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    Data from 2018 calendar year

    Table 1. Number of children (1-6 years old) who received a diagnostic assessment

    MCO Number of children (Age 1-3) Number of children (Age 4-6)
    Blue Plus 581 2,394
    HealthPartners 223 900
    Hennepin Health 13 37
    Itasca Medical Care 12 102
    Medica 0 0
    PrimeWest 86 337
    South Country Health Alliance 57 294
    UCare 351 1,502
    MCOs overall 1,323 5,566


    Table 2. Number of children (1-6 years old) with a diagnosis of autism spectrum disorder (ASD) who received treatments

    MCO Number of children with ASD Number of children with treatment(s)
    Blue Plus 799 622
    HealthPartners 339 279
    Hennepin Health 23 16
    Itasca Medical Care 19 15
    Medica 0 0
    PrimeWest 108 83
    South Country Health Alliance 93 66
    UCare 695 540
    MCOs overall 2,076 1,621


    Table 3a. Number of children (1-3 years old) with a diagnosis of ASD who received treatments, by MCO and age

    MCO # 1-year-old children with ASD # 1-year-olds receiving treatments # 2-year-old children with ASD # 2-year-olds receiving treatments # 3-year-old children with ASD # 3-year-olds receiving treatments
    Blue Plus 5 3 59 50 152 132
    HealthPartners 5 3 26 17 71 62
    Hennepin Health 0 0 2 1 3 2
    Itasca Medical Care 0 0 1 0 2 1
    Medica 0 0 0 0 0 0
    PrimeWest 1 0 10 8 17 14
    South Country Health Alliance 1 0 5 5 21 15
    UCare 10 6 73 65 137 117
    MHCP overall 22 12 176 146 403 343


    Table 3b. Number of children (4-6 years old) with a diagnosis of ASD who received treatments, by MCO and age

    MCO # 4-year-old children with ASD # 4-year-olds who receive treatments # 5-year-old children with ASD # 5-year-olds who receive treatments # 6-year-old children with ASD # 6-year-olds who receive treatments
    Blue Plus 186 152 189 138 208 147
    HealthPartners 76 66 74 60 87 71
    Hennepin Health 6 5 5 4 7 4
    Itasca Medical Care 4 3 4 4 8 7
    Medica 0 0 0 0 0 0
    PrimeWest 28 21 33 25 20 15
    South Country Health Alliance 19 13 24 14 23 19
    UCare 152 121 155 114 168 117
    MHCP overall 471 381 484 359 521 380


    Table 4a. Blue Plus: Types of treatments provided to children with ASD by procedure code (n=799)

    Procedure code Description Unique # of children who receive service Count of services Total units submitted Average units
    0359T Comprehensive Multi-Disciplinary Evaluation (CMDE) 17 56 56.0 3.3
    0362T EIDBI Intervention Observation and Direction, first 30 minutes 13 231 231.0 17.8
    0363T EIDBI Intervention Observation and Direction, additional 30 minutes 13 154 259.0 19.9
    0364T EIDBI Intervention - Individual, first 30 minutes 16 1,023 1,023.0 63.9
    0365T EIDBI Intervention - Individual, additional 30 minutes 16 1,028 6,506.0 406.6
    0366T EIDBI Intervention - Group, first 30 minutes 7 102 102.0 14.6
    0367T EIDBI Intervention - Group, additional 30 minutes 5 43 117.0 23.4
    0368T EIDBI Intervention - Individual (Temp Increase Svcs), first 30 minutes 5 39 39.0 7.8
    0369T EIDBI Intervention - Individual (Temp Increase Svcs), additional 30 minutes 6 39 117.0 19.5
    90832 Psychotherapy, 30 min 43 215 215.0 5.0
    90833 Psychotherapy with E&M, 30 minutes 8 29 29.0 3.6
    90834 Psychotherapy, 45 min 73 430 430.0 5.9
    90836 Psychotherapy with E&M, 45 min 0 0 0.0 0
    90837 Psychotherapy, 60 min 109 690 690.0 6.3
    90839 Psychotherapy for Crisis, first 60 minutes 3 4 4.0 1.3
    90840 Psychotherapy for Crisis, additional 30 minutes 2 2 2.0 0.0
    90846 Family Psychotherapy - Without Patient Present 188 642 642.0 3.4
    90847 Family Psychotherapy - With Patient Present 176 939 939.0 5.3
    90849 Multiple Family Group Psychotherapy 2 6 6.0 0.0
    90853 Group Psychotherapy 3 32 32.0 10.7
    90875 Biofeedback Training 0 0 0.0 0.0
    90882 Environmental Intervention 0 0 0.0 0.0
    90887 Interpretation of Psychiatric and Other Medial Examination 1 1 1.0 1.0
    90899 Unlisted Psychiatric Service 30 108 110.0 3.7
    99499 Psychiatric Consultation (Unlisted Evaluation and Management) 0 0 0.0 0.0
    H0031 Administering and Reporting Standardized Measures 181 240 261.0 1.4
    H0032 Individual Treatment Plan Development and Monitoring 80 609 3,185.0 39.8
    H2012 Behavioral Health Day Treatment (General Day Treatment) 79 6,370 18,916.0 239.4
    H2014 Skills Training 90 4,499 69,375.0 770.8
    H2015 Crisis Assistance 4 5 13.0 3.3
    H2019 Mental Health Behavioral Aide 10 561 6,582.0 658.2
    T1013 Sign Language or Oral Interpreter Services 78 766 2,903.0 37.2
    T1018 School-based IEP Services, Bundled 0 0 0.0 0.0
    T1024 EIDBI Coordinated Care Conference 4 4 4.0 1.0
    T1027 Family/Caregiver Training and Counseling 8 44 165.0 20.6


