DDS: Application Information on How to Become a Qualified Provider

Application Information on How to Become a Qualified Provider



Thank you for your interest in becoming a qualified provider.  The Department of Developmental Services (DDS) is committed to quality services and supports for the individuals we serve.  Qualified providers are essential to accomplish our goal of delivering quality services.  The links below provide useful information for those seeking to become qualified.

Qualified providers must meet the standards established in the DDS Home and Community Based Services Waiver (HCBS) or the Autism Waiver.  All providers must be incorporated in the United States and Connecticut.  Click here to view the HCBS Waiver Manual and DDS Policy and Procedures.


For Intellectual Disability Services, contact dds.providerapplications@ct.gov
For Autism Specific Services, contact dds.autism@ct.gov

New Providers Apply Here

 Agency

Individual Practitioner

 
If applying as an Agency, submit the following:

If DDS determines an agency meets minimum qualifications for the services they are applying to provide, an email notification will be sent with detailed requirements.  These include:

  1. The remaining application documents: Agency Qualified Provider Checklist which must be submitted via email to dds.qpapenrollment@ct.gov

  2. The related policy documents outlined in the email notification sent to the agency.  The policies must be submitted via email to dds.qpappolicies@ct.gov.
If applying as an Individual Practitioner, submit the following:
  1. All the required documents on the checklist: Individual Qualified Provider Checklist must be submitted via email to dds.qpapenrollment@ct.gov.









 
Already a Qualified Provider?
  1. If you are already a Qualified Provider and would like to add Clinical Behavioral Support Services or add a clinician to provide Clinical Behavioral Support, submit all the required documents on the Clinical Behavioral Consultant Requirements Checklist to the appropriate contact in the Get Help section below.

  2. If you are already a Qualified Provider and would like to add Healthcare Coordination Services or add a clinician to provide Healthcare Coordination, submit all the required documents on the Healthcare Coordination Requirements Checklist Checklist to the appropriate contact in the Get Help section below.

  3. If you are already a Qualified Provider and would like to add/delete services for:

    a.  Autism Specific Services: submit Application to Amend Services-Autism to the Autism Specific Services contact in the Get Help section below.

    b.  Intellectual Disability Services: submit Application to Amend Services-IDS to the Intellectual Disability Services contact in the Get Help section below.

  4. If the services you are applying to provide moves up to a higher service category, then submit a summary of how you meet the minimum qualifications to the appropriate contact in the Get Help section below (see: Provider Minimum Qualifications-IDS or Provider Minimum Qualifications-Autism)    (Note: It would be helpful to include a resume as well)

  5. Agencies who DDS determines meet minimum qualifications for the additional services they are applying to provide will be asked to submit the remaining required policies and any revisions to existing policies that may apply (see: Policy Requirements Based on Support Level-Autism or Policy Requirements Based on Support Level-IDS). Submit all documents to the appropriate contact in the Get Help section below.
Important Resources




For Intellectual Disability Services, contact dds.providerapplications@ct.gov
For Autism Specific Services, contact dds.autism@ct.gov





Content Last Modified on 4/30/2015 8:00:03 AM