Provider Information

BECOMING A PROVIDER

A Provider is a self-employed person or agency who directly provides services to people with developmental disabilities. All providers must be certified through the Ohio Department of Developmental Disabilities (DODD) before they can provide any services.  

Becoming an Independent Provider

Becoming an Agency Provider

Prior to becoming a provider, you will need to complete a background check as part of your application packet. 

In addition, you must have 8 hours of initial training and have a current CPR/First Aid certification. You can take the 8-hour initial training online at DODD's MyLearning, follow the step by step guide to get started in MyLearning HERE.


Billing and service documentation training can be found in DODD MyLearning for new providers; this is required within 60 days of first providing services after becoming certified.


CURRENT PROVIDERS- DODD Provider Search   

SERVICE DOCUMENTATION REQUIREMENTS

For any service provided; providers must have documentation of that service. Each service has its own documentation requirements, which can be found within the rule for each service found HERE.

Providers can determine how they would like their documentation to appear, but it MUST contain all the required elements addressed in rule. 

SAMPLE TEMPLATES

HPC Documentation Sheet

Shared Living Documentation

OISP Outcome Documentation

HPC Transportation

Non-Medical Transportation


UI/MUI GUIDANCE

Providers should notify the appropriate parties if an Unusual Incident (UI) / Major Unusual Incident (MUI) occurs. MUI's must be reported within 4 hours of the incident occurring.

To report an Incident contact: (937) 382-7519 Monday through Friday 8:00 a.m. until 4:00 p.m.  After hours, on weekends, and on Holidays call: (937) 725-5074. 

Anytime a UI/MUI occurs, you must document it on an Incident Report form. Submit the completed Incident Report to: 937-382-0350 (fax), or send the report via email to irsubmissions@nikecenter.org.

You are required to maintain a monthly Monthly UI Log and submit it to the Provider Support Coordinator even if you have no incidents.

An MUI Annual Analysis must be completed by 1/31 and submitted to the County Board by 2/28 even if there are no MUI's. A courtesy email reminder will be sent to Providers on our email distribution list about the analysis and its due date, as well as a form that you can use to fill out.  However, it remains the Providers responsibility to complete these forms and submit it, regardless of receiving any reminders.


MUI Rule


PROVIDER RESOURCES

Record Keeping

Reviews

Recertification


NEWSLETTERS

September 2022

December 2022


PROVIDER MEETINGS

October 4,2022 @ 10am via Zoom

January 3,2023 @ 10am in-person and via Zoom

April 4, 2023 @ 10am in-person and via Zoom

July 5, 2023 @10am in-person and via Zoom

October 3,2023 @10am in-person and via Zoom



If you have any provider questions/concerns please contact:

Amanda Van Tress

Provider Support Coordinator

avantress@nikecenter.org

937-944-3340



General Information
Location
4425 State Route 730
Wilmington,
OH
45177

Monday - Friday
8:00am - 4:00pm