    Table 4b. Blue Plus: Types of treatments provided to children with ASD by category of service (n=799)

    Category of service Description Unique # of children who receive service Count of services Total units submitted Average units
    051 Physical Therapy 132 3,419 6,838 51.8
    053 Speech Therapy 422 10,260 10,266 24.3
    054 Occupational Therapy 414 9,893 24,969 60.3


    Table 5a. HealthPartners: Types of treatment provided to children with ASD by procedure code (n=339)

    Procedure code Description Unique # of children who receive service Count of services Total units submitted Average units
    0359T Comprehensive Multi-Disciplinary Evaluation (CMDE) 4 14 14.0 3.5
    0362T EIDBI Intervention Observation and Direction, first 30 minutes 4 17 17.0 4.3
    0363T EIDBI Intervention Observation and Direction, additional 30 minutes 4 9 9.0 2.3
    0364T EIDBI Intervention - Individual, first 30 minutes 1 2 2.0 2.0
    0365T EIDBI Intervention - Individual, additional 30 minutes 1 2 12.0 12.0
    0366T EIDBI Intervention - Group, first 30 minutes 3 15 15.0 5.0
    0367T EIDBI Intervention - Group, additional 30 minutes 3 14 15.0 5.0
    0368T EIDBI Intervention - Individual (Temp Increase Svcs), first 30 minutes 4 110 110.0 27.5
    0369T EIDBI Intervention - Individual (Temp Increase Svcs), additional 30 minutes 4 110 211.0 52.8
    90832 Psychotherapy, 30 min 12 33 33.0 2.8
    90833 Psychotherapy with E&M, 30 minutes 1 13 13.0 13.0
    90834 Psychotherapy, 45 min 20 163 163.0 8.2
    90836 Psychotherapy with E&M, 45 min 1 2 2.0 2.0
    90837 Psychotherapy, 60 min 32 233 233.0 7.3
    90839 Psychotherapy for Crisis, first 60 minutes 3 5 5.0 1.7
    90840 Psychotherapy for Crisis, additional 30 minutes 0 0 0.0 0.0
    90846 Family Psychotherapy - Without Patient Present 124 602 602.0 4.9
    90847 Family Psychotherapy - With Patient Present 118 518 518.0 4.4
    90849 Multiple Family Group Psychotherapy 3 33 33.0 0.0
    90853 Group Psychotherapy 2 9 9.0 4.5
    90875 Biofeedback Training 0 0 0.0 0.0
    90882 Environmental Intervention 0 0 0.0 0.0
    90887 Interpretation of Psychiatric and Other Medial Examination 8 9 9.0 1.1
    90899 Unlisted Psychiatric Service 14 59 59.0 4.2
    99499 Psychiatric Consultation (Unlisted Evaluation and Management) 0 0 0.0 0.0
    H0031 Administering and Reporting Standardized Measures 123 180 192.0 1.6
    H0032 Individual Treatment Plan Development and Monitoring 27 228 934.0 34.6
    H2012 Behavioral Health Day Treatment (General Day Treatment) 75 7,641 23,320.0 310.9
    H2014 Skills Training 28 1,361 14,369.0 513.2
    H2015 Crisis Assistance 0 0 0.0 0.0
    H2019 Mental Health Behavioral Aide 5 219 2,890.0 578.0
    T1013 Sign Language or Oral Interpreter Services 51 835 3,927.0 77.0
    T1018 School-based IEP Services, Bundled 0 0 0.0 0.0
    T1024 EIDBI Coordinated Care Conference 0 0 0.0 0.0
    T1027 Family/Caregiver Training and Counseling 6 59 249.0 41.5


