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Becoming an EPD Waiver Providers

How do I become a LTSS provider? To become a provider in the Elderly and Persons with Physical Disabilities (EPD) Medicaid Waiver Program, potential providers must submit a complete Provider Enrollment package with all the required documents.  It is DHCF’s job to make sure potential providers have the required knowledge, skills and abilities to successfully deliver services and supports. The provider enrollment process is all-inclusive and is as follows: 

Step 1: Provider must submit a “Letter of Intent” (LOI) to the Long Term Care Administration (LTCA) at [email protected].

The LOI must contain:   

  • Name of agency with proof of incorporation in the District of Columbia
  • Contact person with mailing address, business email address and telephone number • Brief description of the type of services the prospective provider would like to provide, and;
  • Brief statement of the agency’s readiness to provide the service(s) for which approval is requested.
  • The statement must reflect proof of knowledge and understanding of the relationship between State Plan and Waiver services as related to the service provided for which the applicant is seeking approval. 

Step 2: LTCA will accept or deny the LOI within 7 business days of receipt. A member of the LTCA team will respond to potential providers via email requesting a corrected LOI or acknowledging receipt of a complete LOI and the following information on next steps:

  1. Overview of the readiness process
  2. A checklist of required information
  3. Scheduled date for attendance at a mandatory information session

Step 3: The potential provider is required to attend the required provider enrollment information session organized by the LTCA within 90 days of submitting the LOI.  
A.    The meeting will include:

  1. An overview of the Department of Health Care Finance’s mission statement 
  2. DHCF’s commitment to Federal assurances and performance goals related to the administration and operations of a Home and Community-Based Waiver Service Program
  3. Overview of the provider enrollment process

B.    The potential provider should coordinate with important individuals involved with the program/service under review to attend this session.

C.    The LTCA will maintain appropriate documentation to confirm attendance of potential providers. 

D.    Mutual understanding between the potential provider and EPD personnel of the readiness review process and the expectations for qualified service providers is the goal of the information session, and questions regarding the process and technical assistance are to be addressed in this forum.

Step 4: The application must be submitted within 90 days of attending the provider enrollment information session with Maximus via www.dcpdms.com, with all requested documents. Maximus will conduct an initial review to ensure all required documents are included and the application is complete, prior to sending the application to DHCF.