An applicant who wishes to provide an HCBS in accordance with this chapter shall complete and submit the following completed documents to the Department:
- (1) A provider enrollment application on a form specified by the Department.
- (2) An HCBS waiver provider agreement on a form specified by the Department.
- (3) Copies of current licenses as specified in § 6100.81(c) (relating to HCBS provider requirements).
- (4) Verification of compliance with § 6100.47 (relating to criminal history checks).
- (5) Verification of completion of the Department’s monitoring documentation.
- (6) Verification of completion of the Department’s pre-enrollment provider training.
- (7) Documents required in accordance with applicable Federal and State statutes and regulations.
Cross References
This section cited in 55 Pa. Code § 6100.805 (relating to vendor goods and services).