Therapeutic Support Staff

Service Definition, Reimbursement and Documentation Form

• Aging Statement - SAMPLE 
  
• 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)
  

Application for Organizations

• Credentialing Application for Organizations

Application for Individual Providers

• Therapeutic Support Staff

Supervision Forms

• Supervision Guidelines
• Supervisory Agreement Template
• Supervision Note

Provider Agreement

• Therapeutic Support Staff (rev. 2022)
  

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