Unless exempt, all IPs are required to complete S & O after they have completed the contract process (DSHS has signed their contract) and before beginning to work for a client of DDA. A person can complete the DDA Application for Eligibility. Change the blanks with smart fillable fields. The following description and applications are available for review and completion: DDA Waiver Provider Application Review Process. 201 W. Preston Street, Baltimore, MD 21201-2399, Developmental Disabilities Administration, Home and Community-Based Services (HCBS) final rule, https://health.maryland.gov/crccp/Pages/administrators.aspx, http://marylandpublicschools.org/programs/Pages/Special-Education/IRC/index.aspx, http://marylandpublicschools.org/programs/Pages/Special-Education/IRC/Forms.aspx. Thank you for your interest in contracting with the Developmental Disabilities Administration (DDA). Steps 3 and 4 of the DDA Medicaid Waiver Provider Application Review Process walks potential service providers through the application packet submission, checklist and pre-screening processes. Please enable scripts and reload this page. To become a licensed provider for DDA services you must complete the appropriate DDA provider application. Individuals seeking certification of a developmental disabilities agency must complete the following: Step 1:Make sure your agency is registered with the Idaho Secretary of State by visiting their website:https://www.sos.idaho.gov/. PDF Updated DDA Waiver Provider Application Review Process for DDS Any provider interested in becoming a DDA licensed program for Children with Developmental Disabilities or a DDA licensed program for Medically Fragile Children should complete the DDA provider application for children's services. You will need to have a business name. They will also determine a priority category - Crisis Resolution, Crisis Prevention, Current Request, or that services are needed in the future. All new providers are required to submit a completed DDA Medicaid Waiver Provider Application and submit the required supporting documentation in the form of policies and procedures, licensure and/or certification that demonstrates the provider agency's compliance with the specific rules for each of the waiver services the provider agency is . For more information about our programs and services, see the 2022Developmental Disabilities Administration Caseload and Cost Report. DDA Services Become a Provider for DDA Companion Home Provider Companion Home Provider Become a Companion Home Provider! *Clarification Note An interested provider who currently does not have an identified qualified clinician may still submit the Behavioral Supports Provider application but must provide Janet Furman, Director of Provider Relations, for approval the qualified clinicians name, copy of license and training/experience in applied behavior analysis, as well as a sample behavior assessment and behavior plan the qualified clinician authored, before starting to provide behavior support services. JavaScript is required to use content on this page. 2889 0 obj <>stream Washington State Department of Social and Health Services, Aging and Long-Term Support Administration (ALTSA), Developmental Disabilities Administration (DDA), Facilities, Finance and Analytics Administration (FFA), Rates and Reimbursement Documents forSupported Living, Group Homes, and Group Training Homes, Supported Living, Group Homes, and Group Training Homes, Background Check Tracking Tool for Supported Living and Group Home Providers, Background Check Frequently Asked Questions, Character, Competency, and Suitability Review Form, Actions to Take Before and After Someone Passes Away, Estate Recovery: Repaying the State for Medical and Long Term Services and Supports, Making The Most Of Social Security Benefits, Resource Guide: Managing Finances for Clients in Community Residential Services Programs, Plan of Correction (POC) Template- Region 1, Plan of Correction (POC)Template - Region 2, Plan of Correction (POC) Template - Region 3, Positive Behavior Support Data Collection Tool, Food Management and Health Promotion Strategies, Residential Provider Information Changes Form (Name, Address, etc. The DDS/DDA Provider Relations Specialist or designated staff reviews the application to determine whether an applicant submitted the required documentation as outlined in the Medicaid Provider Application and General Provisions of the HCBS waiver regulations. To provide DDA funded services you must apply to be an approved Maryland Medicaid provider. After the initial request for assistance or the application has been received, a DDA representative will contact you to schedule an interview and review the information. Residential Provider Resources | DSHS - Washington The application can be found on the Maryland Department of Health website. An official website of the United States governmentHere's how you know Official websites use .gov A .govwebsite belongs to an official government organization in the United States. (You can unsubscribe anytime), Designed, developed and hosted by cloudPWR 2023, Frequently Asked Questions on IP Contracting with DDA, DDA/HCS/AAA Individual Contractor Intake Form, A request for a copy of government-issued photo ID and Social Security Card. %%EOF 04/12/23 Informing Families - Spring Newsletter, 04/10/23 2023 Community Summit -DSHS Developmental Disabilities Administration is proud to announce Community Summit 2023. Partners with people with developmental disabilities and their families to provide leadership and resources to enable these individuals in living fulfilling lives. Remote Support: A new waiver service from DSHS Developmental Disabilities Administration, Employment and Community Inclusion Services, Low-Income Home Energy Assistance Program (LIHEAP) and Air Conditioning Units for DDA Clients. People with developmental disabilities will have full lives in the communities of their choice where they are included, participate, and are active citizens. A The full process is also available as a downlable PDF document. The CCS will submit the application or updates to the application, supporting documentation, and information obtained during the interview to the DDA. The Developmental Disabilities Administration is transforming lives by providing support and fostering partnerships that empower people to live the lives they want. The first step in becoming a DDA licensed provider is to register your business as a Maryland corporation with the Maryland State Department of Assessment and Taxation (SDAT). Create a flexible, person-centered, family-oriented system of support so people can have full lives., 201 W. Preston Street, 4th FloorBaltimore, MD 21201Phone: (410) 767-5600Fax: (410) 767-5850Toll Free: (844) 253-8694. To open an ICF/IDD home funded through the Medicaid State Plan, interested providers must contact DHCF and Department of Health, Health Regulatory and Licensing Administration (DOH/HRLA) license and certification. Please enable scripts and reload this page. Copyright Maryland.gov. You are required to submit the completed application with all required attachments. Pages - Become A Provider - Maryland.gov Enterprise Agency Template