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Early Intensive Development and Behavioral Intervention Manual

Early Intensive Development and Behavioral Intervention Manual

QSP qualifications, roles and responsibilities

Page posted: 2/17/17

Page reviewed: 9/3/24

Page updated: 2/3/26

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 – 2025 (PDF), Minn. Stat. §256B.0949

Definitions

Employee: A person who is employed temporarily, part time or full time by the agency that submits claims or billing for the work, services, supervision or treatment performed by the person. This does not include:

  • · Independent contractors (e.g., workers who file tax form 1099), billing agencies or consultants who do not provide EIDBI services.
  • · People who perform work, provide services, supervise or provide treatment for fewer than 80 hours in a 12-month period.
  • Qualifications

    To qualify as a qualified supervising professional (QSP), a person must meet all the following requirements:

    1. Be an EIDBI agency employee.

    2. Be a physician, advanced practice registered nurse (APRN), developmental or behavioral pediatrician, licensed behavior analyst or licensed mental health professional as defined in Minn. Stat. §245I.04, subd. 2.
    Note: As of Jan. 1, 2025, licensed behavior analysts who meet all other applicable provider qualifications may be eligible to enroll as a QSP.

    3. 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 (refer to equivalent coursework section).
    Note: Coursework must be documented in one or more of the following areas: ASD or a related condition diagnostic, ASD or a related condition treatment strategies or child development.
  • 4. Be able to provide treatment within their scope of practice and license.

    Equivalent coursework

    DHS defines equivalent graduate coursework as a combination of:

  • · Experience or training hours in the examination and/or treatment of people with ASD or a related condition (refer to EIDBI – Eligibility – Related conditions).
  • · Hours spent completing coursework.
  • A QSP’s experience or training hours must make up at least 50% of the total required amount of experience (i.e., 1,000 hours). The provider may count coursework toward the remaining 50% percent (i.e., the other 1,000 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.
  • · Clinical treatment setting.
  • Coursework

    A QSP must document graduate-level coursework in one or more of the following areas:

  • · ASD or related condition diagnostics.
  • · ASD or related condition treatment strategies.
  • · Child development.
  • To demonstrate proof of completed coursework, the provider must submit a transcript with enrollment forms to DHS (refer to MHCP Provider Manual – EIDBI provider enrollment). One credit of completed coursework is equivalent to 45 training hours. The provider must have completed the coursework at a graduate level through an accredited university or college.

    Roles and responsibilities

    The QSP must:

  • · Make sure the individual treatment plan (ITP) and all EIDBI services provided consider the person’s and family’s values, goals, preferences, culture and language.
  • · Work with the parent/primary caregiver to determine the level of parent/primary caregiver training and counseling provided.
  • · Develop, monitor, approve and sign the person’s initial ITP and each updated ITP.
  • · Coordinate and implement coordinated care conferences.
  • · Supervise, manage and review all aspects of EIDBI services, treatment and documentation (e.g., case notes, incident reports) to ensure compliance and fidelity.
  • · Supervise and oversee all EIDBI services provided by level I, level II and level III providers (e.g., billing, case notes, other documentation).
  • · Perform all clinical supervision functions required by their professional licensing board and as defined in this policy manual.
  • The QSP assumes full professional responsibility for the services provided by each supervisee, including each supervisee’s actions and decisions.

    The QSP must make sure their caseload size allows them to deliver services to people with a range of needs, from complex to less intensive. The QSP’s caseload size should allow them to actively plan, coordinate, monitor, train and supervise the team in order to meet the individual needs of the person and family, as specified in each person’s ITP.

    If the QSP leaves the agency (e.g., resigns or disaffiliates their enrollment) or experiences an absence longer than 31 consecutive days, the agency must have another QSP take over these responsibilities to continue providing services. An agency cannot operate without a QSP.

    For information about documentation requirements, refer to EIDBI – Health service records.

    Advanced certification

    Advanced certification is specialized credentials beyond foundational training in one of the DHS-recognized treatment modalities. Advanced certification:

  • · Typically involves additional coursework or training, supervised clinical experience and a certification exam.
  • · Equips providers to address complex cases and make informed, evidence-based decisions in treatment planning and implementation.
  • · Enhances providers’ ability to effectively support people with ASD and related conditions.
  • All EIDBI services use one of the DHS-recognized treatment modalities listed on EIDBI – Treatment modalities.

    An advanced certification provider is a provider who holds advanced certification in the DHS-recognized treatment modality the agency provides. The advanced certification provider is responsible to oversee fidelity of the modality and training of non-certified staff. An agency cannot operate without an advanced certification provider.

    All enrolling EIDBI agencies must have a QSP or level I provider with advanced certification in one of the following treatment modalities:

    1. Applied Behavior Analysis (ABA):

  • · Board-Certified assistant Behavior Analyst (BCaBA).
  • · Board-Certified Behavior Analyst (BCBA).
  • · Board-Certified Behavior Analyst-Doctoral (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. Relationship Development Intervention (RDI):

  • · RDI Certified Consultant.
  • Enroll with MHCP as a QSP

    For information about how to enroll with Minnesota Health Care Programs (MHCP) as a QSP, refer to MHCP Provider Manual – EIDBI provider enrollment.

    Additional resources

    EIDBI – Clinical supervision
    EIDBI – Eligibility
    EIDBI – Health service records
    EIDBI – Observation and direction
    EIDBI – Overview of EIDBI providers
    EIDBI – Treatment modalities
    EIDBI – Treatment modalities – Certified providers
    Behavior Analyst Certification Board, Inc. (BACB)
    MHCP Provider Manual – EIDBI provider enrollment

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