    Table 5b. HealthPartners: Types of treatment provided to children with ASD by category of service (n=339)

    Category of service Description Unique # of children who receive service Count of services Total units submitted Average units
    051 Physical Therapy 32 637 1,294 40.4
    053 Speech Therapy 193 4,700 4,710 24.4
    054 Occupational Therapy 189 4,354 12,278 65.0


    Table 6a. Hennepin Health: Types of treatment provided to children with ASD by procedure code (n=23)

    Procedure code Description Unique # of children who receive service Count of services Total units submitted Average units
    0359T Comprehensive Multi-Disciplinary Evaluation (CMDE) 2 9 9.0 4.5
    0362T EIDBI Intervention Observation and Direction, first 30 minutes 0 0 0.0 0.0
    0363T EIDBI Intervention Observation and Direction, additional 30 minutes 0 0 0.0 0.0
    0364T EIDBI Intervention - Individual, first 30 minutes 0 0 0.0 0.0
    0365T EIDBI Intervention - Individual, additional 30 minutes 0 0 0.0 0.0
    0366T EIDBI Intervention - Group, first 30 minutes 0 0 0.0 0.0
    0367T EIDBI Intervention - Group, additional 30 minutes 0 0 0.0 0.0
    0368T EIDBI Intervention - Individual (Temp Increase Svcs), first 30 minutes 1 29 29.0 0.0
    0369T EIDBI Intervention - Individual (Temp Increase Svcs), additional 30 minutes 1 29 118.0 0.0
    90832 Psychotherapy, 30 min 1 1 1.0 1.0
    90833 Psychotherapy with E&M, 30 minutes 0 0 0.0 0.0
    90834 Psychotherapy, 45 min 1 28 28.0 28.0
    90836 Psychotherapy with E&M, 45 min 0 0 0.0 0.0
    90837 Psychotherapy, 60 min 1 5 5.0 5.0
    90839 Psychotherapy for Crisis, first 60 minutes 0 0 0.0 0.0
    90840 Psychotherapy for Crisis, additional 30 minutes 0 0 0.0 0.0
    90846 Family Psychotherapy - Without Patient Present 10 45 45.0 4.5
    90847 Family Psychotherapy - With Patient Present 6 25 25.0 4.2
    90849 Multiple Family Group Psychotherapy 1 17 17.0 0.0
    90853 Group Psychotherapy 0 0 0.0 0.0
    90875 Biofeedback Training 0 0 0.0 0.0
    90882 Environmental Intervention 0 0 0.0 0.0
    90887 Interpretation of Psychiatric and Other Medial Examination 0 0 0.0 0.0
    90899 Unlisted Psychiatric Service 2 9 9.0 4.5
    99499 Psychiatric Consultation (Unlisted Evaluation and Management) 0 0 0.0 0.0
    H0031 Administering and Reporting Standardized Measures 9 14 19.0 2.1
    H0032 Individual Treatment Plan Development and Monitoring 2 17 117.0 58.5
    H2012 Behavioral Health Day Treatment (General Day Treatment) 6 696 2,071.0 345.2
    H2014 Skills Training 5 97 561.0 112.2
    H2015 Crisis Assistance 0 0 0.0 0.0
    H2019 Mental Health Behavioral Aide 1 37 389.0 0.0
    T1013 Sign Language or Oral Interpreter Services 9 56 194.0 21.6
    T1018 School-based IEP Services, Bundled 0 0 0.0 0.0
    T1024 EIDBI Coordinated Care Conference 1 1 1.0 0.0
    T1027 Family/Caregiver Training and Counseling 1 7 66.0 0.0


