Provider qualification and Enrollment

DHS Electronic Enrollment and Qualification Training for ODP Providers

This training covers new requirements for Licensed and Unlicensed providers seeking to enroll a new site, enroll a new specialty, or revalidate their service location through the Electronic Provider Enrollment User Interface. It also covers the new functions in HCSIS including Registration, Adding Services and Qualification. 

Session recorded on August 28, 2017. 

Session Recording – DHS Electronic Enrollment

Handout – DHS Electronic Enrollment

HCSIS Provider Updates Tip Sheet

FAQs from the DHS Enrollment and Qualification Training for ODP Providers

Training on Provider Qualification

Webinar Recording June 20, 2017

Changes to the Provider Qualification Process

Provider Documentation Recorded Webinar

DP 1059 PP Presentation (v.1)URL

Provider Qualification Documents

DP 1059 (v.2)

DP 1059 Instructions (V.2)

Helpful Tips for completion of the DP 1059

Residential Readiness Overview and Instructions

ODP Readiness Tool 2-16-22

For new applicant providers, this tool cannot be submitted absent receipt of their 120-day certificate made available upon passing their Virtual PAO post-test. The link to complete this tool will be provided as “Next Steps” for new applicant providers in receipt of their 120-day certificate

Webinar – Residential Readiness Tool Tutorial

DP 1061 Provider Closure Notification Form

DP 1061 Provider Closure Notification Form Instructions

DP 1088 – ODP Provider Qualification Form: Adult Autism Waiver

Provider Qualification Documentation Record 2-24-22 IDA & AAW

New Provider Self-Assessment & Guidelines 5-6-21

Recent Changes to the Provider Qualification Documentation Record 5-21

Provider Manual–Provider Qualifications 4-9-21

HCSIS ODP Provider Qualification Reviewer Job Aid