CMDE, individual treatment plan, session notes, progress monitoring, and QSP supervision on one record, with claims that match the ITP's authorized hours and the 97155 proportion.
Early Intensive Developmental and Behavioral Intervention is under pre-payment review, its agencies were revalidated in 2026, and new enrollment is paused. None of that changes what § 256B.0949 requires; it changes how fast an agency has to produce it. The ITP with every subd. 6 element, session notes with data, supervision at one hour per 16 hours of intervention, and the QSP's employment status are what a reviewer asks for.
Trustora stores those as structured records with required fields, logs supervision against the minimums, and builds each 837P line from the session so the units, the modifier, and the rendering provider's level match the plan.
Built on the rules
The requirement, where it comes from, and how Trustora handles it. The guides further down explain each rule in detail.
| Requirement | Source | In Trustora |
|---|---|---|
| ITP with the elements in subd. 6, developed by the QSP or a Level I or II provider | Minn. Stat. § 256B.0949, subd. 6 | ITP form requires baselines, frequency and duration per service, caregiver training level, QSP name, and discharge criteria |
| 97155 approximately 20 percent of intervention time with clinical justification from January 1, 2026 | MHCP EIDBI policy | Authorization view shows the 97155 proportion and stores the justification on the ITP |
| QSP must be an agency employee from January 1, 2026 | MHCP provider news, December 2025 | Staff record stores the employment attestation and blocks sessions without a qualifying QSP |
| Supervision of one hour per 16 hours of intervention and monthly observation and direction | Minn. Stat. § 256B.0949, subd. 16 | Supervision logs are measured against the minimums with alerts |
| Progress monitoring every six months against ITP goals | Minn. Stat. § 256B.0949, subd. 6 | Progress reports pull current performance from session data |
What is included
Required elements as fields, so a plan cannot be finalized incomplete; versions tied to each authorization.
Segmented clock times, targeted goals, trial and frequency data, and the caregiver's participation when required.
One hour per 16 hours, monthly observation and direction, telehealth limits, and the QSP employee attestation.
Level I, II, III and QSP qualifications, supervised hours, and required trainings by location.
Remaining units by code, pended requests against response windows, and the 97155 proportion.
837P lines built from sessions, with the rendering provider and supervising QSP populated and a pre-claim gate.
FAQ
Guides
EIDBI provider requirements in Minnesota: § 256B.0949 eligibility, CMDE, QSP and Level I to III qualifications, the 2026 QSP employee rule, and the moratorium.
EIDBI billing codes in Minnesota: 97151 to 97157 and 0373T, 15-minute units, the UB modifier, the 20% rule for 97155, authorizations, and denials.
EIDBI documentation in Minnesota: CMDE content, the ITP under § 256B.0949, session notes, data collection, six-month progress monitoring, and audits.
EIDBI QSP requirements in Minnesota: § 256B.0949 subd. 15 licenses and 2,000 hours, QSP duties, supervision minimums, the 2026 employee rule, and DHS-7120C.
The EIDBI CMDE in Minnesota: § 256B.0949 subd. 5 content, who can perform it, 97151 billing with UB, how it feeds the ITP and authorization, and update timing.
What is EIDBI? Minnesota's Medical Assistance autism benefit for people under 21: who qualifies, the CMDE, modalities, provider roles, and the 2026 rules.
Also for Minnesota agencies