EIDBI policy and procedure FAQ

An employee is 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. For more information, refer to EIDBI Manual – Glossary – Employee.

The following people are not employees according to the EIDBI statute: 

• 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. 

For more information, refer to EIDBI Manual – Glossary – Employee.

No. The EIDBI agency may not bill for EIDBI services provided by people who are not classified as employees under the EIDBI statute. This includes independent contractors and people who work fewer than 80 hours in a 12-month period.

To obtain an NPI number, refer to National Plan and Provider Enumeration System (NPPES). If you do not qualify for an NPI number, NPPES will assign you a UMPI number. 

Note: DHS requires qualified supervising professional (QSP), level I and level II providers to have an NPI or a UMPI number. DHS requires providers to include their NPI or UMPI number on the claim to bill for services. For more information on billing, refer to the EIDBI billing grid.

Minnesota Health Care Programs (MHCP) requires all individual providers and provider organizations to report their current contact information. To report changes, complete the appropriate form below: 

• Individual providers: Use MHCP Individual Provider Profile Change, DHS-3535 (PDF) to report changes to individual provider names, addresses, agency affiliation, etc. 
• Provider organizations: Use MHCP Organization Provider Profile Change, DHS-3535A (PDF) to report changes to affiliated providers, addresses, etc. 

Fax your completed form to MHCP Provider Enrollment at 651-431-7462. MHCP will process changes and notify the agency if they need more information to maintain the provider’s MHCP enrollment.

For technical support with the individual EIDBI provider trainings, refer to the information below.

Contact dhs.dsd.learn@state.mn.us for technical support with the following TrainLink trainings:

• Cultural Responsiveness in Autism Spectrum Disorder (ASD) Services.
• EIDBI 101: Overview of the Benefit.
• CMDE and ITP Overview Training.
• Coordinating Services and Supports for a Child with ASD or a Related Condition.
• Telehealth for Early Intervention.

Contact the MHCP call center at 651-431-2700 or 800-366-5411 for technical support with the following billing, enrollment and other provider basics trainings:

• EIDBI Resources and MN-ITS Training
• Introduction to the Minnesota Provider Screening and Enrollment (MPSE) Portal.
• Provider Basics.

Refer to Autism Certification Center – Help for technical support with the following trainings:

• ASD Strategies in Action.
• Behavior Assessment and Planning with Evidence-Based Interventions (i.e., registered behavior technician [RBT] training).

Refer to MHCP Provider Resource Center for technical support with the Vulnerable Adults Mandated Reporting training.

For technical support with the Minnesota Child Welfare Training Academy Mandated Reporter Training, refer to Minnesota Child Welfare Training Academy – Contact us.

Clinical supervision is the overall responsibility for the control and direction of EIDBI service delivery, including individual treatment plan (ITP) development and progress monitoring, staff supervision and treatment review for each person who receives services. For more information, refer to EIDBI Manual – Clinical supervision.

Qualified supervising professionals (QSPs) are the primary clinical supervisors. During clinical supervision, the QSP takes full professional responsibility for the services provided by each supervisee and the clinical effectiveness of all interventions. For more information, refer to EIDBI Manual – Clinical supervision.

Observation and direction under billing code 97155 is one specific, billable form of clinical supervision. It involves direct observation of services with immediate intervention by the clinical supervisor to adjust or model techniques in real time.

Not all clinical supervision activities are billable under billing code 97155.

For more information, refer to EIDBI Manual – Observation and direction.

Yes, if the clinical supervision activity is person-specific and directly supports ITP development or progress monitoring, the provider may bill for clinical supervision under ITP development and progress monitoring (i.e., billing code H0032). For example, the provider may bill for the following clinical supervision activities under ITP development and progress monitoring (i.e., billing code H0032):

• Treatment data review.
• ITP updates.
• Progress analysis.

Providers may not bill for clinical supervision under ITP development and progress monitoring (i.e., billing code H0032) for general staff supervision or team meetings without a direct connection to the person’s ITP and outcomes.

For more information, refer to EIDBI Manual – ITP development/progress monitoring.

No, staff may not bill under ITP development and progress monitoring (i.e., billing code H0032) when they attend a meeting only to listen, learn or receive general information. This is staff training or administrative activity, which is not a billable EIDBI service.

To bill for ITP development and progress monitoring (i.e., billing code H0032), the provider must actively contribute to the person’s treatment planning or progress monitoring. To actively contribute, the provider:

• Meaningfully discusses the person’s progress.
• Provides input on goals.
• Reviews and analyzes data.
• Helps update the ITP based on the person’s needs.

To determine if you meet the requirements to supervise a clinical trainee, refer to:

• Clinical supervision requirements in the clinical trainees section of Minnesota Health Care Programs (MHCP) Provider Manual – Treatment supervision.
• Mental health practitioners and clinical trainees sections of MHCP Provider Manual – General MHCP non-enrollable mental health provider requirements.

To add mental health practitioner clinical trainee services to your existing level I provider record, complete EIDBI Assurance Statement for CMDE Providers, DHS-7120A (PDF).