New Provider Process (Licensed)
Office of Developmental Programs (ODP)
Consolidated and/or Person/Family Directed Support (P/FDS) Waiver
STEPS / REFERENCE INFORMATION / EXPECTED RESULTS- Potential provider expresses interest in rendering Consolidated and/or P/FDS Waiver services within ODP. Email is sent to provider with contact information
Website.
- Provider Registers for Applicant Orientation.
- Provider completes Applicant Orientation training; the provider’s Chief Executive Officer/Director of the agency takes the post-test. If the provider fails the test twice, they will need to retake the Application Orientation Course. If the provider fails the test twice after taking the Applicant Orientation a second time, the provider will have to wait one year before taking the Applicant Orientation again
- As a licensed ODP provider you must self-register through the ‘Create Provider Self Service Account’ hyperlink, located on the Welcome to HCSIS Home Page, under the ODP Program links.
- Licensed Providers under (Regulation Chapters (2380, 2390, 6400, 6500,) need to apply for licensing through Certification Licensing System (CLS). Now that you have received your user id via e-mail, you can now access the Provider Self Service portal to complete your certification and licensing application
- For Licensed Residential service providers (2380, 2390, 6400, 6500), they need to review ODP Communication Number: Packet 055-12. After reviewing the communication, the licensed provider must email the ODP Regional Waiver Capacity Manager (WCM) for site clearance and non-contiguous approval with the required information.
William (Bill) Bruaw – Central -
Marie Craven – Northeast –
Mary Citko- Southeast -
Michelle Walters- Western – / ODP Communication Number: Packet 055-12, ODP Approval of Residential Services Locations and Approved Program Capacity. / The Licensed residential provider will receive a letter from the regional Waiver Capacity Manager
- Provider to complete ODP Provider Agreement – Follows instructions in the cover letter
ODP Waiver Provider Agreement / An endorsed ODP agreement will be sent back to the provider to use with the qualification and enrollment applications.
- Complete the ODP QA&I contact information form on Question Pro, then send the confirmation e-mail to the AE in which you intend to provide the majority of services.
- Provider completes Provider Qualification Documentation Record, PQ Form DP 1059 and New Provider Self-Assessment and submits with supporting documentation to the AE in which they intend to provide the most service.
/ AE will review information, correspond with provider and if approved, will forward signed copy of PQ FORM DP 1059 back to provider.
- Provider to goes to the electronic Provider Enrollment Application website and applies for the Specialties they are qualified for. They will need their supporting documentation including Approved APC letter (if needed), and DP FORM 1059 to ODP Enrollment for each site. Other forms may be required depending on the specialty of service
- ODP Provider Enrollment unit will review application and if approved, enroll in PROMISe™
/ Automated letter generated by OMAP and sent thru USPS confirming site enrollment details.
- ODP Provider Enrollment will contact the HCSIS Help Desk and provide the FEIN number of the provider for ODP role to be added. The provider may now add services they are qualified for in HCSIS
- Rates are loaded into PROMISe™ and contracts are created in HCSIS within 5-7 business days.
- Support Coordinator can now add services to an ISP.
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8/22/2017