Kepro has added two new documents under the CMDE/EIDBI provider training tab.

These checklists have been created to assist providers with submitting EIDBI ITP and CMDE authorizations. Each case will be reviewed to ensure all necessary documentation has been provided and services requested meet medical necessity criteria outlined in EIDBI policy.

Effective Feb. 1, 2022, EIDBI providers are only required to complete a CMDE once every three years for people with autism spectrum disorder (ASD) or related conditions.

Families still may request a CMDE once per year, if they choose. Providers may complete CMDEs once per year without prior authorizations when clinically appropriate and within service limits listed on the EIDBI billing grid. For more information, visit the full announcement:

Change to EIDBI comprehensive multi-disciplinary evaluation (CMDE) policy.