    Table 6b. Hennepin Health: Types of treatment provided to children with ASD by category of service (n=23)

    Category of service Description Unique # of children who receive service Count of services Total units submitted Average units
    051 Physical Therapy 1 13 22.0 0.0
    053 Speech Therapy 11 228 228.0 20.7
    054 Occupational Therapy 9 235 716.0 79.6


    Table 7a. Itasca Medical Care: Types of treatment provided to children with ASD by procedure code (n=19)

    Procedure code Description Unique # of children who receive service Count of services Total units submitted Average units
    0359T Comprehensive Multi-Disciplinary Evaluation (CMDE) 0 0 0.0 0.0
    0362T EIDBI Intervention Observation and Direction, first 30 minutes 0 0 0.0 0.0
    0363T EIDBI Intervention Observation and Direction, additional 30 minutes 0 0 0.0 0.0
    0364T EIDBI Intervention - Individual, first 30 minutes 0 0 0.0 0.0
    0365T EIDBI Intervention - Individual, additional 30 minutes 0 0 0.0 0.0
    0366T EIDBI Intervention - Group, first 30 minutes 0 0 0.0 0.0
    0367T EIDBI Intervention - Group, additional 30 minutes 0 0 0.0 0.0
    0368T EIDBI Intervention - Individual (Temp Increase Svcs), first 30 minutes 0 0 0.0 0.0
    0369T EIDBI Intervention - Individual (Temp Increase Svcs), additional 30 minutes 0 0 0.0 0.0
    90832 Psychotherapy, 30 min 1 22 22.0 22.0
    90833 Psychotherapy with E&M, 30 minutes 0 0 0.0 0.0
    90834 Psychotherapy, 45 min 5 8 8.0 1.6
    90836 Psychotherapy with E&M, 45 min 0 0 0.0 0.0
    90837 Psychotherapy, 60 min 5 48 48.0 9.6
    90839 Psychotherapy for Crisis, first 60 minutes 0 0 0.0 0.0
    90840 Psychotherapy for Crisis, additional 30 minutes 0 0 0.0 0.0
    90846 Family Psychotherapy - Without Patient Present 0 0 0.0 0.0
    90847 Family Psychotherapy - With Patient Present 2 2 2.0 1.0
    90849 Multiple Family Group Psychotherapy 0 0 0.0 0.0
    90853 Group Psychotherapy 0 0 0.0 0.0
    90875 Biofeedback Training 0 0 0.0 0.0
    90882 Environmental Intervention 0 0 0.0 0.0
    90887 Interpretation of Psychiatric and Other Medial Examination 0 0 0.0 0.0
    90899 Unlisted Psychiatric Service 2 4 4.0 2.0
    99499 Psychiatric Consultation (Unlisted Evaluation and Management) 0 0 0.0 0.0
    H0031 Administering and Reporting Standardized Measures 5 6 15.0 3.0
    H0032 Individual Treatment Plan Development and Monitoring 8 13 36.0 4.5
    H2012 Behavioral Health Day Treatment (General Day Treatment) 0 0 0.0 0.0
    H2014 Skills Training 10 332 2,136.0 213.6
    H2015 Crisis Assistance 2 2 8.0 4.0
    H2019 Mental Health Behavioral Aide 0 0 0.0 0.0
    T1013 Sign Language or Oral Interpreter Services 0 0 0.0 0.0
    T1018 School-based IEP Services, Bundled 0 0 0.0 0.0
    T1024 EIDBI Coordinated Care Conference 0 0 0.0 0.0
    T1027 Family/Caregiver Training and Counseling 0 0 0.0 0.0


    Table 7b. Itasca Medical Care: Types of treatment provided to children with ASD by category of service (n=19)

    Category of service Description Unique # of children who receive service Count of services Total units submitted Average units
    051 Physical Therapy 3 90 124.0 41.3
    053 Speech Therapy 5 63 63.0 12.6
    054 Occupational Therapy 6 140 236.0 39.3


