Supervised Visitation

DCF is accepting applications from new organizations for Supervised Visitation services in Region 3 only

Service Definition, Reimbursement and Documentation Form

• Aging Statement - SAMPLE  ** NEW **
• DCF Discretionary Services Fee Schedule
• DCF Invoicing Requirements  
• Region Specific Invoice Submission Guidelines
• Credentialed Provider Invoice (Excluding Transportation)
• Documentation for Credentialed Providers
• DCF Credentialed Provider Documentation Form (For Supervised Visitation)  ** EFFECTIVE April 1, 2018 **
• Quick Reference Directory 2020

Application for Organizations

• Application Directions - Organizations
• Credentialing Application for Organizations 

Application for Individual Providers

• Supervised Visitation 

Supervision Forms

• Supervision Guidelines
• Supervisory Agreement Template
• Supervision Note

Provider Agreement

• Supervised Visitation  

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