Am I ready to apply?
- Have you contacted your local
Community Developmental Disability Program (CDDP) and/or
brokerage to:
- Familiarize yourself with the needs for the proposed service in your area
- Ensure yours is a service that can be authorized and paid for by the department
- Understand the local referral process, local monitoring requirements and case management resources
- Review or receive training regarding the Individual Support Plan (ISP) requirements
- Understand the service approval through your CDDP and payment process
- Have you read the applicable Oregon Administrative Rules (OARs) for the
service type you want to apply for, and do you have a thorough understanding of the standards (initial and ongoing) of the services you will be required to offer and maintain?
- Have you completed the appropriate application described below and all required supplemental materials for submission? (Incomplete application packets will not be accepted for review.)
- Full, completed application with descriptive scope of service
- Copies of all supporting documents (insurance, business plan, financial documents and all applicable policy and procedures)
- Personnel information (criminal history/final fitness determinations, I-9 forms, Mandatory Abuse Reporting training, CPR/First Aid training)
Application process
The application process for Medicaid Agency Certification is coordinated by the I/DD Licensing Unit with pieces conducted by several different offices. The length of time to complete the process depends on the completeness of the initial application and supplemental materials, and how quickly the applicant responds to any requests for updated or additional information. The average time required is 90 days, but the process can take longer.
- Email dd.licensing@odhsoha.oregon.gov to request an application for the specific
service type you want to provide.
- Submit completed application with all supporting materials to
dd.licensing@odhsoha.oregon.gov.
- Once review of your application begins, you will be contacted about any follow-up questions or additional material required.
- Applicant begins working with the
Background Check Unit (BCU) to complete required background checks for all owners and employees.
- Once requirements for the Medicaid Agency Certification have been met, walk-through inspections will be conducted for any 24-hour licensure requested. Any noted corrections must be completed prior to licensure.
- Medicaid Agency Certification and any applicable licenses will be issued with a copy to the provider as well as the local CDDP. I/DD Licensing will also notify the eXPRS payment system.
What happens after I become a provider and begin serving individuals?
After you receive the Medicaid Agency Certification with an endorsement in a specific area and/or a license for a 24-hour residential site, I/DD Licensing will issue the certificate/license with the effective dates. A copy will be provided to you as well as your local CDDP.
We will automatically notify the eXPRS payment system. At that point, you have completed the initial certification/licensure process with I/DD Licensing. Your main contacts for payment and referrals will be the local CDDP and the ODDS eXPRS team.
Note: You are not authorized to provide services to individuals until you have completed the applicable Provider Enrollment Agreement with ODDS. After you receive certification, the ODDS Contract Unit will contact you directly.
Other requirements
As a Medicaid Certified Agency, certified or licensed provider, you are required to:
- Maintain continual compliance with all applicable Oregon Administrative Rules (OARs), policies and procedures.
- Keep up-to-date on OARs, policies and procedure changes and required trainings.
- Respond in a complete and timely manner to Plan of Improvement requirements.
- Notify the I/DD Licensing Unit of changes in key personnel, mailing and contact information for your agency as well as geographic locations and individual home sites.
You are also subject to:
- Ongoing
reviews by the I/DD Licensing Unit
- Reviews by other county and state entities, including but not limited to:
- Monitoring visits by the local CDDP
- State Quality Assurance team
- Oregon Occupational Safety and Health Division (OSHA)
- Long-Term Care Ombudsman Office (LTCO)
- Protective service investigations through the local CDDP and the Office of Training, Investigations and Safety (OTIS)