Glossary
A | B | C | D | E | F | G | H | I | L | M | O | P | Q | R | S | T
Note: The Minnesota Autism Resource Portal includes a variety of resources about terms included on this page.
A
Adaptive behavior treatment: See intervention.
Adaptive behavior treatment with protocol modification: See observation and direction.
Applied Behavior Analysis (ABA): A treatment modality with a set of data-driven practices grounded in behavioral science. This approach can be applied to people of all ages. ABA focuses on increasing positive and appropriate behaviors through reinforcement while decreasing interfering/unwanted behaviors or behaviors that interfere with learning. Under ABA, the provider systematically analyzes factors in the person’s environment that interfere with their success and teaches new and more appropriate ways of responding. For more information, see EIDBI – Treatment modalities – ABA.
Autism-Focused Intervention Resources and Modules (AFIRM): Resources designed to help explain a step-by-step process to plan for, use and monitor an evidence-based practice with people who have ASD, from birth to age 22.
Autism spectrum disorder (ASD): Core symptoms of ASD include when the person has:
1. Persistent challenges in social communication and social interaction across multiple contexts, demonstrated by challenges in all of the following:
2. Restricted, repetitive patterns of behavior, interests or activities, demonstrated by at least two of the following:
ASD Strategies in Action: An online, video-based learning series that covers the characteristics of ASD and evidence-based strategies to support people with ASD in homes, schools and community settings. For more information, see EIDBI – Individual provider trainings.
B
Behavior identification assessment: See comprehensive multi-disciplinary evaluation (CMDE).
C
Case notes: A documentation requirement. Each time an EIDBI provider delivers an EIDBI service to a person or their legal representative, the provider must create a case note to document the service delivery. For more information, see EIDBI – Health service records – Case notes.
Center: A setting where a person receives EIDBI services that:
For more information, see EIDBI – Settings.
Clinic: A setting where a person receives diagnostic, outpatient and/or EIDBI services that:
For more information, see EIDBI – Settings.
Clinical supervision: The act of a qualified EIDBI provider supervising service delivery and accepting full professional responsibility to ensure all EIDBI services provided are medically necessary, clinically appropriate and individualized to the unique needs of each person and their family. For more information, see EIDBI – Clinical supervision.
Comprehensive multi-disciplinary evaluation (CMDE) (also known as behavior identification assessment): An EIDBI service that covers the required comprehensive evaluation of the person. The CMDE is a behavior identification assessment. The information gathered in the CMDE is used to:
For more information, see EIDBI – CMDE.
Comprehensive multidisciplinary evaluation (CMDE) provider: See EIDBI – CMDE provider qualifications, roles and responsibilities.
Coordinated care conference (also known as a medical team conference): An EIDBI service that covers a voluntary meeting between the person, their family, EIDBI provider(s), other service professionals and/or other individuals the person/family requests to:
For more information, see EIDBI – Coordinated care conference.
Cultural Responsiveness in ASD Services: An online training module that helps providers increase their understanding of culturally responsive practices when providing services to people with ASD or related conditions. For more information, see EIDBI – Individual provider trainings.
D
Department: The Minnesota Department of Human Services (DHS), unless otherwise specified.
Developmental, Individual Difference, Relationship-Based (DIR)/Floortime Model: A treatment modality that provides a framework for a provider to conduct a comprehensive assessment of the person and develop a program tailored to their unique needs and strengths. This approach can be applied to people of all ages. DIR/Floortime creates opportunities for learning through spontaneous exchanges. These exchanges help the person build critical developmental abilities, including the ability to:
For more information, see EIDBI – Treatment modalities – DIR/Floortime.
E
Early Intensive Developmental and Behavioral Intervention (EIDBI) benefit: A Minnesota Health Care Program (MHCP) for people who:
The purpose of the EIDBI benefit is to provide medically necessary, early and intensive intervention for people with ASD and related conditions. The benefit also is intended to:
For more information, see EIDBI – Overview of the benefit.
Early Social Interaction (ESI): A treatment modality with the following important elements:
Early Start Denver Model (ESDM): A treatment modality that integrates a relationship-focused, developmental model with Applied Behavior Analysis (ABA) teaching practices. The program typically serves children ages 12 to 48 months. The program:
For more information, see EIDBI – Treatment modalities – ESDM.
EIDBI 101: An online training that informs providers of the various requirements of providing EIDBI services. For more information, see EIDBI – Individual provider trainings.
F
Family adaptive behavior treatment guidance: See family/caregiver training and counseling.
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. For more information, see EIDBI – Family/caregiver training and counseling.
G
Generalizable goals: Results or gains observed during a variety of activities over time with different people (e.g., providers, family members, other adults) and in different environments including, but not limited to, clinics, homes, schools and the community.
Group intervention session: A defined period of time when a qualified EIDBI provider delivers intervention to at least two, but no more than eight, people who receive EIDBI services. For more information, see EIDBI – Intervention.
H
Health service records: To receive payment for providing EIDBI services, the EIDBI provider agency and its staff must:
For more information, see EIDBI – Health service records.
Home: The primary residence of a person who receives EIDBI services. For more information, see EIDBI – Settings.
I
Incident: Any of the following situations:
Individual EIDBI provider: A person who works for or is affiliated with an EIDBI provider agency and meets the qualifications to be an enrolled EIDBI service provider. Individual EIDBI providers include the following:
Individual intervention session: A defined period of time when a qualified EIDBI provider delivers intervention to one person. For more information, see EIDBI – Intervention.
Individual treatment plan (ITP) development and progress monitoring: An EIDBI service that covers the development of the person’s initial ITP and ongoing monitoring of their progress. The ITP is a person-centered plan of care that:
For more information, see EIDBI – ITP development and progress monitoring.
