Bureau of Developmental Disabilities (BDDS) Provider Relations
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BDDS New Providers
DDRS no longer holds New Provider Orientation Sessions; enrollment is now open year around. All components of the New Provider Proposal Packet must be completed in order for an application to be considered. If any portion of the packet is incomplete, the proposal will be denied.
Proposals should be submitted to:
Director of Provider Relations
DDRS- Division of Disability and Rehabilitative Services
402 W. Washington St., RM 453, MS 18
Indianapolis, IN 46207
BDDSprovider@fssa.IN.gov
BDDS New Provider Proposal Packet
The packet consists of the six documents listed below. Open and print each of them to complete the packet. Reference material is also provided below.
- Application for Approval to Become a Provider of BDDS Services for Individuals with Developmental Disabilities
- Residential Services Documentation Requirements, Part 3
- Ancillary Services Documentation Requirements, Part 4
- FSSA Provider Data Form
- State of Indiana Automated Direct Deposit Authorization Agreement
- DDRS Provider Agreement
- Provider Request to Add Counties and Services
References
- Tool used for 460 Policy Development
- New Provider Orientation Slide Presentation 2011
- IAC 460 Rule 6
- Waiver Service Definitions/DD Renewal - Appendix C
- Nurse Aide Registry
- Taxpayer Identification Request Form, W-9
