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Welcome Providers

Making the decision to work in the field of developmental disabilities is a very rewarding experience. We want to assist you in your journey as a Direct Support Professional (DSP.) Our Provider Support team assists agencies and independent providers to help them achieve the best quality of services possible.

MCBDD provides support and educational opportunities for new and existing providers.  She is knowledgeable on the practices of the Ohio Department of Disabilities for provider compliance, as well as initial and re-certification. If you need assistance, call 740-453-4829 and ask for provider support.


Required Documentation

As a provider you are required to maintain documentation to ensure your continued certification. Below are a SOME of the required documentation for a provider. Depending on your certification your requirements may be different. If you have questions please contact Muskingum DD Provider Support staff at

MUI/UI Information and Forms:

This form is to be used when something unusual happens in a person’s life.

Unusual Incident Log Review Form must be completed monthly even if there are no Unusual Incident Reports that month.

MUI Analysis Form is completed annually in January.

As an HPC or Shared Living Provider: If you provide transportation you must complete transportation documentation. 

Providers of HPC services are required to use EVV to clock in and out and record their times of service. Electronic Visit Verification, or EVV, is a requirement under the 21st Century Cures Act, a federal law passed in December of 2016. Under the 21st Century Cures Act, states must implement an electronic system to verify certain home and community-based services were delivered in order to continue receiving federal financial support toward the costs of those services.
*Shared Living Providers are not required to use EVV

Optional Forms:

This is a requirement for all providers and must be completed within 60 days of initial certification. It is located on the DODD website through “My Learning”.

5123-9-06 Providers of home and community-based services shall maintain the records necessary and in such form to disclose fully the extent of home and community based services provided, for a period of six years from the date of receipt of payment or until an initiated audit is resolved, whichever is longer. The records shall be made available upon request to the department, the Ohio department of Medicaid, the centers for Medicare and Medicaid services, and/or the auditor of state. Providers who fail to produce the records requested within thirty calendar days following the request shall be subject to denial, suspension, or revocation of certification and/or loss of their Medicaid provider agreement. 


Disclaimer: These are not official documents, and there is no requirement that providers use these particular documents, nor is there any guarantee that this form will be in compliance with later rules. It remains the responsibility of the provider to be familiar with all applicable rules, including those covering service delivery and documentation. Use of these forms for documentation is not a guarantee of payment, and services must be provided before claims are submitted for reimbursement. We make every effort to ensure the information on this page is accurate and up to date, however changes occur often at the state level. While we are diligent in keeping our website up to date, please see for the latest information.

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