Intervention (also known as adaptive treatment): An EIDBI service that covers the medically necessary, intensive and individually designed direct treatment. The treatment is designed specifically to address the person’s core developmental skill deficits identified in their comprehensive multi-disciplinary evaluation (CMDE) and goals/objectives specified in their individual treatment plan (ITP). For more information, see EIDBI – Intervention.
L
Legal representative: The parent of a child younger than age 18, a court-appointed guardian or other representative with legal authority to make decisions about services for a person.
Level I provider: See EIDBI – Level I provider qualifications, roles and responsibilities.
Level II provider: See EIDBI – Level II provider qualifications, roles and responsibilities.
Level III provider: See EIDBI – Level III provider qualifications, roles and responsibilities.
M
Managed care organization (MCO): An organization certified by the Minnesota Department of Health to provide all defined health care benefits to people enrolled in a Minnesota Health Care Program (MHCP) in return for a capitated payment. MCOs also are referred to as health plans or prepaid health plans (PPHP).
Medical necessity determination: A decision made by a qualified professional about whether a person with autism spectrum disorder (ASD) or a related condition has a medical need for and, therefore, is eligible to receive EIDBI services. For more information, see EIDBI – Medical necessity criteria.
Medical team conference: See coordinated care conference.
Mental health professional: A person who meets criteria in Minn. Stat. § 245.4871, subd. 27, 1-6.
Minnesota Health Care Programs (MHCP): Any of the following programs:
These programs might help pay for all or part of a person’s health care costs if they:
O
Observation and direction: An EIDBI service that covers the clinical direction and oversight given by a qualified EIDBI provider to a lower-level EIDBI provider who is delivering individual intervention services. For more information, see EIDBI – Observation and direction.
Office: A setting where administrative tasks are performed and/or a person receives diagnostic services. An office:
For more information, see EIDBI – Settings.
P
Play and Language for Autistic Youngsters (PLAY) Project: A treatment modality that is an evidence-based, parent-implemented, early intervention program. PLAY Project-trained PLAY consultants coach parents in the natural environment and provide feedback about how to support their child’s language, social interaction and overall development. The parent is taught to be the primary provider of the intervention. For more information, see EIDBI – Treatment modalities – PLAY Project.
Person: A person age 21 or younger (specific to references in this manual only).
Person-centered services: Services that:
Positive Supports Rule: A rule governing positive support strategies and restrictive interventions. The purpose of the rule is to improve the quality of life for people, including children. It requires service providers to use person-centered principles and positive support strategies for people to whom the rule applies.
Prepaid Medical Assistance Program (PMAP): A mandatory managed care program for Medicaid-eligible adults, families and children in Minnesota.
Progress monitoring: A required ITP update the qualified supervising professional (QSP) must submit after each six months of treatment, or more frequently as determined by the comprehensive multidisciplinary evaluation (CMDE) provider or QSP. This is to determine if the person is making progress toward targeted functional and generalizable goals specified in the ITP. For more information, see EIDBI – ITP development and progress monitoring.
Provider agency: The legal entity enrolled with Minnesota Health Care Programs (MHCP) as a Medical Assistance (MA) provider to provide EIDBI services. The agency has the legal responsibility to ensure its employees or contractors carry out the responsibilities defined in the EIDBI Policy Manual. “Agency” includes a licensed, individual professional.
Q
Qualified supervising professional (QSP): See EIDBI – QSP qualifications, roles and responsibilities.
R
Related condition: A condition that is closely related to autism spectrum disorder (ASD) and:
1. Is severe and chronic
2. Results in impairment of a person’s adaptive behavior and function similar to that of a person with ASD
3. Requires treatment or services similar to those required for a person with ASD
4. Results in challenges in the following symptom areas (similar to the symptoms of ASD):
Relationship Development Intervention (RDI): A treatment modality that is a family-based, behavioral treatment that builds on the theory that “dynamic intelligence” is key to improving quality of life for people with ASD and related conditions. This approach can be applied to people of all ages. Dynamic intelligence is the ability to think flexibly and includes:
For more information, see EIDBI – Treatment modalities – RDI.
S
Service authorization (SA): A requirement for some EIDBI services that safeguards against inappropriate and unnecessary use of health care services under state and federal law. The SA allows qualified providers to bill and receive payment from Minnesota Health Care Programs (MHCP) after providing EIDBI services. However, having an approved SA does not guarantee MHCP payment. The provider must meet all other MHCP requirements to receive payment. For more information, see MHCP Provider Manual – EIDBI service authorization.
Session: A period of time in which a qualified provider delivers an EIDBI service to a person. Each provider agency may further define a session, but all EIDBI intervention sessions must:
For more information, see EIDBI – Intervention.
Setting: The location in which a person receives EIDBI services. A person may receive EIDBI services in:
For more information, see EIDBI – Settings.
Supervisee: An individual EIDBI provider who is receiving documented clinical supervision while delivering EIDBI services. They may be working toward licensure or certification. For more information, see EIDBI – Clinical supervision.
T
Tax Equity and Fiscal Responsibility Act (TEFRA): An option that allows Medical Assistance eligibility for children with disabilities in families with incomes too high to qualify for Medical Assistance.
Telehealth: The delivery of health care services or consultations while the patient is at an originating site and the health care provider is at a distant site. For more information, see EIDBI – Telehealth services.
Travel time: An EIDBI service that covers the time it takes for a qualified EIDBI provider to travel to and from a location other than their typical place of service to provide EIDBI services. For more information, see EIDBI – Travel time.
Treatment modalities: A person may receive treatment intervention according to one of the DHS-recognized treatment modalities. DHS recognizes the following treatment modalities:
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