    Table 8a. Medica: Types of treatment provided to children with ASD by procedure code (n=0)

    Procedure code Description Unique # of children who receive service Count of services Total units submitted Average units
    0359T Comprehensive Multi-Disciplinary Evaluation (CMDE) 0 0 0 0.0
    0362T EIDBI Intervention Observation and Direction, first 30 minutes 0 0 0 0.0
    0363T EIDBI Intervention Observation and Direction, additional 30 minutes 0 0 0 0.0
    0364T EIDBI Intervention - Individual, first 30 minutes 0 0 0 0.0
    0365T EIDBI Intervention - Individual, additional 30 minutes 0 0 0 0.0
    0366T EIDBI Intervention - Group, first 30 minutes 0 0 0 0.0
    0367T EIDBI Intervention - Group, additional 30 minutes 0 0 0 0.0
    0368T EIDBI Intervention - Individual (Temp Increase Svcs), first 30 minutes 0 0 0 0.0
    0369T EIDBI Intervention - Individual (Temp Increase Svcs), additional 30 minutes 0 0 0 0.0
    90832 Psychotherapy, 30 min 0 0 0 0.0
    90833 Psychotherapy with E&M, 30 minutes 0 0 0 0.0
    90834 Psychotherapy, 45 min 0 0 0 0.0
    90836 Psychotherapy with E&M, 45 min 0 0 0 0.0
    90837 Psychotherapy, 60 min 0 0 0 0.0
    90839 Psychotherapy for Crisis, first 60 minutes 0 0 0 0.0
    90840 Psychotherapy for Crisis, additional 30 minutes 0 0 0 0.0
    90846 Family Psychotherapy - Without Patient Present 0 0 0 0.0
    90847 Family Psychotherapy - With Patient Present 0 0 0 0.0
    90849 Multiple Family Group Psychotherapy 0 0 0 0.0
    90853 Group Psychotherapy 0 0 0 0.0
    90875 Biofeedback Training 0 0 0 0.0
    90882 Environmental Intervention 0 0 0 0.0
    90887 Interpretation of Psychiatric and Other Medial Examination 0 0 0 0.0
    90899 Unlisted Psychiatric Service 0 0 0 0.0
    99499 Psychiatric Consultation (Unlisted Evaluation and Management) 0 0 0 0.0
    H0031 Administering and Reporting Standardized Measures 0 0 0 0.0
    H0032 Individual Treatment Plan Development and Monitoring 0 0 0 0.0
    H2012 Behavioral Health Day Treatment (General Day Treatment) 0 0 0 0.0
    H2014 Skills Training 0 0 0 0.0
    H2015 Crisis Assistance 0 0 0 0.0
    H2019 Mental Health Behavioral Aide 0 0 0 0.0
    T1013 Sign Language or Oral Interpreter Services 0 0 0 0.0
    T1018 School-based IEP Services, Bundled 0 0 0 0.0
    T1024 EIDBI Coordinated Care Conference 0 0 0 0.0
    T1027 Family/Caregiver Training and Counseling 0 0 0 0.0


    Table 8b. Medica: Types of treatment provided to children with ASD by category of service (n=0)

    Category of service Description Unique # of children who receive service Count of services Total units submitted Average units
    051 Physical Therapy 0 0 0 0.0
    053 Speech Therapy 0 0 0 0.0
    054 Occupational Therapy 0 0 0 0.0


    Table 9a. PrimeWest: Types of treatment provided to children with ASD by procedure code (n=108)

