Page updated: 3/2/22

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

Provider types

There are five EIDBI provider types:

Each provider type has different qualifications, roles and responsibilities during EIDBI service delivery. For more information, see 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 services must be delivered under the clinical supervision of 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.

Navigation tool for access to services

The autism services navigation tool is available for case managers, social workers and other professionals to help them make accurate and appropriate referrals to early intervention services and supports based on the needs of the child and family. It can help people connect with a variety of services, including EIDBI.

The services and supports a person accesses depends on their current needs and preferences. The tool does not replace the need for formal assessments and evaluations. Instead, it helps a person connect to the right services at the right time. The person’s team should refer back to the tool as the person ages or as their needs change.

Access to EIDBI providers

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 EIDBI provider enrolled with MHCP.

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 ensure 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.

Provider shortage

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.

Service authorization and billing

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

Additional resources

EIDBI – Clinical supervision
EIDBI – Services
MHCP Provider Manual – EIDBI provider enrollment