Embedded Files
Provider Affiliation Process
Step One
Step One
Provider reaches out to CDDO (phone call, email, website inquiry, licensure email) to indicate interest in affiliating.
Step Two
Step Two
CDDO emails Provider information regarding affiliation.
Step Three
Step Three
Provider needs a KDADS license?
If yes, Provider applies for and receives a KDADS license. Once the Provider has their license, proceed to step four.
If no, Provider can proceed to step four.
Step Four
Step Four
Provider submits an application to the CDDO, including the services they intend to provide, the counties they intend to serve, the Affiliate Agreement, and alal other required documents.
Step Five
Step Five
CDDO reviews submitted affiliation documentation.
Step Six
Step Six
CDDO countersigns Affiliate Agreement.
Step Seven
Step Seven
CDDO sends a copy of the fully executed Affiliate Agreement to Provider.
Step Eight
Step Eight
Provider applies via KMAP website for a KMAP provider number. *
*Some provider types / settings require background checks, state facility licensing, Final Settings Rule certification, and / or fire marshal inspections. When applicable, providers must complete these before services begin.
Step Nine
Step Nine
KMAP issues Provider their KMAP provider number.
Step Ten
Step Ten
Provider contacts MCO(s) and contracts with at least one MCO.
Step Eleven
Step Eleven
Provider notifies CDDO of MCO contract(s).
Step Twelve
Step Twelve
CDDO adds Provider to the open list on the CDDO's website and Choice Form for relevant service(s).
Step Thirteen
Step Thirteen
Provider is now eligible to start providing services to the individual.
Process Complete
Process Complete
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