Supervised Visitation

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  

  |    |   Share

• 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