ALL SERVICE PROVIDERS:
1. Become a Provider – Contact the appropriate Resource Coordinator to apply to become an SDRC Service Provider.
2. Vendor Disclosure Statement (DS1891) – Review the Department of Developmental Services information about the DS1891 form requirement.
3. Breach Incident Report (DS 5340) – Review the Department of Developmental Services Breach Incident Reporting process – DS 5340B.
4. Certification of Alternative Nonresidential Services – Providers shall complete and submit this form to the Regional Center to certify the provision of alternative nonresidential services prior to submitting claims for reimbursement.
NURSING LEVEL RESPITE PROVIDERS:
RESIDENTIAL SERVICE PROVIDERS:
6. Face Sheet
9. Looking at Service Quality – Providers handbook required to be kept in all vendored Community Care licensed homes
18. Seizure Record