    Procedure code Description Unique # of children who receive service Count of services Total units submitted Average units
    0359T Comprehensive Multi-Disciplinary Evaluation (CMDE) 3 15 15.0 5.0
    0362T EIDBI Intervention Observation and Direction, first 30 minutes 2 58 58.0 0.0
    0363T EIDBI Intervention Observation and Direction, additional 30 minutes 2 52 108.0 0.0
    0364T EIDBI Intervention - Individual, first 30 minutes 2 288 288.0 0.0
    0365T EIDBI Intervention - Individual, additional 30 minutes 2 311 2,179.0 0.0
    0366T EIDBI Intervention - Group, first 30 minutes 1 45 45.0 0.0
    0367T EIDBI Intervention - Group, additional 30 minutes 1 31 118.0 0.0
    0368T EIDBI Intervention - Individual (Temp Increase Svcs), first 30 minutes 1 12 12.0 0.0
    0369T EIDBI Intervention - Individual (Temp Increase Svcs), additional 30 minutes 1 12 50.0 0.0
    90832 Psychotherapy, 30 min 7 11 11.0 1.6
    90833 Psychotherapy with E&M, 30 minutes 0 0 0.0 0.0
    90834 Psychotherapy, 45 min 14 72 72.0 5.1
    90836 Psychotherapy with E&M, 45 min 0 0 0.0 0.0
    90837 Psychotherapy, 60 min 27 238 238.0 8.8
    90839 Psychotherapy for Crisis, first 60 minutes 0 0 0.0 0.0
    90840 Psychotherapy for Crisis, additional 30 minutes 0 0 0.0 0.0
    90846 Family Psychotherapy - Without Patient Present 20 38 38.0 1.9
    90847 Family Psychotherapy - With Patient Present 23 132 132.0 5.7
    90849 Multiple Family Group Psychotherapy 0 0 0.0 0.0
    90853 Group Psychotherapy 0 0 0.0 0.0
    90875 Biofeedback Training 0 0 0.0 0.0
    90882 Environmental Intervention 0 0 0.0 0.0
    90887 Interpretation of Psychiatric and Other Medial Examination 5 5 5.0 1.0
    90899 Unlisted Psychiatric Service 8 12 12.0 1.5
    99499 Psychiatric Consultation (Unlisted Evaluation and Management) 0 0 0.0 0.0
    H0031 Administering and Reporting Standardized Measures 16 24 27.0 1.7
    H0032 Individual Treatment Plan Development and Monitoring 10 53 280.0 28.0
    H2012 Behavioral Health Day Treatment (General Day Treatment) 1 69 202.0 202.0
    H2014 Skills Training 8 144 1,086.0 135.8
    H2015 Crisis Assistance 0 0 0.0 0.0
    H2019 Mental Health Behavioral Aide 0 0 0.0 0.0
    T1013 Sign Language or Oral Interpreter Services 0 0 0.0 0.0
    T1018 School-based IEP Services, Bundled 0 0 0.0 0.0
    T1024 EIDBI Coordinated Care Conference 0 0 0.0 0.0
    T1027 Family/Caregiver Training and Counseling 2 62 676.0 0.0


    Table 9b. PrimeWest: Types of treatment provided to children with ASD by category of service (n=108)

    Category of service Description Unique # of children who receive service Count of services Total units submitted Average units
    051 Physical Therapy 12 427 1,018 84.8
    053 Speech Therapy 43 1,222 1,222 28.4
    054 Occupational Therapy 51 1,574 3,482 68.3


    Table 10a. South Country Health Alliance: Types of treatment provided to children with ASD by procedure code (n=93)

