Potential providers must complete KMAP provider enrollment packet application and submit their credentials and qualifications with the application, and complete the mandatory training. The fiscal agent reviews the application and forwards the application to the HCBS autism waiver program manager. Once the program manager determines the provider meets the qualification, the fiscal. agent notifies the potential provider of the enrollment determination. The following steps must be completed in order to become a service provider.
Information on the training requirements
KMAPP Provider enrollment, NPI numbers, and manual's web site.
The HCBS Autism Waiver applications are available here.
Home and Community Based Waiver Programs
If you have already completed the Kansas Bureau of Investigation (KBI), Adult Protective Services (APS), and Child Protective Services (CPS) checks, the next step is to:
If you have not sent in background checks yet, complete the required forms and mail them to address indicated on the documents. While you are waiting for the background checks to come back, work on completing the Provider Application Packet and gathering supporting documents. Then when you have all the paperwork completed, submit all information together in one packet.
Note: If you qualify for the Autism Specialist position you will probably qualify for the IIS worker and Respite worker as well. You may decide to check all three positions in order to become a service provider for all three of the positions (Autism Specialist, ILS worker, Respite Provider). If you don't check all three positions now and decide you want to be able to provide other positions at a later date, you will have to complete a whole new packet and re-submit the application.
Provider Application Packet
National Provider Identifier:
All providers will also need to complete the following in addition to the provider application packet above:
Kansas Bureau of Investigation
Child Abuse and Neglect Central Registry Release of Information
Adult Abuse, Neglect, Exploitation Central Registry Release of Information
Nurses Aide Registry
Motor Vehicle Screening
Security Clearance Documents to enter Plans of Care:
Frequently Asked Questions for Providers