{"id":1653,"date":"2025-02-16T18:01:41","date_gmt":"2025-02-16T18:01:41","guid":{"rendered":"https:\/\/adilchild.com\/?page_id=1653"},"modified":"2025-02-17T14:18:50","modified_gmt":"2025-02-17T14:18:50","slug":"faq","status":"publish","type":"page","link":"https:\/\/adilchild.com\/index.php\/faq\/","title":{"rendered":"FAQ"},"content":{"rendered":"\t\t
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FAQ<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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FAQ<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Everything You Need to Know About Adilchild Therapy<\/p>

Common Questions and Answers<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/polygon><\/svg><\/span>\n\t\t\t\t\t\t\t\t<\/rect><\/rect><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tWhat is ABA Therapy?<\/a>\n\t\t\t\t\t<\/h4>\n\n\t\t\t\t\t

A proven approach to help children with autism and related conditions develop essential skills, reduce behaviors, and gain independence.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/polygon><\/svg><\/span>\n\t\t\t\t\t\t\t\t<\/rect><\/rect><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tWhat is EIDBI?<\/a>\n\t\t\t\t\t<\/h4>\n\n\t\t\t\t\t

An evidence-based program providing early, individualized support for children with autism and related conditions, focusing on development and behavior.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/polygon><\/svg><\/span>\n\t\t\t\t\t\t\t\t<\/rect><\/rect><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tIs ABA therapy the same as EIDBI therapy?<\/a>\n\t\t\t\t\t<\/h4>\n\n\t\t\t\t\t

No, ABA (Applied Behavior Analysis) therapy is not the same as EIDBI (Early Intensive Developmental and Behavioral Intervention) therapy, although ABA is one of the treatment approaches used within the EIDBI framework. EIDBI is a broader program in Minnesota that includes ABA as well as other evidence-based interventions, such as developmental and relationship-based therapies, to support individuals with autism spectrum disorder (ASD) and related conditions. The EIDBI program focuses on a comprehensive, multi-disciplinary approach tailored to each child\u2019s needs.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/polygon><\/svg><\/span>\n\t\t\t\t\t\t\t\t<\/rect><\/rect><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tWho is eligible to receive EIDBI services?<\/a>\n\t\t\t\t\t<\/h4>\n\n\t\t\t\t\t
A person is eligible if they meet all of the following criteria:<\/div>
\u2022Have autism spectrum disorder (ASD) or a related condition<\/div>
\u2022Have completed a comprehensive multi-disciplinary evaluation (CMDE) that confirms their medical need for EIDBI services<\/div>
\u2022Are enrolled in Medical Assistance (MA), MinnesotaCare, TEFRA, or other qualifying health care programs<\/div>
\u2022Are under the age of 21<\/div><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t
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\n\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/polygon><\/svg><\/span>\n\t\t\t\t\t\t\t\t<\/rect><\/rect><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tWhat services are covered under the EIDBI benefit?<\/a>\n\t\t\t\t\t<\/h4>\n\n\t\t\t\t\t
The EIDBI benefit covers a range of services, including:<\/div>
\u2022Comprehensive multi-disciplinary evaluation (CMDE)<\/div>
\u2022Individual treatment plan (ITP) development and progress monitoring<\/div>
\u2022Coordinated care conference<\/div>
\u2022Intervention services (individual, group, and higher intensity)<\/div>
\u2022Intervention observation and direction<\/div>
\u2022Family or caregiver training and counseling<\/div>
\u2022Telehealth services<\/div>
\u2022Travel time for providers<\/div><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/polygon><\/svg><\/span>\n\t\t\t\t\t\t\t\t<\/rect><\/rect><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tWhat is the process for transitioning or discharging a person from an EIDBI agency?<\/a>\n\t\t\t\t\t<\/h4>\n\n\t\t\t\t\t
When a transition or discharge occurs, the Qualified Supervising Professional (QSP) should download and complete the EIDBI Transition and\/or Discharge Summary (DHS-7109A) electronically. While this form is optional, it is recommended for documentation purposes.<\/div>
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To complete the process:<\/div>
\u2022Review the How to Complete ITP and Progress Monitoring (DHS-7109) EIDBI Benefit Policy Manual for guidance.<\/div>
\u2022Submit DHS-7109A to the medical review agent or the person\u2019s corresponding health plan.<\/div>
\u2022For changes to an existing service agreement, upload the form to the approved case and adjust the units to reflect the requested modifications.<\/div>
\u2022The medical review agent has 20 business days from the receipt of the form to review and process the requested changes.<\/div><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t
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\n\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/polygon><\/svg><\/span>\n\t\t\t\t\t\t\t\t<\/rect><\/rect><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tDo EIDBI providers need to bill a member\u2019s primary commercial insurance before billing Medicaid?<\/a>\n\t\t\t\t\t<\/h4>\n\n\t\t\t\t\t

