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
Administrative Entity Provider Qualification Contact List 10-21-2025
Webinar Recording June 20, 2017
Changes to the Provider Qualification Process
Provider Documentation Recorded Webinar
DP 1059 PP Presentation (v.1)URL
Helpful Tips for completion of the DP 1059
DP 1061 Provider Closure Notification Form
DP 1061 Provider Closure Notification Form Instructions
DP 1088 – ODP Provider Qualification Form: Adult Autism Waiver
ODP Provider Qualification Documentation Record-ID/A & AAW Fiscal Year 2025-2026 (January 2026)
New Provider Self-Assessment & Guidelines January 2024
Provider Manual–Provider Qualifications 4-9-21
HCSIS ODP Provider Qualification Reviewer Job Aid
HCSIS Provider Updates Tip Sheet
ODP PROMISe Enrollment Tip Sheet
PROMISe™ Provider Practice Relocation Request Form
Instructions – Adding a Specialty to an ODP site Oct. 2022
PROMISe™ Provider Service Location Change Request
New Provider Applicant Process 1-29-25
Specialties with Enhanced Services 2018
ODPANN 26-004 Provider Qualification Process
APPENDIX A: AE REQUALIFICATION HCSIS TIP SHEET
APPENDIX B: REMINDER TO PROVIDER – AE WARNING E-MAIL
APPENDIX C: FAILURE TO COMPLY NOTIFICATION LETTER TO PROVIDER FROM ASSIGNED AE
APPENDIX D: NOTIFICATION E-MAIL TO ALL AUTHORIZING AE(S)
APPENDIX E: NOTICE FROM AUTHORIZING AE TO SCO
APPENDIX F: CHOOSING AN ALTERNATE PROVIDER – TALKING POINTS FOR SC