P ersonal Support Worker Provider Enrollment Application and AgreementMay 22nd, 2013
FiledMay 22nd, 2013This Provider Enrollment Application and Agreement “Agreement,” sets forth the conditions and agreements for being enrolled as a provider with the State of Oregon Department of Human Services (DHS), Office of Developmental Disabilities Services (ODDS) and to receive a provider number in order to receive payment for services furnished by the provider to approved service recipients in Oregon. Payments for services are made using federal Medicaid and state funds.