Provider Credentialing and Maintenance

Provider Credentialing and Maintenance: Standard Operating Procedure

Terminology

• BACB Certification Documentation

• NPI Number Registry Verification

• TB Clearance Requirement

• National Fingerprint-Based Criminal Background Check

• QBS Safety-Care Core and Advanced Skills Training

• State Required Training

• DCCA License Documentation

• Med-QUEST and HOKU Enrollment Documentation

Resources

• Instructional Slides: Agency: Credentialing Requirements (SOP)

• CR Support Checklist: Agency Credentialing Process: CR Support Checklist (MASTER-SOP)

• Training Video: Coming Soon 

Terminology

• Credentialing Requirements: Requirements a provider must have to be approved to deliver ABA services within the HIDOE. 

• Contact Forms: Efficient way to create user profiles 

• Credentialing Attestation Form Process: Process where the Agency Admin attest that the applicant has met and is continuously maintaining all required credentials.

• New Agency Admin Process: Workflow for creating a system account and granting administrative access. 

Resources

• Instructional Slides: Agency: New Applicant Process (SOP)

• CR Support Checklist: Agency Credentialing Process: CR Support Checklist (MASTER-SOP)

• Training Video: Coming Soon

Terminology

• Agency Re-Credentialing Process: The mandatory, recurring process where the agency ensures its approved providers continuously maintain all compliance requirements.

• Notes & Forms: Central location for initiating, tracking, and managing electronic documentation typically including templates

• Contact Labels: Labels attached to client and employee profile

Resources

• Instructional Slides: Agency: Credentialing Attestation Form Process (SOP)

• CR Support Checklist: Agency Credentialing Process: CR Support Checklist (MASTER-SOP)

• Training Video: Coming Soon

Terminology

• Contact Labels: Labels attached to client and employee profile

• Document Manager Widget: System within CentralReach that tracks, organizes, and facilitates the uploading of required documents. 

• Credentialing Requirements: Requirements a provider must have to be approved to deliver ABA services within the HIDOE.

Resources

• Instructional Slides: Agency: Auditing Process

• CR Support Checklist: Agency Audit Process: CR Support Checklist (MASTER-SOP)

• Training Video: Coming Soon

Terminology

• Task Templates: Standardized, reusable blueprints when creating a task

• Updating Labels

• Terminate Provider: Workflow used by the Agency to notify that a provider is no longer employed.

• Inactivate/Activate Provider

• Change in Clinical Supervisor/ Requirements Coordinator

• Change in Staff Name

• RBT to LBA: Workflow used by the Agency to notify of a provider's change in professional role and credentials.

• Remove Staff as “Agency Admin”

• Agency Admin Designee: Workflow used by the Agency to designate particular Agency Admins to receive limited access and permissions.

• Add Staff as "Agency Admin": Workflow for creating a system account and granting administrative access. 

Resources

• Instructional Slides: Agency: CentralReach Updates and Changes (SOP)

• CR Support Checklist: Agency CentralReach Updates and Changes: CR Support Checklist (MASTER-SOP)

• Training Video: Coming Soon

Terminology

E-Signature Workflow: Process of how the DES or DES Designee will sign Service Verifications using an e-signature.

Timesheet Audits: Process of reviewing and verifying timesheet data to ensure accuracy, completeness

Filters: Pre-set grouping of labels for quick searching.

Notifications: Additional messaging (i.e., email, texts) for CentralReach updates.

Tasks: Assignment of specific activities in the system.

Resources

Instructional Slides: District: Billing/Invoicing (DRAFT)

CR Support Checklist: Invoice/Payment: CR Support Checklist (MASTER-SOP)

Training Video: Coming Soon

Terminology

• Credentialing Requirements: Requirements a provider must have to be approved to deliver ABA services within the HIDOE. 

• Agency New Application Process: Process for Agencies where they create an applicant's profile in the system

• Credentialing Attestation Form: Process where the Agency Admin attest that the applicant has met and is continuously maintaining all required credentials.

• (Contact) Labels: Labels attached to client and employee profile

• Notes & Forms: Central location for initiating, tracking, and managing electronic documentation typically including templates

Resources

• Instructional Slides: Agency: Re-Credentialing Process (SOP)

• CR Support Checklist: Re-Credentialing Process: CR Support Checklist (MASTER-SOP)

• Training Video: Coming Soon

Terminology

• Access Provider Timesheets: This is the process where authorized Agency personnel review and verify the accuracy of submitted provider timesheets

Resources

• Instructional Slides: 

• CR Support Checklist: 

• Training Video: Coming Soon