A “provider” of services for people with intellectual and developmental disabilities under the DDA Home and Community-Based Medicaid Waiver program must be enrolled as a qualified provider. The Department on Disability Services, Developmental Disabilities Administration (DDS/DDA) qualifies providers for the DDA Home and Community-Based Medicaid waiver program. Interested organizations and licensed clinicians must refer to the waiver service descriptions and rules for detailed requirements and rates for each service by following the links below.
Prior to submitting an application prospective provider must send a letter of interest to DDA to enroll as a Home and Community Based Services (HCBS) Medicaid Waiver Provider to email@example.com In the subject line of the email please include the name your company followed by Letter of Intent. For example: Acme Agency Letter of Intent.
The letter must include an introduction of your company (organization and/or licensed clinicians) including, what services that is currently being provided in the community and in what state, the name of the company, contact information including phone and email address, how many years of experience that you have providing services and supports with persons with Intellectual and Developmental Disabilities and what services your company would like to provide as a DDA Home and Community Based Services (HCBS) Medicaid Waiver program.
Upon receipt of the letter of interest, prospective providers will be invited by DDA via email to attend a mandatory Prospective Provider meeting at DDA.
Applications must include documentation which will be verified to determine if the applicant meets all qualifications and standards to become certified. Providers should ensure that they meet the requirements to become enroll as a Home and Community Based Services (HCBS) Medicaid Waiver Provider as outlined in General Provisions. Interested organizations and licensed clinicians must refer to the waiver service descriptions and rules for detailed requirements to become enrolled as a Home and Community Based Services (HCBS) Medicaid Waiver Provider.
In addition, applicants seeking to provide services must also successfully complete the Provider Readiness Review process. When an applicant is approved by DDA, the application is then forwarded to the Department of Health Care Finance (DHCF) for final approval and processing. All applicants are prohibited from providing any service under the DDA HCBS Medicaid Waiver program until the DHCF Medicaid enrollment and welcome letter has been received from DDS/DDA. NOTE: Opening a new service setting for the purpose of providing residential services for adults with intellectual and developmental disabilities is expressly prohibited without prior approval from DDS/DDA.
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.
The following description and applications are available for review and completion: