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Become a Provider
 
Steps to becoming a provider

Your decision to become a Provider is an important part in your Business Plan. Follow the steps below to begin the process. Feel free to print it off and use it as a work-in process-checklist.

If you have any questions or problems in the application process, you can email us at suggestions@carestar.com. A CareStar representative will respond to you within 24 hours.

Step 1
Certification

Note

Questions

1-A Consumer Letter
You need a letter from a current Ohio Home Health, Transitions Carve Out or Transitions MRDD Waiver Consumer requesting your service.

 

 This rule applies for Non Agency Personal Care Aides only

 What happens if I don’t have a current consumer?

1-B Your Identification
You need 2 forms of Identification

 

 A copy of youe Social Security Card or print out from the Social Security Administration office (No Exceptions)

A copy of a current Goverment issued photo ID with your name, current address, photo, and expiration date. ( if your current address is different from the one on the ID you must submit proof of your current address such as a utility bill, bank statement, or paycheck)


* Make sure your copy is clear and readable.

 

1-C Your certification or license
You need to provide your certification or license.

 

 

 

 

 

 

 

 

 

 

STNA (State Test Nurse Aide Certificate)
or HHA (Home Health Aide Certificate) completed within the last 24 months. or proof of equivalent training in the following areas:

Personal Care Aide Services (ADL & IADL), Basic Home Safety, Univeral Precautions for infection control including hand washing and proper disposal of bodily waste.


A copy of your current First Aide Certification

Registered Nurse(RN)Nursing License

Licensed Practical Nurses (LPN) Nursing License

LPN’s must provide a RN Supervisors name, address, and phone number.

LPNs must include RN Supervisors Licensure Information.


 What if I am not a State Tested Nursing Assistant, Certified Home Health Aide or met the other equivalent training requirements by completing an existing equivalent community program?

 

Answer:

You may elect to meet the training requirement by obtaining individual instruction by the consumer, consumer's authorized representative, or consumers qualified trainer.

This individual instruction provided by the consumer, consumer's authorized representative, or consumers qualified trainer must be documented on the CSTO (Consumer Specific Training Option) checklist form and submitted to CareStar Provider Enrollment before services can be provided to the consumer.

Click here for CSTO Form

Step 2
Choose where you want to work

 

 

2-A Find your Region

Write down the County and Region you want to work in.

 To find region and county

 

 What happens if I want to work in multiple regions?

 

2-B Mail it to CareStar

Make copies of all the information in Step 1 and Step 2 and mail this information to the CareStar regional office where you want to work.

 

Please make sure that you include a current address, phone number in the information you send to CareStar.

Please make sure all copies are clear and legible. No faxes will be accepted!

 

What are the addresses?
 

Can I fax in my application?

What are the numbers?

Step 3
Certification verification

 

 

3-A CareStar will verify:
a. Consumers request for your services
b. Your certification or licensure

 

 

How long will it take for my application to be processed?

 

Step 4
Application process

 

 

4-A An application will be mailed to you from CareStar

The application packet will include:
Enrollment Application

IRS W-9

Application Checklist

Direct Deposit Authorization Agreement

Provider Change of Address Form

Medicare Information Request Form

Clinical Laboratory Improvement Amendments (CLIA Registration)

Group Information Form

Glossary of Enrollment Terms

 

Please read all information carefully!

You will be responsible for knowing the rules.

 

Step 5
Application verification

 

 

5-A Fill out the application and return it to CareStar with a current Bureau of Criminal Investigation (BCI) Report.

 

BCI Report must have been done within 30 days of the application

WebChecks are now required for all Ohio BCI Reports. (LINK)

How long will that take?

Where can I get that done?

How much will it cost?

 

Step 6
Application
follow-up

 

 

6-A Allow 14-21 working days for CareStar and the State of Ohio to process your application.

This process may take longer for the following reasons:

-Application Accuracy -Consumer Verification -Case Manager Verification -Number of Applications received.
-BCI Report findings


 

 

After 14 working days you may call:

Ohio Medicaid Information System
1-800-686-1516
and follow the options to see if your number has been issued.

You may also call:
Independent Provider Information Line
1-614-751-7777 option 7 or 1- 800-616-3718.
to check on your number

What happens if they don’t have my number?

 Once I become a provider, where do I go to get information, forms, updates etc?



YOU ARE DONE AND READY TO WORK

Once you have received your provider number please contact your consumer’s Case Manager at CareStar to report your number.

CareStar wants to help you obtain the latest information that you may need to help serve your consumers. News, updates, and Request for Service are always available: www.carestar.com/providers.htm

 

Frequently Asked Questions
What happens if I don’t have a current consumer?
You cannot become a Personal Care Aide Provider without an OHC waiver consumer. If you are a Nurse a consumer is not required to receive an application.

What happens if I want to work in multiple regions?
If you are an active provider you may work in multiple regions.  Please contact a provider enrollment assistant and inform him/her of the counties you are willing to work in.

What are the addresses?
Click here for the CareStar locations

Can I fax my application?
No

What are the numbers?
Click here for the CareStar numbers

How long will it take for my application to be processed?
The application process takes approximately 5 weeks from start to finish.  However, it will take longer if it is not submitted accurately and has to be returned for corrections.

How long will it take for my Application Verification?
The application process takes approximately 5 weeks from start to finish.  However, it will take longer if it is not submitted accurately and has to be returned for corrections.

Where can I get a BCI check?
www.webcheck.ag.us/webcheckcommunity.htm



How much does a BCI check cost?
Each location sets the cost.  I would direct you to call around in the area where you live.


What happens if they misplaced my application?
If the state misplaces your application, CareStar keeps a copy of your application on file for 6 months.

Once I become a provider, where do I go to get information, forms, updates etc?
Excellent resources are:
The Ohio Department of Job and Family Services
CareStar

 

 

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