Provider certification is valid for three years. After three years, providers must submit a renewal application to maintain their certification. The certification end date is located in the final certification approval letter and can be reviewed online in the provider’s Provider Services Management current certifications. Each provider is responsible for tracking this date and submitting all documents required for certification renewal.
Providers can start their renewal application 90 days before the certification end date. Providers whose certifications expire will have a gap in their certification span. Providers are not allowed to provide or bill for services once their certification has expired or during certification gaps.
GATHER YOUR DOCUMENTS
DODD will request the following documents from the Independent Provider or Agency Director of Operations during the recertification process:
(DODD may ask for additional documentation when you complete your application, depending on the services you choose on your application.)
HELPFUL HINT: Make sure you have scanned and saved your training certificates and the documents listed above BEFORE you start your online application process in the Provider Service Management (PSM). You will need to upload them to your application during this process.
SUBMITTING APPLICATION AND NON-REFUNDABLE APPLICATION FEE:
To start the Recertification process, review the attached user guide to login to the Provider Network Management (PNM) system. You will then be routed to PSM (DODD) to complete the application.
The application is not considered complete until all required documentation is submitted and the application fees have been paid.