Support Staff

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 Therapeutic Support & Support Staff Service) ** EFFECTIVE April 1, 2018 **
• Quick Reference Directory 2020
• Regional Contact Information (DCM) ** NEW **
  

Application for Organizations

• Credentialing Application for Organizations

Application for Individual Providers

• Support Staff

Supervision Forms

• Supervision Guidelines
• Supervisory Agreement Template
• Supervision Note

Provider Agreement

• Support Staff  ** EFFECTIVE 2022**

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• Programs & Services
  • BHRP - Basic & Clinical
  • DCF Credentialing
    • Forms & Resources
      • After School Services
      • Animal Assisted Interventions
      • Assessment Service
      • Assessment Service: Perpetrator of Domestic Violence
      • CHAP - Case Management
      • Community Based Life Skills (CBLS) Program
      • Supervised Visitation
      • Support Staff
      • Temporary Care
      • Therapeutic Support Staff
      • Transportation
      • Provider Information Change Form
      • DCF Invoicing Requirements
      • Forms Section
      • Newsletter
      • Provider Meeting Minutes
      • DCF Academy Training
      • LIST Train the Trainer Certification Course
    • Roster Search
    • Contact Information
  • DMHAS Housing Assistance Fund (HAF)
  • ECCP
  • ICM and ERSC
  • Judicial Branch Credentials Verification
  • Mental Health Waiver
  • Military Support Program
  • MST QA
  • School of Origin Transportation
  • Section 1115 Demonstration Waiver
  • TAM Call Center
  • Wraparound Funding