Learn about the certification requirements for Agency Providers, as well as the necessary steps to take to become a certified agency provider, by following below.
The agency provider must:
- Be a for-profit corporation, non-profit corporation, limited liability company, or limited liability partnership.
- Have an employer identification number from the IRS and the Bureau of Workers’ Compensation.
- Have comprehensive general liability insurance in the amount of at least $500,000.
- Employ a CEO that will be actively involved in the day-to-day operation of the agency and oversee the provision of services.
There are also additional requirements for the CEO of the agency.
Tips for Completing Your Application:
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- A birth certificate is a required document and will need to be submitted.
- It is recommended that applicants first gather all documents (except the BCII background check) prior to completing the application.
- Once your fee has been paid, you will have 30 days to submit all of your required documentation.
STEP 1: Complete DODD’s Initial Overview online training
The Initial Overview (Orientation for Agency Providers) training for agency providers is required for certification.
Initial Overview Online Training
STEP 2: Gather required documents and non-refundable application fee
The non-refundable application fee is $800 for agencies that serve 50 people or fewer and $1,600 for agencies that serve 51 people or more.
STEP 3: Submit application, supporting documentation, and non-refundable application fee
After submitting the application fee, you have 30 days to submit all of the required documentation. You will receive a user name and password to use Provider Network Management (PNM) to start a provider application.
Follow the instructions to obtain an NPI as part of a CMS requirement
STEP 4: Undergo agency site visit
The Ohio Department of Medicaid will likely conduct a site visit of the agency as the last step of the certification process.
Contact
Courtney Jordan
MCBDD Provider Relations Specialist
330-725-7751 ext. 130
courtneyj@mcbdd.org
DODD Provider Certification
1-800-617-6733 option 5