We are pleased to announce our new on-line provider application system for certification to be an ODA Medicaid home- and community-based waiver provider.
Please read and understand the conditions of participation and service requirements for which you are seeking certification. Review this information as well as all the current effective rules .
Once you start an application, you will have 120 days to complete and submit the application. Please upload all required documentation prior to submitting your application. If you have not successfully submitted your application within 120 days, the application will expire and you will need to complete a new application.
After submission, you will have 90 days to submit all required documentation. If you do not submit all required documentation within 90 days, the application will expire and you will need to complete a new application.
A list of required documentation will be provided prior to applying for certification and during the on-line application process.
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Please select below the type of certification you are applying for.
