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: 3/15/21

Page updated: 8/17/22

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

Qualifications

To qualify as a level I provider, a person must meet both of the following requirements:

1. Be employed by an EIDBI provider agency

2. Have either:

  • · At least 2,000 hours of clinical experience and/or training in the examination and/or treatment of people with autism spectrum disorder (ASD) or a related condition
  • · Completed the equivalent in graduate-level coursework at an accredited university (see equivalent coursework section)
    Note: Coursework must be documented in one or more of the following areas: ASD or related condition diagnostics, ASD or related condition treatment strategies or child development.
  • In addition, a person must meet at least 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 related fields (e.g., mental health, special education, social work, psychology, speech pathology, occupational therapy, health science, education, sociology, nursing, human services, counseling, family studies)

    2. Be a Board Certified Behavior Analyst-Doctoral (BCBA-D) or a Board Certified Behavior Analyst (BCBA) through the Behavior Analyst Certification Board, Inc. (BACB)

    3. 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 advanced certification in one of the DHS-recognized treatment modalities (see advanced certification section and EIDBI – Treatment modalities)

    4. 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

    5. Enroll as a level I provider under the provider shortage variance if they meet all of the following requirements:

  • · Have completed or are currently enrolled in a master’s degree program at an accredited college or university in one of the behavioral or child-development sciences 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 qualified supervising professional (QSP) at least once per month until meeting 2,000 hours of supervised clinical experience.
  • Note: If you have questions about whether a potential employee meets the required qualifications, contact the EIDBI team through the MN Autism Resource Portal Contact Form.

    Provider shortage variance

    The provider can include hours worked as a mental health behavioral aide or practitioner, personal care assistance (PCA) worker, level II or level III provider or other experience in a clinic or education setting as required hours of experience for the variance.

    If a provider is enrolled under the variance, they will remain under the variance until they meet one of the standard criteria above (i.e., 1-4).

    If a provider graduates from a master’s degree program, they will remain enrolled as a level I provider under the variance while they work toward completing their 2,000 hours of supervised clinical experience. If a provider completes the 2,000 hours of supervised clinical experience, they will remain enrolled as a level I provider under the variance until they complete their master’s degree.

    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 (see 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 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, special education, social work, psychology, speech pathology, occupational therapy, health science, education, sociology, nursing, human services, counseling, family studies or other related coursework.
  • The provider must submit a transcript to DHS with enrollment forms to demonstrate proof of completed coursework (see MHCP Provider Manual – EIDBI provider enrollment). One credit of completed coursework is equivalent to 45 hours of time. The provider must have completed coursework at a graduate level through an accredited university or college.

    Advanced certification

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

    Effective Feb. 1, 2021, all enrolling EIDBI provider organizations must have a QSP or level I provider with advanced certification in one of the following treatment modalities:

    1. Applied Behavior Analysis (ABA):

  • · BCaBA
  • · BCBA
  • · BCBA-D
  • 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. PLAY Project:

  • · Dual certification in PLAY Project and Teaching PLAY
  • 5. Relationship Development Intervention (RDI):

  • · RDI Certified Consultant
  • 6. Early Social Interaction Project (ESI):

  • · Certification as an Autism Navigator Regional Specialist
  • · Certification as an Autism Navigator Master Coach and Global Trainer
  • 7. Other specific modality certifications; for more information, see 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 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, see:

  • · 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:

  • · 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 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 of the 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 intervention observation and direction to level 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, see MHCP Provider Manual – EIDBI provider enrollment.

    Additional resources

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

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