Step 1: Complete Provider Application to Establish Information for a Contract
- Complete Provider Application including and review all CCS Program Information (pg. 5-7)
- Complete and return packet including:
- Vendor information and requested rates. Pg. 2-3
- W-9
- BID doc (if you are a Sole Proprietor) - Pg. 10-11
Step 2: Completing Contract:
1. Upon receiving all the completed paperwork, Waukesha County Fiscal Dept. will reach out to you to sign a contract. Once this is signed and returned, you can move onto Step 3.
Step 3: CCS Credentialing:
1. Vendor will receive a link and password to a secure CCS CRS SharePoint site
2. Vendor will create a provider folder (name of provider) in the Employee Credentialing section
3. Vendor will upload the following:
- Current Resume
- Background Information and Disclosure (BID) and Results
- References/2 Reference Checks for Employees
- Licensee and/or Certification (if applicable)
- CCS Provider Training Orientation.
- At least 40 hours of documented orientation training within 3 months of beginning employment for each staff member who has less than 6 months experience providing psychosocial rehabilitation services to children or adults with mental disorders or substance-use disorders. OR
- At least 20 hours of documented orientation training within 3 months of beginning employment with the CCS for each staff member who has 6 months or more experience providing psychosocial rehabilitation services to children or adults with mental disorders or substance-use disorders.
- Waukesha County will review resumes/years of experiences to determine the 20 or 40 hours
- Waukesha County will send the employee the training materials, but vendor would pay the staff for the training time, that is not reimbursable.
Step 4: Access to Electronic Health Record (myAvatar)
- Credential materials reviewed; vendor provider added to vendor roster
- Waukesha County creates helpdesk ticket with IT to create myAvatar username and login. Waukesha County assigned vendor relations will provide vendor with myAvatar ID.
- Please reference policy HHS 4402 Vendor Access to Avatar for additional questions about EHR access.