Please join us as we return to an in-person conference with a Hybrid option for attendees. If the result of the check indicates no record, no further information is needed. megan.kwak@dshs.wa.gov. Dshs Individual Provider Application - Fill Out and Sign Printable PDF You must have a contract with DHR to be funded for these services. Click on Done after double-checking everything. The department will notify the agency with a written decision regarding certification. Request an Intake Packet All current providers must seek approval from DDA and be re-enrolled as Medical Assistance Providers using new categories of service(s) and procedure codes in the . Box 83720 The department will review the application form and materials to determine if the agency has met all of the regulatory requirements and has the necessary systems in place to ensure the implementation of those requirements. @IF)DE(=`QfAX,B'mcfhj)}4M 9?,\|%H= Xur! It looks like your browser does not have JavaScript enabled. A developmental disabilities agency is a certified entity that provides center and/or home and community-based services to adults and/or children with intellectual disabilities. For questions about the Group Training Home or Group Home program contact: This unit can help providers in a variety of different quality assurance areas. %PDF-1.6 % Those who are required to complete the 70-hour training will also be required to become certified as a Home Care Aide through the Department of Health. 0 To become a licensed provider for DDA services you must complete the appropriate DDA provider application. will assess all the information to determine whether the applicant meets either of the DDA eligibility categories - Developmentally Disabled or Supports Only. Copyright Maryland.gov. endstream endobj startxref Once policies and procedures are approved you will be issued a license. Coordination of Community Services Developmental Disabilities Program If needed they will consult with a subject matter expert. You may be trying to access this site from a secured browser on the server. People with developmental disabilities will have full lives in the communities of their choice where they are included, participate, and are active citizens. Step 2:Register as an agency with the DHW's Background Check Unit to receive an ID for criminal history as all employees accessing or working with participants will need to have a criminal history clearance for your agency. * Residential, day and supported employment services require a completed Developmental Disabilities Administration (DDA) application plus documentation of disability. {]Xb#1 C 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 can request an Intake Packet from the clients DDA Case Resource Manager, local DDA office staff, or the DDA contract staff for your region.
