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SCL Providers
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New Provider Frequently Asked Questions
Click on a question below to reveal or hide its answer.
- Q.
- When applying to be an SCL provider, does our agency need to be a Medicare-certified company?
- A.
- No.
- Q.
- What is the average time it takes to become certified as an SCL provider?
- A.
- This greatly depends on the agency's level of preparation. An agency that is familiar with the regulations and has experience in developing policy, procedures and business plans will generally take approximately six to seven months from the date that New Provider Orientation, Level I has been successfully completed. If a company successfully completes the pre-service review, the company will be certified. Once certified, a company becomes eligible for a provider number from the Department of Medicaid Services. Once a provider number has been obtained the company can initiate services.
- Q.
- How much time do I have to complete the process of becoming certified?
- A.
- There are no set timeframes, but if it takes longer than a year to submit a packet then it will be necessary to attend New Provider Orientation I again. Additionally, if regulations have changed or significant changes have been made to the material presented at the New Provider Orientation, it will be necessary to attend again.
- Q.
- What is the first step in becoming certified as an SCL agency?
- A.
- Contact the Provider Development Specialist listed in the Contact Information box above.
- Q.
- What does the reimbursement rate for residential supports cover?
- A.
- It covers the cost of:
- Staffing the home 24 hours a day, 7 days a week.
- Providing training and support to assist the individuals in obtaining their outcomes.
- Providing medical or health care services that are integral to meeting the participant’s daily needs.
- Participating in medical appointments and follow-up care.
- Providing or arranging transportation to leisure activities, services to include Community Access activities, medical appointments, and place of employment.
- Providing personal assistance to someone in the home, workplace, or a community-based setting initiated by Community Access.
- Q.
- Are any transportation costs covered?
- A.
- Transportation shall be provided or arranged through the appropriate provider for Medicaid Transportation. This generally will cover transporting someone from one service site to another (i.e., a staffed residence to a Day Training site). Transportation is also a service under Participant Directed Option, which enables a person to gain access to integrated waiver and other community services, activities, resources and organizations typically utilized by the general public. It can only be provided when transportation is not otherwise and customarily available through natural supports, including family, friends, neighbors or community agencies, or included as an element of another SCL waiver service.
- Q.
- If I want to provide day services (i.e., Day Training), is it necessary that I have a brick-and-mortar building?
- A.
- No. Individuals could be picked up from home or meet with a Direct Support Professional at a mutually agreed-upon place and time. From there they would participate in social, civic and/or vocational activities in the community. The individual plans will direct the activity and schedule. This type of arrangement is particularly beneficial for those who prefer a very structured day, less noise, time with particular friends and staff, etc.
- Q.
- What area of the state has the greatest need?
- A.
- We do not have or provide that information. Generally speaking, those agencies providing the highest quality of supports will rise to the top. Each individual or legal representative has a choice of agencies. If a person is dissatisfied with the supports he or she is receiving at one place, he or she may choose to move to another agency at any time. It is up to the agency to determine where its services are needed.
- Q.
- How hard is it to add a service in the future?
- A.
- Adding a service in the future is much easier than the initial process of becoming a certified SCL provider. Most agencies pursue this by notifying Gwen Alston (Gwen.Alston@ky.gov) that the agency would like to add a service. The agency's Quality Administrator would set a meeting date, then come to the site and review any required policy changes or additions and any other newly created documents relevant to the new service. Additionally, if a provider were adding a residential or day service that utilizes an actual building, the QA would also visit this site.
- Q.
- Are providers who provide day program services or Day Training allowed to provide other services to other participants at the same facility? An example is a Day Training program that also provides private-pay day program services or ABI-waiver day program services.
- A.
- Yes, as long as the program complies with the SCL regulations.
- Q.
- Do we have to apply for a National Provider Identifier (NPI) number or does that automatically occur?
- A.
- Yes you have to apply. The link is https://nppes.cms.hhs.gov/NPPES/StaticForward.do?forward=static.npistart.
- Q.
- How do I obtain a check from the Central Registry?
- A.
- Click this link: https://www.pdffiller.com/5479366-Background20-Check_Central2-520Registry2-0Check20Form-DPP-156-Central-Registry-Check-Other-forms-mc-uky.
- Q.
- Whom do I contact to find out more information regarding the 5.5 percent provider tax for Support for Community Living (SCL) providers?
- A.
- Sarah Puttoff at (502) 782-8581.
- Q.
- Does the provider tax apply to those agencies providing Michelle P. waiver services?
- A.
- No.
- Q.
- Is becoming a provider of SCL supports the only way to become eligible to provide Michelle P. waiver services?
- A.
- No. If you are eligible to provide Home and Community Based Services (HCBS) then you are also eligible to provide Michelle P. waiver services.
- Q.
- I want to care for someone in my home. What is the process for becoming a Family Home or Adult Foster Care Provider?
- A.
- DDID does not place individuals with home providers. You must contact currently certified SCL agencies who provide those services and determine if they might be interested in working with you.
Use the "Provider Directory" link in the Related Links box to access the SCL Provider Directory, which lists all currently certified SCL providers. - Q.
- What does "conflict-free case management" mean?
- A.
- "Conflict-free case management" means that if your agency is providing case management to a participant, your agency cannot provide any other services to that person.
- Q.
- Does an agency that is providing only case management need to address all policies outlined on the Policy and Procedure Checklist?
- A.
- Some policies listed on the checklist (such as medication administration and evacuation plans) are those in which a case manager would typically not be directly involved. Even so, the case manager should be monitoring those activities, since he or she is responsible for ensuring the health, safety and welfare of participants. So, in these situations, the agency’s policies should address the monitoring of those activities.
- Q.
- If I am interested in providing only a single service, do I need to complete an entire enrollment packet?
- A.
- Yes.
- Q.
- After I have attended New Provider Orientation – Level I, what is the next step?
- A.
- You should begin putting together your Enrollment Packet. This must be submitted to DDID.ProviderEnrollment@ky.gov before you will be eligible to attend Level II orientation.
Executive Director Qualification Requirements
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