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
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
Residential Readiness Overview and Instructions
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 IDA & AAW (January 2023)
New Provider Self-Assessment & Guidelines 1-1-23
Recent Changes to the Provider Qualification Documentation Record 7-22
Provider Manual–Provider Qualifications 4-9-21
HCSIS ODP Provider Qualification Reviewer Job Aid
HCSIS Provider Updates 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 Applicant Licensing Flowchart 2-1-21
New Provider Process (Unlicensed) 9-28-22
New Provider Process (Licensed) 9-28-22
Specialties with Enhanced Services 2018
ODP Announcement 22-005: 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: Nofication E-mail to All Authorizing AE(s) with Attached Authorizations
Appendix E: Notice From Authorizing AE to SCO with Attached Authorizations
Appendix F: Choosing an Alternate Provider – Talking Points
Appendix G: Provider Qualification Determination Template
Attachment 1 – New Provider Qualification Approval Template 2022
Attachment 2 – New Provider Qualification Additional Information Needed Template 2022
Attachment 3 – New Provider Qualification Not Approved Template 2022