Developmental Disabilities Provider and Partner Resources

​​​Using eXP​RS for B​​illing and Payment

As of Jan. 1, 2018, foster care services are billed through eXPRS. ​Providers who have not previously billed in eXPRS will need to complete the following forms:

• Enrollment: Foster Care eXPRS User Enrollment Form (PDF)
• Payment: Direct Deposit Enrollment – Form 0189​

Foster Care in eXPRS FAQ for Providers (PDF)

Foster Care eXPR​S User Training

• eXPRS training on Workday Learning (Requires a Workday Learning​ account)
  
• eXPRS "How To" Documents​
  
• DD Foster Care eXPRS Training #1 – Transition to eXPRS Overview
• DD Foster Care eXPRS Training #2 – Login and Site Navigation/Features
• DD Foster Care eXPRS Training #3 – Foster Care Service Authorizations and Billing
• DD Foster Care eXPRS Training #4 – Ancillary Services Authorizations and Billing
• DD Foster Care eXPRS Training #5 – Claims and Payment Reports
  

Foster Care ​Provi​der Enrollment and Renewal

Provider Enro​​ll​ment Agreement

• Adult Foster Home Provider Enrollment Application and Agreement – Form 0738
• Child Foster Home Provider Enrollment Application and Agreement – Form 0738C

Criminal History ​​​​Check

• Background Check Request - Form 301QED (English)
• Background Check Request - Form 301QED (Spanish)

Provider Infor​m​ation

• Provider Perm Audit Information​​
  
• Provider General Information

Paym​e​​nts

• Direct Deposit Enrollment – Form 0189