled in 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, health science, education, sociology, nursing, human services, counseling, family studies).
  • · Receive observation and direction from a QSP or level I provider at least twice per month until meeting 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 of the following the requirements for provider shortage variance two:

  • · 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 the advance certification provider at least once per week until they meet 1,000 hours of clinical experience.
  • Instructions to enroll under a variance

    If a provider enrolls under a variance, they will remain under the variance until they meet one of the standard criteria above (i.e., 1-5). Once they meet the standard criteria, the provider must resubmit the level II assurance statement with proof of their qualifications.

    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 MN Autism Resource Portal Contact Form.

    Equivalent coursework

    A level II provider is not required to have previous experience or training hours if they are currently 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, health science, education, sociology, nursing, human services, counseling, family studies).

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

    Initial certification

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

    Effective Jan. 1, 2024, providers can enroll under a provider shortage variance if they both:

  • · Meet all the requirements for a variance outlined above.
  • · Complete and maintain their initial certification in their EIDBI agency’s treatment modality.
  • 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)
  • 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. PLAY Project:

  • · PLAY Project Home Consultant Professional Certification
  • 5. Relationship Development Intervention (RDI):

  • · Professional Supervision
  • 6. Early Social Interaction (ESI):

  • · Tier 3
  • 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 EIDBI – Provider enrollment and 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 completing the comprehensive multi-disciplinary evaluation (CMDE), 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. R. 9505.0371, subp. 5c 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. R. 9505.0371, subp. 5c 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:

  • · Ensure the individual treatment plan (ITP) and all services provided take into consideration 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
  • · Participate in developing and modifying the person’s ITP
  • · Participate in monitoring 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 required 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.

    Additional resources

    EIDBI – Clinical supervision
    EIDBI – Observation and direction
    EIDBI – Overview of EIDBI providers
    Behavior Analyst Certification Board, Inc. (BACB)

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