No, EIDBI providers are not required to bill a member\u2019s commercial insurance before billing the Medicaid plan for services. Since EIDBI services fall under Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) services, they can be billed directly to Medicaid. However, third-party liability reporting is still required if the EIDBI agency receives payment from a source other than the Department of Human Services (DHS).<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/polygon><\/svg><\/span>\n\t\t\t\t\t\t\t\t<\/rect><\/rect><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tWhat are the key guidelines for submitting claims for EIDBI services?<\/a>\n\t\t\t\t\t<\/h4>\n\n\t\t\t\t\t
When submitting claims for EIDBI services, you should follow these guidelines:<\/div>
\u2022Bill only for services already provided: Only submit claims for EIDBI services that have been rendered.<\/div>
\u2022Bill only for services approved on the Service Agreement (SA): Ensure that you are billing only for services that are authorized on the SA.<\/div>
\u2022Separate services by SA requirements: Do not include on the same claim services that require an SA together with those that do not.<\/div>
\u2022Submit usual and customary charges: Use your standard charges for the services provided.<\/div>
\u2022Use current and specific diagnosis codes: Always use the most up-to-date and precise diagnosis codes.<\/div>
\u2022Itemize daily services: Bill each day separately on the claim.<\/div>
\u2022Appropriate place of service: Use Place of Service (POS) 12 (home and community) for EIDBI services provided in a community setting as specified in the person\u2019s Individual Treatment Plan.<\/div>
Ensure that all documentation of the services provided are complete and accurate before submission.<\/div><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t
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\n\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/polygon><\/svg><\/span>\n\t\t\t\t\t\t\t\t<\/rect><\/rect><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tWhat are the key timelines in the EIDBI service authorization process?<\/a>\n\t\t\t\t\t<\/h4>\n\n\t\t\t\t\t
\u2022Duration of Service Authorization: Each EIDBI service authorization request cannot exceed a 180-day time span.<\/div>
\u2022Annual CMDE Submission: Complete and submit the person\u2019s annual Comprehensive Multi-Disciplinary Evaluation (CMDE) at least 30 days, but no more than 60 calendar days, before the end date of the current service authorization period.<\/div>
\u2022ITP and CMDE Signing: The Individual Treatment Plan (ITP) and CMDE may be signed on the same day; however, the ITP must not be signed before the CMDE is completed.<\/div>
\u2022Retroactive Approval: Acentra Health may retroactively approve up to 180 days for services that require authorization, provided that the qualified providers and the legal representative sign the ITP and CMDE before any of these services are delivered.<\/div><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t
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\n\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/polygon><\/svg><\/span>\n\t\t\t\t\t\t\t\t<\/rect><\/rect><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tWhat is the purpose of the EIDBI benefit?<\/a>\n\t\t\t\t\t<\/h4>\n\n\t\t\t\t\t

The purpose of the EIDBI benefit is to provide medically necessary, early, and intensive intervention for individuals with autism spectrum disorder (ASD) and related conditions. Additionally, it is designed to educate, train, and support parents and families; promote the individual\u2019s independence and participation in family, school, and community life; and ultimately improve long-term outcomes and quality of life for both the individuals and their families.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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FAQ FAQ Everything You Need to Know About Adilchild Therapy Common Questions and Answers What is ABA Therapy? A proven […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"site-sidebar-layout":"no-sidebar","site-content-layout":"","ast-site-content-layout":"full-width-container","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-1653","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/adilchild.com\/index.php\/wp-json\/wp\/v2\/pages\/1653","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/adilchild.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/adilchild.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/adilchild.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/adilchild.com\/index.php\/wp-json\/wp\/v2\/comments?post=1653"}],"version-history":[{"count":19,"href":"https:\/\/adilchild.com\/index.php\/wp-json\/wp\/v2\/pages\/1653\/revisions"}],"predecessor-version":[{"id":1679,"href":"https:\/\/adilchild.com\/index.php\/wp-json\/wp\/v2\/pages\/1653\/revisions\/1679"}],"wp:attachment":[{"href":"https:\/\/adilchild.com\/index.php\/wp-json\/wp\/v2\/media?parent=1653"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}