Clinician Resources

News Alerts	Payment Voucher Information	Medical & Dental Provider Contract Details
Billing Requirements	Covered Services

Unless otherwise noted, all materials and forms on this page are in PDF format.

Early Intervention Program (EIP) Resources for Contracted Medical, Mental Health, Lab and Dental Providers

If you are a provider contracted with the Early Intervention Program then you must comply with the terms of your contract. Here you can find help with understanding your contract, billing expectations and payment details.

Medical, Mental Health and Dental Provider Contract Information

Here are some tools to help you apply and be compliant with your EIP provider agreement.

EIP Provider Agreement N18154 with contract instructions (139KB)

Frequently Asked Questions for Provider Contract (31KB)

EIP Provider Billing Manual (384KB) —use this guide to assist you with the process of billing the Department of Health for services.

Billing Requirements for Medical, Mental Health and Dental providers

Tools for billing and applying your payments for services rendered to EIP clients.

Frequently Asked Questions for billing and payments (32KB)

EOB Code Definitions (84KB)

EIP Covered Services

Covered Services for Group 1 EIP Clients
(158KB) Chart of covered services for Group 1 including code, description and maximum payment. Providers must have a contract with DOH prior to services. Clients must be approved fro EIP by DOH prior to services.

Covered Services for Group 2 EIP Clients
(96KB) Chart of covered services for Group 2 including code, description and maximum payment. Providers must have a contract with DOH prior to services. Clients must be approved fro EIP by DOH prior to services.

Covered Services for Group 3 EIP Clients
(71KB) Chart of covered services for Group 3 including code, description and maximum payment. Providers must have a contract with DOH prior to services. Clients must be approved fro EIP by DOH prior to services.

Please contact Carri Comer for additional questions.