    Procedure code Description Unique # of children who receive service Count of services Total units submitted Average units
    0359T Comprehensive Multi-Disciplinary Evaluation (CMDE) 0 0 0.0 0.0
    0362T EIDBI Intervention Observation and Direction, first 30 minutes 0 0 0.0 0.0
    0363T EIDBI Intervention Observation and Direction, additional 30 minutes 0 0 0.0 0.0
    0364T EIDBI Intervention - Individual, first 30 minutes 0 0 0.0 0.0
    0365T EIDBI Intervention - Individual, additional 30 minutes 0 0 0.0 0.0
    0366T EIDBI Intervention - Group, first 30 minutes 0 0 0.0 0.0
    0367T EIDBI Intervention - Group, additional 30 minutes 0 0 0.0 0.0
    0368T EIDBI Intervention - Individual (Temp Increase Svcs), first 30 minutes 0 0 0.0 0.0
    0369T EIDBI Intervention - Individual (Temp Increase Svcs), additional 30 minutes 0 0 0.0 0.0
    90832 Psychotherapy, 30 min 4 7 7.0 1.8
    90833 Psychotherapy with E&M, 30 minutes 0 0 0.0 0.0
    90834 Psychotherapy, 45 min 11 30 30.0 2.7
    90836 Psychotherapy with E&M, 45 min 0 0 0.0 0.0
    90837 Psychotherapy, 60 min 17 57 57.0 3.4
    90839 Psychotherapy for Crisis, first 60 minutes 0 0 0.0 0.0
    90840 Psychotherapy for Crisis, additional 30 minutes 0 0 0.0 0.0
    90846 Family Psychotherapy - Without Patient Present 17 29 29.0 1.7
    90847 Family Psychotherapy - With Patient Present 17 70 70.0 4.1
    90849 Multiple Family Group Psychotherapy 0 0 0.0 0.0
    90853 Group Psychotherapy 0 0 0.0 0.0
    90875 Biofeedback Training 0 0 0.0 0.0
    90882 Environmental Intervention 0 0 0.0 0.0
    90887 Interpretation of Psychiatric and Other Medial Examination 6 6 6.0 1.0
    90899 Unlisted Psychiatric Service 4 10 10.0 2.5
    99499 Psychiatric Consultation (Unlisted Evaluation and Management) 0 0 0.0 0.0
    H0031 Administering and Reporting Standardized Measures 20 33 58.0 2.9
    H0032 Individual Treatment Plan Development and Monitoring 13 19 45.0 3.5
    H2012 Behavioral Health Day Treatment (General Day Treatment) 4 398 1,182.0 295.5
    H2014 Skills Training 17 635 3,488.0 205.2
    H2015 Crisis Assistance 0 0 0.0 0.0
    H2019 Mental Health Behavioral Aide 7 610 3,316.0 473.7
    T1013 Sign Language or Oral Interpreter Services 6 59 276.0 46.0
    T1018 School-based IEP Services, Bundled 0 0 0.0 0.0
    T1024 EIDBI Coordinated Care Conference 0 0 0.0 0.0
    T1027 Family/Caregiver Training and Counseling 0 0 0.0 0.0


    Table 10b. South Country Health Alliance: Types of treatment provided to children with ASD by category of service (n=93)

    Category of service Description Unique # of children who receive service Count of services Total units submitted Average units
    051 Physical Therapy 7 59 111 15.9
    053 Speech Therapy 39 865 865 22.2
    054 Occupational Therapy 40 797 1,687 42.2


    Table 11a. UCare: Types of treatments provided to children with ASD by procedure code (n=695)

    Procedure code Description Unique # of children who receive service Count of services Total units submitted Average units
    0359T Comprehensive Multi-Disciplinary Evaluation (CMDE) 6 11 11.0 1.8
    0362T EIDBI Intervention Observation and Direction, first 30 minutes 9 21 21.0 2.3
    0363T EIDBI Intervention Observation and Direction, additional 30 minutes 1 1 2.0 2.0
    0364T EIDBI Intervention - Individual, first 30 minutes 10 543 543.0 54.3
    0365T EIDBI Intervention - Individual, additional 30 minutes 10 545 3,271.0 327.1
    0366T EIDBI Intervention - Group, first 30 minutes 8 456 456.0 57.0
    0367T EIDBI Intervention - Group, additional 30 minutes 8 125 249.0 31.1
    0368T EIDBI Intervention - Individual (Temp Increase Svcs), first 30 minutes 1 1 1.0 1.0
    0369T EIDBI Intervention - Individual (Temp Increase Svcs), additional 30 minutes 1 1 1.0 1.0
    90832 Psychotherapy, 30 min 21 45 45.0 2.1
    90833 Psychotherapy with E&M, 30 minutes 8 30 30.0 3.8
    90834 Psychotherapy, 45 min 37 176 176.0 4.8
    90836 Psychotherapy with E&M, 45 min 3 4 4.0 0.0
    90837 Psychotherapy, 60 min 69 438 438.0 6.3
    90839 Psychotherapy for Crisis, first 60 minutes 0 0 0.0 0.0
    90840 Psychotherapy for Crisis, additional 30 minutes 0 0 0.0 0.0
    90846 Family Psychotherapy - Without Patient Present 195 819 819.0 4.2
    90847 Family Psychotherapy - With Patient Present 185 887 887.0 4.8
    90849 Multiple Family Group Psychotherapy 1 4 4.0 4.0
    90853 Group Psychotherapy 1 1 1.0 1.0
    90875 Biofeedback Training 0 0 0.0 0.0
    90882 Environmental Intervention 0 0 0.0 0.0
    90887 Interpretation of Psychiatric and Other Medial Examination 25 25 25.0 1.0
    90899 Unlisted Psychiatric Service 27 77 77.0 2.9
    99499 Psychiatric Consultation (Unlisted Evaluation and Management) 0 0 0.0 0.0
    H0031 Administering and Reporting Standardized Measures 211 310 345.0 1.6
    H0032 Individual Treatment Plan Development and Monitoring 62 213 908.0 14.6
    H2012 Behavioral Health Day Treatment (General Day Treatment) 115 10,537 31,325.0 272.4
    H2014 Skills Training 105 4,554 30,962.0 294.9
    H2015 Crisis Assistance 1 1 6.0 6.0
    H2019 Mental Health Behavioral Aide 9 1,141 15,031.0 1,670.1
    T1013 Sign Language or Oral Interpreter Services 166 3,241 12,997.0 78.3
    T1018 School-based IEP Services, Bundled 0 0 0.0 0.0
    T1024 EIDBI Coordinated Care Conference 2 3 15.0 7.5
    T1027 Family/Caregiver Training and Counseling 5 38 230.0 46.0


