Early Intensive Development and Behavioral Intervention Manual

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Early Intensive Development and Behavioral Intervention Manual

EIDBI Benefit Policy Manual Services ITP development/progress monitoring

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Individual treatment plan (ITP) development and progress monitoring

Page posted: 6/15/15		Page reviewed: 9/3/19	Page updated: 7/12/22
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
Definition	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 the person’s progress. The ITP is a person-centered plan of care that: · Is created using the information gathered in the person’s comprehensive multi-disciplinary evaluation (CMDE). · Specifies the type and amount of medically necessary services the person will receive.
Eligible providers	The following Minnesota Health Care Programs (MHCP)-enrolled EIDBI providers can deliver and bill for ITP development and progress monitoring: · Qualified supervising professional (QSP). · Level I provider (under the supervision of a QSP). · Level II provider (under the supervision of a QSP). The QSP must complete ITP and Progress Monitoring, DHS-7109 and supervise the ITP’s implementation. Level I and II providers may provide input.
Process	The person’s ITP must: · Specify the name of the QSP. · Be culturally and linguistically appropriate, individualized and person-centered. · Be based on the person’s diagnosis and CMDE recommendations. · Include techniques that support and are consistent with the person’s communication mode and learning style. · Include discharge criteria that will be used and a defined transition plan that meets the requirements outlined in EIDBI – How to complete DHS-7109 – Transition planning. · Identify any significant changes in the person’s condition or family circumstances. · Incorporate the person’s and family’s values, goals, culture, language and preferences. The QSP must submit an ITP progress monitoring update at least every six months of treatment, or more frequently as determined by the CMDE provider or QSP. This update determines if the person is making progress toward goals and objectives specified in the ITP. The person is eligible to continue receiving EIDBI services if the person continues to both: · Make reasonable progress toward goals and objectives specified in the ITP. · Meet medical necessity requirements. The person continues to receive EIDBI services while the provider team completes ITP progress monitoring updates. Required form The information above is an overview of the ITP development and progress monitoring process. The provider must use ITP and Progress Monitoring, DHS-7109 to document the person’s initial ITP and progress monitoring updates and gather signatures for consent for the person to begin or continue receiving services. For detailed instructions, refer to EIDBI – How to complete ITP and Progress Monitoring, DHS-7109. Submission and authorization After completing the ITP and Progress Monitoring, DHS-7109, the provider must follow the steps required for authorization on MHCP Provider Manual – EIDBI service authorization.
Case notes	The provider must document ITP development and progress monitoring services in the person’s case notes. For more information, refer to EIDBI – Health service records.
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	ITP and Progress Monitoring, DHS-7109 EIDBI – How to complete ITP and Progress Monitoring, DHS-7109 EIDBI – Services Translated signature pages ITP Signature Page – Hmong (PDF) ITP Signature Page – Russian (PDF) ITP Signature Page – Somali (PDF) ITP Signature Page – Spanish (PDF) ITP Signature Page – Vietnamese (PDF) Note: The English version is included in ITP and Progress Monitoring, DHS-7109.

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