At that time, you will receive a call to come in to participate in a short orientation which will include reviewing DSHS and SEIU information and then signing the contract. Menu Federal Policy Guidance Pages - Developmental Disabilities Administration When center-based services are to be provided, a site visit is required. If needed they will consult with a subject matter expert. Dshs Individual Provider Application - Fill Out and Sign Printable PDF It is important for you to keep the DDA updated on any changes in your circumstances or contact information including phone numbers, addresses, and caretakers. Services may be long-term, intermittent, or hourly. Please review the certification checklistfound at the bottom of this page to ensure completeness of this section. You may be trying to access this site from a secured browser on the server. Request an Intake Packet Our firm License and Cert. Thank you for your interest in contracting with the Developmental Disabilities Administration (DDA). 2709 0 obj <> endobj Provider Qualifications Licensed Practical Nurse or Registered Nurse acting within the scope of the standards of nursing conduct per Chapter 246-700 WAC Contracted with DDA to provide the service Sample Contract 1789XP: DDA Nursing Services - Statement of Work Please enable scripts and reload this page. Start a DD Group Home in DC, Maryland or Virginia. Service providers are an integral part in Transforming Lives across Washington State! The department will notify the agency with a written decision regarding certification. To provide DDA funded services you must apply to be an approved Maryland Medicaid provider. All prospective providers are required to submit a completed DDA Medicaid Waiver Provider Application to the Provider Application Specialist in the Provider Resource Management Unit, and must include all supplemental information requested on the provider application checklist. 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. 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. Open it using the online editor and begin adjusting. 6?i DDA Applicaton for Eligibility A person can complete the DDA Application for Eligibility. The State of Maryland pledges to provide constituents, businesses, customers, and stakeholders with friendly and courteous, timely and responsive, accurate and consistent, accessible and convenient, and truthful and transparent services. To request assistance, please contact the Regional Office. To become a licensed provider for DDA services you must complete the appropriate DDA provider application. Use the certification checklist under Staff Requirementsfound at the bottom of this page to ensure completeness of this section.
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