An independent provider is a self-employed person who directly provides services to people with developmental disabilities. They cannot employ someone else to provide services on their behalf.
Independent providers must be at least 18 years old, have a valid Social Security number, and one of the following forms of identification:
- State of Ohio identification,
- valid driver license,
- or other government-issued photo identification.
Independent providers must have a high school diploma or GED and be able to read, write, and understand English at a level sufficient to comply with all requirements set forth in administrative rules governing the services provided.
Independent providers must also hold a valid American Red Cross or equivalent certification in first aid and CPR, including an in-person skills assessment.
Independent providers are not employees of the State of Ohio or employees of the Ohio Department of Developmental Disabilities.
Before You Apply
Before submitting an application for certification as an independent provider, applicants must have successfully completed:
all training as defined in 5123-2-09 and its related appendices. The Independent Provider Initial Training course is available on DODD MyLearning.
Additional training requirements may apply for some services.
Independent Provider Certification Process
Start with Background Check
An application packet will not be ready for review until all supporting documents, including background checks, are submitted.
Background checks are submitted directly to DODD from the Ohio Attorney General’s Office.
To start the background check, visit a WebCheck location.
The results of a background check can take up to 45 days to be completed and sent to DODD.
Create an Account
Your OH|ID will also give you access to the Provider Network Management (PNM) Module where you can start the New Provider application. If you already have an existing OH|ID, you will only need to subscribe to DODD for MyLearning and eMBS
Complete Required Training
Certificates of completion will be submitted as part of the application packet.
Complete Application Packet
The application packet includes the online application and all required supporting documents, including
Submit Application and Submission Fee
Pay the non-refundable fee, electronically sign, and submit the application.
All supporting documents must be submitted within 30 days of submitting the application and application fee.
The application is considered complete the date that all supporting documents have been submitted and the background check results are received by DODD. That becomes the application submission date.
After 30 days, applications missing documentation are closed and a new application and application fee will be required.
DODD will review and respond to an application within 30 days of the application submission date. DODD may request additional documents as needed.
If the application is approved, DODD will send the application to the Ohio Department of Medicaid, which will conduct a site visit with the potential new agency.
Final Approval Letter
Sent via email, the approval will list the DODD contract number, Medicaid provider number, certification effective date, and expiration date.
|Follow the instructions to obtain an NPI as part of a CMS requirement|
Tips for a Smoother Process
Provider Network Management (PNM) Module
The PNM Module is the starting point for the provider certification application. Within this portal, you will be required to enter some basic information that will be shared with the Ohio Department of Medicaid (ODM). You will then be redirected to the PSM portal to complete your provider certification application.
Consistency is Key
For consistency, always use your full name. Avoid nicknames or shortening your name in PSM and when submitting required documentation, matching the name on your birth certificate, ID, or other documentation submitted.
Choose Services Carefully
In PSM, click "Add Services" to add services that the agency will provide. Click "Withdraw Services" and uncheck any service to end the agency’s certification for that service. Be aware that some services may require additional documentation.
Check Your Work
It sounds simple, but the most common reasons that applications are delayed for review include