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Department on Disability Services
 

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Apply to Become a Service Provider

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To become a RSA provider requires interested individuals and businesses to complete forms and undergo a rigorous review and approval process.

Contact the Office of Contracts and Procurement

Thank you for your interest in becoming a provider of services for the DDA Home and Community Based Services (HCBS) Medicaid Waiver program. Prospective providers should ensure that they meet the requirements to become enrolled 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. Please read the materials carefully to determine what services you or your organization may be eligible to provide.

Department on Disabilities Services (DDS)/ Developmental Disabilities Administration (DDA) are working to implement Person Centered Thinking philosophy throughout all enrolled HCBS providers. Person-Centered Thinking philosophy must be demonstrated by leadership and personnel that directs as much attention to the individual as to the team, requires senior leadership to be responsible for empowering people at all levels of the organization and this philosophy guides service delivery.

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 protected] 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.

If you need additional assistance in completing your application, please contact Customer Services at (202) 442-8686.

Provided below is the information on the submission of the Medicaid waiver application for new and existing Home and Community Based Waiver providers.

Contact Phone: 
(202) 730-1700
Contact TTY: 
(202) 730-1516
Office Hours: 
Monday to Friday, 8:15 am to 4:45 pm