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Ability Avenues

The plain-English glossary of ABA & autism terms

Nobody hands you a dictionary at the diagnosis appointment. The acronyms start anyway — on the intake form, in the school meeting, in the letter from the county — and every one of them stands between you and a decision you're trying to make well.

So here they are, in the words we'd use if you asked us on the phone. The Minnesota ones — EIDBI, CMDE, TEFRA — carry a note on how the rule actually works here, with the state source to check us against. No term matters more than the others; the ones you need are simply the ones you were just handed.

Minnesota programs & funding

The words on the paperwork. These are the ones that decide whether therapy is covered — and they're specific to Minnesota, so national websites often get them wrong.

CMDEComprehensive Multi-Disciplinary Evaluation

The evaluation that opens the door to EIDBI. A qualified professional reviews your child's needs and documents whether therapy is medically necessary. No CMDE, no EIDBI-funded therapy.

In Minnesota: A CMDE must be done by a licensed physician, advanced practice registered nurse, or mental health professional with substantial experience evaluating autism. It is not the same thing as a diagnosis — a diagnosis says what your child has; a CMDE says what services they need.

Minnesota DHS — CMDE provider qualifications

EIDBIEarly Intensive Developmental and Behavioral Intervention

Minnesota's public benefit that pays for autism therapy, including ABA. If your child qualifies, EIDBI is usually how therapy gets covered — most families we work with pay nothing out of pocket.

In Minnesota: A child qualifies if they are under 21, have a diagnosis of autism or a related condition, have a completed CMDE showing therapy is medically necessary, and are enrolled in Medical Assistance, MinnesotaCare, or MA through TEFRA. The program runs to age 21; we serve ages 2–12.

Minnesota DHS — EIDBI benefit

EIDBI provider levelsLevel I, II, and III

Minnesota's staffing tiers for EIDBI, running from the professional who designs and supervises the treatment plan (Level I) to the staff who deliver day-to-day therapy under supervision (Level III).

ITPIndividual Treatment Plan

Your child's written therapy plan under EIDBI: the goals, the hours, the methods, and how progress gets measured. It's reviewed and rewritten as your child changes.

See alsoEIDBIQSPBCBA

Medical Assistance (MA)Minnesota's Medicaid program

Minnesota's name for Medicaid. It's the most common way autism therapy gets paid for in this state, because EIDBI sits inside it as a covered benefit.

MinnesotaCare

State health coverage for Minnesotans who earn too much for Medical Assistance. It also qualifies a child for EIDBI, so it can be a route into covered therapy.

In Minnesota: Ability Avenues bills Straight MA and Blue Plus — and Blue Plus administers MinnesotaCare, so a MinnesotaCare family enrolled in Blue Plus is covered with us.

QSPQualified Supervising Professional

The EIDBI role for the clinician who oversees your child's therapy and is accountable for the treatment plan. In practice this is usually a BCBA.

TEFRA option

A path to Medical Assistance for a child with a disability that counts only the child's own income — not the parents'. Earning too much for MA does not rule your family out.

In Minnesota: Minnesota eliminated parental fees for children on MA-TEFRA living at home effective July 1, 2023 — if you were told years ago that TEFRA costs a monthly fee, that is out of date. TEFRA is not automatic, though: the child must be under 19 and certified by the State Medical Review Team as needing an institutional level of care.

Minnesota DHS — MA-TEFRA

People & credentials

Who's who on your child's team, and what the letters after their names actually mean.

BCBABoard Certified Behavior Analyst

A master's-level clinician certified in behavior analysis. The BCBA designs your child's program, trains the team that runs it, reads the data, and changes the plan when the data says to.

Behavior technician (BT)

The person your child actually sits and plays with in session. Every BT works under BCBA supervision; an RBT is a BT who also holds the national RBT certification.

See alsoRBTBCBA

RBTRegistered Behavior Technician

A nationally certified therapist who delivers most of the hands-on session work, following the plan a BCBA wrote and under that BCBA's supervision.

Therapy methods

What happens in a session, and the language your child's team uses to describe it in progress notes.

ABAApplied Behavior Analysis

A therapy that teaches skills in small, teachable steps and studies what happens around a behavior to understand it. Goals are individualized; good ABA looks like play, not drills.

ABLLS-RAssessment of Basic Language and Learning Skills — Revised

A detailed skills inventory across language, self-help, play, and academics. It produces the grid of filled-in boxes you may see in a progress meeting.

See alsoVB-MAPP

BIPBehavior Intervention Plan

The written plan that follows an FBA: what to change in the environment, what skill to teach instead, and how everyone responds. Used in clinics and in schools.

See alsoFBAIEP

Chaining & task analysis

A task analysis breaks a routine like handwashing into its actual steps. Chaining teaches those steps one at a time until your child can run the whole routine.

DIR/FloortimeDevelopmental, Individual-differences, Relationship-based

An approach built on following a child's lead in play to grow connection and communication, rather than leading with structured teaching.

In Minnesota: DIR/Floortime is currently an EIDBI-approved treatment modality in Minnesota.

Minnesota DHS — EIDBI benefit

DTTDiscrete Trial Training

Structured teaching in short, repeated trials: a clear instruction, your child's response, and immediate feedback. Useful for skills that need many clean repetitions to build.

Early intervention

Starting support while a child's brain is at its most flexible. It doesn't mean rushing — it means not waiting for certainty before getting help in place.

In Minnesota: In Minnesota, Help Me Grow accepts referrals for developmental concerns at no cost and without a diagnosis, and parents can refer their own child.

Help Me Grow Minnesota

Echoic

Repeating back what someone says. It sounds small, but echoing is scaffolding — a lot of early speech is built on a child copying sounds and words.

See alsoMandTact

ESDMEarly Start Denver Model

A play-based early-intervention approach for young children that blends developmental and behavioral teaching inside everyday routines and play.

In Minnesota: ESDM is currently an EIDBI-approved treatment modality in Minnesota.

Minnesota DHS — EIDBI benefit

Extinction

No longer reinforcing a behavior that used to work, while teaching a better way to get the same result. Always paired with a replacement skill — never used on its own.

FBAFunctional Behavior Assessment

Figuring out what a behavior is for — escape, attention, access, or comfort. Behavior is communication, and an FBA is how the team works out what's being said.

Generalization

When a skill works outside the room it was taught in — with Grandma, at Target, in a new classroom. It's the point of therapy, not a bonus, so it's planned for from day one.

See alsoNETABA

Mandrequesting

A request. Asking for juice — with a word, a sign, a picture, or a device — is a mand. It's often the first thing therapy targets, because it hands a child control.

NETNatural Environment Teaching

Teaching in the middle of real life — during play, snack, or getting shoes on — instead of at a table. Skills learned where they're used tend to stick where they're used.

Pairing

The first job of any new therapist: becoming someone your child likes. Before any demands, the team pairs itself with fun, so therapy starts from trust.

Parent trainingcaregiver coaching

Time your child's BCBA spends coaching you, so the strategies that work in session work at bedtime and in the grocery store. It's a covered EIDBI service, not an extra.

Prompting & prompt fading

A prompt is help — a gesture, a model, a hand guiding a hand. Prompt fading is deliberately removing that help step by step, so the skill ends up belonging to your child.

Reinforcement

Anything that follows a behavior and makes it more likely next time — praise, a favorite toy, a turn on the swing. It's the engine of ABA, and it's individual to each child.

Sensory processing

How a child takes in sound, light, touch, and movement. A room that feels ordinary to you can be too loud or too bright for them — which changes what they can learn in it.

See alsoStimming

Social skills groups

Small planned groups where children practice turn-taking, sharing, and play with peers, with a therapist supporting the moments that are hard.

Stimmingself-stimulatory behavior

Repetitive movement or sound — rocking, hand-flapping, humming — that helps a person regulate. Stimming is not a problem to be erased; it's addressed only when it's unsafe or blocks something a child wants.

Tactlabeling

Naming something in the world: pointing at a dog and saying "dog." Not asking for it — just commenting on it, which is how children start sharing attention.

VB-MAPPVerbal Behavior Milestones Assessment and Placement Program

An assessment that maps a child's language and learning milestones against typical development, so the team knows where to start and can show you movement over time.

School & diagnosis

Terms you'll meet during an evaluation and in a school meeting — a different system from therapy, with its own vocabulary.

504 plan

Accommodations that remove barriers at school — extra time, a quiet room, a movement break — for a child who doesn't need specialized instruction through an IEP.

See alsoIEP

ASD levels (1, 2, 3)Autism Spectrum Disorder support levels

A shorthand for how much support a person needs day to day, from Level 1 to Level 3. It describes support, not ability — and a child's level can change.

IEPIndividualized Education Program

A legal document from your child's school district: the goals, services, and supports the school will provide. It's an education plan, and it's separate from therapy.

IFSPIndividualized Family Service Plan

The IEP's counterpart for children under three. It plans around the whole family, not just the child, because that's where a toddler's learning happens.

M-CHAT-R/FModified Checklist for Autism in Toddlers, Revised with Follow-Up

A short questionnaire a pediatrician gives parents of toddlers. It is a screening tool, not a diagnosis: it flags who should be looked at more closely, nothing more.

In Minnesota: A concerning M-CHAT result is a reason to ask for an evaluation, not a verdict. Plenty of children who screen positive turn out not to be autistic — and a negative screen doesn't override a parent's ongoing concern.

M-CHAT-R/F — official source

A term we haven't covered?

Read it off the form and ask us. You don't need to be a client, and you won't get a sales call — we'll just tell you what the word means and what, if anything, it asks of you.

These definitions are educational, not medical advice, and program rules change. For decisions about your child's care or coverage, talk with your child's provider or your county — and check the Minnesota sources linked above.

Not sure where to start? That's okay. Most families aren't.

Call us. We'll help you figure out eligibility, coverage, and next steps. The first conversation needs no paperwork at all.