第 12 章服务提供商 rolesand 责任（ chapter12 service providers rolesand responsibilities）.docVIP

Chapter 10: Service Providers Roles and Responsibilities The roles and responsibilities of the service providers are detailed in this chapter. Topics included in this chapter Page Introduction 2 Service Delivery in EarlySteps: Recommended Practices for the Service Provider in Ongoing Service Delivery 2 EarlySteps Providers 10 Qualifications 10 Roles and Responsibilities 10 Referral to Office of Community Services 11 Assessments and Evaluations by Service Providers 11 Provider Enrollment 11 Training Requirements 14 Certification of Enrollment by the CFO 14 The Service Matrix 14 Changing a FSC or Provider 14 Substituting Early Intervention Providers 15 Service Authorizations 15 Accessing the Online System for Authorizations 15 Submission of Claims 16 Medicaid Services 16 Documentation Requirements for Service Providers 17 Provider Contact Note 17 Provider Monthly Report 18 Documentation for Assistant Level Providers 19 Services Provided outside of the Natural Environment 19 Quality Management 20 Early Intervention Records – Additional Information 20 Opportunity to Examine Records 20 Access to Records 21 Destruction of the Early Intervention Record 22 Professional Ethics 22 Service Provider Performance Indicators 24 Service Provider Contact Note 25 Provider Monthly Report 26 Who Do You Call? 27 Forms Provider Contact Note (included at the end of this chapter) Monthly Progress Report (included at the end of this chapter) Service Authorization/Provider Status Change form EDI Annual Certification of Electronically submitted Medicaid Claims All EarlySteps forms are in Chapter 14 of the EarlySteps Practice manual and can be located on the website at , click on information for EarlySteps providers and scroll down to the section with the Practice Manual. For purposes of clarification, the term provider used