    Table 11b. UCare: Types of treatments provided to children with ASD by category of service (n=695)

    Category of service Description Unique # of children who receive service Count of services Total units submitted Average units
    051 Physical Therapy 46 808 1,631 35.5
    053 Speech Therapy 372 7,878 7,879 21.2
    054 Occupational Therapy 336 6,284 17,455 51.9


    Notes

    • Data are limited to final version Minnesota Health Care Programs (MHCP) paid claims with service dates between Jan. 1, 2018, and Dec. 31, 2018, inclusive.
    • Analysis was limited to children enrolled in a managed care organization (MCO). MCO assignment was selected based on the MCO in which the recipient had the most months of enrollment during the year. Recipients enrolled in fee-for-service (FFS) for the most months during the year were excluded from this analysis.
    • Only managed care claims were included in analysis.
    • Age was calculated as of Dec. 31, 2018.
    • Analysis was limited to children aged 1 through 6.
    • Diagnostic Assessments were identified using procedure codes 90791, 90792, 90785, 96101, 96102, 96103 and 90887.
    • Children with a diagnosis of autism spectrum disorder (ASD) were identified with claims having an ICD10CM diagnosis code of F84.0, F84.2, F84.3, F84.5, F84.8 or F84.9.
    • Treatments for children with a diagnosis of ASD were identified with claims having a procedure code beginning with 908 or equal to H0031, H2012, H2014, H2015, H2019, 99499 (CTSS and other mental health services); having a procedure code of T1013 or T1018 (IEP services); having a procedure code of 0359T, 0362T-0369T, T1024, T1027, H0032 (EIDBI services); or having category of service of 051 (Physical Therapy), 053 (Speech Therapy), or 054 (Occupational Therapy). The service count is the sum of all the unique services for all the children in each respective MCO. These counts were deduplicated using standard DHS procedures.
    • All treatment claims were deduplicated using standard operating procedures.
    • Analysis was designed in adherence to Minn. Stat. 256B.69, subd. 32a. (see below).

    Minn. Stat. 256B.69, subd. 32a

    Initiatives to improve early screening, diagnosis, and treatment of children with autism spectrum disorder and other developmental conditions.

    (a) The commissioner shall require managed care plans and county-based purchasing plans, as a condition of contract, to implement strategies that facilitate access for young children between the ages of one and three years to periodic developmental and social-emotional screenings, as recommended by the Minnesota Interagency Developmental Screening Task Force, and that those children who do not meet milestones are provided access to appropriate evaluation and assessment, including treatment recommendations, expected to improve the child's functioning, with the goal of meeting milestones by age five.

    (b) The following information from encounter data provided to the commissioner shall be reported on the department's public Web site for each managed care plan and county-based purchasing plan annually by July 31 of each year beginning in 2014:

    (1) the number of children who received a diagnostic assessment;

    (2) the total number of children ages one to six with a diagnosis of autism spectrum disorder who received treatments;

    (3) the number of children identified under clause (2) reported by each 12-month age group beginning with age one and ending with age six; and

    (4) the types of treatments provided to children identified under clause (2) listed by billing code, including the number of units billed for each child.

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