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**